Simin Shahvazi1, Shokouh Onvani2, Marziyeh Heydari2, Valiollah Mehrzad3, Azadeh Nadjarzadeh1, Hosseyn Fallahzadeh4. 1. Nutrition and Food Security Research Centre, Shahid Sadoughi University of Medical Sciences, Yazd, Iran. 2. Nutrition and Food Security Research Centre, School of Nutrition and Food Science, University of Isfahan Medical Sciences, Isfahan, Iran. 3. Department of Clinical Oncology, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran. 4. Department of Epidemiology and Biostatistics, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.
Abstract
CONTEXT: Malnutrition is a common problem among cancer patients, usually occurs due to poor appetite, low food intake, and changes in body metabolism. AIMS: The aim of this study is to determine the prevalence of malnutrition in patients receiving chemotherapy on an outpatient basis. SETTINGS AND DESIGN: This cross-sectional study conducted on 300 cancer patients referred to hospital. SUBJECTS AND METHODS: The prevalence of malnutrition among patients was assessed using the abridged scored patient-generated subjective global assessment (abPG-SGA) standard questionnaire. Moreover, patient's weight and 24 h dietary recall were measured. STATISTICAL ANALYSIS USED: Descriptive statistics were used to present characteristics of patients and dietary recalls. For revealing the correlation, Spearman correlation was used. RESULTS: The average abPG-SGA score was 7.6 (standard deviation [SD] = 5.4) and 60.7% of patients were malnourished and required nutritional intervention. Patients mean age and mean duration of illness were 54.2 (SD = 14.7(years, 25 months, respectively. The most common complaint of patients included fatigue (51.3%), anorexia (43.3%), and dry mouth (41%). Reduction in food intake in past month was reported by 41.7% of patients. CONCLUSION: According to the high prevalence of cancers and increasing growth of them in recent years with regard to outpatient treatment development for cancer patients, using the abPG-SGA standard questionnaire by nutritionist or nurses can be effective to detect malnourished patients and reduce complications caused by disease.
CONTEXT: Malnutrition is a common problem among cancerpatients, usually occurs due to poor appetite, low food intake, and changes in body metabolism. AIMS: The aim of this study is to determine the prevalence of malnutrition in patients receiving chemotherapy on an outpatient basis. SETTINGS AND DESIGN: This cross-sectional study conducted on 300 cancerpatients referred to hospital. SUBJECTS AND METHODS: The prevalence of malnutrition among patients was assessed using the abridged scored patient-generated subjective global assessment (abPG-SGA) standard questionnaire. Moreover, patient's weight and 24 h dietary recall were measured. STATISTICAL ANALYSIS USED: Descriptive statistics were used to present characteristics of patients and dietary recalls. For revealing the correlation, Spearman correlation was used. RESULTS: The average abPG-SGA score was 7.6 (standard deviation [SD] = 5.4) and 60.7% of patients were malnourished and required nutritional intervention. Patients mean age and mean duration of illness were 54.2 (SD = 14.7(years, 25 months, respectively. The most common complaint of patients included fatigue (51.3%), anorexia (43.3%), and dry mouth (41%). Reduction in food intake in past month was reported by 41.7% of patients. CONCLUSION: According to the high prevalence of cancers and increasing growth of them in recent years with regard to outpatient treatment development for cancerpatients, using the abPG-SGA standard questionnaire by nutritionist or nurses can be effective to detect malnourished patients and reduce complications caused by disease.