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A poorer nutritional status impacts quality of life in a sample population of elderly cancer patients

RATIONALE: Quality of Life (QoL) is impaired in cancer, and the elderly are particularly vulnerable to malnutrition. A diagnosis of cancer in elderly patients further exacerbates risks of negative health outcomes. Here we investigated associations between QoL and nutritional status in a sample popul...

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Autores principales: Rios, Tatiane Correia, de Oliveira, Lucivalda Pereira Magalhães, da Costa, Maria Lúcia Varjão, da Silva Baqueiro Boulhosa, Ramona Souza, Roriz, Anna Karla Carneiro, Ramos, Lilian Barbosa, Bueno, Allain Amador
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7968230/
https://www.ncbi.nlm.nih.gov/pubmed/33731093
http://dx.doi.org/10.1186/s12955-021-01735-7
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author Rios, Tatiane Correia
de Oliveira, Lucivalda Pereira Magalhães
da Costa, Maria Lúcia Varjão
da Silva Baqueiro Boulhosa, Ramona Souza
Roriz, Anna Karla Carneiro
Ramos, Lilian Barbosa
Bueno, Allain Amador
author_facet Rios, Tatiane Correia
de Oliveira, Lucivalda Pereira Magalhães
da Costa, Maria Lúcia Varjão
da Silva Baqueiro Boulhosa, Ramona Souza
Roriz, Anna Karla Carneiro
Ramos, Lilian Barbosa
Bueno, Allain Amador
author_sort Rios, Tatiane Correia
collection PubMed
description RATIONALE: Quality of Life (QoL) is impaired in cancer, and the elderly are particularly vulnerable to malnutrition. A diagnosis of cancer in elderly patients further exacerbates risks of negative health outcomes. Here we investigated associations between QoL and nutritional status in a sample population of mostly socially deprived elderly cancer patients. METHOD: 432 cancer patients were recruited for this cross-sectional study at point of admission to a tertiary referral hospital for cancer treatment. Patient-generated subjective global assessment (PG-SGA) assessed nutritional status. Functional assessment of cancer therapy- general (FACT-G) quantified QoL. Relationship between PG-SGA and QoL was assessed by Spearman correlation. PG-SGA outcomes were compared against FACT-G scores employing Mann–Whitney test. Bivariate Linear Regression Model was employed to investigate influences of sociodemographic, clinical and nutritional status upon QoL. RESULTS: 37.5% of participants were malnourished or at risk. 39% were illiterate and 54.6% had family income lower than minimum wage. Malnourished patients showed lower FACT-G scores (76.8 vs. 84.7; p = 0.000). Poor nutritional diagnosis was inversely correlated with all QoL domains. Bivariate regression analysis showed that lower PG-SGA scores (βo =  − 1.00; p = 0.000) contributed to FACT-G score deterioration, the male gender showed better QoL scores, and other clinical and sociodemographic variables did not show relationship. CONCLUSION: Poorer nutritional status was significantly associated with worsened physical, social, emotional and functional well-being QoL domains in elderly cancer patients. Poorer nutritional status is an independent risk factor for worsened QoL. Future policies aimed at particularly vulnerable populations may improve QoL and health outcomes.
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spelling pubmed-79682302021-03-22 A poorer nutritional status impacts quality of life in a sample population of elderly cancer patients Rios, Tatiane Correia de Oliveira, Lucivalda Pereira Magalhães da Costa, Maria Lúcia Varjão da Silva Baqueiro Boulhosa, Ramona Souza Roriz, Anna Karla Carneiro Ramos, Lilian Barbosa Bueno, Allain Amador Health Qual Life Outcomes Research RATIONALE: Quality of Life (QoL) is impaired in cancer, and the elderly are particularly vulnerable to malnutrition. A diagnosis of cancer in elderly patients further exacerbates risks of negative health outcomes. Here we investigated associations between QoL and nutritional status in a sample population of mostly socially deprived elderly cancer patients. METHOD: 432 cancer patients were recruited for this cross-sectional study at point of admission to a tertiary referral hospital for cancer treatment. Patient-generated subjective global assessment (PG-SGA) assessed nutritional status. Functional assessment of cancer therapy- general (FACT-G) quantified QoL. Relationship between PG-SGA and QoL was assessed by Spearman correlation. PG-SGA outcomes were compared against FACT-G scores employing Mann–Whitney test. Bivariate Linear Regression Model was employed to investigate influences of sociodemographic, clinical and nutritional status upon QoL. RESULTS: 37.5% of participants were malnourished or at risk. 39% were illiterate and 54.6% had family income lower than minimum wage. Malnourished patients showed lower FACT-G scores (76.8 vs. 84.7; p = 0.000). Poor nutritional diagnosis was inversely correlated with all QoL domains. Bivariate regression analysis showed that lower PG-SGA scores (βo =  − 1.00; p = 0.000) contributed to FACT-G score deterioration, the male gender showed better QoL scores, and other clinical and sociodemographic variables did not show relationship. CONCLUSION: Poorer nutritional status was significantly associated with worsened physical, social, emotional and functional well-being QoL domains in elderly cancer patients. Poorer nutritional status is an independent risk factor for worsened QoL. Future policies aimed at particularly vulnerable populations may improve QoL and health outcomes. BioMed Central 2021-03-17 /pmc/articles/PMC7968230/ /pubmed/33731093 http://dx.doi.org/10.1186/s12955-021-01735-7 Text en © The Author(s) 2021 Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research
Rios, Tatiane Correia
de Oliveira, Lucivalda Pereira Magalhães
da Costa, Maria Lúcia Varjão
da Silva Baqueiro Boulhosa, Ramona Souza
Roriz, Anna Karla Carneiro
Ramos, Lilian Barbosa
Bueno, Allain Amador
A poorer nutritional status impacts quality of life in a sample population of elderly cancer patients
title A poorer nutritional status impacts quality of life in a sample population of elderly cancer patients
title_full A poorer nutritional status impacts quality of life in a sample population of elderly cancer patients
title_fullStr A poorer nutritional status impacts quality of life in a sample population of elderly cancer patients
title_full_unstemmed A poorer nutritional status impacts quality of life in a sample population of elderly cancer patients
title_short A poorer nutritional status impacts quality of life in a sample population of elderly cancer patients
title_sort poorer nutritional status impacts quality of life in a sample population of elderly cancer patients
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7968230/
https://www.ncbi.nlm.nih.gov/pubmed/33731093
http://dx.doi.org/10.1186/s12955-021-01735-7
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