title: Appearance-specific satiety increases appetite and quality of life in patients with metastatic liver tumor: a case report.
abstract: Loss of appetite is frequently seen and is a main factor affecting quality of life (QOL) in patients with advanced cancer. The etiology for loss of appetite in patients with cancer is multifactorial. The sensory properties of food are factors regulating appetite. Changes in taste, smell and texture of foods influence food intake. The appearance of the food is also a notable factor in sensory-specific satiety. We described a 46-year-old Japanese woman with multiple metastatic liver tumors. Although there was no obvious factor for loss of appetite, she suffered from a loss of appetite and subsequent malnutrition. In order to improve the appearance of food, we reduced the diet to 1,000 kcal/day from 1,500 kcal/day. On the new diet, the patient's appetite significantly increased and patient's nutritional status was improved. Eating whole diet was an important achievement and increased in mental aspects of QOL. Arrangement for the appearance of food may be a simple and nontoxic therapeutic strategy for patients with cancer suffering a loss of appetite.
authors.affiliation: Department of Digestive Disease Information & Research, Kurume University School of Medicine, 67 Asahi-machi, Kurume 830-0011, Japan. takumi@med.kurume-u.ac.jp
authors.forename: Takumi
authors.initials: T
authors.lastname: Kawaguchi
authors.forename: Eitaro
authors.initials: E
authors.lastname: Taniguchi
authors.forename: Minoru
authors.initials: M
authors.lastname: Itou
authors.forename: Jyunji
authors.initials: J
authors.lastname: Akiyoshi
authors.forename: Satoshi
authors.initials: S
authors.lastname: Itano
authors.forename: Momoka
authors.initials: M
authors.lastname: Otsuka
authors.forename: Shoko
authors.initials: S
authors.lastname: Iwasaki
authors.forename: Tokiko
authors.initials: T
authors.lastname: Matsuda
authors.forename: Ryoko
authors.initials: R
authors.lastname: Ibi
authors.forename: Satomi
authors.initials: S
authors.lastname: Shiraishi
authors.forename: Tetsuharu
authors.initials: T
authors.lastname: Oriishi
authors.forename: Shoko
authors.initials: S
authors.lastname: Tanaka
authors.forename: Yuko
authors.initials: Y
authors.lastname: Saruwatari
authors.forename: Michio
authors.initials: M
authors.lastname: Sata
mesh_terms: D001066:Appetite; D001828:Body Image; D002149:Energy Intake; D005260:Female; D006801:Humans; D008113:Liver Neoplasms / Q000473:pathology / Q000503:physiopathology*; D008875:Middle Aged; D009362:Neoplasm Metastasis; D011788:Quality of Life; D012528:Satiety Response