Nutritional status of patients treated with radiotherapy as determined by subjective global assessment.
- Author:
Woong Sub KOOM
;
Seung Do AHN
;
Si Yeol SONG
;
Chang Geol LEE
;
Sung Ho MOON
;
Eui Kyu CHIE
;
Hong Seok JANG
;
Young Taek OH
;
Ho Sun LEE
;
Ki Chang KEUM
- Publication Type:Original Article
- Keywords:
Malnutrition;
Nutrition assessment;
Subjective global assessment;
Radiotherapy
- MeSH:
Animals;
Ankle;
Ascites;
Edema;
Female;
Head;
Humans;
Korea;
Lung;
Male;
Malnutrition;
Muscles;
Neck;
Nutrition Assessment;
Nutritional Status;
Prevalence;
Prospective Studies;
Radiation Oncology;
Subcutaneous Fat;
Weight Loss
- From:Radiation Oncology Journal
2012;30(3):132-139
- CountryRepublic of Korea
- Language:English
-
Abstract:
PURPOSE: The purpose of this prospective multi-institutional study was to evaluate the nutritional status of patients undergoing radiotherapy (RT) for treatment of head and neck, lung, or gastrointestinal cancer. MATERIALS AND METHODS: A total of 1,000 patients were enrolled in this study at seven different hospitals in Seoul, Korea between October 2009 and May 2010. The nutritional status of patients after receiving 3 weeks of RT was evaluated using subjective global assessment (SGA). The nutritional status of each patient was rated as well nourished (A), moderately malnourished (B), or severely malnourished (C). RESULTS: The mean age of patients in this study was 59.4 +/- 11.9 years, and the male to female ratio was 7:3. According to the SGA results, 60.8%, 34.5%, and 4.7% of patients were classified as A, B, or C, respectively. The following criteria were significantly associated with malnutrition (SGA B or C; p < 0.001): loss of subcutaneous fat or muscle wasting (odds ratio [OR], 11.473); increased metabolic demand/stress (OR, 8.688); ankle, sacral edema, or ascites (OR, 3.234); and weight loss > or =5% (OR, 2.299). CONCLUSION: SGA was applied successfully to assess the nutritional status of most patients. The prevalence of malnutrition in a radiation oncology department was 39.2%. The results of this study serve as a basis for implementation of nutrition intervention to patients being treated at radiation oncology departments.
