Controlling Weight Loss
Weight loss is a common problem
in individuals with pancreatic cancer. It can be
associated with treatment or with the cancer itself.
Weight loss due to insufficient calorie intake
Side effects or symptoms such as loss of appetite, malabsorption, nausea and vomiting can cause a patient to consume fewer calories than the body needs to maintain an appropriate weight. The following sections provide strategies for dealing with these symptoms.
Overcoming poor appetite
Nausea and vomiting
Tumor-induced weight loss, also
known as cancer cachexia, is a complex problem. It affects the way the body uses calories
and protein. Cancer cachexia can cause the
body to burn more calories than usual, break down muscle protein and decrease appetite. If a person is consuming regular meals and snacks but is losing weight, they may be experiencing cancer cachexia.
Most pancreatic tumors release
compounds called cytokines into the blood. These cytokines change
the body’s use of nutrients (proteins, carbohydrates and fats).
In addition, cytokines cause the body to burn calories faster than they
are replaced. In addition, appetite is suppressed causing the patient to decrease food intake. This process leads to thinner bodies, smaller muscles
and fatigue. Weight loss and malnutrition can have a significant
impact on quality of life, daily functioning, response to treatment, length
of hospital stays and complications such as infections.
What steps can I take
to minimize tumor-induced weight loss?
Though we are gaining knowledge
about cancer cachexia, little is known about how to control or stop the
process. Nutrition counseling, use of oral nutrition supplements
and use of appetite-stimulating medications may help patients with tumor-induced
weight loss. Controlling tumor growth through treatment such as
chemotherapy or chemoradiation therapy can also assist in controlling
this type of weight loss.
The following tips may assist in controlling weight loss:
- Consult with a registered dietitian for nutrition counseling.
- Get plenty of rest.
- Plan to eat 6-8 times per day including snacks in between meals.
- Eat calorie-rich, nutrient-dense foods and try not to consume foods
or liquids with little nutritional value, such as soft drinks.
- Restrict or avoid any foods that may cause or worsen diarrhea.
- Use nutritional supplement drinks, such as Boost®, Ensure® and Carnation Essentials®, as snacks or drink with medications that can be
taken with food.
- Ask the doctor or dietitian whether pancreatic enzymes may be helpful.
- Check with the doctor to see if medications to stimulate appetite would be helpful in controlling
- Maintain adequate hydration.
- Incorporate light physical activity into your day as it supports lean body
mass, may enhance appetite and may decrease fatigue:
- Aim for a total of 30 minutes per day of activity, such as walking.
- Break activity into small increments of 5-10 minutes totaling 30
minutes per day.
Academy of Nutrition and Dietetics
Oncology Nutrition Dietetic Practice Group
The information and services provided by the Pancreatic Cancer Action Network, Inc. are for informational purposes only. The information and services are not intended to be substitutes for professional medical advice, diagnosis or treatment. If you are ill, or suspect that you are ill, see a doctor immediately! The Pancreatic Cancer Action Network does not recommend nor endorse any specific physicians, products or treatments even though they may be mentioned on this site. In addition, please note that any personal information you provide to the Pancreatic Cancer Action Network's associates during telephone and/or email consultations may be stored in a secure database to assist the Pancreatic Cancer Action Network, Inc. in providing you with the best service possible. Portions of the constituent data stored in this database may be used to inform future programs and services of the Pancreatic Cancer Action Network, Inc., and may be provided in aggregate form to third parties to guide future pancreatic cancer research and treatment efforts. The Pancreatic Cancer Action Network, Inc. will not provide personal identifying information (such as your name or contact information) to third parties without your advanced written consent. 140113