Malnutrition associated with nutrition impact symptoms and localization of the disease: Results of a multicentric research on oncological nutrition

Pinho, Nivaldo Barroso de; Martucci, Renata Brum; Rodrigues, V.D.; D’Almeida, Cristiane A.; Thuler, Luiz Cláudio Santos; Saunders, Cláudia; Jager‐Wittenaar, Harriët; Peres, Wilza Arantes Ferreira

doi:10.1016/j.clnu.2018.05.010

Cited by 91 publications

(88 citation statements)

References 24 publications

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“…However, of these instruments, the PG–SGA is considered a reference tool in patients with cancer . Moreover, the PG–SGA addresses the highest number of NIS, which can be considered risk factors for malnutrition, such as no appetite, nausea, vomiting, problems swallowing, and other NIS . Identifying the causes of problems with eating (using box 3 on the PG–SGA questionnaire) may facilitate the early prevention or treatment of those impediments, which, in the end, may help prevent malnutrition, or at least prevent the symptoms from getting worse.…”

Section: Discussionmentioning

confidence: 99%

“…It is estimated that the prevalence of malnutrition ranges from 38.7% to 61.2% in adult patients with cancer, depending on the type of cancer and cancer stage. In a previous study, we showed that, in older patients with cancer (aged ≥65 years), the prevalence of malnutrition was as high as that reported in the literature (55%) . The main factors involved in the development of malnutrition in these patients are metabolic abnormalities and nutrition impact symptoms (NIS), which can be related to the tumor itself or can occur as side effects of anticancer treatment .…”

Section: Introductionmentioning

confidence: 91%

“…Patients with cancer have a high risk of malnutrition . It is estimated that the prevalence of malnutrition ranges from 38.7% to 61.2% in adult patients with cancer, depending on the type of cancer and cancer stage.…”

Section: Introductionmentioning

confidence: 99%

“…12,13 Patients with cancer have a high risk of malnutrition. [14][15][16][17][18] It is estimated that the prevalence of malnutrition ranges from 38.7% to 61.2% in adult patients with cancer, depending on the type of cancer and cancer stage. In a previous study, we showed that, in older patients with cancer (aged ≥65 years), the prevalence of malnutrition was as high as that reported in the literature (55%).…”

Section: Introductionmentioning

confidence: 99%

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High prevalence of malnutrition and nutrition impact symptoms in older patients with cancer: Results of a Brazilian multicenter study

Pinho

Martucci

Rodrigues

et al. 2019

Cancer

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Background Malnutrition in cancer is an independent factor associated with negative clinical outcomes. The objective of this study was to evaluate the prevalence of malnutrition across different age groups in patients with cancer in Brazil and to identify associations with nutrition impact symptoms (NIS). Methods In this observational, cross‐sectional, multicenter study, the authors evaluated 4783 patients with cancer aged ≥20 years who were admitted to 45 public hospitals in Brazil. Nutritional status, nutritional risk, and NIS were evaluated using the Patient‐Generated Subjective Global Assessment. Results More than one‐fourth (25.5%) of all participants were aged ≥65 years. In patients aged ≥65 years, the prevalence of moderate/suspected and severe malnutrition was 55%, it was 45.4% in those aged 51 to 64 years, and it was 36.1% in those aged ≤50 years. Among the NIS with a higher risk of occurrence in patients aged ≥65 years were no appetite (odds ratio [OR], 1.90; 95% CI, 1.62‐2.22; P < .05) and dry mouth (OR, 1.40; 95% CI, 1.1‐1.67; P < .05). In patients between ages 51 and 64 years, compared with those aged ≤50 years, the NIS with a higher risk of occurrence were no appetite (OR, 1.45; 95% CI, 1.23‐1.69; P < .05), dry mouth (OR, 1.22; 95% CI, 1.02‐1.45; P < .05), and problems with swallowing (OR, 1.56; 95% CI, 1.25‐1.96; P < .05). Conclusions The prevalence of malnutrition and the occurrence of NIS are high in hospitalized Brazilian patients aged ≥65 years who have cancer. The occurrence of NIS was higher in the population aged >50 years than in those aged ≤50 years. Nutritional screening and assessment should be performed immediately after hospitalization to enable early diagnosis and multidisciplinary or interdisciplinary intervention(s).

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 91%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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High prevalence of malnutrition and nutrition impact symptoms in older patients with cancer: Results of a Brazilian multicenter study

Pinho

Martucci

Rodrigues

et al. 2019

Cancer

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“…In hospitalized patients, the prevalence of malnutrition is reported as being up to 50%, depending on the criteria used and the patient population . Patients with head and neck cancer are among the populations with a higher risk for malnutrition . At diagnosis, nearly 20% of patients with head and neck cancer are estimated to be at risk, and shortly after cancer treatment, prevalence may be increased to about 50% .…”

Section: Introductionmentioning

confidence: 99%

Self‐Completion of the Patient‐Generated Subjective Global Assessment Short Form Is Feasible and Is Associated With Increased Awareness on Malnutrition Risk in Patients With Head and Neck Cancer

et al. 2019

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Background We aimed to assess feasibility of self‐completion of the Patient‐Generated Subjective Global Assessment Short Form (PG‐SGA SF) by head and neck cancer patients, and to assess self‐reported increased awareness regarding malnutrition risk after self‐completion. Methods Participants were randomized to complete the PG‐SGA SF by paper or app. Feasibility was assessed by time needed to complete the PG‐SGA SF, perceived difficulty, and help needed during completion. Participants were asked if they knew what malnutrition was (yes/no) and if they could define “malnutrition.” They were also asked 9 questions on whether they perceived increased awareness of malnutrition risk after having completed the PG‐SGA SF and 2 on their intention to change lifestyle habits. Results Of all participants (n = 59; 65.9 ± 12.6 years; 73% male), 55% completed the PG‐SGA SF paper version and 46% the Pt‐Global app. Median time needed for self‐completion of the PG‐SGA SF was 2 minutes 41 seconds (interquartile range: 1 minute 49 seconds–3 minutes 50 seconds). Forty‐eight percent needed help with completion, indicating acceptable feasibility. Participants who completed the Pt‐Global app needed help significantly more often (66%; 21/32) than those who completed the PG‐SGA SF paper version (26%; 7/27) (P = 0.005). All difficulty scores were excellent. For 7/9 questions on malnutrition risk awareness, >50% of the participants answered positively. Conclusion The results of this study show that self‐completion of the PG‐SGA SF by head and neck cancer patients is feasible and that awareness regarding malnutrition risk may increase after completing the PG‐SGA SF.

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Effect of nutrition impact symptoms on oral nutritional supplements energy intake and use days in patients with head and neck cancer: A cross‐sectional study

Dai,

Xian,

et al. 2024

Cancer Medicine

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BackgroundThis study aims to explore the effect of nutritional impact symptoms (NIS) on oral nutritional supplements (ONS) energy intake and use days among head and neck cancer (HNC) patients.MethodsA cross‐sectional study was conducted among HNC patients in a hospital in western China between January 2019 and June 2020. The NIS was from the Patient‐Generated Subjective Global Assessment (PG‐SGA) scale. Mann–Whitney test was used to examine the differences between different kinds of NIS and ONS use days. Binary logistic regression was used to determine the effect of NIS on ONS energy intake.ResultsThe most prevalent four NIS were no appetite (35.3%), dysphagia (29.4%), vomiting (13.2%) and oral pain (12.5%), respectively. All patients in the study were malnutrition. Patients with xerostomia or oral pain had less ONS use days than those without these symptoms. Patients with vomiting (OR 0.09, 95% CI 0.02–0.50) or pain (OR 0.15, 95% CI 0.02–0.89) were less likely to have ONS energy intake ≥400 kcal/day than those without these symptoms after adjusting the confounding factors. In addition, one‐point increase in total NIS score was associated with a lower proportion of ONS energy intake ≥400 kcal/day (OR 0.77, 95% CI 0.59–0.99).ConclusionXerostomia, oral pain, vomiting and pain should be strengthened and intervened to improve ONS use and nutritional status among HNC patients with malnutrition.

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Malnutrition associated with nutrition impact symptoms and localization of the disease: Results of a multicentric research on oncological nutrition

Cited by 91 publications

References 24 publications

High prevalence of malnutrition and nutrition impact symptoms in older patients with cancer: Results of a Brazilian multicenter study

High prevalence of malnutrition and nutrition impact symptoms in older patients with cancer: Results of a Brazilian multicenter study

Self‐Completion of the Patient‐Generated Subjective Global Assessment Short Form Is Feasible and Is Associated With Increased Awareness on Malnutrition Risk in Patients With Head and Neck Cancer

Effect of nutrition impact symptoms on oral nutritional supplements energy intake and use days in patients with head and neck cancer: A cross‐sectional study

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