a Department of Food and Nutrition , Tri-Service General Hospital , Taipei , Taiwan , ROC.
b School of Public Health , National Defense Medical Center , Taipei, Taiwan , ROC.
Nutr Cancer. 2019;71(3):452-460. doi: 10.1080/01635581.2018.1516791. Epub 2018 Nov 21.
Malnutrition increases the risk of cancer treatment-related complications. Nutritional intervention is beneficial for the outcomes of outpatients with cancer. This study investigated the impacts of nutrition consultation and care on energy intake and weight change in inpatients receiving cancer treatment.
We conducted a longitudinal study, enrolling 3221 inpatients with head and neck, lung, hepatobiliary, upper gastrointestinal, colorectal, breast, or gynecological cancer who received at least two nutrition consultations between April 2010 and July 2015. In every consultation, a dietitian calculated the total energy requirement and the actual energy intake was assessed using a 24-h dietary recall.
Patients with head and neck cancer lost the most weight (1.16 kg/mo). For every consultation, a 0.03-kg weight gain per month was observed (P = 0.001). The average energy consumption percentage (% estimated energy requirement) at the third consultation was 87.0%. After controlling for potential covariates, the energy consumption percentages at the third, fourth, fifth-seventh, eighth, and subsequent consultations were significantly higher than those at the first consultation (P < 0.05).
For oncology inpatients, routine screening and at least three active nutrition consultations with dietitians effectively improved energy intake and preserved body weight.
营养不良会增加癌症治疗相关并发症的风险。营养干预有益于癌症门诊患者的结局。本研究调查了营养咨询和护理对接受癌症治疗的住院患者能量摄入和体重变化的影响。
我们进行了一项纵向研究，共纳入了 3221 名头颈部、肺部、肝胆、上消化道、结直肠、乳腺或妇科癌症住院患者，这些患者在 2010 年 4 月至 2015 年 7 月期间至少接受了两次营养咨询。每次咨询时，营养师计算总能量需求，并用 24 小时膳食回顾法评估实际能量摄入。
头颈部癌症患者体重减轻最多（1.16kg/月）。每次咨询都观察到体重每月增加 0.03kg（P=0.001）。第三次咨询时的平均能量消耗百分比（%估计能量需求）为 87.0%。在控制了潜在的混杂因素后，第三次、第四次、第五至第七次、第八次和随后的咨询的能量消耗百分比明显高于第一次咨询（P<0.05）。
对于肿瘤住院患者，常规筛查和至少三次与营养师的积极营养咨询可以有效增加能量摄入并维持体重。
