Undernutrition in newly diagnosed patients with gynaecological cancer.

Authors

  • Marisol Facultad de Salud Publica y Nutrición UANL https://orcid.org/0000-0002-6698-4562
  • David Hernández Barajas Hospital Universitario Dr. José Eleuterio González Centro Universitario Contra el Cáncer, UANL https://orcid.org/0000-0001-8899-000X
  • Silvia Elvira Tavitas Herrera Hospital Universitario Dr. José Eleuterio González Centro Universitario Contra el Cáncer, UANL
  • Gustavo Israel Martínez González Facultad de OdolontologíaProfesor en la Facultad de Salud Pública y Nutrición https://orcid.org/0000-0003-2861-4269
  • María Luisa Romero Lagunes Hospital Universitario Dr. José Eleuterio González Centro Universitario Contra el Cáncer, UANLSunnybrook Health Science Centre: Toronto, Ontario, CA https://orcid.org/0000-0003-4191-7942

DOI:

https://doi.org/10.29105/respyn20.3-4

Keywords:

Undernutrition, gynecological cancer, patient-generated subjective global assessment.

Abstract

Introduction: The incidence and prevalence of gynecological cancer in our country continues to grow and with it malnutrition and its complications, the Patient-Generated Subjective Global Assessment (PG-SGA) is a tool that identifies patients at risk of malnutrition/moderate malnutrition and severe malnutrition (Category B/C) that requires nutritional intervention. Objective: To determine the of malnutrition in patients newly diagnosed with gynecological cancer. Material and method: Cross-sectional, exploratory, descriptive, correlational study that included 64 patients >20 years newly diagnosed with cervical cancer (CaCu), endometrium (CaE), ovary (CaO) and vulvar (CaV), without treatment. We evaluated PG-SGA, albumin, % weight loss (%PP). Data collected in Excel 2011 and analyzed in IBM Statistics 23. Results: PG-SGA reported 25% of patients in (Category B) and 29.7% (Category C). BMI identified 6.3% with malnutrition. The percentage PP in 1 and 6 months was higher in Category B/C (p 0.000), the PG-SGA in category B and C presented greater correlation with increase of %PP, decreased albumin and symptomatology in the oncological patient. Conclusions: The PG-SGA reported 29.7% in malnutrition while the BMI reported 6.3%, this tool identifies patients with gynecological cancer at risk of malnutrition and/or malnutrition (54.68%) who require nutritional intervention.

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Author Biographies

Marisol, Facultad de Salud Publica y Nutrición UANL

Especialidad en Nutriología Clínica en la Facultad de Salud Pública y Nutrición, UANL.

Gustavo Israel Martínez González, Facultad de OdolontologíaProfesor en la Facultad de Salud Pública y Nutrición

Dr Gustavo Israel Martínez González

Coordinador de Calidad Educativa

 

Facultad de Odontología, UANL

Tel. 83.29.40.00 ext. 3165 y 3167

Cel. 811.072.25.67

References

Das U., Patel S., Dave K. & Bhansali R. (2014). Assessment of nutritional status of gynecological cáncer cases in India and comparison of subjective and objective nutrition assessment parameters. South Asian Journal of Cancer. Volume 3-Issue (1) DOI: 10.4103/2278-330X.126518. DOI: https://doi.org/10.4103/2278-330X.126518

Diario Oficial de la Federación. (2014). Reglamento de la Ley General de Salud en Materia de Investigación. Obtenido de: http://www.salud.gob.mx/unidades/cdi/nom/compi/rlgsmis.html

Frisancho, A. (1981). New norms of upper limb fat and muscles areas for assessment of nutritional status. American Journal of Clinical Nutrition, 34(11), 2540–2545. DOI: https://doi.org/10.1093/ajcn/34.11.2540

Gutiérrez J., Rivera-Dommarco J, Shamah-Levy T, Villalpando-Hernández S, Franco A, Cuevas-Nasu L, Romero-Martínez M, Hernández-Ávila M (2012). Encuesta Nacional de Salud y Nutrición 2012. Resultados Nacionales. Cuernavaca, México: Instituto Nacional de Salud Pública (MX), 2012. ISBN 978-607-511-037-0. Obtenido de: https://ensanut.insp.mx/informes/ENSANUT2012ResultadosNacionales.pdf

INEGI (2018). Estadísticas a propósito del día mundial contra el cáncer (4 de febrero). Instituto Nacional de Estadística y Geografía. Obtenido de: https://www.inegi.org.mx/contenidos/saladeprensa/aproposito/2018/cancer2018_nal.pdf

International Agency for Research on Cancer. (2020). GLOBOCAN 2020: Cancer Today. Obtenido de: http://gco.iarc.fr/today/fact-sheets-cancers

Jager-Wittenaar, H., & Ottery, F. D. (2017). Assessing nutritional status in cancer: Role of the Patient-Generated Subjective Global Assessment. Current Opinion in Clinical Nutrition and Metabolic Care, 20(5), 322–329. https://doi.org/10.1097/MCO.0000000000000389 DOI: https://doi.org/10.1097/MCO.0000000000000389

Kłek, S., Jankowski, M., Kruszewski, W. J., Fijuth, J., Kapała, A., Kabata, P., Rutkowski, P. (2015). Clinical nutrition in oncology: Polish recommendations. Oncology in Clinical Practice, 11(4), 172–188. https://doi.org/10.5603/NJO.2015.0062 DOI: https://doi.org/10.5603/NJO.2015.0062

Laky, B., Janda, M., Cleghorn, G., & Obermair, A. (2008). Comparison of different nutritional assessments and body- composition measurements in detecting malnutrition among gynecologic cancer patients. American Journal of Clinical Nutrition, 87, 1678–1685. https://doi.org/10.3748/wjg.v16.i26.3310. DOI: https://doi.org/10.1093/ajcn/87.6.1678

Marian M. & Roberts S. (2010). Clinical Nutrition for Oncology Patients. Jones and Bartlett Publishers. Capítulo 2-3. Pp. 21-65.

Martínez Roque, V. (2007). Valoración del Estado de Nutrición en el Paciente con Cáncer. Cancerología, 2(22), 315–326.

Martínez Roque, V. R. (2007). Valoración del Estado de Nutrición en el Paciente con Cáncer. Cancerología, 2(22), 315–326.

Ottery, F. D. (1996). Definition of standardized nutritional assessment and interventional pathways in oncology. Nutrition, 12(1), S15–S19. https://doi.org/10.1016/0899-9007(95)00067-4 DOI: https://doi.org/10.1016/0899-9007(95)00067-4

Santos Rodrigues, C., & Villaça Chaves, G. (2015). Patient-Generated Subjective Global Assessment in relation to site, stage of the illness, reason for hospital admission, and mortality in patients with gynecological tumors. Supportive Care in Cancer, 23(3), 871–879. https://doi.org/10.1007/s00520-014-2409-7 DOI: https://doi.org/10.1007/s00520-014-2409-7

Valenzuela-Landaeta, K., Rojas, P., & Basfi-fer, K. (2012). Evaluación nutricional del paciente con cancer. Nutricion Hospitalaria, 27(2), 516–523. https://doi.org/10.3305/nh.2012.27.2.5525

White, J. V., Guenter, P., Jensen, G., Malone, A., & Schofield, M. (2012). Consensus statement: Academy of nutrition and dietetics and American society for parenteral and enteral nutrition: Characteristics recommended for the identification and documentation of adult malnutrition (undernutrition). Journal of Parenteral and Enteral Nutrition, 36(3), 275–283. https://doi.org/10.1177/0148607112440285 DOI: https://doi.org/10.1177/0148607112440285

Published

2021-07-01

How to Cite

Marisol, Hernández Barajas, D., Tavitas Herrera, S. E., Martínez González, G. I., & Romero Lagunes, M. L. (2021). Undernutrition in newly diagnosed patients with gynaecological cancer. RESPYN Revista Salud Pública Y Nutrición, 20(3), 26–35. https://doi.org/10.29105/respyn20.3-4

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Artículo Original

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