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Nutritional status of cancer patients in chemotherapy; dietary intake, nitrogen balance and screening

OBJECTIVE: To evaluate a short screening sheet (SSM) for malnutrition and to investigate the nutritional status of patients receiving chemotherapy for cancer of the lungs, colon or breast at an outpatient clinic. DESIGN: Full nutritional assessment was conducted to define malnutrition and validate t...

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Autores principales: Gudny Geirsdottir, Olof, Thorsdottir, Inga
Formato: Texto
Lenguaje:English
Publicado: CoAction Publishing 2008
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2615643/
https://www.ncbi.nlm.nih.gov/pubmed/19158940
http://dx.doi.org/10.3402/fnr.v52i0.1856
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author Gudny Geirsdottir, Olof
Thorsdottir, Inga
author_facet Gudny Geirsdottir, Olof
Thorsdottir, Inga
author_sort Gudny Geirsdottir, Olof
collection PubMed
description OBJECTIVE: To evaluate a short screening sheet (SSM) for malnutrition and to investigate the nutritional status of patients receiving chemotherapy for cancer of the lungs, colon or breast at an outpatient clinic. DESIGN: Full nutritional assessment was conducted to define malnutrition and validate the SSM. Additionally, weight change from earlier healthy weight was evaluated, and calculations for intake of energy-giving nutrients (three-day-weighed food records) and protein balance were performed. After the evaluation study, the SSM was tested in clinical routine and data collected about patients’ need for nutritional counseling. SUBJECTS: Patients at the outpatient clinic of the Department of Oncology at Landspitali-University Hospital (n=30 with lung-, colon- or breast cancer in the study population, n=93 with all cancer type in clinical routine screening). RESULTS: Malnutrition was defined by full nutritional assessment in 20% of the participating patients and SSM had high sensitivity and specificity. Declining nutritional status of the patients was seen as a negative nitrogen balance and unintentional weight loss from healthy weight, but not as total energy intake, recent weight loss or underweight. The test of SSM in clinical routine showed that 40% were malnourished. According to the patients, 80% needed nutritional counseling but only 17% had such counseling. CONCLUSION: Screening (SSM) for malnutrition in cancer patients is a valid simple approach to define cancer patients for nutritional care. More patients regard themselves in need for nutritional counseling than the number of patients really achieving any.
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spelling pubmed-26156432009-01-12 Nutritional status of cancer patients in chemotherapy; dietary intake, nitrogen balance and screening Gudny Geirsdottir, Olof Thorsdottir, Inga Food Nutr Res Original Article OBJECTIVE: To evaluate a short screening sheet (SSM) for malnutrition and to investigate the nutritional status of patients receiving chemotherapy for cancer of the lungs, colon or breast at an outpatient clinic. DESIGN: Full nutritional assessment was conducted to define malnutrition and validate the SSM. Additionally, weight change from earlier healthy weight was evaluated, and calculations for intake of energy-giving nutrients (three-day-weighed food records) and protein balance were performed. After the evaluation study, the SSM was tested in clinical routine and data collected about patients’ need for nutritional counseling. SUBJECTS: Patients at the outpatient clinic of the Department of Oncology at Landspitali-University Hospital (n=30 with lung-, colon- or breast cancer in the study population, n=93 with all cancer type in clinical routine screening). RESULTS: Malnutrition was defined by full nutritional assessment in 20% of the participating patients and SSM had high sensitivity and specificity. Declining nutritional status of the patients was seen as a negative nitrogen balance and unintentional weight loss from healthy weight, but not as total energy intake, recent weight loss or underweight. The test of SSM in clinical routine showed that 40% were malnourished. According to the patients, 80% needed nutritional counseling but only 17% had such counseling. CONCLUSION: Screening (SSM) for malnutrition in cancer patients is a valid simple approach to define cancer patients for nutritional care. More patients regard themselves in need for nutritional counseling than the number of patients really achieving any. CoAction Publishing 2008-12-12 /pmc/articles/PMC2615643/ /pubmed/19158940 http://dx.doi.org/10.3402/fnr.v52i0.1856 Text en © 2008 Olof G. Geirsdottir and Inga Thorsdottir http://creativecommons.org/licenses/by-nc/3.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution-Noncommercial 3.0 Unported License, permitting all non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Gudny Geirsdottir, Olof
Thorsdottir, Inga
Nutritional status of cancer patients in chemotherapy; dietary intake, nitrogen balance and screening
title Nutritional status of cancer patients in chemotherapy; dietary intake, nitrogen balance and screening
title_full Nutritional status of cancer patients in chemotherapy; dietary intake, nitrogen balance and screening
title_fullStr Nutritional status of cancer patients in chemotherapy; dietary intake, nitrogen balance and screening
title_full_unstemmed Nutritional status of cancer patients in chemotherapy; dietary intake, nitrogen balance and screening
title_short Nutritional status of cancer patients in chemotherapy; dietary intake, nitrogen balance and screening
title_sort nutritional status of cancer patients in chemotherapy; dietary intake, nitrogen balance and screening
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2615643/
https://www.ncbi.nlm.nih.gov/pubmed/19158940
http://dx.doi.org/10.3402/fnr.v52i0.1856
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