患有固体器官癌症的老年患者中营养不良的高患病率 - 一项机构研究
Ujjawal Kumar Shriwastav1,2, Deepak Sundriyal3, Mridul Khanna3
1Chitwan Medical College, Tribhuvan University, Bharatpur, Nepal.
JCO global oncology
|January 9, 2025
概括
营养不良在印度老年癌症患者中非常普遍,影响90%以上. 关键的危险因素包括食欲不佳,成和认知障碍,强调需要营养评估和干预.
科学领域:
- 老年瘤学 老年瘤学
- 营养科学 营养科学
背景情况:
- 印度人口向老龄化人口的变化增加了老年癌症患者的数量.
- 综合老年评估 (CGA) 对于治疗规划和共享决策至关重要.
研究的目的:
- 为了确定印度老年患者患有固体器官癌症的营养不良的患病率.
- 为了确定与这种患者群体营养不良相关的风险因素.
主要方法:
- 一项涉及从未接受过治疗的老年癌症患者接受CGA的观察性研究.
- 使用迷你营养评估 (MNA) 尺度诊断的营养不良.
- 统计分析包括描述性统计,奇方位,斯皮尔曼相关性和多变量回归.
主要成果:
- 分析了142名患者;中位数年龄67岁,73.2%是男性,75.4%是第四阶段的疾病.
- 91.6%的MNA得分异常;35.2%的体重不足 (BMI <18.5公斤/米2).
- 常见的危险因素:食欲不佳 (79.6%),成 (74.6%),认知障碍 (35.2%),抑郁症 (57.1%) 和表现不佳 (66.2%).
- 在MNA得分和年龄,抑郁症,表现状况,功能下降和认知之间发现了显著的相关性.
结论:
- 在老年癌症患者中存在广泛的营养不良和可识别的风险因素.
- 常规营养评估和有针对性的干预措施对于改善这一群体的临床结果至关重要.
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