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Nutritional status and body composition of patients with head and neck cancer treated with perioperative evidence-based nutritional management.
Ding, Zhen; Zhou, Lingmei; Zhou, Yan; Jin, Kemei; Wu, Runjinxing; Gui, Yihua.
Afiliación
  • Ding Z; Clincal Nutrition Department, Ningbo Medical Center Li Huili Hospital, Zhejiang Province, 315000, China.
  • Zhou L; Clincal Nutrition Department, Ningbo Medical Center Li Huili Hospital, Zhejiang Province, 315000, China.
  • Zhou Y; Department of Otolaryngology, Head and Neck Surgery, Ningbo Medical Center Li Huili Hospital, Zhejiang Province, 315000, China.
  • Jin K; Clincal Nutrition Department, Ningbo Medical Center Li Huili Hospital, Zhejiang Province, 315000, China.
  • Wu R; Clincal Nutrition Department, Ningbo Medical Center Li Huili Hospital, Zhejiang Province, 315000, China.
  • Gui Y; Department of Otolaryngology, Head and Neck Surgery, Ningbo Medical Center Li Huili Hospital, Zhejiang Province, 315000, China.
J Clin Biochem Nutr ; 75(1): 71-77, 2024 Jul.
Article en En | MEDLINE | ID: mdl-39070536
ABSTRACT
We aimed to describe nutritional status and body composition profiles perioperative head and neck cancer (HNC) patients managed with whole-course nutritional support. Scored Nutritional Risk Screening (NRS 2002), Patient-Generated Subjective Global Assessment (PG-SGA), and body composition were conducted. The factors related to weight loss and skeletal muscle mass (SMM) were identified. Lower weight and body composition levels in low skeletal muscle index (SMI≤9.90 kg/m2) group were observed. Levels of albumin, prealbumin, prognostic nutritional index (PNI), and lymphocyte-to-monocyte ratio (LMR) were lower than pre-operative, but the values after 2 weeks were higher than 1 week post-operatively (all p<0.01). The neutrophil-to-lymphocyte ratio (NLR) and platelet-to-lymphocyte ratio (PLR) were increased at 1 and 2 weeks post-operative compared to pre-operative (both p<0.01). Post-operatively, NLR at 2 weeks was lowed than 1 week (p = 0.02). A negative correlation was observed between SMM loss and serum prealbumin (r = -0.255, p = 0.029). Pre-operative BMI (p<0.01), tumor differentiation (p = 0.003), and nutritional risk (p = 0.049) were risk factors for weight loss. In conclusions, for perioperative HNC patients, loss of adipose tissue occurred earlier than muscle. Prealbumin should be considered as an indicator for monitoring of recovery in clinical practice.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: J Clin Biochem Nutr Año: 2024 Tipo del documento: Article País de afiliación: China Pais de publicación: Japón
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: J Clin Biochem Nutr Año: 2024 Tipo del documento: Article País de afiliación: China Pais de publicación: Japón