Research Article | | Peer-Reviewed

Dietary Practices of Cancer Outpatients at Nyeri County Referral Hospital, Kenya; A Cross Sectional Survey

Received: 30 August 2024     Accepted: 18 September 2024     Published: 29 September 2024
Views:       Downloads:
Abstract

The global burden of non-communicable diseases remains unacceptably high and Kenya is among the countries experiencing an epidemiological transition from the communicable to non-communicable diseases. In Kenya, cancer is the second leading cause of non-communicable disease related mortalities after the cardiovascular diseases and Nyeri County is among the counties that are leading in this burden of non-communicable diseases. This study sought to assess the dietary practices of the cancer patients on chemotherapy at Nyeri County and Referral Hospital in comparison with the recommended dietary practices. Analytical cross-sectional study design was employed and the data on the dietary practices was collected using a 24-hour recall and a Food Frequency Questionnaire (FFQ). Sixty one percent of the respondents were female while 39% were male. Sixty one percent had acquired primary school education and half of the respondents survive on a monthly income of between 0-10,000. Breast cancer was the most common cancer type in the population (39%), followed by esophageal and throat cancer at 14.5% and gastric cancer at 14%. Prostate cancer was the most prevalent among the male respondents at 11%. The mean energy intake of the respondents was 1068+- 520 Kcals which was not meeting the requirements as per the ESPEN clinical guidelines on cancer. The dietary patterns identified from the research were, excessive consumption of foods from the starchy foods and the fats category (65.1%) and less than half (41.9%) were not attaining the minimum daily requirements of the fruit’s servings recommended by the World Health Organization (WHO). Nutrition education and counselling is key in improving the dietary practices among the cancer patients. However, 44.19% had not received nutrition education and counselling regarding the appropriate diet to consume in the course of their treatment. This study found out that the dietary practices of the cancer patients do not meet the recommended clinical guidelines on cancer nutrition and almost half of the population had not received nutrition education and counselling services. Social and behavior change is one of the possible strategies that could be adopted to deliver nutrition information to the population, to improve the knowledge, attitude and dietary practices of cancer patients in Kenya, which in turn will improve their nutrition outcomes.

Published in International Journal of Nutrition and Food Sciences (Volume 13, Issue 5)
DOI 10.11648/j.ijnfs.20241305.16
Page(s) 209-218
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Dietary Practices, Nutrition Status, Food Frequency Questionnaire, 24-hour Recall, Body Mass Index, Malnutrition Risk

References
[1] MoH-Kenya. Kenya STEPwise Survey for Non Communicable Diseases Risk Factors 2015 Report. Public Health 2015; 5: 8–210.
[2] Muscaritoli M, Lucia S, Farcomeni A, Lorusso V, Saracino V, Barone C, et al. Prevalence of malnutrition in patients at first medical oncology visit: The PreMiO study. Oncotarget 2017; 8: 79884–96.
[3] Sung H, Ferlay J, Siegel RL, Laversanne M, Soerjomataram I, Jemal A, et al. Global Cancer Statistics 2020: GLOBOCAN Estimates of Incidence and Mortality Worldwide for 36 Cancers in 185 Countries. CA Cancer J Clin 2021; 71: 209–49.
[4] Morze J, Danielewicz A, Przybyłowicz K, Zeng H, Hoffmann G, Schwingshackl L. An updated systematic review and meta-analysis on adherence to mediterranean diet and risk of cancer. Eur J Nutr 2021; 60: 1561–86.
[5] Ministry of Health Kenya. National Guidelines for Healthy Diets. Natl Guidel Healthy Diets Phys Act 2017.
[6] American Cancer Society. Nutrition for People With Cancer Benefits of good nutrition during cancer treatment 2018: 1–27.
[7] Muscaritoli M, Arends J, Bachmann P, Baracos V, Barthelemy N, Bertz H, et al. ESPEN practical guideline: Clinical Nutrition in cancer. Clin Nutr 2021; 40: 2898–913.
[8] Bhosale PB, Ha SE, Vetrivel P, Kim HH, Kim SM, Kim GS. Functions of polyphenols and its anticancer properties in biomedical research: A narrative review. Transl Cancer Res 2020; 9: 7619–31.
[9] Wang Y, Liu K, Long T, Long J, Li Y, Li J, et al. Dietary fish and omega-3 polyunsaturated fatty acids intake and cancer survival: A systematic review and meta-analysis. Crit Rev Food Sci Nutr 2023; 63: 6235–51.
[10] Radomska D, Czarnomysy R, Radomski D, Bielawska A, Bielawski K. Selenium as a bioactive micronutrient in the human diet and its cancer chemopreventive activity. Nutrients 2021; 13: 1–25.
[11] Ministry of Health. Kenya Cancer Policy 2019-2030, 2019.
[12] Naghshi S, Sadeghi O, Willett WC, Esmaillzadeh A. Dietary intake of total, animal, and plant proteins and risk of all cause, cardiovascular, and cancer mortality: Systematic review and dose-response meta-analysis of prospective cohort studies. The BMJ 2020; 370.
[13] July 2022 NATIONAL CANCER TASKFORCE REPORT 2022.
[14] Choi JY, Lee JH, Song YJ. Evaluation of Iodine Status among Korean Patients with Papillary Thyroid Cancer Using Dietary and Urinary Iodine. Endocrinol Metab 2021; 36: 607–18.
[15] Wambalaba FW, Son B, Wambalaba AE, Nyong’o D, Nyong’o A. Prevalence and Capacity of Cancer Diagnostics and Treatment: A Demand and Supply Survey of Health-Care Facilities in Kenya. Cancer Control 2019; 26: 1–12.
[16] Nyeri County Government. Republic of Kenya Nyeri County Intergrated Development Plan 2013-2017 Department of Finance and Economic Planning 2013: 324.
[17] Sun Y, Phillips PCB. Understanding the Fisher equation. J Appl Econom 2004; 19: 869–86.
[18] Danner D. Reliability – The Precision of a Measurement. GESIS Surv Guidel 2016.
[19] Bradbury KE, Murphy N, Key TJ. Diet and colorectal cancer in UK Biobank: A prospective study. Int J Epidemiol 2020; 49: 246–58.
[20] Thompson FE, Subar AF. Dietary Assessment Methodology. 2017.
[21] Fincham JE. Response rates and responsiveness for surveys, standards, and the Journal. Am J Pharm Educ 2008; 72: 43.
[22] Hinata A, Kabasawa K, Watanabe Y, Kitamura K, Ito Y, Takachi R, et al. Education, household income, and depressive symptoms in middle-aged and older Japanese adults. BMC Public Health 2021; 21: 1–10.
[23] Krajc K, Miroševič Š, Sajovic J, Klemenc Ketiš Z, Spiegel D, Drevenšek G, et al. Marital status and survival in cancer patients: A systematic review and meta‐analysis. Cancer Med 2023; 12: 1685–708.
[24] Kravdal H, Syse A. Changes over time in the effect of marital status on cancer survival. BMC Public Health 2011; 11.
[25] Peters R, Ee N, Peters J, Beckett N, Booth A, Rockwood K, et al. Common risk factors for major noncommunicable disease, a systematic overview of reviews and commentary: the implied potential for targeted risk reduction. Ther Adv Chronic Dis 2019; 10: 204062231988039.
[26] Rock CL, Thomson C, Gansler T, Gapstur SM, Mccullough ML, Patel AV, et al. American Cancer Society Guideline for Diet and Physical Activity for Cancer Prevention 2020; 70: 245–71.
[27] de Pinho NB, Martucci RB, Rodrigues VD, D’Almeida CA, Thuler LCS, Saunders C, et al. Malnutrition associated with nutrition impact symptoms and localization of the disease: Results of a multicentric research on oncological nutrition. Clin Nutr 2019; 38: 1274–9.
[28] Lega IC, Lipscombe LL. Review: Diabetes, Obesity, and Cancer-Pathophysiology and Clinical Implications. Endocr Rev 2020; 41: 33–52.
[29] Nagy S, Petrosky SN, Beckler MD, Kesselman MM. The Impact of Modern Dietary Practices on Cancer Risk and Progression: A Systematic Review. Cureus 2023.
[30] Hanson S, Thorpe G, Winstanley L, Abdelhamid AS, Hooper L, Abdelhamid A, et al. Omega-3, omega-6 and total dietary polyunsaturated fat on cancer incidence: systematic review and meta-analysis of randomised trials. Br J Cancer 2020; 122: 1260–70.
Cite This Article
  • APA Style

    Bundi, D., Chege, P., Kamuhu, R. (2024). Dietary Practices of Cancer Outpatients at Nyeri County Referral Hospital, Kenya; A Cross Sectional Survey. International Journal of Nutrition and Food Sciences, 13(5), 209-218. https://doi.org/10.11648/j.ijnfs.20241305.16

    Copy | Download

    ACS Style

    Bundi, D.; Chege, P.; Kamuhu, R. Dietary Practices of Cancer Outpatients at Nyeri County Referral Hospital, Kenya; A Cross Sectional Survey. Int. J. Nutr. Food Sci. 2024, 13(5), 209-218. doi: 10.11648/j.ijnfs.20241305.16

    Copy | Download

    AMA Style

    Bundi D, Chege P, Kamuhu R. Dietary Practices of Cancer Outpatients at Nyeri County Referral Hospital, Kenya; A Cross Sectional Survey. Int J Nutr Food Sci. 2024;13(5):209-218. doi: 10.11648/j.ijnfs.20241305.16

    Copy | Download

  • @article{10.11648/j.ijnfs.20241305.16,
      author = {Dorothy Bundi and Peter Chege and Regina Kamuhu},
      title = {Dietary Practices of Cancer Outpatients at Nyeri County Referral Hospital, Kenya; A Cross Sectional Survey
    },
      journal = {International Journal of Nutrition and Food Sciences},
      volume = {13},
      number = {5},
      pages = {209-218},
      doi = {10.11648/j.ijnfs.20241305.16},
      url = {https://doi.org/10.11648/j.ijnfs.20241305.16},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijnfs.20241305.16},
      abstract = {The global burden of non-communicable diseases remains unacceptably high and Kenya is among the countries experiencing an epidemiological transition from the communicable to non-communicable diseases. In Kenya, cancer is the second leading cause of non-communicable disease related mortalities after the cardiovascular diseases and Nyeri County is among the counties that are leading in this burden of non-communicable diseases. This study sought to assess the dietary practices of the cancer patients on chemotherapy at Nyeri County and Referral Hospital in comparison with the recommended dietary practices. Analytical cross-sectional study design was employed and the data on the dietary practices was collected using a 24-hour recall and a Food Frequency Questionnaire (FFQ). Sixty one percent of the respondents were female while 39% were male. Sixty one percent had acquired primary school education and half of the respondents survive on a monthly income of between 0-10,000. Breast cancer was the most common cancer type in the population (39%), followed by esophageal and throat cancer at 14.5% and gastric cancer at 14%. Prostate cancer was the most prevalent among the male respondents at 11%. The mean energy intake of the respondents was 1068+- 520 Kcals which was not meeting the requirements as per the ESPEN clinical guidelines on cancer. The dietary patterns identified from the research were, excessive consumption of foods from the starchy foods and the fats category (65.1%) and less than half (41.9%) were not attaining the minimum daily requirements of the fruit’s servings recommended by the World Health Organization (WHO). Nutrition education and counselling is key in improving the dietary practices among the cancer patients. However, 44.19% had not received nutrition education and counselling regarding the appropriate diet to consume in the course of their treatment. This study found out that the dietary practices of the cancer patients do not meet the recommended clinical guidelines on cancer nutrition and almost half of the population had not received nutrition education and counselling services. Social and behavior change is one of the possible strategies that could be adopted to deliver nutrition information to the population, to improve the knowledge, attitude and dietary practices of cancer patients in Kenya, which in turn will improve their nutrition outcomes.
    },
     year = {2024}
    }
    

    Copy | Download

  • TY  - JOUR
    T1  - Dietary Practices of Cancer Outpatients at Nyeri County Referral Hospital, Kenya; A Cross Sectional Survey
    
    AU  - Dorothy Bundi
    AU  - Peter Chege
    AU  - Regina Kamuhu
    Y1  - 2024/09/29
    PY  - 2024
    N1  - https://doi.org/10.11648/j.ijnfs.20241305.16
    DO  - 10.11648/j.ijnfs.20241305.16
    T2  - International Journal of Nutrition and Food Sciences
    JF  - International Journal of Nutrition and Food Sciences
    JO  - International Journal of Nutrition and Food Sciences
    SP  - 209
    EP  - 218
    PB  - Science Publishing Group
    SN  - 2327-2716
    UR  - https://doi.org/10.11648/j.ijnfs.20241305.16
    AB  - The global burden of non-communicable diseases remains unacceptably high and Kenya is among the countries experiencing an epidemiological transition from the communicable to non-communicable diseases. In Kenya, cancer is the second leading cause of non-communicable disease related mortalities after the cardiovascular diseases and Nyeri County is among the counties that are leading in this burden of non-communicable diseases. This study sought to assess the dietary practices of the cancer patients on chemotherapy at Nyeri County and Referral Hospital in comparison with the recommended dietary practices. Analytical cross-sectional study design was employed and the data on the dietary practices was collected using a 24-hour recall and a Food Frequency Questionnaire (FFQ). Sixty one percent of the respondents were female while 39% were male. Sixty one percent had acquired primary school education and half of the respondents survive on a monthly income of between 0-10,000. Breast cancer was the most common cancer type in the population (39%), followed by esophageal and throat cancer at 14.5% and gastric cancer at 14%. Prostate cancer was the most prevalent among the male respondents at 11%. The mean energy intake of the respondents was 1068+- 520 Kcals which was not meeting the requirements as per the ESPEN clinical guidelines on cancer. The dietary patterns identified from the research were, excessive consumption of foods from the starchy foods and the fats category (65.1%) and less than half (41.9%) were not attaining the minimum daily requirements of the fruit’s servings recommended by the World Health Organization (WHO). Nutrition education and counselling is key in improving the dietary practices among the cancer patients. However, 44.19% had not received nutrition education and counselling regarding the appropriate diet to consume in the course of their treatment. This study found out that the dietary practices of the cancer patients do not meet the recommended clinical guidelines on cancer nutrition and almost half of the population had not received nutrition education and counselling services. Social and behavior change is one of the possible strategies that could be adopted to deliver nutrition information to the population, to improve the knowledge, attitude and dietary practices of cancer patients in Kenya, which in turn will improve their nutrition outcomes.
    
    VL  - 13
    IS  - 5
    ER  - 

    Copy | Download

Author Information
  • Sections