Nutrition in XXXX .

@entity5 @entity1 @entity844
UNASSIGNED: In @entity5 @entity1 , oral nutrition is the preferred route of feeding since it is a significant part of the @entity1 's daily routine and contributes to the @entity1 's autonomy. It represents a privileged time to spend with family and friends, avoiding the tendency for isolation in these @entity1 . The acknowledgement that the prescribed diet is individualized, adapted and adequate to individual needs empowers the @entity1 with a feeling of control, and thus it is also a highly effective approach of psychological modulation. All these factors may potentially contribute to improve the @entity1 's quality of life and may modulate treatment morbidity. The referral to a nutrition professional responsible for the individualized dietary counseling should always be based on evidence-based decision-making plans. The implementation of individualized nutritional counseling should consider the common causes for a poor nutritional intake in elderly @entity5 @entity1 . A proper approach through counseling requires professionals with specific experience in both nutrition and oncology. Oral nutritional supplements are a simple and practical way to meet nutritional requirements when normal food intake is compromised. Ideally, oral nutritional supplements should be in addition to and not instead of meals. Supplements should be administered at a time which does not interfere with the appetite of the @entity1 . The administration after the meal theoretically potentiates the anabolic effect on protein metabolism. Supplements with high energy density (>1 kcal/ml) or enriched with x03C9;-3 @entity844 are probably the most effective.
