新诊断结直肠癌患者营养诊断方法缺乏一致性,Nutrition and Cancer

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新诊断结直肠癌患者营养诊断方法缺乏一致性
Nutrition and Cancer ( IF 2.0 ) Pub Date : 2021-11-09 , DOI: 10.1080/01635581.2021.2001546
Samara Bomfim Gomes Campos ₁ , Samara Cléssya Lucena de Azevedo ₂ , Thaynara Roberto da Silva Gomes ₂ , Nassib Bezerra Bueno ₂ , Marília Oliveira Fonseca Goulart _{1,

3,

4} , Fabiana Andréa Moura _{2,

5}

Affiliation

摘要

本研究旨在调查不同营养评估方法的一致性以及新诊断的结直肠癌 (CRC) 患者营养状况不足的普遍性。横断面研究在巴西阿拉戈斯的一家公立医院进行。临床、营养（患者生成的主观整体评估 [PG-SGA]、体重指数 [BMI]、臂围 [AC]、三头肌皮褶 [TSF]、臂肌围 [AMC]）和功能（握力 [HGS] ) 数据收集于 2017 年 7 月至 2019 年 1 月。在 31 名平均年龄为 58.97 ± 14.96 岁的 CRC 患者中，48.4% 为老年人，51.6% 为女性。TSF 充足 (80.8%) 和 PG-SGA (80.0%) 显示营养不良的患病率最高。BMI 确定了相同的营养不良和超重患病率（30.0%）。p = 0.426）轻微，HGS 中等（kappa = 0.268；p = 0.124）。PG-SGA 和 AC (kappa = 0.015; p = 0.99)、TSF (kappa = 0.195; p = 0.558) 和 AMC 充分性 (kappa = 0.142; p = 0.380) 很差。PG-SGA 可以通过其他方法诊断营养不良，即使是那些富营养化/超重的人。各种方法与 PG-SGA 不一致，证实需要客观和主观方法来更好地诊断 CRC 患者。

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Lack of Concordance among Nutritional Diagnostic Methods in Newly Diagnosed Colorectal Cancer Patients

Abstract

This study aimed to investigate the concordance of different nutritional assessment methods and the prevalence of inadequate nutritional status in newly diagnosed Colorectal cancer (CRC) patients. Cross sectional study was conducted in a public hospital in Alagoas, Brazil. Clinical, nutritional (patient-generated subjective global assessment [PG-SGA], body mass index [BMI], arm circumference [AC], triceps skinfold [TSF], arm muscle circumference [AMC]) and functional (handgrip strength [HGS]) data were collected from July 2017–January 2019. Of the 31 CRC patients with a mean age of 58.97 ± 14.96 years, 48.4% were elderly and 51.6% were female. TSF adequacy (80.8%) and PG-SGA (80.0%) revealed the highest prevalence of malnutrition. BMI identified the same prevalence of malnutrition and excess weight (30.0%). The concordance between PG-SGA and BMI (kappa = 0.086; p = 0.426) was slight, with fair HGS (kappa = 0.268; p = 0.124). PG-SGA and AC (kappa = 0.015; p = 0.99), TSF (kappa = 0.195; p = 0.558) and AMC adequacy (kappa = 0.142; p = 0.380) were poor. PG-SGA can diagnose malnutrition, even in those who are eutrophic/overweight, by other methods. Various methods do not show concordance with PG-SGA, confirming the need for both objective and subjective methods for better diagnosis of CRC patients.

更新日期：2021-11-09

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