Chermiti Ben Abdallah Fatma, Ben Saïd Hanène, Chamkhi Najiba, Ferchichi Marwa, Chtourou Amel, Taktak Sofia, Ben Kheder Ali
Tunis Med. 2013 Oct;91(10):600-4.
Lung cancer is the leading cause of cancer-related mortality worldwide. Malnutrition is a common problem among patients with cancer, affecting up to 85% of patients with certain cancers and represents a risk factor for poor prognosis. aim: evaluate nutritional status in patients with lung cancer before and during treatment using nutritional risk index.
it's a prospective study conducted in pneumology IV department in Abderahman Mami hospital, from January to May 2011. 30 male patients with a lung cancer were included. Nutritional status was assessed before and during treatment based on anthropometric measures, biological markers and nutritional risk index (NRI).
Mean age of patients was 58 ± 12 years, ranging from 19 to 82 years. 29 patients had non small cell lung cancer and one patient had small cell cancer. Malnutrition was noted in 14 patients (47%) before treatment according to the NRI. It was noted in 23 patients (77%) after three cycles of chemotherapy with severe malnutrition in 8 patients. Relationship between body mass index (BMI) and the NRI was linear, but NRI tends to evaluate more objectively risk of malnutrition in patients with lung cancer.
Nutritional assessment in patient with lung cancer should be performed systematically, early and repeatedly. Several markers can be used such as BMI and NRI. Nutritional support will reduce morbidity and improve quality of life in patients with lung cancer.
肺癌是全球癌症相关死亡的主要原因。营养不良是癌症患者中的常见问题，在某些癌症患者中高达85%，是预后不良的危险因素。目的：使用营养风险指数评估肺癌患者治疗前和治疗期间的营养状况。
这是一项于2011年1月至5月在阿卜杜勒拉赫曼·马米医院呼吸内科四病区进行的前瞻性研究。纳入30例男性肺癌患者。根据人体测量指标、生物标志物和营养风险指数（NRI）在治疗前和治疗期间评估营养状况。
患者的平均年龄为58±12岁，范围为19至82岁。29例患者患有非小细胞肺癌，1例患者患有小细胞癌。根据NRI，治疗前14例患者（47%）存在营养不良。三个化疗周期后，23例患者（77%）出现营养不良，其中8例为严重营养不良。体重指数（BMI）与NRI之间呈线性关系，但NRI倾向于更客观地评估肺癌患者的营养不良风险。
应对肺癌患者进行系统、早期和反复的营养评估。可使用多种标志物，如BMI和NRI。营养支持将降低肺癌患者的发病率并改善其生活质量。
