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Nutritional Profile of Cancer Patients: An observational Study at a Tertiary Care Hospital


Affiliations
1 Department of Orthodontics and Dentofacial Orthopaedics, Sri Dharmasthala Manjunatheshwara College of Dental Sciences and Hospital, Sri Dharmasthala Manjunatheshwara (SDM) University, Dharwad - 580 002, India
2 Baha’i Institute for Higher Education (BIHE), Tehran, Tehran, IR, Iran, Islamic Republic of
3 Department of Pharmacology, Majumdar Shaw Medical and Cancer Centre, Bommasandra, Bengaluru, Karnataka - 560 099, India
4 The Brunei Cancer Center, Pain and Palliative Medicine, Brunei Darussalam
5 Medical Oncology, Fortis Hospital, Bannerghatta Road, Bengaluru, Karnataka - 560 052, India
6 Department of Pathology, The Oxford Dental College and Hospital, Bommanahalli, Bengaluru - 560 068, Karnataka, India
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Cancer is a group of diseases involving abnormal cell growth with the potential to invade or spread to other parts of the body. So patient’s condition affects their metabolism, muscle mass, body fat and the level of their energy. As a presumption cachexia, sarcopenia and fatigue affect the diagnosis and treatment process. In this study, cancer diagnosed patients, seen in out-patient (OP) department, admitted at day care for short treatment were invited to participate. The nutritional status was assessed using Karada Scanner, simple bioelectric impedance instrument. A standardized functional assessment of chronic illness therapy fatigue scale (FACT-G, version 4), 27-point scale questionnaire was administered to assess Cancer Related Fatigue (CRF). This pilot study provided a fresh positive correlation between the nutritional status of cancer patients and cancer related fatigue. BMI has significant positive correlation with total body fat % (P<0.05). In malnourished cancer patients, up to 70.6% fall under stage IV cancer with definite loss of weight, appetite or decrease in intake and fatigue presence. With Karada scanner in OP clinic, FACT-G can be useful tool to objectively measure CRF.

Keywords

Cancer, Nutrition, Cancer-Related Fatigue (CRF), Body Mass Index (BMI), Cachexia, Chronic illness, Fatigue.
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  • Cancer today [Internet]. Global Cancer Observatory. [Cited 2018Dec27]. Available from:https://gco.iarc.fr/today/fact-sheets-populations
  • Argiles, J.M. Cancer-associated malnutrition. J. Eur. Oncol. Nursing Societ., 2005, 9, 39-50.
  • Santarpia, L., Contaldo, F. and Pasanisi, F. Nutritional screening and early treatment of malnutrition in cancer patients. J. Cachexia, Sarcopenia. Mus., 2011, 2, 27-35.
  • Chlebowski, R.T. Aiello, E. and McTiernan, A. Weight loss in breast cancer patient management. J. Clin. Oncol., 2002, 20, 1128.
  • Galvão, D.A. and Newton, R.U. Review of exercise intervention studies in cancer patients. J. Clin. Oncol., 2005, 23, 899.
  • Segal, R., Pond, G.R., Vallis, M., Dion, M., Pritchard, K. I., Ligibel J. A., Levine, M. N. and Goodwin, P. J. Randomized trial of a lifestyle intervention for women with early-stage breast cancer (BC) receiving adjuvant hormone therapy: Initial results. J. Clin. Oncol., 2011, 29, 512.
  • Gibson, T.M., Park, Y., Robien, K., Meredith S. Shiels, Amanda Black, Joshua N. Sampson, Mark P. Purdue, Laura E. Beane Freeman, Gabriella Andreotti, Stephanie J. Weinstein, Demetrius Albanes, Joseph F. Fraumeni, Jr, Rochelle E. Curtis, Amy Berrington de Gonzalez and Lindsay M. Morton. Body mass index and risk of second obesity-associated cancers after colorectal cancer: A pooled analysis of prospective cohort studies. J. Clin. Oncol., 2014, 32, 4004.
  • https://www.uptodate.com/contents/the-roles-of-diet-physical-activity-and-body-weight-in-cancersurvivors/print? Search=nutrition%20and%20cancer… (Accessed on July 26, 2018)
  • Flynn, B., Barrett, M., Sui, J., Halpin, C., Paz, G. and Walsh, D. Nutritional status and interventions in hospice: Physician assessment of cancer patients. J. Human Nutr. Diet., 2018, 31, 781-784.
  • Schwedhelm, C., Boeing, H., Hoffmann, G., Aleksandrova, K. and Schwingshackl, L. Effect of diet on mortality and cancer recurrence among cancer survivors: A systematic review and meta-analysis of cohort studies. Nutr. Rev., 2016, 74, 737.
  • From Calipers to CAT Scans, Ten Ways to Tell Whether a Body Is Fat or Lean. http://www.hsph.harvard.edu/obesity-prevention-source/obesity-definition/how-to-measure-body-fatness/ (accessed 05 September 2015).
  • Kapoor, A., Singhal, M.K., Bagri, P.K., Narayan, S., Beniwal, S. and Kumar, H.S. Cancer-related fatigue: A ubiquitous problem yet so under-reported, under-recognized and undertreated. South Asian J. Cancer., 2015, 4, 21-23.
  • Webster, K.C.D. and Yost, K. The functional assessment of chronic illness therapy (FACIT) measurement system: Properties, applications and interpretation. Health and Quality of Life Outcomes, 2003, 1, 79. DOI:10.1186/1477-7525-1-79.
  • Wei, J.N. and Li, S.X. The Relationship between Nutritional Risks and Cancer-Related Fatigue in Patients with Colorectal Cancer Fast-Track Surgery. Cancer nursing, 2017.
  • Brownell, K.D., Marlatt, G.A., Lichtenstein, E. and Wilson, G.T. Understanding and preventing relapse. Am. Psychol.,1986, 41, 765-782
  • Chandrasekharan Nair Kesavachandran, Vipin Bihari and Neeraj Mathur. The normal range of body mass index with high body fat percentage among male residents of Lucknow city in north India. Ind. J. Med. Res., 2012, 135, 72-77.
  • J Gómez-Ambrosi, Silva, C., Galofré, J. C., Escalada, J., Santos, S., Millán, D., Vila, N., Ibañez, P., Gil, M. J., Valentí, V., Rotellar, F., Ramírez, B., Salvador, J. and Fruhbeck, G. Body mass index classification misses subjects with increased cardio-metabolic risk factors related to elevated adiposity. Int. J. Obesity, 2012, 36, 286-294 18. Perri, M.G., Nezu, A.M. and Viegener, B.J. Improving the Long Term Management of Obesity. New Yo John Wiley & Sons; 1992.
  • Wadden, T.A. and Stunkard, A.J. Social and psychological consequences of obesity. Ann. Int. Med.,1985, 103,1062-1067
  • de Raaf, P. J. Cancer-Related Fatigue: A Multidimensional Approach. 2013.
  • Sun, S.S., Chumlea, W.C., Heymsfield, S.B. et al. Development of bioelectrical impedance analysis prediction equations for body composition with the use of a multi component model for use in epidemiological surveys, The Am. J. Clin. Nutr., 2003, 77, 331-340.
  • Berger, A. M., Kathi Mooney, Amy Alvarez-Perez, William S. Breitbart, Kristen M. Carpenter, David Cella, Charles Cleeland, Efrat Dotan, Mario A. Eisenberger, Carmen P. Escalante, Paul B. Jacobsen, Catherine Jankowski, Thomas LeBlanc, Jennifer A. Ligibel, Elizabeth Trice Loggers, Belinda Mandrell, Barbara A. Murphy, Oxana Palesh, William F. Pirl, Steven C. Plaxe, Michelle B. Riba, Hope S. Rugo, Carolina Salvador, Lynne I. Wagner, Nina D. Wagner-Johnston, Finly J. Zachariah, Mary Anne Bergman and Courtney Smith. Cancer-related fatigue, version 2.2015: Clinical practice guidelines in oncology. J. Natl. Compr. Canc. Netw., 2015, 13, 1012-1039.
  • Donini, M.L., Savina, C., Castellaneta, E., Coletti, C., Paolini, M., Scavone, L., Civale, C., Ceccarelli, P., Zaninotto, S., Tineri, M., Grossi, G., De Felice, M. R. and Cannella, C. Multidisciplinary approach to obesity. Eating Weight Disord., 2009, 14, 23-32.

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  • Nutritional Profile of Cancer Patients: An observational Study at a Tertiary Care Hospital

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Authors

Sagar S. Bhat
Department of Orthodontics and Dentofacial Orthopaedics, Sri Dharmasthala Manjunatheshwara College of Dental Sciences and Hospital, Sri Dharmasthala Manjunatheshwara (SDM) University, Dharwad - 580 002, India
Rasa Nikooifard
Baha’i Institute for Higher Education (BIHE), Tehran, Tehran, IR, Iran, Islamic Republic of
Alben Sigamani
Department of Pharmacology, Majumdar Shaw Medical and Cancer Centre, Bommasandra, Bengaluru, Karnataka - 560 099, India
Praveena Karnam Gayathri
The Brunei Cancer Center, Pain and Palliative Medicine, Brunei Darussalam
Santosh Gowda
Medical Oncology, Fortis Hospital, Bannerghatta Road, Bengaluru, Karnataka - 560 052, India
Srinivasa Gopala Rao
Department of Pathology, The Oxford Dental College and Hospital, Bommanahalli, Bengaluru - 560 068, Karnataka, India

Abstract


Cancer is a group of diseases involving abnormal cell growth with the potential to invade or spread to other parts of the body. So patient’s condition affects their metabolism, muscle mass, body fat and the level of their energy. As a presumption cachexia, sarcopenia and fatigue affect the diagnosis and treatment process. In this study, cancer diagnosed patients, seen in out-patient (OP) department, admitted at day care for short treatment were invited to participate. The nutritional status was assessed using Karada Scanner, simple bioelectric impedance instrument. A standardized functional assessment of chronic illness therapy fatigue scale (FACT-G, version 4), 27-point scale questionnaire was administered to assess Cancer Related Fatigue (CRF). This pilot study provided a fresh positive correlation between the nutritional status of cancer patients and cancer related fatigue. BMI has significant positive correlation with total body fat % (P<0.05). In malnourished cancer patients, up to 70.6% fall under stage IV cancer with definite loss of weight, appetite or decrease in intake and fatigue presence. With Karada scanner in OP clinic, FACT-G can be useful tool to objectively measure CRF.

Keywords


Cancer, Nutrition, Cancer-Related Fatigue (CRF), Body Mass Index (BMI), Cachexia, Chronic illness, Fatigue.

References





DOI: https://doi.org/10.21048/ijnd.2020.57.4.26065