Benefit of Reducing Body Weight Loss with A Nutritional Support Pathway in Patients Undergoing Allogeneic Hematopoietic Stem Cell Transplantation
| Autor: | Miho Kawashima, Kanako Yoshitsugu, Hidekazu Arai, Takashi Ikeda, Osamu Imataki, Masafumi Fukaya, Takashi Aoyama, Kazuko Nakajima, Terukazu Enami, Raine Tatara, Tetsuo Kume |
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| Rok vydání: | 2019 |
| Předmět: |
Adult
Male medicine.medical_specialty Parenteral Nutrition Adolescent medicine.medical_treatment Hematopoietic stem cell transplantation 030204 cardiovascular system & hematology 03 medical and health sciences 0302 clinical medicine Japan Internal medicine Weight Loss medicine Humans Transplantation Homologous In patient Adverse effect Aged Retrospective Studies Graft vs. Host Disease business.industry Nutritional Support Body Weight Hematopoietic Stem Cell Transplantation Retrospective cohort study General Medicine Middle Aged medicine.disease Transplantation Graft-versus-host disease Parenteral nutrition Human Study Nutrition Assessment 030220 oncology & carcinogenesis Basal metabolic rate Female business Energy Intake Energy Metabolism |
| Zdroj: | Medical Science Monitor Basic Research |
| ISSN: | 2325-4416 |
| Popis: | Background This retrospective, historically controlled investigative study examined the benefit of a nutritional support pathway that included nutritional education before the start of conditioning and emphasized oral nutrition in response to nutrition-related adverse events in patients undergoing hematopoietic stem cell transplantation (HSCT). Material and methods Participants were patients undergoing allogeneic HSCT; 46 were in the control group (i.e., did not follow our nutritional pathway) and 36 were in the group that underwent nutritional intervention (enhanced nutrition group). We compared the following parameters between groups from the day before the start of conditioning to the day after completion of parenteral nutrition (PN): percent loss of body weight (%LBW), percent loss of skeletal muscle mass (%LSMM), and estimated basal energy expenditure (EBEE) sufficiency rate. The relationship between each parameter and %LBW was also examined. We also compared nutritional indices, gastrointestinal graft versus host disease (GvHD) grade, oral energy intake, and %LBW between groups. Results There was a relationship between %LBW, %LSMM, and EBEE sufficiency rate in both groups. Compared with the control group, the enhanced nutrition group had significantly improved energy intake amount, EBEE sufficiency rate, PN duration, and oral energy intake over time. The enhanced nutrition group also had increased oral energy intake, no difference in gastrointestinal GvHD grade, and improved %LBW compared with the control group. Conclusions Use of our nutritional support pathway in patients undergoing HSCT may be beneficial for %LBW and gastrointestinal GvHD grade, enabling early enhanced nutritional intervention after HSCT. |
| Databáze: | OpenAIRE |
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