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营养不良与癌症患者抑郁的相关性:癌症护理中营养状况评估的重要性。

Association between Malnutrition and Depression in Patients with Cancer: The Importance of Nutritional Status Evaluation in Cancer Care.

机构信息

Nutritional Support Unit, Veneto Institute of Oncology IOV-IRCCS, 35128 Padua, Italy.

Department of Biomedical Sciences for Health, University of Milan, 20133 Milan, Italy.

出版信息

Int J Environ Res Public Health. 2023 Jan 27;20(3):2295. doi: 10.3390/ijerph20032295.

Abstract

Cancer patients are at risk of several comorbid conditions, including nutritional issues and mental health illnesses. The objective of the current study was to estimate the prevalence, upon hospital admission, of depression and malnutrition among adults with cancer. A retrospective chart review was conducted using health information collected as part of routine assistance. Nutritional status was measured through structured tools, including body mass index (BMI), Nutrition Risk Screening (NRS) 2002, and dietary intake needs. Depression was assessed with the Hospital Anxiety and Depression Scale (HAD). Cancer site, disease stage, length of hospitalization, age, and sex were also considered. Multivariate analyses were used to investigate the association between malnutrition and depression. In summary, our study reveals that malnutrition increases the risk of depression among cancer patients. The findings can also be used in clinical oncology for the implementation of appropriate prevention and treatment interventions in order to reduce the extent of depression and thus improve cancer patients' quality of life and survival rate.

摘要

癌症患者存在多种合并症的风险,包括营养问题和心理健康疾病。本研究的目的是评估癌症患者入院时抑郁和营养不良的患病率。使用健康信息作为常规辅助的一部分进行回顾性图表审查。营养状况通过结构工具进行测量,包括体重指数 (BMI)、营养风险筛查 (NRS) 2002 和饮食摄入需求。使用医院焦虑和抑郁量表 (HAD) 评估抑郁。还考虑了癌症部位、疾病阶段、住院时间、年龄和性别。使用多变量分析来研究营养不良与抑郁之间的关联。总之,我们的研究表明,营养不良会增加癌症患者患抑郁症的风险。这些发现还可以在临床肿瘤学中用于实施适当的预防和治疗干预措施,以减少抑郁症的程度,从而提高癌症患者的生活质量和生存率。

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