High prevalence of malnutrition and nutrition impact symptoms in older patients with cancer

Autor: Cláudia Saunders, Nivaldo Barroso de Pinho, Harriët Jager-Wittenaar, Renata Brum Martucci, Wilza Arantes Ferreira Peres, C.A. D’Almeida, V.D. Rodrigues, L.C.S. Thuler
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Male
Cancer Research
Pediatrics
Appetite
Body Mass Index
older adult
0302 clinical medicine
Older patients
QUALITY-OF-LIFE
Neoplasms
SUBJECTIVE GLOBAL ASSESSMENT
nutritional screening
030212 general & internal medicine
Aged
80 and over
DRY MOUTH
education.field_of_study
High prevalence
CELLULAR SENESCENCE
Middle Aged
CHEMOTHERAPY
Hospitalization
Oncology
030220 oncology & carcinogenesis
PHASE-II
Female
TRIAL
Brazil
Adult
medicine.medical_specialty
Patient-Generated Subjective Global Assessment (PG-SGA)
Population
Nutritional Status
WEIGHT-LOSS
malnutrition
nutrition impact symptoms
SARCOPENIA
03 medical and health sciences
ANOREXIA
medicine
Humans
education
Aged
business.industry
Cancer
Odds ratio
Length of Stay
medicine.disease
Malnutrition
Nutrition Assessment
Multicenter study
Observational study
nutritional risk
business
Zdroj: Cancer, 126(1), 156-164. Wiley
ISSN: 0008-543X
Popis: 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).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.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).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 aged50 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).
Databáze: OpenAIRE
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