The Effects of Nutrition Status of Patients With Digestive System Cancers on Prognosis of the Disease

Tian, Jun; Chen, Zhen-chun; Hang, Li-Fang

doi:10.1097/01.ncc.0000339247.60700.86

Cited by 11 publications

(11 citation statements)

References 15 publications

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“…Of the eight studies included in this table, three were retrospective[24-26], two were cross-sectional[20,21] and three were prospective[22,23,27]. The sample size ranged from 48[22] to 1,555[26] patients.…”

Section: Resultsmentioning

confidence: 99%

Role of nutritional status in predicting quality of life outcomes in cancer – a systematic review of the epidemiological literature

Lis

Gupta

Lammersfeld

et al. 2012

Nutr J

238

163

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Malnutrition is a significant factor in predicting cancer patients’ quality of life (QoL). We systematically reviewed the literature on the role of nutritional status in predicting QoL in cancer. We searched MEDLINE database using the terms “nutritional status” in combination with “quality of life” together with “cancer”. Human studies published in English, having nutritional status as one of the predictor variables, and QoL as one of the outcome measures were included. Of the 26 included studies, 6 investigated head and neck cancer, 8 gastrointestinal, 1 lung, 1 gynecologic and 10 heterogeneous cancers. 24 studies concluded that better nutritional status was associated with better QoL, 1 study showed that better nutritional status was associated with better QoL only in high-risk patients, while 1 study concluded that there was no association between nutritional status and QoL. Nutritional status is a strong predictor of QoL in cancer patients. We recommend that more providers implement the American Society of Parenteral and Enteral Nutrition (ASPEN) guidelines for oncology patients, which includes nutritional screening, nutritional assessment and intervention as appropriate. Correcting malnutrition may improve QoL in cancer patients, an important outcome of interest to cancer patients, their caregivers, and families.

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Section: Resultsmentioning

confidence: 99%

Role of nutritional status in predicting quality of life outcomes in cancer – a systematic review of the epidemiological literature

Lis

Gupta

Lammersfeld

et al. 2012

Nutr J

238

163

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show abstract

“…Thus, our results do not contradict many of the previous studies of the association of similarly measured social support with mortality. Studies of other life-limiting conditions, including digestive system (28) and lung (29) cancers, also showed no association of social support with mortality, despite positive associations with HRQOL.…”

Section: Discussionmentioning

confidence: 96%

Association of Social Support with Outcomes in Incident Dialysis Patients

Plantinga

Fink

Harrington-Levey

et al. 2010

Clinical Journal of the American Society of Nephrology

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Background and objectives: The association of social support with outcomes in ESRD, overall and by peritoneal dialysis (PD) versus hemodialysis (HD), remains understudied.Design, setting, participants, & measurements: In an incident cohort of 949 dialysis patients from 77 US clinics, we examined functional social support scores (scaled 0 to 100 and categorized by tertile) both overall and in emotional, tangible, affectionate, and social interaction subdomains. Outcomes included 1-year patient satisfaction and quality of life (QOL), dialysis modality switching, and hospitalizations and mortality (through December 2004). Associations were examined using overall and modality-stratified multivariable logistic, Poisson, and Cox proportional hazards models.Results: We found that mean social support scores in this population were higher in PD versus HD patients (overall 80.5 versus 76.1; P < 0.01). After adjustment, highest versus lowest overall support predicted greater 1-year satisfaction and QOL in all patients (odds ratio 2.47 [95% confidence interval (CI) 1.18 to 5.15] and 2.06 [95% CI 1.31 to 3.22] for recommendation of center and higher mental component summary score, respectively). In addition, patients were less likely to be hospitalized (incidence rate ratio 0.86; 95% CI 0.77 to 0.98). Results were similar with subdomain scores. Modality switching and mortality did not differ by social support in these patients, and associations of social support with outcomes did not generally differ by dialysis modality.Conclusions: Social support is important for both HD and PD patients in terms of greater satisfaction and QOL and fewer hospitalizations. Intervention studies to possibly improve these outcomes are warranted.

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“…The association between higher BMI and higher cancer-specific mortality only reached statistical significance for individuals with tumors positive for p21 expression (15) and stathmin or oncoprotein-18 expression (16). (17)(18)(19)(20)(21)(22)(23)(24)(25)(26)(27)(28)(29)(30)(31). The first study on BMI in relation to colon cancer recurrence was published in 1984 and conducted in 279 consecutively diagnosed colon cancer patients who were undergoing curative resection (17).…”

Section: Bmi Before Cancer Diagnosismentioning

confidence: 99%

“…Although the follow-up time for the colon and rectal cancer cases was somewhat longer than for the colorectal cancer cases combined, the number of colon and rectal cases included in the analyses was lower than the number of colorectal cancer cases, partly because of differential adjustment for confounding factors. In 39 colorectal cancer (25) and 230 rectal cancer patients (29), overweight (25) and obesity (29) were not associated with all-cause mortality (25,29) or recurrence (29). All-cause mortality was significantly lower in overweight and nonsignificantly lower in obese colon and rectal cancer cases separately compared with normal weight colon and rectal cancer cases (26).…”

Section: Bmi Before Cancer Diagnosismentioning

confidence: 99%

The role of body mass index, physical activity, and diet in colorectal cancer recurrence and survival: a review of the literature

Vrieling

Kampman²

2010

American Journal of Clinical Nutrition

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The role of dietary and other lifestyle factors in colorectal cancer recurrence and survival is largely unknown. We conducted a review to summarize the evidence from epidemiologic studies that examined the association of body mass index (BMI), physical activity, and nutrition with colorectal cancer recurrence and survival. We searched MEDLINE and EMBASE for relevant epidemiologic studies published up to March 2010 by using MeSH terms and related key words. We identified 36 articles that were based on 31 independent studies on BMI (n = 21), physical activity (n = 6), or nutrition (n = 12) in relation to colorectal cancer recurrence and survival. Studies were generally based on follow-up of cases in existing patient series, case-control or cohort studies, or chemotherapy trials. BMI, physical activity, and nutrition mostly referred to the time at or before diagnosis. Only 10 studies assessed BMI (n = 1), physical activity (n = 4), or nutrition (n = 5) after diagnosis. There may be an association between higher BMI and body fatness before or at the time of diagnosis and a higher all-cause mortality or colorectal cancer-specific mortality or recurrence, although results may differ by sex, tumor location, and molecular subtype. There may be a relation between higher leisure-time physical activity after diagnosis and a lower all-cause or colorectal cancer-specific mortality. For dietary factors, statistically significant associations were only shown for single foods, nutrients, and dietary patterns in single studies. In conclusion, only a paucity of data is available on the effect of dietary and other lifestyle factors on colorectal cancer recurrence and survival. Thus far, no clear conclusions can be drawn. Future studies are warranted, particularly on postdiagnosis BMI and diet.

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The Effects of Nutrition Status of Patients With Digestive System Cancers on Prognosis of the Disease

Cited by 11 publications

References 15 publications

Role of nutritional status in predicting quality of life outcomes in cancer – a systematic review of the epidemiological literature

Role of nutritional status in predicting quality of life outcomes in cancer – a systematic review of the epidemiological literature

Association of Social Support with Outcomes in Incident Dialysis Patients

The role of body mass index, physical activity, and diet in colorectal cancer recurrence and survival: a review of the literature

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