Changes in Nutritional Status according to Biochemical Assay, Body Weight, and Nutrient Intake Levels in Gastrectomy Patients.
- Author:
Eun Joo YU
1
;
Ju Hee KANG
;
Sun YOON
;
Hye Kyung CHUNG
Author Information
1. Department of Functional Food & Nutrition, Graduate School of Human Environmental Sciences, Yonsei University, Seoul 120-749, Korea.
- Publication Type:Original Article
- Keywords:
gastrectomy;
nutritional status;
body weight;
nutrients adequacy ratio (NAR);
mean adequacy ratio (MAR)
- MeSH:
Ascorbic Acid;
Body Mass Index;
Body Weight;
Cholesterol;
Erythrocyte Indices;
Folic Acid;
Gastrectomy;
Hematocrit;
Hemoglobins;
Humans;
Male;
Niacin;
Nutrition Therapy;
Nutritional Status;
Riboflavin;
Serum Albumin;
Zinc
- From:Journal of the Korean Dietetic Association
2012;18(1):16-29
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
The purpose of this study was to investigate the changes in nutritional status of gastrectomy patients. The anthropometric and biochemical data were measured at pre-operation, at discharge, 1 month after discharge, and 3 months after discharge. Nutrient intake levels, nutrients adequacy ratio (NAR), mean adequacy ratio (MAR), and the proportion of patients with intake levels inferior to those of dietary reference intakes (DRIs) were analyzed at discharge, 1 month after discharge, and 3 months after discharge. Finally, the data on 23 patients (15 male and 8 female) were collected and used for statistical analysis. Fifteen patients underwent subtotal gastrectomy, and 8 patients underwent total gastrectomy. Compared to pre-operation, body weight and body mass index of subjects significantly decreased at discharge, 1 month after discharge, and 3 months after discharge (P<0.001). Serum albumin (P<0.001), total lympocyte count (P<0.001), total cholesterol (P<0.001), hemoglobin (P<0.001), hematocrit (P<0.001), and mean corpuscular hemoglobin concentration (P<0.05) were significantly different between pre-operation, at discharge, 1 month after discharge, and 3 months after discharge. The proportions of patients with lower nutrient intake levels than DRIs were substantial. MAR at discharge, 1 month after discharge, and 3 months after discharge were 0.70, 0.80 and 0.91, respectively. Especially, the NARs of folate, niacin, vitamin B2, vitamin C, and zinc were all low. Considering the various nutritional problems of gastrectomy patients, systematic medical nutrition therapy is needed after gastrectomy.
