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SARS-CoV-2 封锁后住院癌症患者的营养状况和炎症的影响。

Impact on the Nutritional Status and Inflammation of Patients with Cancer Hospitalized after the SARS-CoV-2 Lockdown.

机构信息

Department of Endocrinology and Nutrition, Clínica Universidad de Navarra, 31008 Pamplona, Spain.

Navarra Institute for Health Research, IdiSNA, 31008 Pamplona, Spain.

出版信息

Nutrients. 2022 Jul 2;14(13):2754. doi: 10.3390/nu14132754.

DOI:10.3390/nu14132754
PMID:35807934
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9268830/
Abstract

Many studies have demonstrated that malnutrition has a negative impact on quality of life and mortality in patients with cancer. During the SARS-CoV-2 lockdown, dietary intake changes were detected in the Spanish population, reflecting an increase in the consumption of fruit, bread, flours, and eggs. The present study analyzed the nutritional status of 728 patients with cancer admitted once the SARS-CoV-2 lockdown finished, comparing it with the previous year as well as with mortality rates. The Malnutrition Universal Screening Tool (MUST) was applied in the first 24 h after admission. Age, gender, days of stay, circulating concentrations of albumin, cholesterol, C-reactive protein (CRP), lymphocytes, prealbumin, and mortality data were analyzed. Patients with cancer admitted between June and December of 2020 exhibited no statistical differences in BMI, age, or gender as compared to patients admitted in 2019. Statistically significant differences in nutritional status (p < 0.05), albumin (p < 0.001), and CRP (p = 0.005) levels regarding lockdown were observed in relation with a small non-significant reduction in mortality. In conclusion, following the SARS-CoV-2 lockdown, an improved nutritional status in cancer patients at admission was observed with a decrease in the percentage of weight loss and CRP levels together with an increase in albumin levels compared to oncological patients admitted the previous year.

摘要

许多研究表明,营养不良会对癌症患者的生活质量和死亡率产生负面影响。在 SARS-CoV-2 封锁期间,西班牙人口的饮食摄入发生了变化,反映出水果、面包、面粉和鸡蛋的消费增加。本研究分析了 SARS-CoV-2 封锁结束后入院的 728 例癌症患者的营养状况,将其与前一年以及死亡率进行了比较。入院后 24 小时内应用营养不良通用筛查工具(MUST)进行评估。分析了年龄、性别、住院天数、白蛋白、胆固醇、C 反应蛋白(CRP)、淋巴细胞、前白蛋白的循环浓度和死亡率数据。与 2019 年入院的患者相比,2020 年 6 月至 12 月入院的癌症患者在 BMI、年龄或性别方面没有统计学差异。与前一年相比,封锁期间营养状况(p < 0.05)、白蛋白(p < 0.001)和 CRP(p = 0.005)水平存在统计学显著差异,死亡率略有下降但无统计学意义。总之,SARS-CoV-2 封锁后,与前一年入院的肿瘤患者相比,入院时癌症患者的营养状况得到改善,体重减轻百分比、CRP 水平下降,白蛋白水平升高。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cf8b/9268830/4ac37bca857a/nutrients-14-02754-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cf8b/9268830/ebf0d40fa2e3/nutrients-14-02754-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cf8b/9268830/441c410d17ec/nutrients-14-02754-g002.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cf8b/9268830/4ac37bca857a/nutrients-14-02754-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cf8b/9268830/ebf0d40fa2e3/nutrients-14-02754-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cf8b/9268830/441c410d17ec/nutrients-14-02754-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cf8b/9268830/703482d289d8/nutrients-14-02754-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cf8b/9268830/4ac9ab6bb3f9/nutrients-14-02754-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cf8b/9268830/4ac37bca857a/nutrients-14-02754-g005.jpg

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