Nutritional status of cancer patients in chemotherapy; dietary intake, nitrogen balance and screening

2.50
Hdl Handle:
http://hdl.handle.net/2336/67834
Title:
Nutritional status of cancer patients in chemotherapy; dietary intake, nitrogen balance and screening
Authors:
Gudny Geirsdottir, Olof; Thorsdottir, Inga
Citation:
Food Nutr Res. 2008, 52. doi: 10.3402/fnr.v52i0.1856
Issue Date:
2008
Abstract:
OBJECTIVE: To evaluate a short screening sheet (SSM) for malnutrition and to investigate the nutritional status of patients receiving chemotherapy for cancer of the lungs, colon or breast at an outpatient clinic. DESIGN: Full nutritional assessment was conducted to define malnutrition and validate the SSM. Additionally, weight change from earlier healthy weight was evaluated, and calculations for intake of energy-giving nutrients (three-day-weighed food records) and protein balance were performed. After the evaluation study, the SSM was tested in clinical routine and data collected about patients' need for nutritional counseling. SUBJECTS: Patients at the outpatient clinic of the Department of Oncology at Landspitali-University Hospital (n=30 with lung-, colon- or breast cancer in the study population, n=93 with all cancer type in clinical routine screening). RESULTS: Malnutrition was defined by full nutritional assessment in 20% of the participating patients and SSM had high sensitivity and specificity. Declining nutritional status of the patients was seen as a negative nitrogen balance and unintentional weight loss from healthy weight, but not as total energy intake, recent weight loss or underweight. The test of SSM in clinical routine showed that 40% were malnourished. According to the patients, 80% needed nutritional counseling but only 17% had such counseling. CONCLUSION: Screening (SSM) for malnutrition in cancer patients is a valid simple approach to define cancer patients for nutritional care. More patients regard themselves in need for nutritional counseling than the number of patients really achieving any.
Description:
To access publisher full text version of this article. Please click on the hyperlink in Additional Links field
Additional Links:
http://dx.doi.org/10.3402/fnr.v52i0.1856

Full metadata record

DC FieldValue Language
dc.contributor.authorGudny Geirsdottir, Olof-
dc.contributor.authorThorsdottir, Inga-
dc.date.accessioned2009-05-12T10:47:14Z-
dc.date.available2009-05-12T10:47:14Z-
dc.date.issued2008-
dc.date.submitted2009-05-12-
dc.identifier.citationFood Nutr Res. 2008, 52. doi: 10.3402/fnr.v52i0.1856en
dc.identifier.issn1654-6628-
dc.identifier.pmid19158940-
dc.identifier.doi10.3402/fnr.v52i0.1856-
dc.identifier.urihttp://hdl.handle.net/2336/67834-
dc.descriptionTo access publisher full text version of this article. Please click on the hyperlink in Additional Links fielden
dc.description.abstractOBJECTIVE: To evaluate a short screening sheet (SSM) for malnutrition and to investigate the nutritional status of patients receiving chemotherapy for cancer of the lungs, colon or breast at an outpatient clinic. DESIGN: Full nutritional assessment was conducted to define malnutrition and validate the SSM. Additionally, weight change from earlier healthy weight was evaluated, and calculations for intake of energy-giving nutrients (three-day-weighed food records) and protein balance were performed. After the evaluation study, the SSM was tested in clinical routine and data collected about patients' need for nutritional counseling. SUBJECTS: Patients at the outpatient clinic of the Department of Oncology at Landspitali-University Hospital (n=30 with lung-, colon- or breast cancer in the study population, n=93 with all cancer type in clinical routine screening). RESULTS: Malnutrition was defined by full nutritional assessment in 20% of the participating patients and SSM had high sensitivity and specificity. Declining nutritional status of the patients was seen as a negative nitrogen balance and unintentional weight loss from healthy weight, but not as total energy intake, recent weight loss or underweight. The test of SSM in clinical routine showed that 40% were malnourished. According to the patients, 80% needed nutritional counseling but only 17% had such counseling. CONCLUSION: Screening (SSM) for malnutrition in cancer patients is a valid simple approach to define cancer patients for nutritional care. More patients regard themselves in need for nutritional counseling than the number of patients really achieving any.en
dc.language.isoenen
dc.publisherCo-Action publishingen
dc.relation.urlhttp://dx.doi.org/10.3402/fnr.v52i0.1856en
dc.subject.meshWeight Lossen
dc.subject.meshMalnutritionen
dc.subject.meshPubMed - in processen
dc.titleNutritional status of cancer patients in chemotherapy; dietary intake, nitrogen balance and screeningen
dc.typeArticleen
dc.contributor.departmentUnit for Nutrition Research, National University Hospital, Reykjavik, Iceland.en
dc.identifier.journalFood & nutrition researchen

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