Decreased taste sensitivity in cancer patients under chemotherapy

Goals of workThe aim of the study was to measure taste thresholds among cancer patients under chemotherapy compared to controls.Patients and methodsThe study was performed with 110 cancer patients and 170 healthy subjects of similar age distribution were included in the study. The electrogustometric detection threshold was evaluated as the lowest current intensity perceived by the subject in three tongue sites independently with a constant current generator.Main resultsTaste thresholds for all cancer patients demonstrated significantly higher values compared to controls.ConclusionsCancer patients treated by chemotherapy demonstrated a temporary taste sensitivity deficit. Associated with the illness due to the treatment, this deficit explains the patients complaining of “abnormal or bad tastes”, which results in food aversion and has a negative impact on nutritional status and quality of life. In order to prevent the risk of anorexia and the enhanced morbidity related to this deficit, treatment should include relevant information to the subject for anticipating objective taste modifications and a psychological follow-up during the actual change of taste quality perceptions in everyday life.

[1]  R. Mattes,et al.  Learned food aversions among cancer chemotherapy patients. Incidence, nature, and clinical implications , 1987, Cancer.

[2]  L. Goehler,et al.  Tumor growth in rats: conditioned suppression of food intake and preference. , 1985, Behavioral neuroscience.

[3]  S. Schiffman Drugs influencing taste and smell perception , 1991 .

[4]  W. Powlis,et al.  Clinical implications of learned food aversions in patients with cancer treated with chemotherapy or radiation therapy , 1992, Cancer.

[5]  P. Rozin Specific aversions and neophobia resulting from vitamin deficiency or poisoning in half-wild and domestic rats. , 1968, Journal of comparative and physiological psychology.

[6]  I. Bernstein Learned taste aversions in children receiving chemotherapy. , 1978, Science.

[7]  J. Hannibal,et al.  Electrical taste detection thresholds and chemical smell detection thresholds in patients with cancer , 1991, Cancer.

[8]  R. Doty,et al.  Electrogustometric thresholds Relationship to anterior tongue locus, area of stimulation, and number of fungiform papillae , 2002, Physiology & Behavior.

[9]  L. Perlemuter,et al.  Factors Related to the Electric Taste Threshold in Type 1 Diabetic Patients , 1990, Diabetic medicine : a journal of the British Diabetic Association.

[10]  R. Mattes Prevention of food aversions in cancer patients during treatment. , 1994, Nutrition and cancer.

[11]  J Mojet,et al.  Taste perception with age: generic or specific losses in threshold sensitivity to the five basic tastes? , 2001, Chemical senses.

[12]  S. Schiffman Taste and smell in disease. , 1983, The New England journal of medicine.

[13]  J. C. Kinnamon,et al.  Aspects of vertebrate gustatory phylogeny: Morphology and turnover of chick taste bud cells , 1993, Microscopy research and technique.

[14]  Susan Holmes,et al.  Food avoidance in patients undergoing cancer chemotherapy , 1993, Supportive Care in Cancer.

[15]  M. Ikeda,et al.  Clinical Use of Electrogustometry: Strengths and Limitations , 2002, Acta oto-laryngologica. Supplementum.

[16]  J. Epstein,et al.  Taste and smell dysfunction in patients receiving chemotherapy: a review of current knowledge , 2001, Supportive Care in Cancer.

[17]  L. M. Beidler,et al.  RENEWAL OF CELLS WITHIN TASTE BUDS , 1965, The Journal of cell biology.

[18]  L. Bartoshuk Chemosensory alterations and cancer therapies. , 1990, NCI monographs : a publication of the National Cancer Institute.

[19]  M. Shils Nutritional problems induced by cancer. , 1979, The Medical clinics of North America.

[20]  S. Shott,et al.  Taste changes experienced by patients receiving chemotherapy. , 1999, Oncology nursing forum.

[21]  Schiffman Ss Taste and smell in disease (second of two parts). , 1983 .

[22]  R. McDaniel,et al.  Sensory perception of patients on selected antineoplastic chemotherapy protocols , 1994, Cancer nursing.

[23]  J. Büntzel,et al.  Amifostine in simultaneous radiochemotherapy of advanced head and neck cancer. , 2002, Seminars in radiation oncology.

[24]  M. S. Herness,et al.  Neurophysiological and biophysical evidence on the mechanism of electric taste , 1985, The Journal of general physiology.

[25]  B. Oakley,et al.  On the specification of taste neurons in the rat tongue. , 1974, Brain research.

[26]  Y. Ninomiya,et al.  Ion specificity of rat chorda tympani fibers to chemical and electrical tongue stimulations , 1987, Brain Research.