Nutritional risk screening and related factors of cancer patients in community of Shanghai, 2018-2019
10.3760/cma.j.cn112150-20200831-01170
- VernacularTitle:2018—2019年上海市社区肿瘤患者营养风险筛查及相关因素分析
- Author:
Yanmin WANG
1
;
Jianqin SUN
;
Jianjing XIONG
;
Chunxiao WU
;
Yi PANG
;
Pingping BAO
;
Xiaoming YANG
;
Min ZHANG
;
Wenjun GAO
Author Information
1. 上海市静安区疾病预防控制中心生命统计与肿瘤伤害防治科 200072
- Keywords:
Nutritional status;
Neoplasms;
Community;
Related factor;
Cross-sectional studies
- From:
Chinese Journal of Preventive Medicine
2020;54(12):1421-1426
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To study the risk of malnutrition and related factors of cancer patients in community of Shanghai.Methods:From October 2018 to January 2019, four communities, Pengpu New Village Street, Pengpu Town, Jiangning Road Street, and Caojiadu Street, from 14 communities in Jing ′an District, Shanghai City, were selected by using a random cluster sampling method based on the Shanghai Cancer Registration and reporting system. All cases of malignant tumors and benign tumors of the central nervous system were included. A total of 4 396 questionnaires were distributed. After the exclusion of 9 invalid questionnaires, 3 310 valid questionnaires were included with a rate of 99.73%. A self-designed questionnaire was used to collect data including basic demographic characteristics, history of malignant, physical and psychological pain, nutritional demands and cognitive status. Malnutrition Universal Screening Tools (MUST) was used to analyze the nutritional risk of cancer patients in the community. Multivariate logistic regression model was applied to analyze potential factors.Results:Among the 3 310 cancer patients who completed the survey, the average age of study participants was (64.05±13.02), and 1 467 cases (44.32%) were males. The incidence rate of nutritional risk was 12.84% (425/3 310). The result of logistic regression analysis showed that compared with male, other cancer patients and no physical pain, the risk factors of the occurrence of nutritional included: female ( OR=1.53,95% CI:1.23-1.92), head and neck malignant tumors ( OR=1.42,95% CI:1.07-1.90), bronchus/lung malignant tumors ( OR=1.93,95% CI:1.43-2.61), liver, biliary/pancreatic malignant tumors ( OR=2.11,95% CI:1.21-3.65) and upper gastrointestinal malignant tumors ( OR=6.04,95% CI:4.31-8.46), patients with physical pain ( OR=1.39,95% CI:1.02-1.89). Conclusion:Nutritional risk of cancer patients is higher in community of Shanghai. Gender, location of tumors and physical pain are associated with the occurrence of nutritional risk.
