Comparison of different nutritional assessments in detecting malnutrition among gastric cancer patients
Comparison of different nutritional assessments in detecting malnutrition among gastric cancer patients
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DOI：
10.3748/wjg.v16.i26.3310
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发表时间：
2010-07-14
影响因子：
4.3
通讯作者：
Kim, In Ho
中科院分区：
文献类型：
--
作者：
Ryu, Seung Wan;Kim, In Ho
目的：评估术前和术后营养不良的患病率和客观和主观的营养评估胃癌patients.METHODS之间的关系：从2005年10月至2006年7月，我们研究了80例胃癌根治性手术后没有复发疾病的证据，并没有损失到后续行动。其中全胃切除术9例，胃大部切除术71例。在入院时、术后6个月和12个月，对患者进行主观全面评估（SGA）、营养风险筛查（NRS-2002）、营养风险指数（NRI）以及人体测量和实验室数据评估。用Student t检验和单因素方差分析评估独立组之间的差异。斯皮尔曼的等级相关系数进行计算，以评估得分和variable.Results之间的关联：入院时营养不良的患病率为31%的SGA和43%的NRS-2002。入院时，SGA和NRS-2002评估定义的营养不良组的人体测量数据较低，但使用NFU评估的组间无差异。术后患者体重、体重指数、三头肌皮褶厚度、腹围均较术前明显降低，而淋巴细胞总数、白蛋白、蛋白质、胆固醇和血清铁水平无明显下降。术后6个月，营养评估工具（SGA和NRS-2002）与其他营养测量工具（BW、BMI和人体测量）之间存在良好的相关性。然而，手术后12个月，大多数患者谁被评估为营养不良的SGA和NRS-2002已恢复到术前状态，虽然他们的体重，体重指数，和人体测量仍然表明营养不良的status.CONCLUSION：一个客观和主观的评估相结合的情况下，胃癌患者胃切除术后的营养状况的早期检测是必要的。(C)2010年百世登。All rights reserved.
AIM: To evaluate the prevalence of preoperative and postoperative malnutrition and the relationships between objective and subjective nutritional assessment of gastric cancer patients.METHODS: From October 2005 to July 2006, we studied 80 patients with no evidence of recurrent disease and no loss to follow-up after curative surgery for gastric cancer. In this group, 9 patients underwent total gastrectomy and 71 patients subtotal gastrectomy. At admission, 6 and 12 mo after surgery, the patients were assessed on the subjective global assessment (SGA), nutritional risk screening (NRS-2002), nutritional risk index (NRI) and by anthropometric measurements and laboratory data. Differences between the independent groups were assessed with the Student's t test and one-way analysis of variance. Spearman's rank correlation coefficients were calculated to evaluate the association between the scores and variables.RESULTS: The prevalence of malnutrition at admission was 31% by SGA and 43% by NRS-2002. At admission, the anthropometric data were lower in the malnourished groups defined by the SGA and NRS-2002 assessments, but did not differ between the groups using the NFU assessment. Body weight (BW), body mass index (BMI), triceps skin fold and midam circumference were significantly reduced, but the total lymphocyte count, albumin, protein, cholesterol and serum iron levels did not decrease during the postoperative period. Six months after surgery, there was a good correlation between the nutritional assessment tools (SGA and NRS-2002) and the other nutritional measurement tools (BW, BMI, and anthropometric measurements). However, 12 mo after surgery, most patients who were assessed as malnourished by SGA and NRS-2002 had returned to their preoperative status, although their BW, BMI, and anthropometric measurements still indicated a malnourished status.CONCLUSION: A combination of objective and subjective assessments is needed for the early detection of the nutritional status in case of gastric cancer patients after gastrectomy. (C) 2010 Baishideng. All rights reserved.