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在墨西哥癌症门诊患者中营养风险和肥胖的患病率

Gabino Cervantes-Guevara¹, Blanca Ernestina Vázquez-López², Lisset Magaña-de la Vega²

¹Department of Wellbeing and Sustainable Development, Northern University Center, University of Guadalajara, Colotlán 46200, Mexico.

Journal of clinical medicine

|March 17, 2025

概括

MUST和PG-SGA是用于查癌症患者营养不良的可靠工具. 这项研究强调了癌症门诊患者的复杂营养需求,包括高超重和肥胖率.

科学领域:

在瘤学瘤学.
营养科学营养科学
临床研究临床研究

背景情况:

营养不良显著影响癌症患者的结果,增加治疗毒性和减少生存率.
早期的营养查对于识别有风险的患者和及时介入至关重要.
癌症患者面临复杂的营养挑战,包括营养不良和肥胖.

研究的目的:

评估多种营养查工具在识别墨西哥癌症门诊患者营养不良和肥胖风险方面的有效性.
为了比较NRS-2002,MUST,MST,NUTRISCORE和PG-SGA在这个群体中的表现.
用既定标准确定营养不良和肥胖的流行情况.

主要方法:

一项涉及墨西哥一家公立医院396名成年癌症门诊患者的横截面研究.
使用NRS-2002,MUST,MST,NUTRISCORE和PG-SGA进行营养风险评估.
通过GLIM标准和PG-SGA诊断的营养不良;收集人体统计数据和人口统计数据.

主要成果:

在22.7-26.5%的患者中发现了营养风险;MUST和PG-SGA显示了最高的一致性 (k=0.64).
根据GLIM标准,营养不良的患病率为37.4%,根据PG-SGA标准为25.8% (p<0.001).
超重 (37.1%) 和肥胖 (23.5%) 是普遍存在的;低的BMI和HGS与营养风险和营养不良相关 (p<0.001).

结论:

营养不良普遍查工具 (MUST) 和患者生成的主观全球评估 (PG-SGA) 是癌症门诊患者营养查的可靠工具.
全球营养不良领导倡议 (GLIM) 标准确定营养不良的流行率高于PG-SGA.
超重和肥胖的高率强调了在癌症治疗中需要量身定制的营养策略.

关键词:

符合GLIM标准的标准癌症门诊患者癌症门诊患者营养不良营养不良营养不良营养查营养查

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