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[Oral nutritional supplementation in hematologic patients]
A Peñalva1, A San Martín, J Rosselló
1Unidad de Soporte Nutricional, Hospital Universitario Vall d'Hebron, Barcelona, España.
Nutricion Hospitalaria
|March 7, 2009
Summary
Hematological patients undergoing chemotherapy or radiotherapy often experience anorexia and weight loss, necessitating nutritional supplementation. While "kitchen" supplements were better accepted, flavored commercial supplements best maintained nutritional status, highlighting the importance of tailored oral nutrition in cancer care.
Area of Science:
- Oncology and Hematology
- Nutritional Science
- Clinical Research
Context:
- Hematological patients undergoing chemotherapy/radiotherapy frequently suffer from anorexia, compromising nutritional status.
- Oral nutritional supplementation is crucial for meeting energy and protein needs in these patients.
- Commercial supplements often have poor intake, limiting their efficacy.
Purpose:
- To assess the intake fulfillment of prescribed supplements and energy requirements in hospitalized hematological patients.
- To evaluate the impact of different nutritional interventions on the nutritional status of these patients.
Summary:
- A prospective study compared flavored commercial supplements (G1), non-flavored commercial supplements (G2), and "kitchen" foods (G3).
- Patients receiving "kitchen" supplements (G3) showed 100% intake fulfillment, significantly higher than commercial groups (G1: 47%, G2: 58%).
- Despite higher intake, G3 and G2 showed significant negative changes in nutritional status (SGA), unlike G1, which maintained status.
Impact:
- Hospitalized hematological patients lose weight and have inadequate energy intake, requiring supplementation.
- Flavored commercial supplements (G1) were associated with better maintenance of nutritional status compared to non-flavored supplements or "kitchen" foods.
- Tailoring oral nutritional interventions is critical for improving outcomes in hematological patients undergoing cancer treatment.
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