cancer survivors
Conditions
Interventions
Group 1: After the consultation hour for cancer survivors in the UCCH the patients of the intervention group receive a comprehensive and individual 45 minutes nutrition counseling by a dietitian based
Sponsors
Universitätsklinikum Hamburg-Eppendorf
Eligibility
Sex/Gender
All
Age
15 Years to 39 Years
Inclusion criteria
Inclusion criteria: - patients with cancer diagnosis in childhood, adolescence and young adulthood (AYAs), who are in aftertreatment and currently tumor-free - patients with completed tumor therapy excluding an anti-hormonal long-term treatment - age = 15 years and = 39 years - written statement of agreement - written statement of agreement by the parents for AYAs = 18 years - at least one cardiovascular risk factor (e.g. chemotherapy with anthracyclines, radiotherapy of thorax, concomitant chemoradiotherapy and/or existing hypertension, nicotine abuse, dyslipoproteinemia or diabetes mellitus)
Exclusion criteria
Exclusion criteria: - active cancer - already existing cardiovascular disease - presence of a genetically determined metabolic disorder - previous treatment concerning an eating disorder (anorexia, bulimia, binge-eating). A previous parenteral nutrition/ additional enteral nourishment is allowed in the case of tumor-related cachexia under therapy
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Change of food intake measured by HEI-EPIC (Healthy Eating Index) (week 0, 12 and 52) | — |
Secondary
| Measure | Time frame |
|---|---|
| - reduction of drop-out rate from 30% to 10% - Gathering of real salt intake of AYAs in week 0, 12 and 52 by reference to the sodium content (mmol/l) and the sodium/creatinine quotient (mmol/g) in 24-hour urine collection - correlation between salt intakte recorded in HEI-EPIC and the saline precipitate ascertained by urine (sodium, sodium/creatinine quotient in 24-hour urine collection). - diversification of salt intakte (g/d) as measured by HEI-EPIC and sodium content (mmol/l) and sodium/creatinine quotient (mmol/g) in 24-hour urine collection in week 0 and week 12 (T1 and T2) - viability and acceptance of cooking course and purchase training (intervention 3) - gathering of burdens and need for assistance by reference to the survivorship-checklist - body weight, blood pressure (systolic, diastolic) and waist-hip ratio - gathering of demographic and disease-oriented parameters (age, sex, height, weight, date of first diagnosis, diagnosis, therapy, other existing diseases, nicotine and alcohol abuse, movement behaviour) - gathering of biochemical parameters: aldosterone by a 24-hour urine collection and aldosterone, sodium, magnesium, calcium, potassium, creatinine, transaminases (ASAT, ALAT), HbA1c, lipid values (total cholesterol, LDL-cholesterol, HDL-cholesterol, triglycerides), C-reactive protein (CrP) in serum | — |
Countries
Germany
Contacts
Public ContactJulia von Grundherr
Universitäres Cancer Center Hamburg (UCCH)Hubertus Wald Tumorzentrum
Outcome results
None listed