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癌症患者的饮食摄入与营养状况;成人与老年人的比较。

Dietary intake and nutritional status in cancer patients; comparing adults and older adults.

作者信息

Gómez Valiente da Silva Henyse, Fonseca de Andrade Camila, Bello Moreira Annie Seixas

机构信息

Universidade do Estado de Rio de Janeiro-UERJ. Brazil..

出版信息

Nutr Hosp. 2014 Apr 1;29(4):907-12. doi: 10.3305/nh.2014.29.4.7131.

Abstract

OBJECTIVE

Evaluate the nutrient intake and nutritional status of food in cancer patients admitted to a university hospital, with comparison of adult and older adult age category.

METHODS

Cross-sectional study. This study involved cancer patients admitted to a hospital in 2010. Dietary habits were collected using a Brazilian food frequency questionnaire. Participants were divided in two groups: adults or older adults and in 4-cancer category: hematologic, lung, gastrointestinal and others. Body Mass Index evaluated nutritional status.

RESULTS

A total of 86 patients with a mean age of 56.5 years, with 55% males and 42% older adults were evaluated. The older adult category had a higher frequency of being underweight (24.4% vs 16.3%, p < 0.01) and a lower frequency of being overweight (7% vs. 15.1%, p < 0.01) than adults. Both, adult and older adults had a high frequency of smoking, alcohol consumption and physical inactivity. The older adults had lower consumption of calories, intake of iron and folic acid. Inadequacy of vitamin intake was observed in both groups; respectively, 52%, 43%, 95%, 76% and 88% for Vitamin A, C, D, E and folic acid. The older adults had a higher folic acid and calcium inadequacy than the adults (97% vs 82%, p <0.01; 88% vs 72%, p < 0.01). There was no association of micronutrient intake with cancer, nor with nutritional status.

CONCLUSION

The food intake, macro and micronutrients ingestion is insufficient among cancer individuals. Food intake of older adults was inferior, when compared to the adult category. There was a high prevalence of BMI excess in the adult group and a worst nutritional status in the older adult category.

摘要

目的

评估某大学医院收治的癌症患者的营养摄入及食物营养状况,并比较成年人和老年人这两个年龄组的情况。

方法

横断面研究。本研究纳入了2010年在该医院住院的癌症患者。通过巴西食物频率问卷收集饮食习惯。参与者分为两组:成年人或老年人,以及4种癌症类型:血液系统癌症、肺癌、胃肠道癌症和其他癌症。通过体重指数评估营养状况。

结果

共评估了86例患者,平均年龄56.5岁,其中55%为男性,42%为老年人。与成年人相比,老年人中体重过轻的频率更高(24.4%对16.3%,p<0.01),超重的频率更低(7%对15.1%,p<0.01)。成年人和老年人吸烟、饮酒及身体活动不足的频率都很高。老年人的热量、铁和叶酸摄入量较低。两组均观察到维生素摄入不足;维生素A、C、D、E和叶酸摄入不足的比例分别为52%、43%、95%、76%和88%。老年人叶酸和钙摄入不足的情况比成年人更严重(97%对82%,p<0.01;88%对72%,p<0.01)。微量营养素摄入与癌症及营养状况均无关联。

结论

癌症患者的食物摄入量、宏量营养素和微量营养素摄入量不足。与成年人相比,老年人的食物摄入量较差。成年组体重指数超标患病率较高,老年组营养状况更差。

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