Nutritional status of cancer patients in chemotherapy; dietary intake, nitrogen balance and screening

نویسندگان

  • Olof Gudny Geirsdottir
  • Inga Thorsdottir
چکیده

OBJECTIVE To evaluate a short screening sheet (SSM) for malnutrition and to investigate the nutritional status of patients receiving chemotherapy for cancer of the lungs, colon or breast at an outpatient clinic. DESIGN Full nutritional assessment was conducted to define malnutrition and validate the SSM. Additionally, weight change from earlier healthy weight was evaluated, and calculations for intake of energy-giving nutrients (three-day-weighed food records) and protein balance were performed. After the evaluation study, the SSM was tested in clinical routine and data collected about patients' need for nutritional counseling. SUBJECTS Patients at the outpatient clinic of the Department of Oncology at Landspitali-University Hospital (n=30 with lung-, colon- or breast cancer in the study population, n=93 with all cancer type in clinical routine screening). RESULTS Malnutrition was defined by full nutritional assessment in 20% of the participating patients and SSM had high sensitivity and specificity. Declining nutritional status of the patients was seen as a negative nitrogen balance and unintentional weight loss from healthy weight, but not as total energy intake, recent weight loss or underweight. The test of SSM in clinical routine showed that 40% were malnourished. According to the patients, 80% needed nutritional counseling but only 17% had such counseling. CONCLUSION Screening (SSM) for malnutrition in cancer patients is a valid simple approach to define cancer patients for nutritional care. More patients regard themselves in need for nutritional counseling than the number of patients really achieving any.

برای دانلود رایگان متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

Nutritional Assessment of Cancer Patients during Chemotherapy in Vasei Hospital of Sabzevar, Iran

Background: Malnutrition caused by cancer is a prevalent problem in patients with cancer. This study aimed to evaluate the nutritional status of cancer patients undergoing chemotherapy who referred to Vasei Hospital, Sabzevar, Iran. Methods: This descriptive-sectional study was conducted on 124 adult patients (older than 18 years of age) with cancer who had referred to the Oncology Ward of Vase...

متن کامل

The Evaluation of Dietary Protein Intake by Calculation of Urea Generation Rate in Chronic Dialysis Patients in Kerman, 2002

Malnutrition is a common problem in chronic dialysis patients. There are several methods for nutritional assessment of hemodialysis patients, such as calculation of urea generation rate. As urea is produced from proteins catabolism and there is a linear correlation between urea generation and protein catabolic rate (PCR), PCR can be calculated by considering urea nitrogen appearence during the ...

متن کامل

Dietary Intake of Antioxidants and Serum Levels of Total Antioxidant Status (TAS) in MS Patients with that of Normal Subjects

Hejazi E1, Amaani R2, Sharafodin-zadeh N3 1. M.sc Student of Nutritional Sciences, Department of Nutritional, Faculty of Para-Medicine, Jondi-shapour University of Medical Sciences 2. Associate Professor, Department of Nutritional, Faculty of Para-Medicine, Jondi-shapour University of Medical Sciences 3. Assistant Professor, Department of Neurology, Faculty of Medicine, Jondi-shapour University...

متن کامل

Evaluation of the relationship between growth status and dietary intake in 10 children with thalassemia major

Introduction: Thalassemia major is the most common inheritable disease in Iran with high prevalence in Fars province. Growth retardation is prevalent in this patients, mainly due to malnutrition. The aim Goal of this study was to determine the relationship between growth status and nutritional intake. Patients under 10 years old with thalassemia major. Methods: In this cross-sectional stu...

متن کامل

[Effects of individualized nutritional education programs on the level of nutrient intake and nutritional status of colorectal cancer patients undergoing palliative chemotherapy].

PURPOSE The purpose of this study was to examine the effects of an individualized nutritional education programs on nutrient intake and nutritional status of patients with colorectal cancer who are undergoing palliative chemotherapy. METHODS Forty patients with colorectal cancer (19 experimental and 21 control patients) were recruited from a chemotherapy ward at S University Hospital in Seoul...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

عنوان ژورنال:
  • Food & Nutrition Research

دوره 52  شماره 

صفحات  -

تاریخ انتشار 2008