nutrition_dysphagie

Eating Behavior, Nutritional Status, and Taste Perception Alteration in Children with Cancer

Sat, 30 Mar 2024 08:24:37 +0000

Author Names: Fistikci Y.,Kocamaz E.B.

Database Source: Embase Weekly Updates

Journal Title: Journal of Pediatric Hematology/Oncology,Journal of Pediatric Hematology/Oncology

Article Title: Eating Behavior, Nutritional Status, and Taste Perception Alteration in Children with Cancer

Year: 2024

Issue: 2

Volume: 46

Abstract: The aim of this study was to investigate eating behavior, nutritional status, and taste alterations in children with cancer. The population of the study consisted of children 8 to 18 years of age and their parents who were followed up and received chemotherapy in the pediatric hematology and oncology clinic and outpatient clinic of a University Faculty of Medicine Oncology Hospital. Data were collected using the Child Identification Form, the Children's Eating Behavior Questionnaire (CEBQ), the Taste Alteration Scale for Children Receiving Chemotherapy (TAC-TAS), and the Subjective Total Taste Acuity Scale (STTA). Body Mass Index (BMI) Z score was between -2 and +2 (normal) in 92.5% of the children and below <= -2 (malnutrition) in 7.5%. The mean CEBQ subdimensions scores were food craving 12.48 +/- 5.36, emotional overeating 5.28 +/- 1.45, enjoyment of food 16.83 +/- 5.41, passion for drinking 9.72 +/- 5.13, satiety enthusiasm 22.93 +/- 6.65, slow eating 9.81 +/- 4.95, emotional undereating 16.38 +/- 4.41, and food selectivity 10.72 +/- 2.86, and the mean total TAC-TAS score was 8.66 +/- 10.22. A negative, moderate correlation was determined between food craving and enjoyment of food and taste alteration, with food craving and enjoyment decreasing as food alteration increased. A positive moderate correlation was observed between slow eating and taste alteration, with eating slowing down as taste alteration increased.<br/>Copyright © 2024 Wolters Kluwer Health, Inc. All rights reserved.

A Rare Case of Esophageal Carcinoma Cuniculatum Palliated by Esophageal and Endobronchial Stenting.

Thu, 01 Feb 2024 05:00:00 +0000

ACG Case Reports Journal; 02/01/2024
(AN 175786777); ISSN: 23263253
CINAHL Complete

Nutrition outcomes and treatment toxicities in patients with head and neck cancer receiving helical intensity‐modulated radiotherapy.

Thu, 01 Feb 2024 05:00:00 +0000

Journal of Human Nutrition & Dietetics; 02/01/2024
(AN 174934213); ISSN: 09523871
CINAHL Complete

Nutritional Management of Oncological Symptoms: A Comprehensive Review

Sat, 23 Dec 2023 00:00:00 +0000

Nutrients. 2023 Dec 11;15(24):5068. doi: 10.3390/nu15245068.

ABSTRACT

Throughout their experience of illness and during the course of treatment, a substantial proportion of cancer patients are prone to develop nutritional and/or metabolic disturbances. Additionally, cancer patients often encounter long-term side effects from therapies, which may lead to impaired digestion, nutrient absorption or bowel motility. Therefore, the preservation and maintenance of an optimal and balanced nutritional status are pivotal to achieving a better prognosis, increasing the tolerance and adherence to cancer therapies and improving the overall quality of life. In this context, personalized nutritional programs are essential for addressing conditions predisposing to weight loss, feeding difficulties, digestion problems and intestinal irregularity, with the goal of promoting adequate nutrient absorption and minimizing the detrimental effects of treatment regimens. The focus of this research is to examine the most common clinical conditions and metabolic changes that cancer patients may experience, including stomatitis, xerostomia, diarrhea, nausea, vomiting, dysphagia, sub-occlusion, dysgeusia, dysosmia, anorexia, and cachexia. Furthermore, we present a pragmatic example of a multidisciplinary workflow that incorporates customized recipes tailored to individual clinical scenarios, all while maintaining the hedonic value of the meals.

PMID:38140327 | PMC:PMC10745914 | DOI:10.3390/nu15245068

Nutritional Management of Oncological Symptoms: A Comprehensive Review.

Fri, 15 Dec 2023 05:00:00 +0000

Nutrients; 12/15/2023
(AN 174469933); ISSN: 20726643
CINAHL Complete

Nutritional prehabilitation in head and neck cancer: A systematic review of literature

Wed, 06 Dec 2023 00:00:00 +0000

Clin Nutr ESPEN. 2023 Dec;58:326-334. doi: 10.1016/j.clnesp.2023.10.033. Epub 2023 Oct 31.

ABSTRACT

BACKGROUND/SCOPE: Malnutrition is a common problem among patients with head and neck cancer and can have adverse effects on overall health and treatment outcomes. Nutritional and physical prehabilitation are potential strategies to optimize the nutritional status of these patients. This systematic review aimed to identify and describe prehabilitative interventions that can promote an improvement in nutritional status.

METHODS: A systematic review of the literature was conducted in the databases PubMed/Medline, Embase, CINAHL, Scopus and on the platform Web of Science and in Cochrane Library. The selected studies concern adults with head and neck tumours, not malnourished at the time of diagnosis, who undergo nutritional or physical prehabilitation.

RESULTS: Out of 1369 results, 7 studies were included. Multimodal prehabilitation interventions that combine nutritional counseling, oral nutritional supplements, and swallowing exercises to prevent dysphagia have shown positive outcomes in maintaining caloric intake, body weight, swallowing ability, and a reduced incidence of fibrosis in the upper gastrointestinal tract, as well as improving quality of life.

CONCLUSION: Despite the limited number of clinical studies available in the literature, the results suggest that nutritional and physical prehabilitation interventions have a positive effect on the nutritional status and clinical outcomes of patients with head and neck cancer, helping mitigate the risk of malnutrition and improve general well-being.

PMID:38057023 | DOI:10.1016/j.clnesp.2023.10.033

Cross-sectional observational study: Investigation of zinc concentration in white patients with cancer

Sat, 04 Nov 2023 00:00:00 +0000

Nutrition. 2024 Jan;117:112235. doi: 10.1016/j.nut.2023.112235. Epub 2023 Sep 24.

ABSTRACT

OBJECTIVES: Numerous studies describe the role of zinc in the immune system and metabolism. Zinc may influence the pathogenesis and prognosis of cancer. The aim of this study to determine the prevalence of zinc deficiency in patients with cancer. The study's primary objective was to evaluate the frequency of zinc deficiency in White patients with cancer and characterize the clinical factors predisposing individuals to decreased zinc concentration. The study also aimed to estimate the dose of zinc supplementation that would prevent deficiency.

METHODS: Retrospective data for this cross-sectional study were analyzed from 300 consecutive white patients diagnosed with neoplastic disease and admitted to a major oncology hospital for treatment. Zinc plasma concentration, nutritional status, body composition, and medical history of ailments and dysphagia were recorded. Supplementation was introduced in patients with zinc deficiency according to the local protocol. Zinc plasma levels were collected at follow-up visits.

RESULTS: Zinc deficiency was diagnosed in 68% of the patients. Poor nutritional status was significantly associated with zinc deficiency (low body mass index, weight loss, low albumin level). Low lean body mass (P = 0.003) and adipose tissue (P = 0.045) correlated with zinc deficiency. Patients with zinc deficiency reported dysphagia more frequently than those with normal zinc levels (18 versus 8%; P = 0.03). Squamous cell carcinoma was significantly associated with zinc deficiency (P = 0.043). Oral zinc supplementation resulted in reaching laboratory norms for plasma concentration in only 27% of patients with zinc deficiency and was not dependent on lower (10-15 mg) or higher (25-30 mg) dosing (P > 0.05).

CONCLUSIONS: Zinc deficiency is common in cachectic, malnourished patients with cancer. Nutritional guidelines for these patients should include screening for micronutrient deficiencies. Further studies are needed to determine the role, dosage, duration, and form of nutritional supplementation recommended for specific cancer diagnoses.

PMID:37924623 | DOI:10.1016/j.nut.2023.112235

Predicting the need for prophylactic gastrostomy in major head and neck cancer surgery: The PEG score

Wed, 04 Oct 2023 00:00:00 +0000

Head Neck. 2023 Dec;45(12):3042-3052. doi: 10.1002/hed.27532. Epub 2023 Oct 3.

ABSTRACT

BACKGROUND: To elaborate a preoperative score to predict the necessity of enteral nutrition at 28 days postoperatively in patients undergoing head and neck surgery.

METHODS: A total of 424 patients with oral cavity, oropharyngeal, laryngeal, and hypopharyngeal carcinoma were retrospectively enrolled and analyzed to identify preoperative predictors of prolonged postsurgical enteral feeding which were used to create a prediction model with an easy-to-use nomogram.

RESULTS: Five preoperative variables (body mass index, previous radiotherapy, preoperative dysphagia, type of surgery, flap reconstruction) were found to be independent predictive factors and were used to create a prediction model named PEG score together with the related nomogram. Accuracy, F1, and the area under the curve (AUC) were 0.74, 0.83, and 0.74. Different decision thresholds can be used to vary the sensitivity and specificity.

CONCLUSIONS: The PEG score showed high prediction performances for modeling the need for enteral nutrition at 28 days postoperatively. Prospective studies are needed to define a personalized nutrition protocol.

PMID:37789705 | DOI:10.1002/hed.27532

Managing eating problems after cancer

Sat, 02 Sep 2023 00:00:00 +0000

Maturitas. 2023 Dec;178:107843. doi: 10.1016/j.maturitas.2023.107843. Epub 2023 Aug 27.

ABSTRACT

Cancer treatment can cause food-limiting eating problems that persist or arise months or years after treatment, with negative consequences for the survivor's nutritional status, physical and social function, and quality of life. Hence, post-treatment follow-up and cancer rehabilitation services should aim to support the survivor in managing treatment-related eating problems. This narrative review summarizes the evidence on and provides an overview of interventions to manage eating problems after cancer. Interventions are grouped into four: 1) food-based interventions, including alternating food/fluids and experimenting through the trial-and-error strategy to find tolerated foods; 2) eating behavioral interventions, including instructions on swallowing techniques, posture, and utensils; 3) psychosocial support interventions, including group-based interventions and interventions including relatives; and 4) physical interventions, including exercises to improve dysphagia or trismus. While physical interventions are supported by evidence from several intervention studies, few studies evaluating the effect of other types of interventions in survivors were identified. Instead, qualitative and observational data providing insights on experiences of and coping strategies applied by survivors with eating problems underpin the need for the other types of interventions. Since existing research primarily focuses on survivors of head and neck cancer, future studies on the organization and effects of interventions aimed at managing eating problems among different groups of survivors are relevant.

PMID:37659131 | DOI:10.1016/j.maturitas.2023.107843

Challenges for Assessing Oropharyngeal Dysphagia: The Role of the Eating Assessment Tool-10 (EAT-10).

Tue, 01 Aug 2023 04:00:00 +0000

Journal of Nutrition, Health & Aging; 08/01/2023
(AN 171897835); ISSN: 12797707
CINAHL Complete

Managing the nutritional status of people with oesophagogastric cancer: a literature review.

Sat, 01 Jul 2023 04:00:00 +0000

Cancer Nursing Practice; 07/01/2023
(AN 164655291); ISSN: 14754266
CINAHL Complete

Oropharyngeal dysphagia in head and neck cancer: how to reduce aspiration pneumonia.

Sat, 01 Jul 2023 04:00:00 +0000

Journal of Laryngology & Otology; 07/01/2023
(AN 164916409); ISSN: 00222151
CINAHL Complete

Nutritional Status and the Outcomes of Endoscopic Stenting in Benign and Malignant Diseases of Esophagus

Wed, 29 Mar 2023 00:00:00 +0000

Nutrients. 2023 Mar 21;15(6):1524. doi: 10.3390/nu15061524.

ABSTRACT

BACKGROUND: Endoscopic stenting (ES) is a widely known method for palliative dysphagia treatment in esophageal strictures. Esophageal cancer is often associated with advanced malnutrition, which may increase the risk of complications of the procedure. The aim of this study was to evaluate complication rates and the impact of nutritional status on the outcomes of ES.

PATIENTS AND METHODS: A single-center retrospective study was conducted at Copernicus Hospital in Gdańsk, Poland. Adult patients who underwent endoscopic stenting between February 2014 and December 2018 were included. The influence of patient characteristics (age, sex, indications for esophageal stenting, and location of stenosis) and nutritional status (BMI, NRS 2002, GLIM, and dysphagia score) on complication rates and survival were analyzed.

RESULTS: Eighty-one patients (69% men) were enrolled in the study. In 69%, the indication for ES was malignancy (mainly esophageal cancer). The median dysphagia score significantly decreased from 2.8 to 0.6 after the procedure (p < 0.001). Complications were observed in 27% (n = 22) of the patients. Early complications were bleeding (2.5%), stent unexpansion (2.5%), and stent migration during the procedure (3.7%). There were no early fatal complications of the procedure. Late complications included: stent migration (6.2%), tissue overgrowth (6.2%), food impaction (2.2%), fistula formation (3.7%), bleeding (3.7%), and stent malposition (1.2%). A total of 76% of the participants scored ≥ 3 points in nutritional screening (NRS2002) and 70% were diagnosed with severe malnutrition (GLIM -stage 2). A stent diameter of < 2.2 cm compared with ≥ 2.2 was associated with a higher rate of migrations (15.5% vs. 2.5%). The median survival time in the malignant group was 90 days. Histopathological diagnosis and patients' nutritional status (BMI, NRS 2002, GLIM, and dysphagia score) had no significant effect on complication rates and survival after esophageal stent insertion.

CONCLUSIONS: Endoscopic stenting is a relatively safe procedure for the palliative treatment of esophageal strictures. Severe malnutrition, although common, does not affect the outcomes of the procedure.

PMID:36986253 | PMC:PMC10053737 | DOI:10.3390/nu15061524

Nutritional Status and the Outcomes of Endoscopic Stenting in Benign and Malignant Diseases of Esophagus.

Wed, 15 Mar 2023 04:00:00 +0000

Nutrients; 03/15/2023
(AN 162814432); ISSN: 20726643
CINAHL Complete

Laparogastroscopy—A Transgastric Laparoscopic Approach for Malignant Esophageal Stenosis.

Wed, 15 Mar 2023 04:00:00 +0000

Healthcare (2227-9032); 03/15/2023
(AN 162808359); ISSN: 22279032
CINAHL Complete

Nutrition impact symptoms: Noteworthy prognostic indicators for lung cancer

Thu, 02 Mar 2023 00:00:00 +0000

Clin Nutr. 2023 Apr;42(4):550-558. doi: 10.1016/j.clnu.2023.02.021. Epub 2023 Feb 24.

ABSTRACT

BACKGROUND: Nutrition impact symptoms (NIS) in head and neck cancer are well-studied and are found to be heavy contributors of poor outcome. However, the prevalence and role of NIS in other cancer are less addressed. In this study, we investigated the incidence and prognostic role of NIS in patients with lung cancer.

METHODS: NIS, evaluated by patient-generated subjective global assessment (PG-SGA) in a multicenter real-world prospective study, included loss of appetite, nausea, vomiting, mouth ulcer, constipation, diarrhea, dry mouth, taste change, altered smell, dysphagia, early satiety, and pain. The endpoints were the patients' overall survival (OS) and quality of life (QoL). The COX analysis was used to investigate the relationship between NIS and OS. Interaction analysis and mediation analysis were performed to determine the modifiers and mediator.

RESULTS: 3634 patients with lung cancer were enrolled in this study, of which 1533 patients had NIS. During the average follow-up of 22.65 months, 1875 deaths occurred. The OS of patients with lung cancer with NIS was lower than that of patients without NIS. NIS (HR, 1.181, 95% CI, 1.073-1.748), loss of appetite (HR, 1.266, 95% CI, 1.137-1.409), vomiting (HR, 1.282, 95% CI, 1.053-1.561), and dysphagia (HR, 1.401, 95% CI, 1.079-1.819) were independent prognostic factors in patients with lung cancer. There were interactions between chemotherapy and primary tumor on NIS . In the relationship between different types of NIS (NIS, loss of appetite, vomiting, dysphagia) and prognosis, the mediating effects of inflammation accounted for 15.76%, 16.49%, 26.32%, and 18.13%, respectively. Meanwhile, these three NIS were closely associated with the occurrence of severe malnutrition and cancer cachexia.

CONCLUSIONS: 42% patients with lung cancer experienced different types of NIS. NIS were independent indicators of malnutrition, cancer cachexia and shorter OS, and closely related to QoL. NIS management is of clinical significance.

PMID:36863291 | DOI:10.1016/j.clnu.2023.02.021

Effect of nutritional status before radiotherapy on radiation-induced acute toxicities in patients with nasopharyngeal carcinoma

Thu, 05 Jan 2023 00:00:00 +0000

Head Neck. 2023 Mar;45(3):620-628. doi: 10.1002/hed.27275. Epub 2023 Jan 4.

ABSTRACT

BACKGROUND: To investigate the effect of nutritional status on radiation-induced acute toxicities in nasopharyngeal carcinoma (NPC) patients before radiotherapy.

METHODS: Nutritional status of 228 patients with NPC who received intensity-modulated radiotherapy was retrospectively analyzed by modified nutrition index (m-NI). Cumulative grading score of six common acute toxicities were defined as total score for acute toxicities.

RESULTS: M-NI ≤6 is a risk factor for xerostomia (p = 0.016, OR = 0.208, 95% CI 0.058-0.743), oral mucositis (p = 0.016, OR = 0.287, 95% CI 0.104-0.793), dysgeusia (p = 0.001, OR = 0.028, 95% CI 0.004-0.217), and dysphagia (p = 0.015, OR = 0.251, 95% CI 0.083-0.764) as well in patients with NPC. Total score of radiation-induced acute toxicities of patients with malnutrition (13.6 ± 1.7) was significantly higher than that of patients with normal nutrition (12.0 ± 2.4) (t = -5.464, p < 0.001).

CONCLUSIONS: NPC patients with malnutrition before radiotherapy develop more serious dysgeusia, oral mucositis, dysphagia, and xerostomia after intensity-modulated radiotherapy.

PMID:36600471 | DOI:10.1002/hed.27275

Nutritional Support in Older Patients with Esophageal Cancer Undergoing Chemoradiotherapy.

Tue, 01 Nov 2022 04:00:00 +0000

Nutrition & Cancer; 11/01/2022
(AN 158962789); ISSN: 01635581
CINAHL Complete

Pilot randomized, controlled, preoperative intervention for nutrition trial in head and neck cancer

Mon, 17 Oct 2022 00:00:00 +0000

Head Neck. 2023 Jan;45(1):156-166. doi: 10.1002/hed.27220. Epub 2022 Oct 17.

ABSTRACT

BACKGROUND: Several prospective studies report improved outcomes with pretreatment nutrition interventions prior to radiation therapy for head and neck cancer (HNC), but none have assessed similar interventions before surgery for HNC.

METHODS: POINT, a pilot randomized controlled trial, was conducted to evaluate a multimodal nutrition intervention. Patients undergoing primary surgery with free flap reconstruction for HNC were randomly assigned to the control arm or a preoperative multimodal nutrition intervention.

RESULTS: POINT included 49 patients. Nutrition risk scores did not change significantly for either the intervention or control group. Control patients had a significant decrease in body weight in the preoperative period (p < 0.001). Conversely, weight among intervention patients did not significantly decrease (p = 0.680). The intervention mitigated weight loss in patients with dysphagia (p = 0.001).

CONCLUSIONS: Preoperative nutrition optimization shows potential to reduce weight loss normally experienced by patients with head and neck cancer prior to surgical extirpation, especially among those with subjective dysphagia.

PMID:36250283 | DOI:10.1002/hed.27220

Oral functional impairment may cause malnutrition following oral cancer treatment in a single-center cross-sectional study

Tue, 30 Aug 2022 00:00:00 +0000

Sci Rep. 2022 Aug 30;12(1):14787. doi: 10.1038/s41598-022-19177-6.

ABSTRACT

Oral dysfunction and dysphagia after oral cancer treatment are linked to altered nutritional status. We aimed to identify specific oral functions related to nutritional status. We conducted a cross-sectional study from September 2019 to December 2021, recruited 75 participants (median age: 72.0 years), including 52 males and 23 females, collected background data, and evaluated oral function. The Mini Nutritional Assessment-Short Form (MNA-SF) scores were divided into three groups (normal nutritional status, at risk of malnutrition, and malnourished), and a multi-group comparison was conducted for each oral function measurement (microorganisms, oral dryness, occlusal force, tongue pressure, masticatory function, and Eating Assessment Tool [EAT-10]). The primary tumor site was the tongue in 31 patients (41.3%), gingiva in 30 (40.0%), and others in 14 (18.7%). Multiple comparisons revealed significant differences in occlusal force, tongue pressure, masticatory function, and EAT-10 levels, categorized as Type I (Transport type) and Type III (Occlusion type) postoperative oral dysfunctions, between each MNA-SF group. Multiple regression analysis showed a statistically significant association with MNA-SF in terms of masticatory function and EAT-10 levels, categorized as Type I. Type I and Type III are risk factors for malnutrition, confirming that different types of postoperative oral dysfunction require unique nutritional guidance.

PMID:36042270 | PMC:PMC9428164 | DOI:10.1038/s41598-022-19177-6

Impacts of complications after esophageal cancer surgery on health-related quality of life and nutritional status

Tue, 05 Jul 2022 00:00:00 +0000

Gen Thorac Cardiovasc Surg. 2022 Dec;70(12):1048-1057. doi: 10.1007/s11748-022-01846-y. Epub 2022 Jul 4.

ABSTRACT

BACKGROUND: The long-term impacts of post-operative complications, especially pulmonary complications and anastomotic leakage, on health-related quality of life (HRQoL), nutritional status and body composition remain to be fully addressed in patients undergoing esophageal cancer surgery.

METHODS: Patients who underwent esophagectomy between 2015 and 2019 and survived without recurrence were eligible. HRQoL (European Organization for Research and Treatment of Cancer QLQ-C30 and the QLQ-OES18 questionnaires), nutritional and body composition data were prospectively evaluated before and at 3, 6, 12 and 24 months after surgery. Collected data were compared between patients with post-operative complications and those without.

RESULTS: In total, 88 patients were included. Overall complications, anastomotic leakage and pulmonary complications developed in 48 (54.5%), 20 (20.7%) and 18 (20.5%) patients, respectively. Patients with pulmonary complications had significantly more reflux-related symptoms (dry mouth; P = 0.03, coughing; P = 0.047), and more difficulties with eating at 24 months after surgery, as compared to those without such complications. Anastomotic leakage increased pain, speaking problems and dysphagia up to 6 months after surgery. Patients with pulmonary complications had significantly lower prealbumin levels (P = 0.01, 0.02 and 0.008 at 6, 12 and 24 months after surgery, respectively) and lower prognostic nutritional index values over time after surgery than those without these complications. In contrast, anastomotic leakage was not associated with poor nutritional status post-operatively. Body composition was not affected by the occurrence of complications.

CONCLUSION: Patients who developed post-operative complications, especially pulmonary complications, had long-lasting negative HRQoL outcomes and poor nutritional status after esophagectomy.

PMID:35788889 | DOI:10.1007/s11748-022-01846-y

Addressing symptoms that affect patients' eating according to the Head and Neck Patient Symptom Checklist©.

Fri, 01 Jul 2022 04:00:00 +0000

Supportive Care in Cancer; 07/01/2022
(AN 157099341); ISSN: 09414355
CINAHL Complete

Effect of swallowing training combined with nutritional intervention on the nutritional status and quality of life of laryngeal cancer patients with dysphagia after operation and radiotherapy.

Fri, 01 Jul 2022 04:00:00 +0000

Journal of Oral Rehabilitation; 07/01/2022
(AN 157298856); ISSN: 0305182X
CINAHL Complete

Fiberoptic endoscopic evaluation of swallowing as a tool to facilitate dysphagia rehabilitation following a salvage hemi-glossectomy: Case Report.

Fri, 01 Jul 2022 04:00:00 +0000

Advances in Communication & Swallowing; 07/01/2022
(AN 162419793); ISSN: 27725383
CINAHL Complete

Acute Impact of Cancer Treatment on Head and Neck Cancer Patients: FIT4TREATMENT.

Wed, 01 Jun 2022 04:00:00 +0000

Cancers; 06/01/2022
(AN 157372378); ISSN: 20726694
CINAHL Complete

Case study: nutritional considerations in the head and neck cancer patient.

Wed, 01 Jun 2022 04:00:00 +0000

South African Journal of Clinical Nutrition; 06/01/2022
(AN 157382901); ISSN: 16070658
CINAHL Complete

基于目标管理的张口训练对鼻咽癌放疗患者营养相关症状群及生活质量的影响.

Wed, 01 Jun 2022 04:00:00 +0000

Tianjin Journal of Nursing; 06/01/2022
(AN 157757937); ISSN: 10069143
CINAHL Complete

Dysphagia assessment and treatment: a guide for nurses: How to identify eating, drinking and swallowing difficulties, often associated with stroke, head and neck cancers and neurological conditions – and provide support.

Mon, 30 May 2022 04:00:00 +0000

Primary Health Care; 05/30/2022
(AN 158941566); ISSN: 02645033
CINAHL Complete

Nutritional Risk Screening in head-and-neck cancer patients prior to oncological therapy

Mon, 02 May 2022 00:00:00 +0000

Laryngorhinootologie. 2022 Aug;101(8):652-659. doi: 10.1055/a-1823-1143. Epub 2022 May 2.

ABSTRACT

OBJECTIVE: Head-and-neck cancer patients run a high risk of peri- or post-treatment malnutrition that can severely affect the therapy outcome. However, little is known about malnutrition under the pre-treatment condition. Therefore, this study aimed to provide a systematic description of the pre-treatment nutritional status and risk of malnutrition in this population.

MATERIAL AND METHODS: Before the onset of the oncological therapy, nutritional status of 102 head-and-neck cancer patients was assessed by body mass index (BMI), their risk of malnutrition by "Nutritional Risk Screening" (NRS). Tumour stage and site, patients' age and sex as well as oropharyngeal dysphagia were analysed as possible influence factors. The latter was quantified by the Flexible Endoscopic Evaluation of Swallowing (FEES).

RESULTS: According to BMI, malnutrition (undernutrition) was found in 6% of patients, a risk of malnutrition (NRS) in 27% of patients, and oropharyngeal dysphagia in 15%. In a linear regression, only oropharyngeal dysphagia was identified as a significant influence factor for the risk of malnutrition (β = 0.380/3.776; p < .001).

CONCLUSIONS: Pre-treatment risk of malnutrition was found in a quarter of head-and-neck cancer patients. For the early identification of this risk and for the introduction of measures that would help to avoid it, a pre-treatment examination of swallowing functions and a systematic malnutrition screening by means of NRS are recommended.

PMID:35500596 | DOI:10.1055/a-1823-1143

Addressing symptoms that affect patients' eating according to the Head and Neck Patient Symptom Checklist^©

Fri, 15 Apr 2022 00:00:00 +0000

Support Care Cancer. 2022 Jul;30(7):6163-6173. doi: 10.1007/s00520-022-07038-x. Epub 2022 Apr 15.

ABSTRACT

PURPOSE: The purpose of this prospective study was to assess which nutritional impact symptoms (NIS) interfere with oral intake in patients with head and neck cancer (HNC) and how the symptoms interfere with body weight loss, up to 1 year after treatment.

METHODS: This was a prospective study of 197 patients with HNC planned for treatment with curative intention. Body weight was measured before the start of treatment, at 7 weeks after the start of treatment, and at 6 and 12 months after completion of treatment. NIS and NIS interfering with oral intake at each follow-up were examined with the Head and Neck Patient Symptom Checklist^© (HNSC^©).

RESULTS: At 7 weeks of follow-up, patients experienced the greatest symptom and interference burden, and 12 months after treatment the NIS scorings had not returned to baseline. One year after treatment, the highest scored NIS to interfere with oral intake was swallowing problems, chewing difficulties, and loss of appetite. At all 3 follow-ups, the total cumulative NIS and NIS interfering with oral intake were associated with body weight loss. Factors increasing the risk for a body weight loss of ≥ 10% at 12 months after treatment were pain, loss of appetite, feeling full, sore mouth, difficulty swallowing, taste changes, and dry mouth. Women scored higher than men in NIS and NIS interfering with oral intake. Furthermore, during the study period about half of the population had a body weight loss > 5%.

CONCLUSION: Because both nutritional and clinical factors may affect body weight, this study highlights the importance of a holistic approach when addressing the patients' nutritional issues.

TRIAL REGISTRATION: ClinicalTrials.gov NCT03343236, date of registration: November 17, 2017.

PMID:35426524 | PMC:PMC9135877 | DOI:10.1007/s00520-022-07038-x

Nursing management and prevention of malnutrition in the patient with head-neck cancer

Fri, 01 Apr 2022 00:00:00 +0000

Prof Inferm. 2021 Oct-Dec;74(4):269. doi: 10.7429/pi.2021.744269a.

ABSTRACT

BACKGROUND The nursing record is often devoid of tools for nutritional evaluation: detection of signs and symptoms, nutritional screening such as the Malnutrition Universal Screening Tool (MUST) and the Mini Nutritional Assessment (MNA), anthropometric parameters: such as weight; with these tools. Therefore, it is possible to frame the patient according to his nutritional status and establish the most appropriate care path. Inappropriate documentation can create a negative nutritional spiral that carries an increased risk of serious health-related complications. It also hinders follow-up. In the literature it emerges the importance of using dysphagia screening and nutritional status assessment, these must be introduced into the hospital routine to avoid the damage caused by dysphagia and malnutrition. The literature shows how nutritional risk affects the increase in mortality, morbidity, days of hospitalization and re-admission to hospital one year after discharge. Malnourished patients had a longer hospital stay than normally fed patients, used more drugs and underwent more diagnostic tests and finally greater mortality. Malnutrition, to treat it appropriately, would be enough to be detected with simple screening tools.

AIM: This study aimed to estimate the prevalence of hypoalbuminemia in hospidalized elders before treatment for free flap plastic surgery after intervention for head-neck cancer, their nutritional status and lenght of stay.

METHODS: Retrospective observational study with 28 patients with head and neck cancer who underwent free flap recostruction in hospital at the Galliera Hospital Genoa during two years from Jenuary 2017 to December 2018. Clinical and surgical procedure-related factors were retrieved from a database and analyzed.

RESULTS: 28 patients ( 19 men, 9 women) were included in this study. The mean age of the study population was 61 years (range, 18 to 80 yr). The mean BMI was 23.30 kg/m2 ( range, 17.53 to 30.9 kg/m2). The mean lenght of stay was 35 days ( range, 11 to 122 days). The mean of the level albumin was 3.34 g/dl ( range, 2.1 to 4.5 g/dl). One surgical mortality was noted. The data emerged from the survey report the values of albumin and lymphocytes decreasing compared to the entrance, an extremely significant figure is also that of the days of hospitalization, which almost double in presence of one or more complications. The comparison between the average value of the days of stay of the stitches in patients without complications and the mean value of the days of stay of sutures in patients with complications, with a percentage deviation of 51.96%. The difference in patients with a lower incoming plasma albumin level compared to the group with normal levels allowed comparative analyses with respect to outcomes. 13 patients demonstrated albuminemia levels below the threshold of normal input, 15 adequate levels. The 13 patients with different albumenemic libellus developed site infection with an increase in average hospitalization days of 49.92 days (st.dev 26.26) against an average of the other group of 22.80 days (st.dev 10.50) the difference was significant The two-tailed P value equals 0.0011; also the permanence of the stitches in site is different between the two groups with an average of 45.77 days (st.dev 20.31) against an average of the other group of 23.80 days (st.dev 6.20) The two-tailed P value equals 0.0003 CONCLUSIONS: The prevalence of hypoalbuminemia, and the nutritional status and the length of stay seems to be related. Thus, it is suggested that monitoring albumin levels should be done to evaluate the risk that the patient has to develop malnutrition and other complications during hospital stays.

PMID:35363985 | DOI:10.7429/pi.2021.744269a

Effect of swallowing training combined with nutritional intervention on the nutritional status and quality of life of laryngeal cancer patients with dysphagia after operation and radiotherapy

Wed, 30 Mar 2022 00:00:00 +0000

J Oral Rehabil. 2022 Jul;49(7):729-733. doi: 10.1111/joor.13328. Epub 2022 Apr 18.

ABSTRACT

BACKGROUND: Dysphagia is a common complication in patients with laryngeal cancer after surgery and radiotherapy.

OBJECTIVES: To explore the effect of swallowing training administered in combination with nutritional intervention on the nutritional status and quality of life of laryngeal cancer patients with dysphagia after surgery and radiotherapy.

METHODS: Sixty-six patients with laryngeal cancer who developed dysphagia were randomly divided into control group and intervention group (n = 33 in each group). Patients in both groups received total laryngectomy and prophylactic radiotherapy and were provided routine health counseling and swallowing training. Patients in the intervention group were additionally provided with nutritional intervention. All patients were evaluated using video fluoroscopic swallowing examination (VFSE), Patient-Generated Subjective Global Assessment on nutritional status (PG-SGA) score, and Quality of Life Questionnaire-core 30 (QLQ-c30) score immediately after radiotherapy and 3 months later.

RESULTS: Prior to swallowing training, there was no significant between-group difference with respect to VFSE evaluation, PG-SGA score, or QLQ-c30 score. Both groups showed improvement in these measures at 3 months after radiotherapy; however, the improvement in the intervention group was significantly better than that in the control group.

CONCLUSIONS: Swallowing training combined with nutritional intervention can improve swallowing function, nutritional status and the quality of life of laryngeal cancer patients with dysphagia after operation and radiotherapy.

PMID:35352383 | DOI:10.1111/joor.13328

Rehabilitation nutrition for individuals with frailty, disability, sarcopenic dysphagia, or sarcopenic respiratory disability.

Sat, 01 Jan 2022 05:00:00 +0000

Current Opinion in Clinical Nutrition & Metabolic Care; 01/01/2022
(AN 154516663); ISSN: 13631950
CINAHL Complete

The health risks of dysphagia for patients with head and neck cancer: a multicentre prospective observational study

Tue, 23 Nov 2021 00:00:00 +0000

J Transl Med. 2021 Nov 22;19(1):472. doi: 10.1186/s12967-021-03144-2.

ABSTRACT

It is well known that malnutrition is a frequent co-morbidity in cancer patients, especially in those with head and neck neoplasms. This may be due both to the presence of dysphagia symptoms and to the appearance of adverse effects on chemotherapy and / or radiotherapy. The aim of this retrospective observational multicentric study is to evaluate the nutritional status between dysphagia cancer patients and non-dysphagia cancer patients. Data from 60 patients were analysed, 31 of which without dysphagia and 29 with dysphagia. Results highlight that patients with dysphagia had higher involuntary body weight loss than non-dysphagia ones (p < 0.001). By analysing the entire population, it stands out a weight loss rate of 12 ± 9% compared to the usual weight was observed and a prevalence of moderate / severe malnutrition diagnosis of 53%. Furthermore, 76% of the population who manifested the symptom of dysphagia presented severe malnutrition already at the first visit, compared to 32% of non-dysphagia subjects.

PMID:34809654 | PMC:PMC8607588 | DOI:10.1186/s12967-021-03144-2

The health risks of dysphagia for patients with head and neck cancer: a multicentre prospective observational study.

Mon, 22 Nov 2021 05:00:00 +0000

Journal of Translational Medicine; 11/22/2021
(AN 153702706); ISSN: 14795876
CINAHL Complete

Swallowing, nutritional status, and salivary flow in patients after head and neck cancer treatment, a pilot study

Wed, 13 Oct 2021 00:00:00 +0000

Sci Rep. 2021 Oct 12;11(1):20233. doi: 10.1038/s41598-021-99208-w.

ABSTRACT

Determine the relationship between swallowing function, nutritional status, and salivary flow in patients after head and neck cancer treatment. This pilot study included 17 patients. Swallowing was assessed through videofluoroscopy and surface electromyography (sEMG), nutritional status through anthropometry and dietary assessment, and salivary flow both with and without mechanical stimulation. Test analysis showed that 66.7% of patients had functional limitations in swallowing in 58.3%, 66.7%, and 58.3% residue scale with an average of a line of barium on a structure for pudding, honey, and liquid consistencies, respectively. Laryngeal penetration was found in 8.3% during the swallowing of liquid. Surface electromyography (sEMG) showed above normal values for muscle activity time during the swallowing of pudding. Anthropometric assessment and muscle and adipose tissue indicated eutrophy. Salivary flow test with mechanical stimulus showed that 82.3% of patients' salivary production was well below the appropriate level. There was a significant correlation between muscle tissue reserve and muscle activity time during swallowing in the studied muscles (left masseter p = 0.003, right masseter p = 0.001, suprahyoid p = 0.001, orbicularis oris = 0.020), all in pudding consistency. This pilot study confirmed the relationship between swallowing and nutritional status for its participants, showing that appropriate protein intake influences muscle activity during swallowing in head and neck cancer survivors.

PMID:34642369 | PMC:PMC8511146 | DOI:10.1038/s41598-021-99208-w

Treatment-Related Dysgeusia in Oral and Oropharyngeal Cancer: A Comprehensive Review.

Fri, 01 Oct 2021 04:00:00 +0000

Nutrients; 10/01/2021
(AN 153345882); ISSN: 20726643
CINAHL Complete

Relationship between GLIM criteria and disease-specific symptoms and its impact on 5-year survival of esophageal cancer patients.

Wed, 01 Sep 2021 04:00:00 +0000

Clinical Nutrition; 09/01/2021
(AN 152367645); ISSN: 02615614
CINAHL Complete

Estudio SeDREno: prevalencia de la desnutrición hospitalaria según los criterios GLIM, diez años después del estudio PREDyCES.

Wed, 01 Sep 2021 04:00:00 +0000

Nutricion Hospitalaria; 09/01/2021
(AN 153088146); ISSN: 02121611
CINAHL Complete

Rehabilitation nutrition for individuals with frailty, disability, sarcopenic dysphagia, or sarcopenic respiratory disability

Mon, 30 Aug 2021 00:00:00 +0000

Curr Opin Clin Nutr Metab Care. 2022 Jan 1;25(1):29-36. doi: 10.1097/MCO.0000000000000787.

ABSTRACT

PURPOSE OF REVIEW: We describe the recent advances in rehabilitation nutrition, which is especially important for disabled or frail older individuals.

RECENT FINDINGS: Recent evidence pertaining to rehabilitation nutrition conducted in rehabilitation wards and acute care hospitals has been accumulating. The combination of rehabilitation nutrition and rehabilitation pharmacotherapy is important for eliciting higher functions. The 2020 update of the clinical practice guidelines for rehabilitation nutrition provides a weak recommendation for enhanced nutritional care for patients with cerebrovascular disease, hip fracture, cancer, or acute illness who are undergoing rehabilitation. Rehabilitation nutritional care process and the International Classification of Functioning, Disability and Health-Dietetics are used to implement high-quality rehabilitation nutrition. Aggressive nutrition therapy incorporates the daily energy expenditure plus daily energy accumulation to increase body weight and muscle mass. Preventing and treating sarcopenic dysphagia should include iatrogenic sarcopenia prevention and aggressive nutrition therapy. The diagnosis criteria for respiratory sarcopenia and sarcopenic respiratory disability have been established.

SUMMARY: The International Association of Rehabilitation Nutrition and Total Nutrition Therapy Rehabilitation program may contribute to international expansion of rehabilitation nutrition. Improving evidence-practice gaps in rehabilitation nutrition and increasing national health insurance coverage of aggressive nutrition therapy and rehabilitation nutrition teams are warranted.

PMID:34456248 | PMC:PMC8694258 | DOI:10.1097/MCO.0000000000000787

Relationship between GLIM criteria and disease-specific symptoms and its impact on 5-year survival of esophageal cancer patients

Sun, 29 Aug 2021 00:00:00 +0000

Clin Nutr. 2021 Sep;40(9):5072-5078. doi: 10.1016/j.clnu.2021.08.008. Epub 2021 Aug 21.

ABSTRACT

BACKGROUND & AIMS: Malnutrition is common in patients with esophageal cancer, which affects their prognosis. The global leadership initiative on malnutrition (GLIM) criteria was recently proposed as the world's first diagnostic criteria for malnutrition. However, the association between esophageal cancer patients and the GLIM criteria is unclear. The purpose of this study was to evaluate the percentage of patients diagnosed with malnutrition preoperatively using the GLIM criteria, assess the impact of disease-specific symptoms on the severity of malnutrition, and assess the prognostic relevance of GLIM defined malnutrition in patients with esophageal cancer.

METHODS: This was a retrospective single-center cohort study. Preoperative nutritional status of patients with esophageal cancer hospitalized between June 2009 and July 2011 was evaluated according to the GLIM criteria. Factors related to severe malnutrition as per the GLIM criteria were analyzed using multivariable logistic regression analysis. The association between the severity of malnutrition based on the GLIM criteria and 5-year survival was assessed using a multivariable Cox proportional hazard model.

RESULTS: Overall, 117 esophageal cancer patients were nutritionally assessed. The percentage of moderate malnutrition and severe malnutrition was 21% and 23%, respectively. Subjective dysphagia [odds ratio (OR): 7.39, 95% confidence interval (CI): 1.46-37.52] and subjective esophageal obstruction (OR: 10.49, 95% CI: 3.47-31.70) were independent risk factors for severe malnutrition. The hazard ratio (HR) for 5-year mortality tended to be higher for moderate malnutrition (HR: 2.12, 95% CI: 0.91-4.95); however, it was not significantly associated with either moderate malnutrition or severe malnutrition (HR: 1.30, 95% CI: 0.52-3.27). Cases that were censored during the follow-up period probably affected the survival results.

CONCLUSION: Subjective feelings of dysphagia and esophageal obstruction might be related to malnutrition severity in esophageal cancer patients. Malnutrition assessed by the GLIM criteria was not significantly associated with 5-year survival.

PMID:34455266 | DOI:10.1016/j.clnu.2021.08.008

Change in Nutritional Status and Dysphagia after Resection of Head and Neck Cancer

Tue, 10 Aug 2021 00:00:00 +0000

Nutrients. 2021 Jul 16;13(7):2438. doi: 10.3390/nu13072438.

ABSTRACT

Nutritional status is well-known to influence patient recovery after resection of head and neck cancer (HNC). The influence of preoperative nutritional status on dysphagia was assessed in patients who underwent surgical resection of HNC along with the assessment of nutritional status during the acute and subacute phases. Eighty-six patients underwent surgical resection and dysphagia assessments (repetitive saliva-swallowing test, water-swallowing test, and functional oral intake scale) and had their tongue pressure assessed five times (before surgery, after 1-2 weeks, and 1, 2, and 3 months after surgery). The nutritional status was assessed according to the body mass index, total protein, and albumin. The prognostic nutritional index was calculated from preoperative data, and the subjects were classified into three groups: Low-risk, Attention and High-risk groups. After surgery, the nutritional status index values were low, and the High-risk group showed significantly lower values in comparison to the other two groups. The water-swallowing test and functional oral intake scale findings were worse than they had been preoperatively until 2 months after surgery, and a significant correlation was noted between the postoperative nutritional status and the presence of dysphagia. The results indicated that the preoperative nutritional status of HNC patients influenced their ability to ingest/swallow, which in turn influenced their nutritional status after HNC resection.

PMID:34371947 | PMC:PMC8308483 | DOI:10.3390/nu13072438

Malnutrition screening in head and neck cancer patients with oropharyngeal dysphagia

Sat, 31 Jul 2021 00:00:00 +0000

Clin Nutr ESPEN. 2021 Aug;44:348-355. doi: 10.1016/j.clnesp.2021.05.019. Epub 2021 May 31.

ABSTRACT

BACKGROUND & AIMS: Malnutrition in head and neck cancer (HNC) patients is associated with increased morbidity and mortality. The purpose of this study is two-fold: to identify the risk of malnutrition in patients with oropharyngeal dysphagia (OD) secondary to HNC, and to determine the relationship between the risk of malnutrition versus tumor characteristics, treatment modality, time interval (between the end of oncological treatment and swallowing assessment date), level of oral intake, body mass index (BMI), aspiration, pharyngeal pooling, and OD-related quality of life (QoL).

METHODS: The Short Nutritional Assessment Questionnaire (SNAQ) was used to screen patients for the risk of malnutrition. Patients underwent a standardized swallowing examination protocol including an endoscopic evaluation of swallowing.

RESULTS: Seventy-five dysphagic HNC patients were included. Forty-eight percent of the patients presented a high risk of malnutrition using SNAQ. The majority of the patients (81.3%) was on a total oral diet. Moreover, BMI did not appear to be a reliable measure to screen for malnutrition as a normal BMI was often associated with an increased risk of malnutrition on the SNAQ. In contrast, patients who were underweight or overweight did not show an association with a high risk of malnutrition. With the exception of BMI, no other patient and tumor characteristics were found to be associated with the risk of malnutrition.

CONCLUSIONS: This study emphasizes the importance of early nutritional screening in dysphagic HNC patients, as almost half of these patients presented a high risk of malnutrition. Malnutrition screening using SNAQ can identify HNC patients with OD who are at risk of malnutrition and subsequently need to be referred to a dietician for additional nutritional assessment, diagnosis of malnutrition, and nutritional support, even when their BMI is within normal range.

PMID:34330489 | DOI:10.1016/j.clnesp.2021.05.019

Change in Nutritional Status and Dysphagia after Resection of Head and Neck Cancer.

Thu, 01 Jul 2021 04:00:00 +0000

Nutrients; 07/01/2021
(AN 151587866); ISSN: 20726643
CINAHL Complete

SeDREno study - prevalence of hospital malnutrition according to GLIM criteria, ten years after the PREDyCES study

Wed, 23 Jun 2021 00:00:00 +0000

Nutr Hosp. 2021 Oct 13;38(5):1016-1025. doi: 10.20960/nh.03638.

ABSTRACT

Background & aims: the last large multicenter study on disease-related malnutrition (DRM) in Spain (the PREDyCES study) showed a 23.7 % prevalence of malnutrition, according to the Nutritional Risk Screening (NRS-2002) tool. The main objective of the SeDREno study was to assess the prevalence of hospital malnutrition upon admission, according to GLIM criteria, ten years later. Methods: a cross-sectional, observational, multicenter study in standard clinical practice, conducted in 17 hospitals during a period of five to seven days. Patients were initially screened using the Malnutrition Universal Screening Tool (MUST), and then assessed using the GLIM criteria for diagnosis and severity grading. Results: a total of 2,185 patients, 54.8 % males, mean age 67.1 (17.0) years (50.2 % aged ≥ 70 years), were evaluated. Malnutrition was observed in 29.7 % of patients according to GLIM criteria (12.5 % severe, 17.2 % moderate). In patients ≥ 70 years malnutrition was observed in 34.8 %. The clinical conditions significantly associated with a higher prevalence of malnutrition were dysphagia (47.6 %), cognitive impairment (43.4 %), cancer (39.1 %), gastrointestinal disease (37.7 %), diabetes (34.8 %), and cardiovascular disease (33.4 %). The multivariate analysis revealed that gender, BMI, diabetes, cancer, gastrointestinal disorders, and polypharmacy were the main independent factors associated with DRM. Malnutrition was associated with an increase in length of hospital stay and death (p < 0.001). Conclusions: DRM in admitted patients has increased in Spain in the last 10 years paralleling ageing of the population. In the SeDREno study almost one in three patients are malnourished. A systematic assessment of nutritional status allows early detection and implementation of nutritional interventions to achieve a better clinical outcome.

PMID:34157845 | DOI:10.20960/nh.03638

Comprehensive assessment of nutritional status and nutritional-related complications in newly diagnosed esophageal cancer patients: A cross-sectional study.

Tue, 01 Jun 2021 04:00:00 +0000

Clinical Nutrition; 06/01/2021
(AN 151058576); ISSN: 02615614
CINAHL Complete

Effect of Preoperative Nutritional Risk Screening and Enteral Nutrition Support in Accelerated Recovery after Resection for Esophageal Cancer.

Sat, 01 May 2021 04:00:00 +0000

Nutrition & Cancer; 05/01/2021
(AN 149121485); ISSN: 01635581
CINAHL Complete

Comprehensive assessment of nutritional status and nutritional-related complications in newly diagnosed esophageal cancer patients: A cross-sectional study

Fri, 29 Jan 2021 00:00:00 +0000

Clin Nutr. 2021 Jun;40(6):4449-4455. doi: 10.1016/j.clnu.2021.01.003. Epub 2021 Jan 11.

ABSTRACT

BACKGROUND & AIMS: Malnutrition is prevalent in upper gastrointestinal cancer patients. The purpose of this study was a comprehensive assessment of nutritional status in newly diagnosed patients with esophageal cancer.

METHODS: Newly diagnosed esophageal cancer patients were referred to a chemo-radiation referral center in Mashhad, Iran, between February 2017 to February 2019. Anthropometric indices, a Patient-Generated Subjective Global Assessment (PG-SGA) tool, body composition, dietary intake, nutritional-related complications, and laboratory tests were assessed.

RESULTS: One hundred and eighty-nine patients with a mean age of 67.1 ± 12 and a male to female ratio of 98 to 91 were included. Ninety-seven (51.3%) of patients had experienced significant weight loss and 56 (29.6%) were underweight at diagnosis. According to PG-SGA, 179 (94.7%) needed nutritional interventions. Reduced muscle mass and low handgrip strength were observed in 70 (39.4%) and 26 (14.4%) of patients, respectively. Inadequate intakes of energy (less than 24 kcal/kg/day) and protein (less than 1.2 g/kg/day) were found in 146 (77.8%) and 171 (91%) patients, respectively. The mean total daily energy and protein intakes of subjects were 943.8 ± 540 kcal/day, and 30.6 ± 21 g/day, respectively. The most common nutritional-related complications were as follows: dysphagia (84.8%), anorexia (31.6%), constipation (62.1%), esophageal pain (48.4%), and dyspepsia (41.1%).

CONCLUSION: Our study demonstrated a high prevalence of malnutrition in newly diagnosed esophageal cancer patients. This fact demonstrates the importance of early screening of nutritional status via PG-SGA tool, clinical evaluation, dietary intake evaluations, and laboratory tests, based on which effective nutritional interventions and Symptoms management may be introduced in these patients.

PMID:33509666 | DOI:10.1016/j.clnu.2021.01.003

Nutrition and swallowing therapy strategies for patients with head and neck cancer.

Thu, 07 Jan 2021 08:31:57 +0000

Author Names: Kristensen MB,Isenring E,Brown B

Database Source: Ovid MEDLINE(R) <January Week 4 2019 to December Week 5 2020>

Journal Title: Nutrition

Article Title: Nutrition and swallowing therapy strategies for patients with head and neck cancer.

Year: 2020

Issue:

Volume: 69

Abstract: Patients with head and neck cancer experience many problems with eating which make them at high risk of malnutrition. Pre-habilitation swallowing exercises as overseen by a speech pathologist can improve swallowing function. A multidisciplinary approach to care, including effective nutritional screening, assessment and intervention has demonstrated improved outcomes in terms of meet nutritional requirements, improved nutritional status and quality of life. Nutritional recommendations are 1.2-1.5 g protein per kilogram per day and 125kJ/kg body weight per day but as these are guides close monitoring of intake and weight is important. Multidisciplinary teams and telehealth have shown better outcomes for nutrition and swallowing status for head and neck cancer patients and ongoing support is required for best patient care.<ovid:br/><ovid:br/> Copyright © 2019. Published by Elsevier Inc.

Sarcopenia as an early complication of patients with head and neck cancer with dysphagia.

Fri, 01 Jan 2021 05:00:00 +0000

European Journal of Cancer Care; 01/01/2021
(AN 148363126); ISSN: 09615423
CINAHL Complete