Izaola Olatz, Primo David, López Juan José, Torres Beatriz, Gómez Hoyos Emilia, de Luis Daniel Antonio
Centro de Investigación de Endocrinología y Nutrición Clínica. Facultad de Medicina. Universidad de Valladolid. Servicio de Endocrinología y Nutrición. Hospital Clínico Universitario de Valladolid.
Centro de Investigacion de Endocrinología y Nutricion. Facultad de Medicina y Servicio de Endocrinología y Nutricion. Hospital Clínico Universitario. Universidad de Valladolid.
Nutr Hosp. 2021 Dec 9;38(6):1132-1137. doi: 10.20960/nh.03514.
Background: cancer patients are a group at high nutritional risk. Oral nutritional supplementation (ONS) can improve nutritional status. Objective: the objective of our study was to evaluate the effectiveness on nutritional parameters and quality of life of a ω3-enriched ONS in oncology outpatients in a real-world study. Material and methods: a total of 35 outpatient cancer patients who received 2 ONS per day were recruited. Chemistry, anthropometric, impedance measurement, nutritional survey, malnutrition universal screening tool (MUST) test, and EQ5D quality of life test were all used before and after 3 months of intervention. Results: mean age was 65.4 ± 10.7 years (18 females/17 males). Mean completion of the group was 81.7 ± 7.2 %. During the intervention, total protein (1.5 ± 0.2 g/dL; p = 0.01), albumin (0.9 ± 0.1 mg/dL; p = 0.04), and transferrin (53.9 ± 21.1 mg/dL; p = 0.02) levels increased. At the beginning of the study, 100 % of the patients were in the high nutritional risk category according to MUST. After the intervention, 34.3 % (n = 12) were in the low nutritional risk category, 51.4 % (n = 18) in the moderate nutritional risk category, and only 14.3 % (n = 5) in the category of high nutritional risk; previously, 100 % of patients had high nutritional risk (p = 0.02). The total score in the quality of life test increased significantly (0.51 ± 0.06 vs 0.84 ± 0.03 points; p = 0.01), with improvement in 5 dimensions. Conclusions: the use of a ω3-enriched ONS in a real-world study with cancer outpatients showed a beneficial effect on nutritional parameters and quality of life.
癌症患者是营养风险较高的群体。口服营养补充剂(ONS)可改善营养状况。目的:在一项真实世界研究中,评估富含ω-3的ONS对肿瘤门诊患者营养参数和生活质量的有效性。材料与方法:共招募35例每天接受2次ONS的癌症门诊患者。在干预3个月前后均进行了血液生化检查、人体测量、阻抗测量、营养调查、营养不良通用筛查工具(MUST)测试以及EQ5D生活质量测试。结果:平均年龄为65.4±10.7岁(18名女性/17名男性)。该组平均完成率为81.7±7.2%。在干预期间,总蛋白(1.5±0.2g/dL;p=0.01)、白蛋白(0.9±0.1mg/dL;p=0.04)和转铁蛋白(53.9±21.1mg/dL;p=0.02)水平升高。研究开始时,根据MUST标准,100%的患者处于高营养风险类别。干预后,34.3%(n=12)处于低营养风险类别,51.4%(n=18)处于中度营养风险类别,只有14.3%(n=5)处于高营养风险类别;此前100%的患者为高营养风险(p=0.02)。生活质量测试的总分显著提高(0.51±0.06对0.84±0.03分;p=0.01),5个维度均有改善。结论:在针对癌症门诊患者的真实世界研究中,使用富含ω-3的ONS对营养参数和生活质量显示出有益效果。