Nutritional status, sarcopenia, gastrointestinal symptoms and quality of life after gastrectomy for cancer - A cross-sectional pilot study

Autor: Sedegheh Gharagozlian, Egil Johnson, Tom Mala, Åslaug A. Ullerud, Hilde Kristin Brekke, Lisa C. Kolbjørnsen
Rok vydání: 2019
Předmět:
0301 basic medicine
medicine.medical_specialty
Sarcopenia
Malabsorption
Endocrinology
Diabetes and Metabolism
medicine.medical_treatment
Population
Nutritional Status
030209 endocrinology & metabolism
Pilot Projects
03 medical and health sciences
0302 clinical medicine
Quality of life
Weight loss
Gastrectomy
Stomach Neoplasms
Internal medicine
medicine
Humans
education
education.field_of_study
030109 nutrition & dietetics
Nutrition and Dietetics
VDP::Medisinske Fag: 700::Helsefag: 800::Samfunnsmedisin
sosialmedisin: 801
Hand Strength
business.industry
Sequela
medicine.disease
Malnutrition
Cross-Sectional Studies
Nutrition Assessment
Quality of Life
medicine.symptom
VDP::Medical disciplines: 700::Health sciences: 800::Community medicine
Social medicine: 801
Neoplasm Recurrence
Local
business
Zdroj: Clinical nutrition ESPEN. 37
ISSN: 2405-4577
Popis: Background and aims - Gastrointestinal (GI) symptoms, malabsorption, reduced food intake and weight loss are common sequela of gastrectomy. This can result in malnutrition with a subsequent prolonged recovery, reduced physical functioning and deteriorated quality of life (QoL). Few studies have investigated the relationship between GI-symptoms, QoL and malnutrition in long-term survivors of gastric cancer. Therefore, we assess nutritional status, GI-symptoms and QoL 2–5 years after gastrectomy for malignancy. Methods - A cross-sectional, pilot study was carried out in patients who underwent total or subtotal gastrectomy at Oslo University Hospital between 2012 and 2016, who had not experienced disease recurrence. Subjects above 85 years were excluded. The nutritional status of the patients fell into three groups by a score of subjective global assessment (SGA)-A, B, and C. Muscle mass was measured by body composition by bioelectrical impedance analysis and muscle strength was measured by handgrip strength (HGS). Dietary intake was assessed by repeated 24-h dietary recalls. GI-symptoms and QoL were assessed using GI-Symptom Rating Scale (GSRS) and the SF-36 questionnaire. Results - 21 patients were included. Mean (SD) weight loss was 12.8% (11.6) from preoperative status to follow up. Percentage weight loss was larger after total gastrectomy compared with subtotal gastrectomy (17.9% (12.3) vs. 6.6% (7.1) (p = 0.03)). A low mean intake of energy and protein was reported compared to dietary recommendations for the general Nordic population and intake in a national dietary survey. All of the patients were classified as pre-sarcopenic, and 5% as sarcopenic. Persistent weight loss >10% was observed in 45% of the subjects and these were in risk of malnutrition. Subjects with malnutrition had higher GSRS score for the abdominal pain syndrome (p = 0.042) and lower SF-36 scores for bodily pain (p = 0.01) and vitality (p = 0.02) compared with those without malnutrition. Conclusions - A high prevalence of weight loss, and pre-sarcopenia was observed. Malnutrition as assessed by SGA was associated with more GI-Symptoms and reduced QoL scores. Further studies with larger number of participants are needed to verify our findings.
Databáze: OpenAIRE
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