Modalities for assessing the nutritional status in patients with diabetes and cancer
Modalities for assessing the nutritional status in patients with diabetes and cancer
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DOI：
10.1016/j.diabres.2018.05.039
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发表时间：
2018-08-01
影响因子：
5.1
通讯作者：
Giorgini, M.
中科院分区：
文献类型：
--
作者：
Clemente, G.;Gallo, M.;Giorgini, M.
流行病学数据表明，体重指数（BMI）增加与各种癌症的风险增加有关，特别是在肥胖糖尿病患者中。然而，肿瘤患者经常出现营养改变，这可能会使其预后恶化。本综述的目的是提出使用更便宜和易于使用的工具来评估糖代谢改变的癌症患者的营养状况。在文献回顾的基础上，我们提出了人体测量的措施来划分营养不良的程度。此外，Karnofsky体能状态（KPS）和东部肿瘤协作组体能指数（ECOG）可用于评估身体功能状态;营养需求的实现情况可使用PG-SGA问卷进行分析，而生活质量可使用DTSQ、SF 36、EQ-5D问卷和埃德蒙顿症状评估系统进行调查。建议将前白蛋白剂量和淋巴细胞计数作为营养参数。水合程度可以通过生物阻抗测试（BIA）进行评估，能量摄入可以通过乳制品日记进行评估，其中考虑了营养类型和膳食的一致性。可以对使用的每种工具进行评分，这对计划适当的营养干预很有用。(C)2018爱思唯尔B. V.保留所有权利。
Epidemiological data have shown that an increased body mass index (BMI) is associated with a higher risk of various cancers, especially in obese diabetic patients. However, oncologic patients often present nutritional alterations that can worsen their prognosis. The aim of this review is to propose the use of cheaper and easy to use tools to assess the nutritional status of patients with cancer with altered glucose metabolism. Based on a literature review, we propose anthropometric measures to classify the degree of malnutrition. Moreover, the Karnofsky Performance Status (KPS) and the Eastern Cooperative Oncology Group's performance index (ECOG) are useful to assess the functional status of the body; the achievement of nutritional needs can be analysed with the PG-SGA questionnaire, while the quality of life can be investigated using the DTSQ, SF36, EQ-5D questionnaires and the Edmonton Symptom Assessment System. Pre-albumin dosage and lymphocyte count are proposed as nutritional parameters. The degree of hydration can be evaluated through the Bio-Impedance Test (BIA), and energy intake through the dairy food diary, which considers the type of nutrition and the consistency of the meals. It is possible to use a score for each tool used, which is useful to plan an adequate nutritional intervention. (C) 2018 Elsevier B.V. All rights reserved.