Erkul Cahit, Dayi Taygun, Ahmed Melin Aydan, Saip Pinar, Oniz Adile
Department of Nutrition and Dietetics, Faculty of Health Sciences, Near East University, Mersin 99138, Turkey.
Department of Nutrition and Dietetics, Near East University Hospital, Mersin 99138, Turkey.
Nutrients. 2025 Aug 4;17(15):2551. doi: 10.3390/nu17152551.
: Cancer is a complex disease that affects patients' nutritional and psychological status. This study aimed to assess the nutritional status of patients diagnosed with lung and gastrointestinal system cancers and evaluate its association with anthropometric measurements, nutrient intake, and psychological symptoms. : This cross-sectional study was conducted with 180 patients with lung and gastrointestinal system cancers. Data were collected face-to-face by a questionnaire that included the Subjective Global Assessment-(SGA), Cachexia Assessment Criteria, 24 h Food Consumption Record, and Symptom Checklist-90-Revised-(SCL-90-R). Some anthropometric measurements were collected. : Body Mass Index (BMI) was found to be significantly lower ( < 0.001) in SGA-B (moderately malnourished) and SGA-C (severely malnourished) compared to those in SGA-A (well-nourished). The calf circumference was significantly lower ( = 0.002) in SGA-C compared to those in SGA-A and SGA-B. The mean SGA scores were found to be higher in cachexia-diagnosed participants ( < 0.001). The energy intake of SGA-C was significantly lower than SGA-A and SGA-B ( < 0.001). In addition, the energy intake of SGA-B was lower than SGA-A ( < 0.001). The protein intake of SGA-C was lower than SGA-A and SGA-B ( < 0.001). The protein intake of SGA-B was lower than SGA-A ( < 0.001). Regarding the intake of vitamins A, C, E, B1, and B6 and carotene, folate, potassium, magnesium, phosphorus, iron, and zinc, SGA-B and SGA-C were significantly lower than SGA-A ( < 0.001). Additionally, only phobic anxiety was found to be significantly higher in SGA-B than in SGA-A (: 0.024). : As the level of malnutrition increased, a reduction in some nutrient intake and anthropometric measurements was observed. No significant difference was found in any psychological symptoms except phobic anxiety. With this in mind, it is important that every cancer patient, regardless of the stage of the disease, is referred to a dietitian from the time of diagnosis.
癌症是一种复杂的疾病,会影响患者的营养和心理状态。本研究旨在评估被诊断患有肺癌和胃肠道系统癌症患者的营养状况,并评估其与人体测量指标、营养摄入及心理症状之间的关联。
这项横断面研究对180例肺癌和胃肠道系统癌症患者进行。通过一份问卷进行面对面数据收集,问卷包括主观全面评定法(SGA)、恶病质评估标准、24小时食物消耗记录以及症状自评量表-90修订版(SCL-90-R)。还收集了一些人体测量指标。
发现与SGA-A(营养良好)组相比,SGA-B(中度营养不良)组和SGA-C(重度营养不良)组的体重指数(BMI)显著更低(<0.001)。与SGA-A组和SGA-B组相比,SGA-C组的小腿围显著更低(=0.002)。在被诊断为恶病质的参与者中,平均SGA评分更高(<0.001)。SGA-C组的能量摄入量显著低于SGA-A组和SGA-B组(<0.001)。此外,SGA-B组的能量摄入量低于SGA-A组(<0.001)。SGA-C组的蛋白质摄入量低于SGA-A组和SGA-B组(<0.001)。SGA-B组的蛋白质摄入量低于SGA-A组(<0.001)。关于维生素A、C、E、B1、B6以及胡萝卜素、叶酸、钾、镁、磷、铁和锌的摄入量,SGA-B组和SGA-C组显著低于SGA-A组(<0.001)。此外,仅发现SGA-B组的恐惧焦虑显著高于SGA-A组(: 0.024)。
随着营养不良程度的增加,观察到一些营养摄入量和人体测量指标有所下降。除恐惧焦虑外,在任何心理症状方面均未发现显著差异。考虑到这一点,重要的是,每一位癌症患者,无论疾病处于何种阶段,从确诊之时起就应转诊至营养师处。