Nutritional assessment in elderly patients with esophageal cancer
10.3760/cma.j.issn.1674-2907.2016.01.014
- VernacularTitle:老年食管癌患者放疗期营养状况分析
- Author:
Yingjun YE
1
;
Shuping XIE
Author Information
1. 浙江省肿瘤医院胸部放疗科
- Keywords:
Esophageal cancer;
Radiotherapy;
Nutritional assessment;
Elderly
- From:
Chinese Journal of Modern Nursing
2016;22(1):55-58
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the nutritional status and risks in elderly patients with esophageal cancer during their radiotherapy; to provide the evidence of nutritional assessment tools and interventions in clinical practice. Methods This retrospective study investigated 65 patients with esophageal cancer ( >60 years) who had undergone radiotherapy in Zhejiang Cancer Hospital from June 2012 to August 2013. Nutritional status was assessed at the beginning and after the radiotherapy in every week; nutritional risks were screened every week with the help of NRS 2002. Results Compared with the status at the beginning of radiotherapy, the significant higher nutritional risk emerged: in the second week of the radiotherapy with NRS2002 [(2. 34 ± 1. 24) vs (2. 09 ± 1. 28);Z=3. 234, P<0. 01];the second week with body mass index (BMI) [(20. 21 ± 3. 03) vs (20. 51 ± 3. 06); t=3. 626,P<0. 01]; the third week with arm circumference (AC) [(24.69 ±2.87) vs (24.96 ±2.93);t=2.456,P<0.05]. The differences of triceps skinfold (TSF) and arm muscle circumference (AMC) had no significance (P>0. 05). The incidence of malnutrition during radiotherapy was 33. 8% -49. 2%; the score of NRS2002 was negatively correlated with BMI, TSF, AC and AMC. Nutritional support were provided to 62(93. 8%)patients, three (4. 8%) of the patients received enteral nutrition (EN), 59 (95.2%) patients received parenteral nutrition (PN). Conclusions The risk of malnutrition is high in elderly patients with esophageal cancer and will even worse with the process of radiotherapy. NRS2002 can precisely detect nutritional risks and provide the evidence of nutritional interventions in clinical practice.
