Prevalence of malnutrition / malnutrition risk in cancer patients: experince of an oncology outpatient clinic in Turkey
Abstract
Introduction: The objective of this study is to determine the prevalence of
malnutrition risk (MR)/malnutrition (MN) in cancer patients using MNA.
Methods: This
observational study was conducted with cancer patients in the Izmir Katip
Celebi University Ataturk Training and Research Hospital Medical Oncology
Outpatient Clinic. Demographic data, daily functional status according to the
Eastern Cooperative Oncology Group (ECOG), nutritional status according to Mini
Nutrition Assessments (MNA) and anthropometric measurements obtained with
TANITA Body Composition Analyzer Model TBF-300 (TANITA) were used in the
evaluation of patients.
Results: The study
enrolled 296 oncology patients. The mean age was 58.34 ± 11.60 years. Two
hundred and eight (70.3%) of the patients were women. The most common three
tumor types were breast tumors (43.2%; n=128); gastrointestinal tract tumors
(33.1%; n=98), genitourinary tract tumors (10.8%: n=32). The mean BMI of the
patients was 27.45 ± 5.75 m2/kg. According to MNA 118 of the patients were in
normal nutritional status (39.9%). 130 of them were at the risk of malnutrition
(43.9%), 48 of them were malnourished (16.2%).
Conclusion: In cancer
patients, the prevalence of malnutrition and malnutrition risk is significantly
high, and this may alter the patient’s life quality and expectancy. Therefore,
the nutritional status of every patient that is diagnosed with cancer should be
assessed in early stages of the disease.
Keywords
References
- 1. World Health Organisation http://www.who.int/cancer/en/ Access time: 12.12.2016
- 2. Cutsem EV, Arends J. The causes and consequences of cancer associated malnutrition. Eur J Oncol Nurs. 2005;9 Suppl 2:S51-63. doi: https://doi.org/10.1016/j.ejon.2005.09.007
- 3. Van Bokhorst M. Nutritional support strategies for malnourished cancer patients. Eur J Oncol Nurs. 2005;9 Suppl 2:S74-83.e. doi: https://doi.org/10.1016/j.ejon.2005.09.004
- 4. Argiles JM. Cancer associated malnutrition. Eur J Oncol Nurs. 2005;9 Suppl 2:S39-50. doi: https://doi.org/10.1016/j.ejon.2005.09.006 5. Saka B. Nutrition and Cancer. The 37th National Hematology Congress 19-22 October 2011, Ankara, 82-85
- 6. Saka B, Ozkaya H, arisik E, Akin S, Akpinar TS, Tufan F, et al. Malnutrition and sarcopenia are associated with increased mortality rate in nursing home residents: A prospective study. Eur Geriatr Med 2016; 7:232-238. doi: https://doi.org/10.1016/j.eurger.2015.12.010
- 7. Saka B, Kaya O, Ozturk GB, Erten N, Karan MA. Malnutrition in the elderly and its relationship with other geriatric syndromes. Clin Nutr 2010;29:745-748. doi: https://doi.org/10.1016/j.clnu.2010.04.006
- 8. Vellas B, Guıgoz Y, Garry PJ, Nourhashemi F, Bennahum D, Lauque S, et al. The Mini Nutritional Assessment (MNA) and its use in grading the nutritional state of elderly patients. Nutr 1999;15:116 –122. PMID:9990575
- 9. Sarikaya D, Halil M, Kuyumcu ME, Kilic MK, Yesil Y, Kara O, et al. Mini nutritional assessment test long and short form are valid screening tools in Turkish older adults. Arch Gerontol Geriatr 2015;61:56–60. doi: https://doi.org/10.1016/j.archger.2015.04.006
- 10. ECOG-ACRIN Cancer Research Group. http://ecog-acrin.org/resources/ecog-performance-status Access time: 12.12.2016
- 11. Kim YJ, Hui D, Zhang Y, Park JC, Chisholm G, Williams J, et al. Differences in performance status assessment among palliative care specialists, nurses, and medical oncologists. J Pain Symptom Manage. 2015;49(6):1050-1058. doi: https://doi.org/10.1016/j.jpainsymman.2014.10.015
- 12. Chincesan MI, Mărginean CO, Voidăzan S. Assessment of body composition in a group of pediatric patients with cancer: a single romanian center experience. J Pediatr Hematol Oncol. 2016;38(7):217-222. doi: https://doi.org/10.1097/MPH.0000000000000586
- 13. Davies M. Nutritional screening and assessmnet in cancer-associated malnutrition. Eur J Oncol Nurs. 2005;9 Suppl 2:S64-73. doi: https://doi.org/10.1016/j.ejon.2005.09.005
- 14. Wie GA, Cho YA, Kim SY, Kim SM, Bae JM, Joung H, et al. Prevalence and risk factors of malnutrition among cancer patients according to tumor location and stage in the National Cancer Center in Korea. Nutr. 2015;26: 263–268. doi: https://doi.org/10.1016/j.nut.2009.04.013
- 15. Marian AE. Nutritional support strategies for malnourished cancer patients. Eur J Oncol Nurs.2005;9:74–83. doi: https://doi.org/10.1016/j.ejon.2005.09.004
- 16. Korfali G, Gündoğdu H, Aydintuğ S, Bahar M, Besler T, Moral AR, et al. Nutritional risk of hospitalized patients in Turkey. Clin Nutr.2009; 28(5):533-537. doi: https://doi.org/10.1016/j.clnu.2009.04.015
- 17. Fruchtenicht AVG, Poziomyck AK, Kabke GB, Loss SH, Antoniazzi JL, Steemburgo T, et al. Nutritional risk assessment in critically ill cancer patients: systematic review. Rev Bras Ter Intensiva 2015;27(3):274-283. doi: http://dx.doi.org/10.5935/0103-507X.20150032
- 18. Cessot A, Coriat R, Mir O, Boudou-Rouquette P, Giroux J, Durand JP, et al. Nutritional Status Is Superior to the ECOG Performance Status in Predicting the Dose-Intensity of the GEMOX Chemotherapy Regimen in Patients with Advanced Cancer. Nutr Cancer, 2013;65(8):1254-1257. doi: https://doi.org/10.1080/01635581.2013.830315
Kanser hastalarında malnutrisyon / malnutrisyon riski prevalansı: Türkiye’de bir onkoloji polikliniğinin deneyimi
Abstract
Giriş: Bu çalışmanın amacı, kanser
hastalarında malnutrisyon riskini (MR) / malnütrisyon(MN) prevalansını Mini
Nutrisyonel Değerlendirme(Mini Nutrition Assessments (MNA)) testi kullanarak
saptamaktır.
Yöntem: Bu gözlemsel
çalışma, İzmir Katip Çelebi Üniversitesi Atatürk Eğitim ve Araştırma Hastanesi
Tıbbi Onkoloji Polikliniği'nde kanser hastaları ile yürütülmüştür. Hastaların
değerlendirilmesinde demografik veriler, Doğu Kooperatif Onkoloji Grubuna
(ECOG) göre günlük fonksiyonel durum, Mini Nütrisyon Değerlendirmelerine (MNA)
göre beslenme durumu ve TBIF-300 (TANITA) TANITA Vücut Kompozisyonu Analiz
Edici Model ile elde edilen antropometrik ölçümler kullanıldı.
Bulgular: Çalışmaya,
296 onkoloji hastası dâhil edilmiştir. Ortalama yaş 58.34 ± 11.60 yıl idi.
Hastaların 228 (% 70,3) 'i kadındı. En yaygın üç tümör türü meme tümörleri (%
43,2; n = 128); gastrointestinal sistem tümörleri (% 33.1, n = 98),
genitoüriner yol tümörleriydi (% 10,8: n = 32). Hastaların ortalama VKİ'si 27,45
± 5,75 m2 / kg idi. MNA'ya göre hastaların 118(% 39,9)'inin
beslenmesi normaldi.130(% 43,9)'u malnütrisyon riski altında, 48(% 16,2).'i
yetersiz beslenmekteydi
Sonuç: Kanser
hastalarında malnütrisyon ve malnutrisyon riski prevalansı belirgin olarak
yüksektir ve bu durum hastanın yaşam kalitesini ve beklentisini değiştirebilir.
Bu nedenle, kanser teşhisi konan her hastanın beslenme durumu, hastalığın erken
safhalarında değerlendirilmelidir.
References
- 1. World Health Organisation http://www.who.int/cancer/en/ Access time: 12.12.2016
- 2. Cutsem EV, Arends J. The causes and consequences of cancer associated malnutrition. Eur J Oncol Nurs. 2005;9 Suppl 2:S51-63. doi: https://doi.org/10.1016/j.ejon.2005.09.007
- 3. Van Bokhorst M. Nutritional support strategies for malnourished cancer patients. Eur J Oncol Nurs. 2005;9 Suppl 2:S74-83.e. doi: https://doi.org/10.1016/j.ejon.2005.09.004
- 4. Argiles JM. Cancer associated malnutrition. Eur J Oncol Nurs. 2005;9 Suppl 2:S39-50. doi: https://doi.org/10.1016/j.ejon.2005.09.006 5. Saka B. Nutrition and Cancer. The 37th National Hematology Congress 19-22 October 2011, Ankara, 82-85
- 6. Saka B, Ozkaya H, arisik E, Akin S, Akpinar TS, Tufan F, et al. Malnutrition and sarcopenia are associated with increased mortality rate in nursing home residents: A prospective study. Eur Geriatr Med 2016; 7:232-238. doi: https://doi.org/10.1016/j.eurger.2015.12.010
- 7. Saka B, Kaya O, Ozturk GB, Erten N, Karan MA. Malnutrition in the elderly and its relationship with other geriatric syndromes. Clin Nutr 2010;29:745-748. doi: https://doi.org/10.1016/j.clnu.2010.04.006
- 8. Vellas B, Guıgoz Y, Garry PJ, Nourhashemi F, Bennahum D, Lauque S, et al. The Mini Nutritional Assessment (MNA) and its use in grading the nutritional state of elderly patients. Nutr 1999;15:116 –122. PMID:9990575
- 9. Sarikaya D, Halil M, Kuyumcu ME, Kilic MK, Yesil Y, Kara O, et al. Mini nutritional assessment test long and short form are valid screening tools in Turkish older adults. Arch Gerontol Geriatr 2015;61:56–60. doi: https://doi.org/10.1016/j.archger.2015.04.006
- 10. ECOG-ACRIN Cancer Research Group. http://ecog-acrin.org/resources/ecog-performance-status Access time: 12.12.2016
- 11. Kim YJ, Hui D, Zhang Y, Park JC, Chisholm G, Williams J, et al. Differences in performance status assessment among palliative care specialists, nurses, and medical oncologists. J Pain Symptom Manage. 2015;49(6):1050-1058. doi: https://doi.org/10.1016/j.jpainsymman.2014.10.015
- 12. Chincesan MI, Mărginean CO, Voidăzan S. Assessment of body composition in a group of pediatric patients with cancer: a single romanian center experience. J Pediatr Hematol Oncol. 2016;38(7):217-222. doi: https://doi.org/10.1097/MPH.0000000000000586
- 13. Davies M. Nutritional screening and assessmnet in cancer-associated malnutrition. Eur J Oncol Nurs. 2005;9 Suppl 2:S64-73. doi: https://doi.org/10.1016/j.ejon.2005.09.005
- 14. Wie GA, Cho YA, Kim SY, Kim SM, Bae JM, Joung H, et al. Prevalence and risk factors of malnutrition among cancer patients according to tumor location and stage in the National Cancer Center in Korea. Nutr. 2015;26: 263–268. doi: https://doi.org/10.1016/j.nut.2009.04.013
- 15. Marian AE. Nutritional support strategies for malnourished cancer patients. Eur J Oncol Nurs.2005;9:74–83. doi: https://doi.org/10.1016/j.ejon.2005.09.004
- 16. Korfali G, Gündoğdu H, Aydintuğ S, Bahar M, Besler T, Moral AR, et al. Nutritional risk of hospitalized patients in Turkey. Clin Nutr.2009; 28(5):533-537. doi: https://doi.org/10.1016/j.clnu.2009.04.015
- 17. Fruchtenicht AVG, Poziomyck AK, Kabke GB, Loss SH, Antoniazzi JL, Steemburgo T, et al. Nutritional risk assessment in critically ill cancer patients: systematic review. Rev Bras Ter Intensiva 2015;27(3):274-283. doi: http://dx.doi.org/10.5935/0103-507X.20150032
- 18. Cessot A, Coriat R, Mir O, Boudou-Rouquette P, Giroux J, Durand JP, et al. Nutritional Status Is Superior to the ECOG Performance Status in Predicting the Dose-Intensity of the GEMOX Chemotherapy Regimen in Patients with Advanced Cancer. Nutr Cancer, 2013;65(8):1254-1257. doi: https://doi.org/10.1080/01635581.2013.830315
Details
| Primary Language | English |
|---|---|
| Subjects | Health Care Administration |
| Journal Section | Original Research |
| Authors | |
| Publication Date | April 19, 2018 |
| Submission Date | December 18, 2017 |
| Acceptance Date | February 8, 2018 |
| Published in Issue | Year 2018 |