High prevalence of malnutrition and nutrition impact symptoms in older patients with cancer: Results of a Brazilian multicenter study

Nivaldo B. de Pinho*, Renata B. Martucci, Viviane D. Rodrigues, Cristiane A. D'Almeida, Luiz C. S. Thuler, Claudia Saunders, Harriet Jager-Wittenaar, Wilza A. F. Peres

*Corresponding author for this work

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    Abstract

    Background Malnutrition in cancer is an independent factor associated with negative clinical outcomes. The objective of this study was to evaluate the prevalence of malnutrition across different age groups in patients with cancer in Brazil and to identify associations with nutrition impact symptoms (NIS). Methods In this observational, cross-sectional, multicenter study, the authors evaluated 4783 patients with cancer aged >= 20 years who were admitted to 45 public hospitals in Brazil. Nutritional status, nutritional risk, and NIS were evaluated using the Patient-Generated Subjective Global Assessment. Results More than one-fourth (25.5%) of all participants were aged >= 65 years. In patients aged >= 65 years, the prevalence of moderate/suspected and severe malnutrition was 55%, it was 45.4% in those aged 51 to 64 years, and it was 36.1% in those aged = 65 years were no appetite (odds ratio [OR], 1.90; 95% CI, 1.62-2.22; P <.05) and dry mouth (OR, 1.40; 95% CI, 1.1-1.67; P <.05). In patients between ages 51 and 64 years, compared with those aged = 65 years who have cancer. The occurrence of NIS was higher in the population aged >50 years than in those aged

    Original languageEnglish
    Pages (from-to)156-164
    Number of pages9
    JournalCancer
    Volume126
    Issue number1
    Early online date9-Sept-2019
    DOIs
    Publication statusPublished - 1-Jan-2020

    Keywords

    • malnutrition
    • nutrition impact symptoms
    • nutritional risk
    • nutritional screening
    • older adult
    • Patient-Generated Subjective Global Assessment (PG-SGA)
    • SUBJECTIVE GLOBAL ASSESSMENT
    • QUALITY-OF-LIFE
    • CELLULAR SENESCENCE
    • WEIGHT-LOSS
    • DRY MOUTH
    • PHASE-II
    • TRIAL
    • CHEMOTHERAPY
    • SARCOPENIA
    • ANOREXIA

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