A Pilot Study of Taste Changes Among Hospice Inpatients With Advanced Cancer

2011 ◽  
Vol 28 (7) ◽  
pp. 487-492 ◽  
Author(s):  
Fade A. Mahmoud ◽  
Aynur Aktas ◽  
Declan Walsh ◽  
Barbara Hullihen

Identification of taste abnormalities can help understand difficulties in nutrition. We evaluated 15 hospice inpatients with advanced cancer for subjective taste changes. The majority had both subjective and objective taste changes. Most thought all food was tasteless followed by loss of sweet sensation and meat aversion. About half of the participants exhibited anorexia and weight loss with decreased energy intake. Both detection and recognition thresholds for these basic tastes were abnormal for the majority of participants. Reduced sensitivity for sweet and salt taste and altered perception for sour predominated in formal taste testing.

2020 ◽  
Vol 4 (Supplement_2) ◽  
pp. 1694-1694
Author(s):  
Salima Taylor ◽  
Mandy Korpusik ◽  
Rachel Silver ◽  
Sai Krupa Das ◽  
Cheryl Gilhooly ◽  
...  

Abstract Objectives Self-monitoring daily dietary intake is recommended for weight loss and weight loss maintenance. However, current online platforms and applications are often burdensome, which may limit use. We conducted a pilot study to evaluate the accuracy of a new application designed to self-monitor dietary intake using natural spoken language (COCO; The Conversational Calorie Counter). Methods A total of 35 participants were enrolled in this pilot study. Participants were asked to record daily dietary intake using the COCO application for a period of at least five days. Two 24-hour dietary recalls were conducted during this time, between day three and day five, and served as the reference method for evaluating total energy intake (TEI; measured in kcal). Mean two-day energy intake was calculated for each assessment method for the days when the 24-hr recall and COCO data were collected. Self-reported TEI from COCO were compared to estimates obtained from the 24-hour dietary recalls by a paired samples t-test and a Pearson's correlation coefficient. Results On average, participants consumed three meals a day and recorded six days of food intake days with COCO (range: 4 to 10 days). The mean TEI was not significantly different between the two methods (1902 ± 621 kcal by 24-hour dietary recall and 1988 ± 1033 kcal by COCO, P = 0.59). There was a significant correlation between mean TEI measured with the two methods (r = 0.45; P = 0.006). In addition, a strong correlation was observed between the number of food items logged in COCO and those recalled in the 24-hour diet recalls (r = 0.82; P >0.0001). Completion of the exit survey by 28 participants indicated that 43% would definitely or probably use the application again. Conclusions These results suggest that natural spoken language technology may have utility in applications to self-monitor food intake. Additional research is required to fully elucidate the validity of COCO in estimating dietary intake. Funding Sources This research was supported by the NIH Grant # 1R21HL118347–01 (SBR and JG), Quanta Computing, Inc., and the National Defense Science and Engineering Graduate fellowship.


2012 ◽  
Vol 64 (6) ◽  
pp. 826-832 ◽  
Author(s):  
Susanne Buskermolen ◽  
Jacqueline A.E. Langius ◽  
Hinke M. Kruizenga ◽  
Gerdien C. Ligthart-Melis ◽  
Martijn W. Heymans ◽  
...  

2016 ◽  
Vol 35 ◽  
pp. S76
Author(s):  
K. Meli ◽  
A. Bye ◽  
T.R. Balstad ◽  
M.J. Hjermstad ◽  
G.S. Skjegstad ◽  
...  

Appetite ◽  
2021 ◽  
pp. 105273
Author(s):  
Sasha Fenton ◽  
Tracy L. Burrows ◽  
Clare E. Collins ◽  
Elizabeth G. Holliday ◽  
Gregory S. Kolt ◽  
...  

1976 ◽  
Vol 38 (1) ◽  
pp. 191-198 ◽  
Author(s):  
D. C. Murray

Of 12 overweight women half received 10 wk. of self-control training and the rest received an equal period aimed at increasing determination to lose weight. Half of each treatment group had expressed a preference for the type of treatment they received and half for the other type of treatment. Both groups lost a statistically significant amount of weight, and at a 3-mo. follow-up there was still a significant weight loss. Follow-up at 6 mo. on 9 of the 12 original subjects indicated both groups regained much of their lost weight. There was no evidence that either type of treatment or receiving one's preferred type of treatment was related to weight loss.


2009 ◽  
Vol 69 (1) ◽  
pp. 34-38 ◽  
Author(s):  
C. R. Hankey

Treatments to induce weight loss for the obese patient centre on the achievement of negative energy balance. This objective can theoretically be attained by interventions designed to achieve a reduction in energy intake and/or an increase in energy expenditure. Such ‘lifestyle interventions’ usually comprise one or more of the following strategies: dietary modification; behaviour change; increases in physical activity. These interventions are advocated as first treatment steps in algorithms recommended by current clinical obesity guidelines. Medication and surgical treatments are potentially available to those unable to implement ‘lifestyle interventions’ effectively by achieving losses of between 5 kg and 10 kg. It is accepted that the minimum of 5% weight loss is required to achieve clinically-meaningful benefits. Dietary treatments differ widely. Successful weight loss is most often associated with quantification of energy intake rather than macronutrient composition. Most dietary intervention studies secure a weight loss of between 5 kg and 10 kg after intervention for 6 months, with gradual weight regain at 1 year where weight changes are 3–4 kg below the starting weight. Some dietary interventions when evaluated at 2 and 4 years post intervention report the effects of weight maintenance rather than weight loss. Specific anti-obesity medications are effective adjuncts to weight loss, in most cases doubling the weight loss of those given dietary advice only. Greater physical activity alone increases energy expenditure by insufficient amounts to facilitate clinically-important weight losses, but is useful for weight maintenance. Weight losses of between half and three-quarters of excess body weight are seen at 10 years post intervention with bariatric surgery, making this arguably the most effective weight-loss treatment.


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