Assessment of Nutritional Status in Patients with Head and Neck Cancer Before Radiotherapy: A Single-center, Cross-sectional Study
Objective: It is important to assess nutritional status to determine the presence of malnutrition because poor nutritional status will reduce the efficacy and increase the side effects of radiotherapy. The aim of this research was to assess nutritional status by comparing several parameters, namely...
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Galenos Publishing House
2024-03-01
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| Series: | Medeniyet Medical Journal |
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| Online Access: | https://jag.journalagent.com/z4/download_fulltext.asp?pdir=medeniyet&un=MEDJ-02448 |
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| author | Susetyowati SUSETYOWATI Fuadiyah Nila KURNIASARI Amalia Sarah SHOLIKHATI Mardiah HARDIANTI Ericko EKAPUTRA |
| author_facet | Susetyowati SUSETYOWATI Fuadiyah Nila KURNIASARI Amalia Sarah SHOLIKHATI Mardiah HARDIANTI Ericko EKAPUTRA |
| author_sort | Susetyowati SUSETYOWATI |
| collection | DOAJ |
| description | Objective: It is important to assess nutritional status to determine the presence of malnutrition because poor nutritional status will reduce the efficacy and increase the side effects of radiotherapy. The aim of this research was to assess nutritional status by comparing several parameters, namely anthropometry, biochemistry, physical condition, and inflammatory parameters, with Patient Generated-Subjective Global Assessment (PG-SGA) as the gold standard.
Methods: A cross-sectional study with 78 subjects was conducted at the General Hospital Dr. Sardjito Yogyakarta, Indonesia, in 2022. The Malnutrition Screening Tool, Simple Nutrition Screening Tool, PG-SGA, and objective parameter data were used in the nutritional assessment. The objective parameters were determined by analyzing anthropometric data [body weight, mid-upper arm circumference (MUAC), and body fat], biochemical data (albumin and a complete blood profile), physical data (hand grip strength), and food intake data using the 1×24-hour recall method. The data were analyzed using One-Way ANOVA and the Kruskal-Wallis test.
Results: Malnutrition was found in 33.3% of pre-radiotherapy head and neck cancer (HNC) patients. Patients with good nutritional status did not experience weight loss, decreased appetite, gastrointestinal symptoms, decreased functional capacity, or fat and/or muscle deficit (p<0.05). The findings showed a significant relationship between PG-SGA and nutritional status based on body weight, weight loss, MUACs, handgrip strength, visceral fat, resting metabolic rate (RMR), and hemoglobin (p<0.05). A better nutritional status was associated with higher parameter values.
Conclusions: The method for nutritional status assessment in HNC patients undergoing radiotherapy can be performed by measuring body weight, weight loss, upper arm circumference, visceral fat, hemoglobin, and RMR in addition to PG-SGA as the gold standard. |
| format | Article |
| id | doaj-art-772bb0efce4a462e969f31d3acb666c3 |
| institution | Kabale University |
| issn | 2149-2042 2149-4606 |
| language | English |
| publishDate | 2024-03-01 |
| publisher | Galenos Publishing House |
| record_format | Article |
| series | Medeniyet Medical Journal |
| spelling | doaj-art-772bb0efce4a462e969f31d3acb666c32025-01-29T10:26:22ZengGalenos Publishing HouseMedeniyet Medical Journal2149-20422149-46062024-03-01391243210.4274/MMJ.galenos.2024.02448MEDJ-02448Assessment of Nutritional Status in Patients with Head and Neck Cancer Before Radiotherapy: A Single-center, Cross-sectional StudySusetyowati SUSETYOWATI0Fuadiyah Nila KURNIASARI1Amalia Sarah SHOLIKHATI2Mardiah HARDIANTI3Ericko EKAPUTRA4Universitas Gadjah Mada, Faculty of Medicine, Public Health, and Nursing, Department of Nutrition and Health, Yogyakarta, IndonesiaUniversitas Gadjah Mada, Faculty of Medicine, Public Health, and Nursing, Department of Medical and Health Science, Yogyakarta, IndonesiaUniversitas Gadjah Mada, Faculty of Medicine, Public Health, and Nursing, Department of Nutrition and Health, Yogyakarta, IndonesiaUniversitas Gadjah Mada, Faculty of Medicine, Public Health, and Nursing; Dr. Sardjito General Hospital, Department of Internal Medicine, Division of Hematology and Medical Oncology, Yogyakarta, IndonesiaUniversitas Gadjah Mada, Faculty of Medicine, Public Health, and Nursing, Department of Radiology, Yogyakarta, IndonesiaObjective: It is important to assess nutritional status to determine the presence of malnutrition because poor nutritional status will reduce the efficacy and increase the side effects of radiotherapy. The aim of this research was to assess nutritional status by comparing several parameters, namely anthropometry, biochemistry, physical condition, and inflammatory parameters, with Patient Generated-Subjective Global Assessment (PG-SGA) as the gold standard. Methods: A cross-sectional study with 78 subjects was conducted at the General Hospital Dr. Sardjito Yogyakarta, Indonesia, in 2022. The Malnutrition Screening Tool, Simple Nutrition Screening Tool, PG-SGA, and objective parameter data were used in the nutritional assessment. The objective parameters were determined by analyzing anthropometric data [body weight, mid-upper arm circumference (MUAC), and body fat], biochemical data (albumin and a complete blood profile), physical data (hand grip strength), and food intake data using the 1×24-hour recall method. The data were analyzed using One-Way ANOVA and the Kruskal-Wallis test. Results: Malnutrition was found in 33.3% of pre-radiotherapy head and neck cancer (HNC) patients. Patients with good nutritional status did not experience weight loss, decreased appetite, gastrointestinal symptoms, decreased functional capacity, or fat and/or muscle deficit (p<0.05). The findings showed a significant relationship between PG-SGA and nutritional status based on body weight, weight loss, MUACs, handgrip strength, visceral fat, resting metabolic rate (RMR), and hemoglobin (p<0.05). A better nutritional status was associated with higher parameter values. Conclusions: The method for nutritional status assessment in HNC patients undergoing radiotherapy can be performed by measuring body weight, weight loss, upper arm circumference, visceral fat, hemoglobin, and RMR in addition to PG-SGA as the gold standard.https://jag.journalagent.com/z4/download_fulltext.asp?pdir=medeniyet&un=MEDJ-02448head and neck cancernutritional statusmalnutritionpg-sganutritional screeningnutritional assessment |
| spellingShingle | Susetyowati SUSETYOWATI Fuadiyah Nila KURNIASARI Amalia Sarah SHOLIKHATI Mardiah HARDIANTI Ericko EKAPUTRA Assessment of Nutritional Status in Patients with Head and Neck Cancer Before Radiotherapy: A Single-center, Cross-sectional Study Medeniyet Medical Journal head and neck cancer nutritional status malnutrition pg-sga nutritional screening nutritional assessment |
| title | Assessment of Nutritional Status in Patients with Head and Neck Cancer Before Radiotherapy: A Single-center, Cross-sectional Study |
| title_full | Assessment of Nutritional Status in Patients with Head and Neck Cancer Before Radiotherapy: A Single-center, Cross-sectional Study |
| title_fullStr | Assessment of Nutritional Status in Patients with Head and Neck Cancer Before Radiotherapy: A Single-center, Cross-sectional Study |
| title_full_unstemmed | Assessment of Nutritional Status in Patients with Head and Neck Cancer Before Radiotherapy: A Single-center, Cross-sectional Study |
| title_short | Assessment of Nutritional Status in Patients with Head and Neck Cancer Before Radiotherapy: A Single-center, Cross-sectional Study |
| title_sort | assessment of nutritional status in patients with head and neck cancer before radiotherapy a single center cross sectional study |
| topic | head and neck cancer nutritional status malnutrition pg-sga nutritional screening nutritional assessment |
| url | https://jag.journalagent.com/z4/download_fulltext.asp?pdir=medeniyet&un=MEDJ-02448 |
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