CONFERENCE PROCEEDING
Assessment of nutritional status using objective and subjective methods in Greek cancer patients
1
Laboratory of Clinical Nutrition and Dietetics, Department of Nutrition and Dietetics, School of Physical Education and Sport Science - Dietetics, University of Thessaly, Trikala, Greece
2
Department of Nutrition and Dietetics, School of Health Science and Education, Harokopio University of Athens, Athens, Greece
3
Attikon University General Hospital, Athens, Greece
Publication date: 2022-05-27
Public Health Toxicol 2022;2(Supplement Supplement 1):A136
KEYWORDS
ABSTRACT
Introduction:
Nutritional status is associated with the progression of malignant neoplasms. The present study aimed to assess the nutritional status of cancer patients using a combination of objective and subjective assessment methods.
Methods:
Sociodemographic data and blood samples were collected from 152 cancer patients from ATTIKON University Hospital. The time frame was April - October 2019. Validated questionnaires were used to assess their nutritional status (PG-SGA, NRS-2002, SNAQ). In addition, geriatric nutritional risk index (GNRI) was calculated, handgrip strength test was carried out and arm circumference and skin fold thickness were measured.
Results:
The study sample consisted of 50.7% women, the median age was 61.0 (IQR: 14) years and median Body Mass Index 24.4 (IQR: 5.95) kg/ m2. Based on the PG-SGA assessment, 54.9% of our sample was severely malnourished while 19.7% had moderate or suspected malnutrition. Imminent danger observed in the 83.6% (NRS-2002) and 48.7% of participants were at increased risk of a 5% reduction in body weight within the next 6 months (SNAQ). Compared to other cancer types, patients with GI track and colorectal cancer had higher values of PG-SGA scores. The median for albumin levels was within normal limits (4.10 (IQR: 0.6) g/dl). According to GNRI, high risk for malnutrition was indicated for geriatric patients (GNRI: 46.45 (IQR: 5.17)). Malnourishment, based on PG-SGA, was positively associated with %weight loss within the past six months and negatively associated with BMI, hemoglobin, handgrip strength and arm circumference (all p<0.05).
Conclusions:
The present study showed that a significant proportion of cancer patients were malnourished. Furthermore, poor nutritional status was positively associated with weight loss and negatively associated with body mass index, hemoglobin, handgrip strength and arm circumference.
Nutritional status is associated with the progression of malignant neoplasms. The present study aimed to assess the nutritional status of cancer patients using a combination of objective and subjective assessment methods.
Methods:
Sociodemographic data and blood samples were collected from 152 cancer patients from ATTIKON University Hospital. The time frame was April - October 2019. Validated questionnaires were used to assess their nutritional status (PG-SGA, NRS-2002, SNAQ). In addition, geriatric nutritional risk index (GNRI) was calculated, handgrip strength test was carried out and arm circumference and skin fold thickness were measured.
Results:
The study sample consisted of 50.7% women, the median age was 61.0 (IQR: 14) years and median Body Mass Index 24.4 (IQR: 5.95) kg/ m2. Based on the PG-SGA assessment, 54.9% of our sample was severely malnourished while 19.7% had moderate or suspected malnutrition. Imminent danger observed in the 83.6% (NRS-2002) and 48.7% of participants were at increased risk of a 5% reduction in body weight within the next 6 months (SNAQ). Compared to other cancer types, patients with GI track and colorectal cancer had higher values of PG-SGA scores. The median for albumin levels was within normal limits (4.10 (IQR: 0.6) g/dl). According to GNRI, high risk for malnutrition was indicated for geriatric patients (GNRI: 46.45 (IQR: 5.17)). Malnourishment, based on PG-SGA, was positively associated with %weight loss within the past six months and negatively associated with BMI, hemoglobin, handgrip strength and arm circumference (all p<0.05).
Conclusions:
The present study showed that a significant proportion of cancer patients were malnourished. Furthermore, poor nutritional status was positively associated with weight loss and negatively associated with body mass index, hemoglobin, handgrip strength and arm circumference.
REFERENCES (2)
1.
Cao J, Xu H, Li W, et al. Nutritional assessment and risk factors associated to malnutrition in patients with esophageal cancer. Curr Probl Cancer. 2021;45(1):100638. doi:10.1016/j.currproblcancer.2020.100638
2.
Guo ZQ, Yu JM, Li W, et al. Survey and analysis of the nutritional status in hospitalized patients with malignant gastric tumors and its influence on the quality of life. Support Care Cancer. 2020;28(1):373-380. doi:10.1007/s00520-019-04803-3
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