Effect of nutritional status on the presence of malnutrition and quality of life in patients with gastrointestinal tract cancer (original) (raw)
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Nutrición hospitalaria
To identify the nutritional status of patients with gastrointestinal cancer and verify its association with demographic and clinical characteristics. This was a cross-sectional study with a nonprobability sampling design. The participants were 143 adult patients with gastrointestinal cancer, receiving care in the Amaral Carvalho Hospital (Jaú-SP, Brazil) from November 2010 to October 2011. A survey was conducted to collect information for the purpose of demographic and clinical characterization. In order to identify nutritional status, the Scored Pati2) test were used. The prevalence ratio (PR) was estimated. The level of significance adopted was 5%. The mean age of patients was 57.45 (SD = 9.62) years, with Stages III and IV of the disease being the most prevalent (39.2% and 35.0%). There was 44.8% prevalence of malnutrition. The undernourished individual more frequently reported having problems with eating (pcent-Generated Subjective Global Assessment (Scored PG-SGA) was applied. ...
Nutrição e Saúde Pública: pesquisas emergentes em produção e consumo de alimentos, 2021
Objective: To assess, through different tools, the influence of nutritional status and sarcopenia on the quality of life and survival in patients with gastrointestinal cancer on palliative chemotherapy. Methods: A prospective longitudinal study was done in patients with gastrointestinal cancer on palliative chemotherapy. Patient-generated subjective global assessment (PG-SGA) and the EORTC-QLQ-C30 were carried out in 3 evaluations (T1-3). Sarcopenia with EWGSOP2 criteria, including handgrip strength, bioimpedance and computed tomography and gait speed test. Results: 57 patients were included. The mean age was 62 ± 11.7 yr, 56% male and 35% with colorectal cancer. Moderate / severe malnutrition reached 86% of the group. The quality of life (QoLwas worse in patients with severe malnutrition (PG-SGA C) (p <0.001). The severity of sarcopenia was inversely proportional to the QoL (p = 0.05). Concerning survival, patients with severe sarcopenia, have a survival rate of 6.5 months (95% CI). Likewise, severely malnourished patients survived for 9.1 months (95% CI). Conclusion: The severity of malnutrition and sarcopenia reduced the survival and the quality of life of patients with gastrointestinal cancer on palliative chemotherapy.
The impact of nutrition on the lives of patients with digestive cancers: a position paper
Supportive Care in Cancer
Nutritional intervention is an essential part of cancer treatments. Research and clinical evidence in cancer have shown that nutritional support can reduce length of hospitalisation, diminish treatment-related toxicity, and improve nutrient intake, quality of life, and physical function. Nutritional intervention can improve outcomes and help patients in the successful completion of oncological treatments by preventing malnutrition. Malnutrition is a very common hallmark in patients with cancers. Almost one-fourth of cancer patients are at risk of dying because of the consequences of malnutrition, rather than cancer itself. Patients with digestive cancers are at higher risk of suffering malnutrition due to the gastrointestinal impairment caused by their disease. They are at high nutritional risk by definition, yet the majority of them have insufficient or null access to nutritional intervention.Inadequate resources are dedicated to implementing nutritional services in Europe. Univers...
World Journal of Plastic Surgery, 2018
Background: Malnutrition leads to decreased survival rate, quality of life and the response to treatment and increases the risk of mortality in patients with cancer. Clinical evaluation is essential for ontime detection and treatment of malnutrition in these patients. On the other hand, patients with gastrointestinal (GI) cancers are expected to have a higher risk of malnutrition due to the poor digestion and malabsorption. Therefore, the purpose of this study was to compare the nutritional status in patients with GI tract cancers with non-GI cancers. Methods: Sixty-nine patients with GI cancers and 65 patients with other types of cancer participated in this case-control study. Anthropometric evaluation [weight, body mass index (BMI)], mid arm circumference, calf circumference) and biochemical indices [albumin, C-Reactive Protein (CRP)] were measured and the Subjective Global Assessment (SGA) questionnaire was completed to assess the nutritional status of the patients. Results: BMI,...
Role of nutrition in gastrointestinal oncological patients
2010
A paradox exists in the relationship between nutrition and cancer. Excessive dietary intake of nutrients and decreased physical activity represent two modifiable factors responsible for cancer development, namely for cancers of the gastrointestinal (GI) tract, and the present epidemics of obesity and diabetes is likely to increase the incidence of GI and metabolically-derived liver in the next few years. At the same time, in subjects diagnosed with cancer, malnutrition represents a risk factor of poor outcome following surgical resection, as well as of increased toxicity following chemo-and radiotherapy. Any effort should be made to modify the current trend of obesity for cancer prevention, as well as to provide enteral or parenteral nutritional support in cancer patients, to cope with nutritional needs and prevent cancer-related cachexia.
Cancer Treatment Reviews, 2008
Introduction: In patients with gastrointestinal (GI) cancer, severe malnutrition is associated with increased morbidity and mortality, reduction of treatment efficacy, and increased length of hospital stay. Therefore, systematic screening and care of malnutrition is mandatory. Materials and methods: Data for this review were identified by searches of Medline with and without MeSH database and Cancerlit. Studies were selected only if they were randomised clinical trials or historical reports. References were also identified from reference lists in relevant preciously published articles. Recent guidelines and meta-analyses were included. Only articles published in English were taken into consideration. Results: For surgical patients, practical information such as weight loss or subjective global assessment would provide a better basis for deciding whether or not to delay surgery. At least 10 days of nutritional support is recommended in severely malnourished patients before major digestive surgery. In non-severely malnourished patients, preoperative oral immunonutrition is associated with a 50% decrease in postoperative complications. The benefit of immune-enhancing diets in severely malnourished patients remains to be proven. For patients undergoing radiochemotherapy, dietary counselling should be proposed to all patients. In cases of severely malnourished patients or if dietary counselling suffers a setback, enteral nutrition should be recommended. Parenteral nutrition should be reserved for patients with severe digestive intolerance when enteral nutrition is not possible.
Patients with cancer ot the digestive tract show changes in their nutritional status, leading them to various degrees of malnutrition. The assessment of nutritional status is essential to identify malnutrition and risks to it. Objective: To characterize the clinical, anthropometric and dietary profile of patients with digestive cancer admitted to a University Hospital in Belém, PA. Method: Descriptive, cross-sectional and prospective study, carried out at the João de Barros Barreto University Hospital, from July 2018 to March 2020. Sample composed of 59 cancer patients of both sexes, diagnosed with digestive tract neoplasia. Results: Among the variables studied, there was a prevalence of males in 50.8%. Among the women, 96.6% were classified as former smokers and 76.3%, former alcoholic. The main gastrointestinal symptoms presented were: constipation 36%, vomiting 22.3%, diarrhea and abdominal pain both 18.6%. In swallowing disorders: odynophagia and dysphagia manifested in 28.8% and 27.1%, respectively. The most common neurological symptoms were: headache 20.3% and motor weakness 17%. The most frequent type of cancer was stomach 57.6%, followed by intestine 16.9%. As for IMC, most adults were classified as eutrophic 61.8%, among the elderly 60% were malnourished, of these 56% had loss of muscle mass based on calf circumference. When analyzing eating habits, a high consumption of foods considered carcinogenic was identified. Conclusion: Malnutrition was prevalent, especially in the elderly. The presence of symptoms and food inappetence were associated with anticancer treatment. And high consumption of neoplasm-promoting foods to the detriment of protective foods.
Nutrition Journal, 2012
Malnutrition is a significant factor in predicting cancer patients' quality of life (QoL). We systematically reviewed the literature on the role of nutritional status in predicting QoL in cancer. We searched MEDLINE database using the terms "nutritional status" in combination with "quality of life" together with "cancer". Human studies published in English, having nutritional status as one of the predictor variables, and QoL as one of the outcome measures were included. Of the 26 included studies, 6 investigated head and neck cancer, 8 gastrointestinal, 1 lung, 1 gynecologic and 10 heterogeneous cancers. 24 studies concluded that better nutritional status was associated with better QoL, 1 study showed that better nutritional status was associated with better QoL only in high-risk patients, while 1 study concluded that there was no association between nutritional status and QoL. Nutritional status is a strong predictor of QoL in cancer patients. We recommend that more providers implement the American Society of Parenteral and Enteral Nutrition (ASPEN) guidelines for oncology patients, which includes nutritional screening, nutritional assessment and intervention as appropriate. Correcting malnutrition may improve QoL in cancer patients, an important outcome of interest to cancer patients, their caregivers, and families.
Nutrición hospitalaria
The aim of this article is to compare the diagnosis, obtained through different methods and indicators, of nutritional risk in patients with cancer. It was assessed nutritional risk in of 144 oncology patients was assessed, making use of Subjective Global Assessment (SGA, Detsky 1987), Malnutrition Universal Screening Tool (MUST, 2003), Body Mass Index (BMI) and Serum Albumin. Kappa, chi-square and McNemar tests. It was found a high prevalence of malnutrition (MUST, 78.32%; SGA, 77.08%; serum albumin level< 3.5 g/dL, 45.60%; BMI < 20.0 kg/m(2), 36.11%) in patients with cancer. In general, there was a higher prevalence in patients with Gastrointestinal Tract Cancer (72.22%), with the stomach cancer being the most common one (29.17%). Tumors of the digestive tract presented with higher nutritional risk according to SGA (p < 0.0001), MUST (p < 0.01), BMI (p < 0,05) and serum albumin level < 3,0 g/dL (p < 0.05); these patients have twenty three times more chances of...
Relationship between nutritional status and quality of life in patients with cancer
European Journal of Cancer, 2008
Patients with cancer frequently suffer a deteriorated quality of life and this is an important factor in the therapeutic decision. The correlation between quality of life and malnutrition seems obvious and bidirectional. The aim of our study was to describe the global quality of life and its various dimensions in patients with cancer, as a function of the nutritional status.