The Prevalence of Malnutrition in Oncology Patients in a Greek General Hospital. Evaluation Using Anthropometric and Laboratory Measurements

Papaefstathiou, E.; Alexiou, Konstantin; Terzopoulou, Maria; Sikalias, N; Bethani, Dimitra; Tsoga, Areti; Economou, Nicholas-Tiberio; Lioulias, Achilleas; Pagkratis, P; Trakas, N.

doi:10.1007/s13126-018-0483-x

Cited by 3 publications

(6 citation statements)

References 26 publications

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“…A statistically signi cant negative weak correlation (r=-270, p < 0.001) was also observed between TP level and SGA score (Table 4). This is consistent with study done in Greek among oncology patients (42).…”

Section: Discussionsupporting

confidence: 93%

“…In the present study, mean level of TP had statistically signi cant difference between malnourished (6.52 ± 0.94 g/dl) and well-nourished (7.01 ± 1.01 g/dl) adult patients with cancer (Table 3). This study nding is in line with study done in Greek among oncology patients (42). In this study, malnutrition was also found signi cantly associated with hypoproteinemia.…”

Section: Discussionsupporting

confidence: 92%

“…Furthermore, this nding is in parallel with study done in Italy (39). In contrary to the current nding, study done in Greek revealed that there is statically insigni cant differences in mean level of Hgb between malnourished and well-nourished according to SGA (42). The discrepancy could be due to relatively small sample size (88 patients).…”

Section: Discussionsupporting

confidence: 77%

“…A study done in Palestine showed that 24% of the participants had low Hgb levels and 14% had low serum albumin levels (6). Evidence showed that in patients with cancer' age, nutritional status, stage and type of cancer are factors associated with albumin, TP and Hgb level (13,(38)(39)(40)(41)(42)(43)(44). This study aimed to evaluate blood biomarkers (serum albumin, TP and Hgb) and their correlation with malnutrition and to identify factors associated with blood biomarkers alteration among adult patients with cancer on treatment follow up.…”

Section: Introductionmentioning

confidence: 99%

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Blood Biomarkers as Potential Malnutrition Screening Alternatives Among Adult Cancer Patients on Treatment in Oncology Unit of Jimma Tertiary Hospital: A Cross- Sectional Analysis

Enkobahry¹,

Sime

Dilnesa

et al. 2023

Preprint

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Background: Cancer is becoming the most common global public health concern. Early malnutrition detection and treatment in patients with cancer is an important aspect of cancer management. Although Subjective global assessment (SGA) is a gold standard nutritional assessment tool, it is not routinely utilized due to it is tedious and needs patient literacy. Thus, early detection of malnutrition necessitates alternative parameters comparable with SGA. Therefore this study aims to evaluate serum albumin, Total Protein (TP), and Hemoglobin (Hgb) and their correlation with malnutrition in patients with cancer at Jimma Medical Center (JMC). Methods: Facility based cross-sectional study was conducted from October 15 to December 15, 2021 G.C at JMC among a total of 176 adult patients with cancer selected via a systematic sampling technique. Nutritional status and behavioural data were collected using the SGA tool and a structured questionnaire. Five ml of venous blood was collected and the level of serum albumin, TP and Hgb were measured using Cobas®6000 chemistry analyzer and hematology analyzer UniCel DxH 800. Descriptive statistics, independent t-test, Pearson’s correlation coefficient (r), and logistic regression analysis were implemented for analysis. Result: From the total of 176 study participants, 69.3% were females and the mean age was 50.1±13.7 years. Based on SGA, 61.4% of the patients were malnourished. There was a significant decrease in the mean level of serum albumin, TP and Hgb in malnourished as compared to well-nourished patients. Serum albumin(r=-0.491), TP(r=-0.270), and Hgb (r=-0.451) had a significant correlation with SGA tool. Stage IV cancer AOR=4.98 (1.23-20.07), Gastrointestinal (GI) cancer AOR=3.39(1.29-8.88) and malnutrition AOR=3.9(1.81-8.4) were significantly associated with hypoalbuminemia. Similarly, age of >64 years AOR = 6.44(1.55-26.67), GI cancer AOR= 2.92(1.01-6.29) and malnutrition AOR= 3.14(1.43-6.94) were significantly associated with hypoproteinemia; and stage-IV cancer AOR=3.94(1.11-13.35) and malnutrition AOR=3.8(1.82 -8.2) were significantly associated with low Hgb level. Conclusion and recommendation: Altered level of serum albumin, TP and Hgb was correlated with the SGA tool of malnutrition. Therefore, it is suggested to be used as an alternative or additional screening tool for prompt detection of malnutrition in adult patients with cancer

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Section: Discussionsupporting

confidence: 93%

Section: Discussionsupporting

confidence: 92%

Section: Discussionsupporting

confidence: 77%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Blood Biomarkers as Potential Malnutrition Screening Alternatives Among Adult Cancer Patients on Treatment in Oncology Unit of Jimma Tertiary Hospital: A Cross- Sectional Analysis

Enkobahry¹,

Sime

Dilnesa

et al. 2023

Preprint

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show abstract

“…In line with other studies [16,17], 83.6% of the current study sample were nutritionally at risk based on NRS-2002. In another study of Greek patients with cancer, the prevalence of malnutrition based on NRS-2002 (score of ≥ 3) was 45.5% at admission, which possibly is underestimated due to short hospital stay [18]. Using SNAQ, 48.7% was at high risk of > 5% weight loss within 6 months.…”

Section: Discussionmentioning

confidence: 96%

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

Vamvakari

Evangelou

Kalafati

et al. 2023

memo

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Summary Purpose Malnutrition constitutes an important complication of cancer. Nutritional status is associated with the progression of malignant neoplasms. This study aimed to assess the nutritional status of patients with cancer using objective and subjective assessment methods. Materials and methods The following validated questionnaires were used to assess the nutritional status of 152 patients with cancer recruited in Attica, Greece: Patient-Generated Subjective Global Assessment (PG-SGA), Nutritional Risk Screening-2002 (NRS-2002), Simplified Nutritional Appetite Questionnaire (SNAQ). Geriatric nutritional risk index (GNRI) was calculated, handgrip strength (HGS) test was carried out, and the arm circumference (MUAC) and triceps skinfold thickness (TSF) were measured. Results Based on the PG-SGA assessment, 54.9% of the individuals were severely malnourished. Imminent risk was observed in 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). Severely malnourished patients experienced significant weight reduction in the 6 months prior to recruitment and had lower HGS and TSF. MUAC was similar within the PG-SGA categories. High risk for malnutrition was estimated for geriatric patients (GNRI: 46.45 [IQR: 5.17]). Malnourishment, based on PG-SGA, was positively associated with percent weight loss within the past 6 months and negatively associated with body mass index (BMI), hemoglobin (Hgb), HGS, and MUAC (all p ≤ 0.05). Conclusion The present study highlighted a high risk of malnutrition in patients with cancer. Poor nutritional status was positively associated with weight loss, Hgb, and MUAC and negatively associated with BMI, HGS, and TSF.

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Blood biomarkers as potential malnutrition screening alternatives among adult patients with cancer on treatment in oncology unit of jimma tertiary hospital: A cross-sectional analysis

et al. 2023

View full text Add to dashboard Cite

Background Cancer is becoming the most common global public health concern. Early malnutrition detection and treatment in patients with cancer is an important aspect of cancer management. Although Subjective global assessment (SGA) is a gold standard nutritional assessment tool, it is not routinely utilized due to it is tedious and needs patient literacy. Thus, early detection of malnutrition necessitates alternative parameters comparable with SGA. Therefore this study aims to evaluate serum albumin, Total Protein (TP), and Hemoglobin (Hgb) and their correlation with malnutrition in patients with cancer at Jimma Medical Center (JMC). Methods Facility based cross-sectional study was conducted from October 15 to December 15, 2021 G.C at JMC among a total of 176 adult patients with cancer selected via a systematic sampling technique. Nutritional status and behavioural data were collected using the SGA tool and a structured questionnaire. Five ml of venous blood was collected and the level of serum albumin, TP and Hgb were measured using Cobas®6000 chemistry analyzer and hematology analyzer UniCel DxH 800. Descriptive statistics, independent t-test, Pearson’s correlation coefficient (r), and logistic regression analysis were implemented for analysis. Result From the total of 176 study participants, 69.3% were females and the mean age was 50.1 ± 13.7 years. Based on SGA, 61.4% of the patients were malnourished. There was a significant decrease in the mean level of serum albumin, TP and Hgb in malnourished as compared to well-nourished patients. Serum albumin(r=-0.491), TP(r=-0.270), and Hgb (r=-0.451) had a significant correlation with SGA tool. Stage IV cancer AOR = 4.98 (1.23–20.07), Gastrointestinal (GI) cancer AOR = 3.39(1.29–8.88) and malnutrition AOR = 3.9(1.81–8.4) were significantly associated with hypoalbuminemia. Similarly, age of > 64 years AOR = 6.44(1.55–26.67), GI cancer AOR = 2.92(1.01–6.29) and malnutrition AOR = 3.14(1.43–6.94) were significantly associated with hypoproteinemia; and stage-IV cancer AOR = 3.94(1.11–13.35) and malnutrition AOR = 3.8(1.82–8.2) were significantly associated with low Hgb level. Conclusion and recommendation Altered level of serum albumin, TP and Hgb was correlated with the SGA tool of malnutrition. Therefore, it is suggested to be used as an alternative or additional screening tool for prompt detection of malnutrition in adult patients with cancer.

show abstract

The Prevalence of Malnutrition in Oncology Patients in a Greek General Hospital. Evaluation Using Anthropometric and Laboratory Measurements

Cited by 3 publications

References 26 publications

Blood Biomarkers as Potential Malnutrition Screening Alternatives Among Adult Cancer Patients on Treatment in Oncology Unit of Jimma Tertiary Hospital: A Cross- Sectional Analysis

Blood Biomarkers as Potential Malnutrition Screening Alternatives Among Adult Cancer Patients on Treatment in Oncology Unit of Jimma Tertiary Hospital: A Cross- Sectional Analysis

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

Blood biomarkers as potential malnutrition screening alternatives among adult patients with cancer on treatment in oncology unit of jimma tertiary hospital: A cross-sectional analysis

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