Quality of life, dietary intake and nutritional status assessment in hospital admitted cancer patients
TRABAL J, LEYES P, FORGA MT, HERVÁS S
Nutrición Hospitalaria 2006;21(4): 505-510
Resumen del Autor:
Objectives: The objectives of this study were to assess
the quality of life (QoL), nutritional status, and quantitative
food intakes of non-terminal admitted cancer patients
receiving oral feeding. As well as to evaluate what
kind of relation exists between the quality of life, and the
nutritional status and current intake.
Scope: Medical Oncology and Radiotherapy Service
ward at the Hospital Clínic de Barcelona.
Subjects: Fifty admitted patients in the Service ward.
Interventions: There was a follow-up of the dietary intake
during 3 working days through direct observation,
as well as an assessment of anthropometrical and biochemical
parameters, a record of symptomatology related
data, and a QoL assessment through the EORTC QLQC30
Results: Our data show that 32.6% of the patients did
not reach 25 kcal/kg/day, and 23.3% did not even fulfill
1 g protein/kg/day. Concerning QoL, mean score for global
health status and overall QoL for all patients was
46.2. Compared to the general population, there were
important deficits among cancer patients regarding physical,
role and social functioning. The most pronounced
differences in the symptom scales were for fatigue, and
in single items for appetite loss and constipation. A low
protein intake was associated to a poorer perception on
physical functioning (p=0.01), and fatigue was close to
significance (p=0.058). No significant differences were
found regarding caloric intake and QoL.
Conclusions: A significant percentage of patients who
received exclusive oral feeding did not cover a minimum
acceptable quantity of their protein-energy requirements.
Our results point-out that poor food intakes can
affect QoL by themselves.
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