Malnutrition Prevalence and Consistency of Malnutrition Screening Tools and Anthropometric Measures Among Adult Cancer Patients In a Private Hospital: a Cross-Sectional Study
Abstract
Objectives: Malnutrition is a common complication seen among cancer patients and may affect morbidity and mortality. Thus, evaluation of nutritional status and screening for malnutrition is crucial both for prevention and intervention. In this crosssectional study, we aimed to evaluate malnutrition prevalence and compare two malnutrition screening tools and anthropometric measures among adult cancer patients.Material and Method: The study was conducted in a private hospital with 59 patients between 7th of January and 7th of April in 2016. Nutritional screening and assessment tools and measurements were applied 48 hours after the patient was admitted to the hospital. We used two tools for detecting malnutrition which are Nutritional Risk Screening-2002 NRS-2002 and Subjective Global Assessment SGA . Anthropometric measurements were body mass index BMI , triceps skinfold thickness TST , and midupper arm circumference MUAC .Results: According to NRS-2002 results, 41% of the patients were under nutritional risk and SGA results were consistent regarding malnutrition screening p
Keywords
References
- Bolayır B. Hospitalize hastalarda nutrisyonel değerlendirme testi NRS-2002 (Nutritional Risk Screening-2002’nin geçerlilik ve güvenilirliğinin değerlendirilmesi –Uzmanlık Tezi. Ankara, Hacettepe University, 2014. http://www.openaccess.hacettepe.edu.tr:8080/ xmlui/bitstream/handle/11655/884/c4606c7d-4e20-42dd-adaf- 21717e6b69f0.pdf?sequence=%20v1a1fz
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- Santarpia L, Contaldo F, Pasanisi F. Nutritional screening and early treatment of malnutrition in cancer patients. J Cachexia Sarcopenia Muscle 2011;2:27–35. [CrossRef]
- Yang J, Yuan K, Huang Y, Yu M, Chen C, Fu J, et al. Comparison of NRS-2002 and PG-SGA fort he assessment of nutritional status in cancer patients. Biomed Res 2016;27:1178–82. https://www. alliedacademies.org/articles/comparison-of-nrs-2002-and-pgsga- for-the-assessment-of-nutritional-status-in-cancer-patients.pdf
- Lochs H, Allison SP, Meier R, Pirlich M, Kondrup J, Schneider S, et al. Introductory to ESPEN guidelines on enteral nutrition terminology, definitions and general topics. Clin Nutr 2006;25:180–6. [CrossRef]
- Barker LA, Gout BS, Crowe TC. Hospital malnutrition: Prevalence, identification and impact on patients and the health care system. Int J Environ Res Public Health 2011;8:514–27. [CrossRef]
- Cunha CM, Sampaio EJ, Varjao ML, Factum CS, Ramos LB, Barreto- Medeiros JM. Nutritional assessment in surgical oncology patients: a comparative analysis between methods. Nutr Hosp 2015;31:916–21. [CrossRef]
- Sobotka L. Klinik Nütrisyonun Temelleri (H. Gündoğdu Çev. Ed.). Yanık Hastalarında Nütrisyon Desteği. Ankara: Bayt Bilimsel Araştırmalar; 2013. ss.563–73.
- Stratton RJ, Hackston A, Longmore D, Dixon R, Price S, Stroud M, et al. Malnutrition in hospital outpatients and inpatients: prevalence, concurrent validity and ease of use of the ‘malnutrition universal screening tool’ (‘MUST’) for adults. Br J Nutr 2004;92:799–808. [CrossRef]
- BMI Classification. World Health Organisation. https:// www.euro.who.int/en/health-topics/disease-prevention/ nutrition/a-healthy-lifestyle/body-mass-index-bmi
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- Landi F, Russo A, Liperoti R, Pahor M, Tosato M, Capoluongo E, et al. Midarm muscle circumference, physical performance and mortality. Results from the aging and longevity study in the Sirente geographic area (ilSIRENTE study). Clin Nutr 2010;29:441–7. [CrossRef]
- Ferguson M, Capra S, Bauer J, Banks M. Development of a valid and reliable malnutrition screening tool for adult acute hospital patients. Nutrition 1999;15:458–64. [CrossRef]
- Baysal A, Aksoy M, Besler T, Bozkurt N, Keçecioğlu S, Mercanlıgil SM, et al. Diyet El Kitabı. Ankara: Hatiboğlu Yayınları; 2002.
- Bozzetti F, Mariani L, Vullo S, SCRINIO Working Group; Amerio ML, Biffi R, Caccialanza G, et al. The nutritional risk in oncology: a study of 1,453 cancer outpatients. Supp Care Cancer 2012;20:1919–28. [CrossRef]
- Wu B, Yin T, Cao W, Gu Z-D, Wang X, Yan M, Liu B-Y. Clinical application of subjective global assessment in Chinese patients with gastrointestinal cancer. World J Gastroenterol 2009;15:3542–9. [CrossRef]
- Ryu SW, Kim IH. Comparison of different nutritional assessments in detecting malnutrition among gastric cancer patients. World J Gastroenterol 2010;16:3310–7. [CrossRef]
- Korfalı G, Gündoğdu H, Aydıntuğ S, Bahar M, Besler T, Moral AR, et al. Nutritional risk of hospitalized patients in Turkey. Clin Nutr 2009;28:533–7. [CrossRef]
- Gundogdu HR, Ersoy E, Aktimur R, Devay AO, Ozdogan M, Temel H. NRS-2002 and SGA in determining the nutritional status of gastrointestinal cancer patients. Clin Nutr Supp 2008;3:131–2. [CrossRef]
- Leandro-Merhi VA, Brage de Aquino JL. Comparison of nutritional diagnosis methods and prediction of clinical outcomes in patients with neolasms and digestive tract diseases. Clin Nutr 2015;34:647– 51. [CrossRef]
- Almeida AI, Correira M, Camilo M, Ravasco P. Nutritional risk screening in surgery: Valid, feasible, easy. Clin Nutr 2012;31:206–11. [CrossRef]
- Baccaro F, Sanchez A. Determination of hospital malnutrition: a comparison between the subjective global assessment and body mass index. Rev Gastroenterol Mex 2009;74:105–9. https://pubmed. ncbi.nlm.nih.gov/19666291/
- Zhau J, Wang M, Wang H, Chi Q. Comparison of two nutrition assessment tools in surgical elderly inpatients in Northern China. Nutr J 2015;14:68. [CrossRef]
- Jeejeebhoy KN, Keller H, Gramlich L, Allard JP, Laporte M, Duerksen DR, et. al. Nutritional assessment: comparison of clinical assessment and objective variables for the prediction of length of hospital stay and readmission. Am J Clin Nutr 2015;101:956–65. [CrossRef]
- Borek P, Chmielewski M, Malgorzewicz S, Slizien AD. Analysis of outcomes of the NRS-2002 in patients hospitalized in nephrology wards. Nutrients 2017;9:287. [CrossRef]
ÖZEL BIR HASTANEDE YATAN YETIŞKIN KANSER HASTARINDA MALNUTRISYON PREVALANSI VE TARAMA ÖLÇEKLERI ILE ANTROPOMETRIK ÖLÇÜMLERIN TUTARLILIĞI: KESITSEL ÇALIŞMA
Abstract
Amaç: Malnutrisyon kanser hastalarında sıklıkla görülen bir komplikasyondur ve morbidite ve mortaliteyi etkileyebilmektedir. Bu nedenle, beslenme durumun değerlendirilmesi ve malnutrisyon taraması hem korunma hem de müdahale açısından gereklidir. Bu kesitsel çalışmada, yetişkin onkoloji hastalarında malnutrisyon prevalansının değerlendirilmesi ve iki farklı malnutrisyon tarama ölçeğinin ve antropometrik ölçümlerin karşılaştırması amaçlanmıştır. Yöntem: Çalışma 7 Ocak – 7 Nisan 2016 tarihleri arasında özel bir hastanede 59 kişi ile yürütülmüştür. Hastanın hastaneye yatışını takip eden ilk 48 saat içinde malnutrisyon taraması ve ölçümler gerçekleştirilmiştir. Malnutrisyon taraması için Nutritional Risk Screening-2002 NRS-2002 ve Subjective Global Assesssment SGA ölçekleri, antropometrik değerlendirmede beden kütle indeksi BKİ , deri kıvrım kalınlığı DKK ve üst orta kol çevresi ÜOKÇ kullanılmıştır. Bulgular: NRS-2002 sonuçlarına göre hastaların %41’inin beslenme riski taşıdığı ve sonucun SGA ile uyumlu olduğu saptanmıştır p
Keywords
References
- Bolayır B. Hospitalize hastalarda nutrisyonel değerlendirme testi NRS-2002 (Nutritional Risk Screening-2002’nin geçerlilik ve güvenilirliğinin değerlendirilmesi –Uzmanlık Tezi. Ankara, Hacettepe University, 2014. http://www.openaccess.hacettepe.edu.tr:8080/ xmlui/bitstream/handle/11655/884/c4606c7d-4e20-42dd-adaf- 21717e6b69f0.pdf?sequence=%20v1a1fz
- Souza TT, Sturian CJ, Faintuch J. Is the skeleton in the hospital closet? A review of hospital malnutrition emphasizing health economic aspects. Clin Nutr 2015;34:1088–92. [CrossRef]
- Santarpia L, Contaldo F, Pasanisi F. Nutritional screening and early treatment of malnutrition in cancer patients. J Cachexia Sarcopenia Muscle 2011;2:27–35. [CrossRef]
- Yang J, Yuan K, Huang Y, Yu M, Chen C, Fu J, et al. Comparison of NRS-2002 and PG-SGA fort he assessment of nutritional status in cancer patients. Biomed Res 2016;27:1178–82. https://www. alliedacademies.org/articles/comparison-of-nrs-2002-and-pgsga- for-the-assessment-of-nutritional-status-in-cancer-patients.pdf
- Lochs H, Allison SP, Meier R, Pirlich M, Kondrup J, Schneider S, et al. Introductory to ESPEN guidelines on enteral nutrition terminology, definitions and general topics. Clin Nutr 2006;25:180–6. [CrossRef]
- Barker LA, Gout BS, Crowe TC. Hospital malnutrition: Prevalence, identification and impact on patients and the health care system. Int J Environ Res Public Health 2011;8:514–27. [CrossRef]
- Cunha CM, Sampaio EJ, Varjao ML, Factum CS, Ramos LB, Barreto- Medeiros JM. Nutritional assessment in surgical oncology patients: a comparative analysis between methods. Nutr Hosp 2015;31:916–21. [CrossRef]
- Sobotka L. Klinik Nütrisyonun Temelleri (H. Gündoğdu Çev. Ed.). Yanık Hastalarında Nütrisyon Desteği. Ankara: Bayt Bilimsel Araştırmalar; 2013. ss.563–73.
- Stratton RJ, Hackston A, Longmore D, Dixon R, Price S, Stroud M, et al. Malnutrition in hospital outpatients and inpatients: prevalence, concurrent validity and ease of use of the ‘malnutrition universal screening tool’ (‘MUST’) for adults. Br J Nutr 2004;92:799–808. [CrossRef]
- BMI Classification. World Health Organisation. https:// www.euro.who.int/en/health-topics/disease-prevention/ nutrition/a-healthy-lifestyle/body-mass-index-bmi
- Wu L-W, Lin Y-Y, Kao T-W, Lin C-M, Liaw F-Y, Wang C-C, et al. Mid-arm muscle circumference as a significant predictor of all-cause mortality in male individuals. Plos One 2017;12:e0171707. [CrossRef]
- Landi F, Russo A, Liperoti R, Pahor M, Tosato M, Capoluongo E, et al. Midarm muscle circumference, physical performance and mortality. Results from the aging and longevity study in the Sirente geographic area (ilSIRENTE study). Clin Nutr 2010;29:441–7. [CrossRef]
- Ferguson M, Capra S, Bauer J, Banks M. Development of a valid and reliable malnutrition screening tool for adult acute hospital patients. Nutrition 1999;15:458–64. [CrossRef]
- Baysal A, Aksoy M, Besler T, Bozkurt N, Keçecioğlu S, Mercanlıgil SM, et al. Diyet El Kitabı. Ankara: Hatiboğlu Yayınları; 2002.
- Bozzetti F, Mariani L, Vullo S, SCRINIO Working Group; Amerio ML, Biffi R, Caccialanza G, et al. The nutritional risk in oncology: a study of 1,453 cancer outpatients. Supp Care Cancer 2012;20:1919–28. [CrossRef]
- Wu B, Yin T, Cao W, Gu Z-D, Wang X, Yan M, Liu B-Y. Clinical application of subjective global assessment in Chinese patients with gastrointestinal cancer. World J Gastroenterol 2009;15:3542–9. [CrossRef]
- Ryu SW, Kim IH. Comparison of different nutritional assessments in detecting malnutrition among gastric cancer patients. World J Gastroenterol 2010;16:3310–7. [CrossRef]
- Korfalı G, Gündoğdu H, Aydıntuğ S, Bahar M, Besler T, Moral AR, et al. Nutritional risk of hospitalized patients in Turkey. Clin Nutr 2009;28:533–7. [CrossRef]
- Gundogdu HR, Ersoy E, Aktimur R, Devay AO, Ozdogan M, Temel H. NRS-2002 and SGA in determining the nutritional status of gastrointestinal cancer patients. Clin Nutr Supp 2008;3:131–2. [CrossRef]
- Leandro-Merhi VA, Brage de Aquino JL. Comparison of nutritional diagnosis methods and prediction of clinical outcomes in patients with neolasms and digestive tract diseases. Clin Nutr 2015;34:647– 51. [CrossRef]
- Almeida AI, Correira M, Camilo M, Ravasco P. Nutritional risk screening in surgery: Valid, feasible, easy. Clin Nutr 2012;31:206–11. [CrossRef]
- Baccaro F, Sanchez A. Determination of hospital malnutrition: a comparison between the subjective global assessment and body mass index. Rev Gastroenterol Mex 2009;74:105–9. https://pubmed. ncbi.nlm.nih.gov/19666291/
- Zhau J, Wang M, Wang H, Chi Q. Comparison of two nutrition assessment tools in surgical elderly inpatients in Northern China. Nutr J 2015;14:68. [CrossRef]
- Jeejeebhoy KN, Keller H, Gramlich L, Allard JP, Laporte M, Duerksen DR, et. al. Nutritional assessment: comparison of clinical assessment and objective variables for the prediction of length of hospital stay and readmission. Am J Clin Nutr 2015;101:956–65. [CrossRef]
- Borek P, Chmielewski M, Malgorzewicz S, Slizien AD. Analysis of outcomes of the NRS-2002 in patients hospitalized in nephrology wards. Nutrients 2017;9:287. [CrossRef]
There are 25 citations in total.
Details
| Primary Language | English |
|---|---|
| Journal Section | Research Article |
| Authors | |
| Publication Date | December 1, 2020 |
| Published in Issue | Year 2020Issue: 4 |