Assessment of nutritional status using objective and subjective methods in Greek patients with cancer

Vamvakari, Konstantina; Evangelou, Iliana; Kalafati, Ioanna Panagiota; Kipouros, Michail; Kosti, Rena I.; Kasti, Arezina N.; Androutsos, Odysseas

doi:10.1007/s12254-023-00877-2

Cited by 3 publications

(2 citation statements)

References 28 publications

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“…Similar results were found in Suzie Ferrie, et al [14] who reported that, out of 1034 individuals involved in the work 636 individuals (61.5%) had SGA grade A, 327 Another study by Konstantina Vamvakari et al [15] reported that the median values of MAC, TSF, and HG were 29.5 cm, 20.1mm, and 26 kg, respectively.…”

Section: Aki: Acute Kidney Injurysupporting

confidence: 76%

Impact of Malnutrition in Critically Ill Patients on Intensive Care Unit

Eldehily,

Tawfik,

Elkholy

et al. 2023

The Egyptian Journal of Intensive Care and Emergency Medicine

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Background: Malnutrition is one of the major problems during the stay in the intensive care units (ICUs). Critically ill patients are at high risk of developing malnutrition, associated with worse clinical outcomes. This work aimed to detect the severity of malnutrition in critically ill patients by using the Subjective Global Assessment score (SGA) and its association with the length of ICU stay and mortality. Methods: This prospective cohort observational study was carried out on 50 patients aged >18 years old, both sexes, with clinical criteria of malnutrition, involuntary weight loss, low body mass index, decreased mass of muscles, history of decreased food intake or absorption and inflammation or acute disease or injury with severe inflammation. All patients were subjected to mid-arm circumference (MAC), triceps skin fold (TSF) and hand grip strength . Results: The mean length of stay in ICU was 13.5±11.2 days. 18 patients needed mechanical ventilation (MV) representing 36% of cases with mean ventilation days 10.7±7.1, and the mortality proportion 34%. A statistically substantial correlation existed between mortality, smaller MAC (P = 0.001), and TSF (P = 0.001). In addition, the Handgrip was lower in mortality but didn't reach statistical significance (P = 0.091). A substantial association existed between the advanced grade of SGA (grade C) and mortality (P = 0.001). Conclusions: There was a strong association between mortality in critically ill patients and smaller triceps skin fold, MAC. Severe malnutrition in critically ill patients SGA (grade C) was significantly associated with mortality and the need for MV .

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Section: Aki: Acute Kidney Injurysupporting

confidence: 76%

Impact of Malnutrition in Critically Ill Patients on Intensive Care Unit

Eldehily,

Tawfik,

Elkholy

et al. 2023

The Egyptian Journal of Intensive Care and Emergency Medicine

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“…Data were collected at two time periods with a 6-month gap, i.e., April-October 2019 (baseline) and February-March 2020 (follow-up). In total, 152 patients with cancer were recruited [10]. The following inclusion criteria were applied: patients were hospitalized or followed cancer treatment at the Attikon University Hospital, Greece; all types and stages of cancer were included.…”

Section: Participants and Experimental Designmentioning

confidence: 99%

The Level of Adherence to the ESPEN Guidelines for Energy and Protein Intake Prospectively Influences Weight Loss and Nutritional Status in Patients with Cancer

Kipouros,

Vamvakari,

Kalafati

et al. 2023

Nutrients

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Nutrition therapy aims to prevent weight loss and its health consequences in patients with cancer. The aim of this study was to assess Greek patients’ adherence to the ESPEN guidelines for oncology patients and its prospective effect on their body weight (BW) and nutritional status. In total, 152 patients with cancer were recruited from the Attikon University Hospital, Greece, and provided data in 2019 (baseline) and 2020 (follow-up) (drop-out rate = 28.3%). Nutritional status was assessed with the PG-SGA questionnaire. Patients were categorized based on whether they adhered at least to the minimum ESPEN-recommended intakes of energy (≥25 kcal/kg/day) or protein (≥1.0 g/kg/day) or not. On average, patients did not adhere to ESPEN guidelines for energy and protein intake. Most patients meeting the minimum recommendations had an improvement of their nutritional status at follow-up and increased their BW compared to those not meeting them. All patients with head, neck, and spinal cancer who met the minimum recommendations for energy intake improved their nutritional status at follow-up. This study showed that consuming at least the minimum amounts of protein and energy recommended by ESPEN may prevent from weight loss and improve nutritional status; however, the exact amounts need to be personalized.

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