Nutrition Screening by MUST on the Oncological Patient in Radiotherapy

Introduction: Radiotherapy contributes to the reduction of food intake and increased weight loss due to the appearance of gastrointestinal symptoms, which consequently leads to malnutrition. Objective: Identify nutritional risk through the Malnutrition Universal Screening Tool (MUST), in patients su...

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Autores: dos Santos, Paula Acevedo Souza, Cunha, Tamires Regina da Silva, Cabral, Edla Karina, Soares, Bruna Lúcia de Mendonça, Maio, Regiane, Burgos, Maria Gorete Pessoa de Araújo
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2016
País:Brasil
Institución:Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA)
Repositorio:Revista Brasileira de Cancerologia (Online)
Idioma:portugués
OAI Identifier:oai:rbc.inca.gov.br:article/176
Acceso en línea:https://rbc.inca.gov.br/index.php/revista/article/view/176
Access Level:acceso abierto
Palabra clave:Neoplasias/radioterapia
Radioterapia
Avaliação Nutricional
Índice de Massa Corporal
Estado Nutricional
Consumo de Alimentos
Neoplasms/radiotherapy
Radiotherapy
Nutrition Assessment
Body Mass Index
Nutritional Status
Food Consumption
Evaluación Nutricional
Índice de Masa Corporal
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oai_identifier_str oai:rbc.inca.gov.br:article/176
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dc.title.none.fl_str_mv Nutrition Screening by MUST on the Oncological Patient in Radiotherapy
Triage Nutricional por médio de MUST para Pacientes Oncológicos en Radioterapia
Triagem Nutricional por meio do MUST no Paciente Oncológico em Radioterapia
title Nutrition Screening by MUST on the Oncological Patient in Radiotherapy
spellingShingle Nutrition Screening by MUST on the Oncological Patient in Radiotherapy
dos Santos, Paula Acevedo Souza
Neoplasias/radioterapia
Radioterapia
Avaliação Nutricional
Índice de Massa Corporal
Estado Nutricional
Consumo de Alimentos
Neoplasms/radiotherapy
Radiotherapy
Nutrition Assessment
Body Mass Index
Nutritional Status
Food Consumption
Neoplasias/radioterapia
Radioterapia
Evaluación Nutricional
Índice de Masa Corporal
Estado Nutricional
Consumo de Alimentos
title_short Nutrition Screening by MUST on the Oncological Patient in Radiotherapy
title_full Nutrition Screening by MUST on the Oncological Patient in Radiotherapy
title_fullStr Nutrition Screening by MUST on the Oncological Patient in Radiotherapy
title_full_unstemmed Nutrition Screening by MUST on the Oncological Patient in Radiotherapy
title_sort Nutrition Screening by MUST on the Oncological Patient in Radiotherapy
dc.creator.none.fl_str_mv dos Santos, Paula Acevedo Souza
Cunha, Tamires Regina da Silva
Cabral, Edla Karina
Soares, Bruna Lúcia de Mendonça
Maio, Regiane
Burgos, Maria Gorete Pessoa de Araújo
author dos Santos, Paula Acevedo Souza
author_facet dos Santos, Paula Acevedo Souza
Cunha, Tamires Regina da Silva
Cabral, Edla Karina
Soares, Bruna Lúcia de Mendonça
Maio, Regiane
Burgos, Maria Gorete Pessoa de Araújo
author_role author
author2 Cunha, Tamires Regina da Silva
Cabral, Edla Karina
Soares, Bruna Lúcia de Mendonça
Maio, Regiane
Burgos, Maria Gorete Pessoa de Araújo
author2_role author
author
author
author
author
dc.subject.por.fl_str_mv Neoplasias/radioterapia
Radioterapia
Avaliação Nutricional
Índice de Massa Corporal
Estado Nutricional
Consumo de Alimentos
Neoplasms/radiotherapy
Radiotherapy
Nutrition Assessment
Body Mass Index
Nutritional Status
Food Consumption
Neoplasias/radioterapia
Radioterapia
Evaluación Nutricional
Índice de Masa Corporal
Estado Nutricional
Consumo de Alimentos
topic Neoplasias/radioterapia
Radioterapia
Avaliação Nutricional
Índice de Massa Corporal
Estado Nutricional
Consumo de Alimentos
Neoplasms/radiotherapy
Radiotherapy
Nutrition Assessment
Body Mass Index
Nutritional Status
Food Consumption
Neoplasias/radioterapia
Radioterapia
Evaluación Nutricional
Índice de Masa Corporal
Estado Nutricional
Consumo de Alimentos
description Introduction: Radiotherapy contributes to the reduction of food intake and increased weight loss due to the appearance of gastrointestinal symptoms, which consequently leads to malnutrition. Objective: Identify nutritional risk through the Malnutrition Universal Screening Tool (MUST), in patients submitted to radiotherapy for the treatment of cancer. Method: Cross-sectional study with outpatients at the radiotherapy service of the Cancer Hospital of Pernambuco, during October 2014 until May 2015. Socio-demographic characteristics, lifestyle (smoking, alcohol use and physical activity), anthropometric variables (habitual weight, current weight and body mass index), comorbidities (hypertension and diabetes), tumor type, time since diagnosis and duration of treatment were evaluated. Nutritional risk was assessed using the MUST, which classifies patients as being at low, medium or high nutritional risk. Results: 150 patients were studied with an average age of 47.3 years, with a predominance of women (72%) and similar proportions of adults and elderly individuals. The sample mainly comprised individuals from in-state regions and inactive/retired individuals who received one to three times the minimum salary. Nutritional risk was significantly higher among elderly individuals (62.9%), among whom high risk predominated (45.7%), whereas most adults had no risk (61.2%). The most frequent tumors were gynecological (59.4%) with weight gain (33.3%), followed by tumors of the head and neck region with a high degree of weight loss (p = 0.007). Conclusion: The use of MUST led to the detection of nutritional risk in 50% of the studied patients, with a predominance of elderly individuals, the majority of whom were at high risk. Tumors of the head and neck led to weight loss, whereas gynecological tumors led to weight gain. Out-patient nutritional screening is important for the early establishment of specialized nutritional counseling.
publishDate 2016
dc.date.none.fl_str_mv 2016-03-31
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
Artigos, Avaliado pelos pares
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://rbc.inca.gov.br/index.php/revista/article/view/176
10.32635/2176-9745.RBC.2016v62n1.176
url https://rbc.inca.gov.br/index.php/revista/article/view/176
identifier_str_mv 10.32635/2176-9745.RBC.2016v62n1.176
dc.language.iso.fl_str_mv por
language por
dc.relation.none.fl_str_mv https://rbc.inca.gov.br/index.php/revista/article/view/176/101
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv INCA
publisher.none.fl_str_mv INCA
dc.source.none.fl_str_mv Revista Brasileira de Cancerologia; Vol. 62 No. 1 (2016): Jan./Feb./Mar.; 27-34
Revista Brasileira de Cancerologia; Vol. 62 Núm. 1 (2016): enero/feb./marzo; 27-34
Revista Brasileira de Cancerologia; v. 62 n. 1 (2016): jan./fev./mar.; 27-34
2176-9745
reponame:Revista Brasileira de Cancerologia (Online)
instname:Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA)
instacron:INCA
instname_str Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA)
instacron_str INCA
institution INCA
reponame_str Revista Brasileira de Cancerologia (Online)
collection Revista Brasileira de Cancerologia (Online)
repository.name.fl_str_mv Revista Brasileira de Cancerologia (Online) - Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA)
repository.mail.fl_str_mv rbc@inca.gov.br
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spelling Nutrition Screening by MUST on the Oncological Patient in RadiotherapyTriage Nutricional por médio de MUST para Pacientes Oncológicos en RadioterapiaTriagem Nutricional por meio do MUST no Paciente Oncológico em RadioterapiaNeoplasias/radioterapiaRadioterapiaAvaliação NutricionalÍndice de Massa CorporalEstado NutricionalConsumo de AlimentosNeoplasms/radiotherapyRadiotherapyNutrition AssessmentBody Mass IndexNutritional StatusFood ConsumptionNeoplasias/radioterapiaRadioterapiaEvaluación NutricionalÍndice de Masa CorporalEstado NutricionalConsumo de AlimentosIntroduction: Radiotherapy contributes to the reduction of food intake and increased weight loss due to the appearance of gastrointestinal symptoms, which consequently leads to malnutrition. Objective: Identify nutritional risk through the Malnutrition Universal Screening Tool (MUST), in patients submitted to radiotherapy for the treatment of cancer. Method: Cross-sectional study with outpatients at the radiotherapy service of the Cancer Hospital of Pernambuco, during October 2014 until May 2015. Socio-demographic characteristics, lifestyle (smoking, alcohol use and physical activity), anthropometric variables (habitual weight, current weight and body mass index), comorbidities (hypertension and diabetes), tumor type, time since diagnosis and duration of treatment were evaluated. Nutritional risk was assessed using the MUST, which classifies patients as being at low, medium or high nutritional risk. Results: 150 patients were studied with an average age of 47.3 years, with a predominance of women (72%) and similar proportions of adults and elderly individuals. The sample mainly comprised individuals from in-state regions and inactive/retired individuals who received one to three times the minimum salary. Nutritional risk was significantly higher among elderly individuals (62.9%), among whom high risk predominated (45.7%), whereas most adults had no risk (61.2%). The most frequent tumors were gynecological (59.4%) with weight gain (33.3%), followed by tumors of the head and neck region with a high degree of weight loss (p = 0.007). Conclusion: The use of MUST led to the detection of nutritional risk in 50% of the studied patients, with a predominance of elderly individuals, the majority of whom were at high risk. Tumors of the head and neck led to weight loss, whereas gynecological tumors led to weight gain. Out-patient nutritional screening is important for the early establishment of specialized nutritional counseling.Introducción: La radioterapia contribuye a la reducción de la ingesta de alimentos y el aumento de la pérdida de peso debido a la aparición de los síntomas gastrointestinales, que en consecuencia lleva a la desnutrición. Objetivo: Identificar el riesgo nutricional, a través del Malnutrition Universal Screening Tool (MUST), en pacientes con cáncer sometidos a radioterapia. Método: Estudio transversal con pacientes ambulatorios en el servicio de radioterapia del Hospital de Cáncer de Pernambuco, realizado desde octubre/2014 hasta mayo/2015. Se evaluaron características sociodemográficas, estilo de vida (tabaco, alcohol y actividad física), variables antropométricas (peso habitual, actual e ICM), comorbideces (hipertensión y diabetes), tipos de neoplasias, tiempo de diagnóstico y tratamiento. El riesgo nutricional se evaluó utilizándose el MUST que clasifica al paciente en bajo, medio y alto riesgo nutricional. Resultados: Se estudiaron 150 pacientes com promedio de edad de 47,3 años, en su mayoría mujeres (el 72%) y proporciones semejantes de adultos y ancianos. Se observó que la mayoría del grupo era procedente del interior del Estado, inactivos/jubilados y recibían 1-3 sueldos mínimos. El riesgo nutricional significante fue mayor em los ancianos (el 62,9%) en el que predominó el alto riesgo (el 45,7%), mientras en los ancianos la mayoría evidenció sin riesgo (el 61,2%). Las neoplasias más frecuentes fueron las ginecológicas (el 59,4%) con aumento de peso del 33,3%; en seguida, los tumores de cabeza y cuello con elevada pérdida ponderal (p=0,007). Conclusión: El MUST detectó riesgo nutricional en el 50% de los pacientes estudiados, con predominancia en los ancianos, la mayoría con alto riesgo. En la neoplasia de cabeza y cuello predominó la pérdida ponderal, mientras que en el ginecológico el aumento de peso. Se resalta la importancia de la realización de selección ambulatorio para instituir precozmente una terapia nutricional especializada.Introdução: A radioterapia contribui para a redução da ingestão alimentar e maior perda de peso, devido ao aparecimento de sintomas gastrointestinais, o que consequentemente leva à desnutrição. Objetivo: Identificar o risco nutricional, por meio do Malnutrition Universal Screening Tool (MUST), em pacientes com câncer submetidos à radioterapia. Método: Estudo transversal, realizado com pacientes ambulatoriais do Serviço de Radioterapia do Hospital de Câncer de Pernambuco, durante outubro/2014 a maio/2015. Foram avaliadas as características socioeconômicas, demográficas, estilo de vida (fumo, álcool e atividade física), variáveis antropométricas (peso habitual, atual e IMC), comorbidades (hipertensão e diabetes), tipos de neoplasias, tempo de diagnóstico e tratamento. O risco nutricional foi identificado utilizando-se o MUST, que classifica o paciente com risco ou sem risco, e em baixo, médio e alto risco nutricional. Resultados: Foram estudados 150 pacientes com média de idade de 47,3 anos, a maioria mulheres (72%) e proporções semelhantes de adultos e idosos. Observou-se que a maioria do grupo era procedente do interior do Estado, inativos/aposentados e recebiam 1-3 salários mínimos. O risco nutricional foi significantemente maior nos idosos (62,9%), em que predominou o alto risco (45,7%), enquanto nos adultos a maioria evidenciou sem risco (61,2%). As neoplasias mais frequentes foram as ginecológicas (59,4%) com ganho de peso de 33,3%; em seguida, os tumores de cabeça e pescoço com elevada perda ponderal (p=0,007). Conclusão: O MUST detectou risco nutricional em 50% dos pacientes estudados, com predominância nos idosos, a maioria com alto risco. Na neoplasia de cabeça e pescoço, predominou a perda ponderal; enquanto, no ginecológico, o ganho de peso. Ressalta-se a importância da realização de triagem ambulatorial para instituir precocemente uma terapia nutricional especializada.INCA2016-03-31info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionArtigos, Avaliado pelos paresapplication/pdfhttps://rbc.inca.gov.br/index.php/revista/article/view/17610.32635/2176-9745.RBC.2016v62n1.176Revista Brasileira de Cancerologia; Vol. 62 No. 1 (2016): Jan./Feb./Mar.; 27-34Revista Brasileira de Cancerologia; Vol. 62 Núm. 1 (2016): enero/feb./marzo; 27-34Revista Brasileira de Cancerologia; v. 62 n. 1 (2016): jan./fev./mar.; 27-342176-9745reponame:Revista Brasileira de Cancerologia (Online)instname:Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA)instacron:INCAporhttps://rbc.inca.gov.br/index.php/revista/article/view/176/101info:eu-repo/semantics/openAccessdos Santos, Paula Acevedo SouzaCunha, Tamires Regina da SilvaCabral, Edla KarinaSoares, Bruna Lúcia de MendonçaMaio, RegianeBurgos, Maria Gorete Pessoa de Araújo2021-11-29T20:08:00Zoai:rbc.inca.gov.br:article/176Revistahttps://rbc.inca.gov.br/index.php/revistaPUBhttps://rbc.inca.gov.br/index.php/revista/oairbc@inca.gov.br0034-71162176-9745opendoar:2021-11-29T20:08Revista Brasileira de Cancerologia (Online) - Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA)false
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