Impact of Cancer on Nutrition in the Geriatric Cancer Population.

Rhode Island medical journal (2013) Pub Date : 2024-02-01
Kanwal Bains, Ponnandai S Somasundar, Joanna Abi Chebl, Lidia A Vognar
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Abstract

Malnutrition in geriatric cancer patients is a leading cause of morbidity and mortality. A nutrition risk assessment should be done early to identify and treat those at risk for cancer-related malnutrition. The goal of this study was to assess nutritional status in geriatric patients diagnosed with all cause cancer. We conducted a single institutional prospective cohort study of geriatric patients with cancer from 2013-2018. Patients 65 years old and above had undergone a comprehensive geriatric assessment before starting treatment (day 0), post-treatment (day 30), and post-post treatment (day 90). Body Mass Index (BMI) and the Mini Nutritional Assessment (MNA) were used to assess nutrition status. Results showed an increase in nutrition status from pretreatment (day = 0) to treatment (day =30), followed by a decrease in MNA scores at day 90. Results showed a decrease in BMI across all time points. This study supports that cancer and anti-cancer therapy in geriatric patients cause malnutrition, indicating the importance of early nutritional evaluation and intervention.

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癌症对老年癌症患者营养的影响。
老年癌症患者营养不良是发病和死亡的主要原因。应及早进行营养风险评估,以识别和治疗有可能出现癌症相关营养不良的患者。本研究旨在评估确诊为各种原因癌症的老年患者的营养状况。我们对 2013-2018 年间的老年癌症患者进行了一项单一机构前瞻性队列研究。65 岁及以上的患者在开始治疗前(第 0 天)、治疗后(第 30 天)和治疗后(第 90 天)接受了全面的老年病学评估。体重指数(BMI)和迷你营养评估(MNA)用于评估营养状况。结果显示,从治疗前(第 0 天)到治疗后(第 30 天),营养状况有所改善,但在第 90 天,MNA 分数有所下降。结果显示,体重指数在所有时间点均有所下降。这项研究证实,老年患者的癌症和抗癌治疗会导致营养不良,这表明早期营养评估和干预的重要性。
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