Mapping the frequency of malnutrition in patients with head and neck cancer using the GLIM Criteria for the Diagnosis of Malnutrition
| Autor: | Sandra Einarsson, Ylva Tiblom Ehrsson, Göran Laurell |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Male
0301 basic medicine endocrine system Pediatrics medicine.medical_specialty Endocrinology Diabetes and Metabolism medicine.medical_treatment Nutritional Status GLIM 030209 endocrinology & metabolism Body Mass Index 03 medical and health sciences 0302 clinical medicine Weight loss medicine Humans In patient Prospective Studies 030109 nutrition & dietetics Nutrition and Dietetics biology business.industry Malnutrition C-reactive protein Head and neck cancer medicine.disease Radiation therapy Head and Neck Neoplasms biology.protein Female medicine.symptom business Body mass index |
| Zdroj: | Clinical Nutrition ESPEN. 37:100-106 |
| ISSN: | 2405-4577 |
| DOI: | 10.1016/j.clnesp.2020.03.011 |
| Popis: | Patients with head and neck cancer are defined as high-risk patients for malnutrition, but the inconsistent practice of diagnosing malnutrition is a barrier in comparing studies and in assessing patients in clinical practice. The aim of the study was to describe the frequency of malnutrition over time in patients treated for head and neck cancer using the GLIM Criteria for the Diagnosis of Malnutrition.Data from a prospective observational study on patients with head and neck cancer were used (n = 210). Patients were assessed for malnutrition using the combination of one phenotypic and one etiologic criterion. The following phenotypic criteria for malnutrition were used: body weight loss (either5% within the past six months or10% beyond six months), body mass index (20 kg/mFor all eight possible combinations of GLIM, the frequency of malnutrition reached its highest point at seven weeks after the start of treatment. A total of 32% of the patients fulfilled the criteria for malnutrition using weight loss5% within the past six months (phenotypic) in combination with C-reactive protein5 mg/L (etiologic).GLIM Criteria for the Diagnosis of Malnutrition can be used to assess malnutrition in patients with head and neck cancer during treatment. Using the same criteria to define malnutrition in nutritional research will make it possible to produce multiple lines of evidence on malnutrition in head and neck cancer and its adverse effects on treatment, prognosis, and survival. |
| Databáze: | OpenAIRE |
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