Nutritional risk in patients with gastrointestinal tract cancer: diagnostic methods
DOI:
https://doi.org/10.15448/1983-652X.2018.4.27289Keywords:
neoplasm, malnutrition, nutritional assessment, gastrointestinal tract.Abstract
Introduction: Cancer is a problem of major public health impact, especially in developing countries.
Objective: To evaluate the risk of malnutrition in patients with gastrointestinal tract cancer and the effectiveness of diagnostic methods compared to the Patient-Generated Subjective Global Assessment.
Materials and Methods: A cross-sectional study was performed including 148 patients admitted to the hospital São Jose, Criciúma, Santa Catarina. Patients were evaluated by the Patient-Generated Subjective Global Assessment. Simplified Nutritional Appetite Questionnaire, body mass index, triceps skinfold thickness, arm circumference and arm muscle area.
Results: According to Subjective Global Assessment, 47.3% were in risk of malnutrition and 20.9% in severe malnutrition. Body mass index was significantly higher in patients classified as well-nourished; arm muscle area was lower in patients classified as malnourished; arm circumference showed discriminatory capacity for well-nourished patients; there was no difference in the averages of the triceps skinfold thickness according to Subjective Global Assessment classification; the Simplified Nutritional Appetite Questionnaire showed lower scores in malnourished male patients, compared to patients at risk of malnutrition as well as to well nourished.
Conclusion: With the exception of the triceps skinfold thickness, there is discriminatory capacity for well-nourished and malnourished classifications, and between well-nourished and nutritional risk in all other methods (arm circumference and area, body mass index and the appetite questionnaire). Among the three classifications (well nourished, at nutritional risk and malnourished), there is discriminatory capacity for the body mass index, arm circumference and the nutritional appetite questionnaire.
References
Instituto nacional de câncer – INCA. Coordenação de prevenção e vigilância estimativa 2016: incidência de câncer no Brasil. Rio de Janeiro: INCA; 2015.
De Melo MM, Nunes LC, Leite ICG. Relação entre fatores alimentares e antropométricos e neoplasias do trato gastrointestinal: investigações conduzidas no Brasil. Rev Bras Cancerol. 2012;58(1):85-95.
Jemal A, Bray F, Center MM, Ferlay J, Ward E, Forman D. Global cancer statistics. CA Cancer J Clin. 2011;61(2):69-90.
https://doi.org/10.3322/caac.20107
von Haehling S, Anker SD. Cachexia as a major underestimated and unmet medical need: facts and numbers. J Cachexia Sarcopenia Muscle. 2010;1:159–67.
https://doi.org/10.1007/s13539-010-0002-6
Fruchtenicht AVG, Poziomyck AK, Kabke GB, Loss SH, Antoniazzi JL, Steemburgo T, Moreira LF. Nutritional risk assessment in critically ill cancer patients: systematic review. Rev Bras Ter Intensiva. 2015;27(3):274-83.
https://doi.org/10.5935/0103-507X.20150032
Do Prado CD, Campos JADB. Malnutrition in patients with gastrointestinal cancer: effectiveness of different diagnostic methods. Nutr Hosp. 2015;32(1):182-8.
Oliveira FP, Santos A, Viana MS, Alves JL, Pinho NB; Reis PF. Nutritional status of patients with cancer of the oral cavity in antineoplastic pretreatment. Rev Bras Cancerol. 2015;61(3):253-9.
Instituto nacional de câncer - INCA. Consenso nacional de nutrição oncológica. Rio de Janeiro: INCA; 2009.
Yates JW, Chalmer B, Mckegney FP. Evaluation of patients with advanced cancer using the Karnofsky performance status. Cancer. 1980;15(8):2220-4.
https://doi.org/10.1002/1097-0142(19800415)45:8<2220::AID-CNCR2820450835>3.0.CO;2-Q
Gonzalez MC, Borges LR, Silveira DH, Assunção MCF, Orlandi SP. Validação da versão em português da avaliação subjetiva global produzida pelo paciente. Rev Bras Nutr Clin. 2010;5(2):102-8.
World Health Organization - WHO. Physical status: The use and interpretation of anthropometry. Geneva: WHO; 1995.
Lipschitz DA. Screening for nutritional status in the elderly. Primary Care. 1994;21(1):55-67.
Durnin JV, Womersley J. Body fat assessed from body density and its estimation from skinfold thickness: measurements on 481 men and women aged from 16 to 72 years. Br J Nutr. 1974;32:77-97.
https://doi.org/10.1079/BJN19740060
Frisancho AR. Anthropometric standards for the assessment of growth and nutritional status. Ann Arbor, MI: University of Michigan Press; 1990.
https://doi.org/10.3998/mpub.12198
Sties SW, Gonzales AI, Viana MS, Brandt R, Bertin RL, Goldfeder R, Ulbrich AZ, Andrade A, Carvalho T. Questionário nutricional simplificado de apetite (QNSA) para uso em programas de reabilitação cardiopulmonar e metabólica. Rev Bras Med Esporte. 2012;18(5):313-7.
https://doi.org/10.1590/S1517-86922012000500006
Brito LF, Silva LS, Fernandes DD, Pires RA, Nogueira ADR, Souza CL, Cardoso LGV. Perfil Nutricional de Pacientes com Câncer Assistidos pela Casa de Acolhimento ao Paciente Oncológico do Sudoeste da Bahia. Rev Bras Cancerol. 2012;58(2):163-71.
Moreno M, Conte B, Menegat E. Diferenças clínico-epidemiológicas entre pacientes masculinos e femininos com diagnóstico de melanoma cutâneo no oeste de Santa Catarina. Rev Bras Cancerol. 2015;61(1):15-21.
Do Vale IAV, Bergmann RB, Duval PA, Pastore CA, Borges LR, Abib RT. Avaliação e indicação nutricional em pacientes oncológicos no início do tratamento quimioterápico. Rev Bras Cancerol. 2015;61(4):367-72.
Fonseca DA, Garcia RRM, Stracieri APM. Perfil nutricional de pacientes portadores de neoplasias segundo diferentes indicadores nutrir gerais. Rev Dig Nutr. 2009;3(5):444-61.
Maurício SF. Relação entre avaliação nutricional e escore prognóstico de Glasgow em pacientes com câncer de cólon e reto [dissertação]. Belo Horizonte: UFMG; 2012.
Poziomyck AK, Weston AC, Lameu EB, Cassol OS, Coelho LJ, Moreira LF. Preoperative nutritional asses¬sment and prognosis in patients with foregut tumors. Nutr Cancer. 2012;64(8):1174-81.
https://doi.org/10.1080/01635581.2012.721157
Poziomyck AK, Fruchtenicht AVG, Kabke GB, Volkweis BS, Antoniazzi JL, Moreira LF. Confiabilidade da avaliação nutricional em pacientes com tumores gastrointestinais. Rev Col Bras Cir. 2016;43(3):189-97.
Downloads
Published
Issue
Section
License
COPYRIGHT
The submission of originals to Ciência & Saúde implies the transfer by the authors of the right for publication. Authors retain copyright and grant the journal right of first publication. If the authors wish to include the same data into another publication, they must cite Ciência & Saúde as the site of original publication.
CREATIVE COMMONS LICENSE
As this journal is open access, the articles are allowed free use in scientific and educational applications, with citation of the source.
According to the type of Creative Commons License (CC-BY 4.0) adopted by Ciência & Saúde , the user must respect the requirements below.
You are free to:
Share — copy and redistribute the material in any medium or format.
Adapt — remix, transform, and build upon the material for any purpose, even commercially.
However, only under the following terms:
Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests Ciência & Saúde endorses you or your use.
No additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.
Notices:
You do not have to comply with the license for elements of the material in the public domain or where your use is permitted by an applicable exception or limitation.
No warranties are given. The license may not give you all of the permissions necessary for your intended use. For example, other rights such as publicity, privacy, or moral rights may limit how you use the material.
For more details on the Creative Commons license, please follow the link in the footer of this website.