A poorer nutritional status impacts quality of life in a sample population of elderly cancer patients
Abstract Rationale Quality of Life (QoL) is impaired in cancer, and the elderly are particularly vulnerable to malnutrition. A diagnosis of cancer in elderly patients further exacerbates risks of negative health outcomes. Here we investigated associations between QoL and nutritional status in a samp...
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| Format: | Article |
| Language: | English |
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BMC
2021-03-01
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| Series: | Health and Quality of Life Outcomes |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12955-021-01735-7 |
| _version_ | 1818728759472160768 |
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| author | Tatiane Correia Rios Lucivalda Pereira Magalhães de Oliveira Maria Lúcia Varjão da Costa Ramona Souza da Silva Baqueiro Boulhosa Anna Karla Carneiro Roriz Lilian Barbosa Ramos Allain Amador Bueno |
| author_facet | Tatiane Correia Rios Lucivalda Pereira Magalhães de Oliveira Maria Lúcia Varjão da Costa Ramona Souza da Silva Baqueiro Boulhosa Anna Karla Carneiro Roriz Lilian Barbosa Ramos Allain Amador Bueno |
| author_sort | Tatiane Correia Rios |
| collection | DOAJ |
| description | Abstract Rationale Quality of Life (QoL) is impaired in cancer, and the elderly are particularly vulnerable to malnutrition. A diagnosis of cancer in elderly patients further exacerbates risks of negative health outcomes. Here we investigated associations between QoL and nutritional status in a sample population of mostly socially deprived elderly cancer patients. Method 432 cancer patients were recruited for this cross-sectional study at point of admission to a tertiary referral hospital for cancer treatment. Patient-generated subjective global assessment (PG-SGA) assessed nutritional status. Functional assessment of cancer therapy- general (FACT-G) quantified QoL. Relationship between PG-SGA and QoL was assessed by Spearman correlation. PG-SGA outcomes were compared against FACT-G scores employing Mann–Whitney test. Bivariate Linear Regression Model was employed to investigate influences of sociodemographic, clinical and nutritional status upon QoL. Results 37.5% of participants were malnourished or at risk. 39% were illiterate and 54.6% had family income lower than minimum wage. Malnourished patients showed lower FACT-G scores (76.8 vs. 84.7; p = 0.000). Poor nutritional diagnosis was inversely correlated with all QoL domains. Bivariate regression analysis showed that lower PG-SGA scores (βo = − 1.00; p = 0.000) contributed to FACT-G score deterioration, the male gender showed better QoL scores, and other clinical and sociodemographic variables did not show relationship. Conclusion Poorer nutritional status was significantly associated with worsened physical, social, emotional and functional well-being QoL domains in elderly cancer patients. Poorer nutritional status is an independent risk factor for worsened QoL. Future policies aimed at particularly vulnerable populations may improve QoL and health outcomes. |
| first_indexed | 2024-12-17T22:35:06Z |
| format | Article |
| id | doaj.art-2dc6c222bb694ae79df61b0dbc48e062 |
| institution | Directory Open Access Journal |
| issn | 1477-7525 |
| language | English |
| last_indexed | 2024-12-17T22:35:06Z |
| publishDate | 2021-03-01 |
| publisher | BMC |
| record_format | Article |
| series | Health and Quality of Life Outcomes |
| spelling | doaj.art-2dc6c222bb694ae79df61b0dbc48e0622022-12-21T21:30:06ZengBMCHealth and Quality of Life Outcomes1477-75252021-03-011911910.1186/s12955-021-01735-7A poorer nutritional status impacts quality of life in a sample population of elderly cancer patientsTatiane Correia Rios0Lucivalda Pereira Magalhães de Oliveira1Maria Lúcia Varjão da Costa2Ramona Souza da Silva Baqueiro Boulhosa3Anna Karla Carneiro Roriz4Lilian Barbosa Ramos5Allain Amador Bueno6Nucleo de Oncologia da Bahia (NOB)Department of Nutrition Sciences, School of Nutrition, Federal University of BahiaDepartment of Nutrition, Hospital Aristides MaltezFood, Nutrition and Health Graduate Program, Federal University of BahiaDepartment of Nutrition Sciences, School of Nutrition, Federal University of BahiaDepartment of Nutrition Sciences, School of Nutrition, Federal University of BahiaCollege of Health, Life and Environmental Sciences, University of WorcesterAbstract Rationale Quality of Life (QoL) is impaired in cancer, and the elderly are particularly vulnerable to malnutrition. A diagnosis of cancer in elderly patients further exacerbates risks of negative health outcomes. Here we investigated associations between QoL and nutritional status in a sample population of mostly socially deprived elderly cancer patients. Method 432 cancer patients were recruited for this cross-sectional study at point of admission to a tertiary referral hospital for cancer treatment. Patient-generated subjective global assessment (PG-SGA) assessed nutritional status. Functional assessment of cancer therapy- general (FACT-G) quantified QoL. Relationship between PG-SGA and QoL was assessed by Spearman correlation. PG-SGA outcomes were compared against FACT-G scores employing Mann–Whitney test. Bivariate Linear Regression Model was employed to investigate influences of sociodemographic, clinical and nutritional status upon QoL. Results 37.5% of participants were malnourished or at risk. 39% were illiterate and 54.6% had family income lower than minimum wage. Malnourished patients showed lower FACT-G scores (76.8 vs. 84.7; p = 0.000). Poor nutritional diagnosis was inversely correlated with all QoL domains. Bivariate regression analysis showed that lower PG-SGA scores (βo = − 1.00; p = 0.000) contributed to FACT-G score deterioration, the male gender showed better QoL scores, and other clinical and sociodemographic variables did not show relationship. Conclusion Poorer nutritional status was significantly associated with worsened physical, social, emotional and functional well-being QoL domains in elderly cancer patients. Poorer nutritional status is an independent risk factor for worsened QoL. Future policies aimed at particularly vulnerable populations may improve QoL and health outcomes.https://doi.org/10.1186/s12955-021-01735-7FACT-GCancerElderlyPG-SGAMalnutrition |
| spellingShingle | Tatiane Correia Rios Lucivalda Pereira Magalhães de Oliveira Maria Lúcia Varjão da Costa Ramona Souza da Silva Baqueiro Boulhosa Anna Karla Carneiro Roriz Lilian Barbosa Ramos Allain Amador Bueno A poorer nutritional status impacts quality of life in a sample population of elderly cancer patients Health and Quality of Life Outcomes FACT-G Cancer Elderly PG-SGA Malnutrition |
| title | A poorer nutritional status impacts quality of life in a sample population of elderly cancer patients |
| title_full | A poorer nutritional status impacts quality of life in a sample population of elderly cancer patients |
| title_fullStr | A poorer nutritional status impacts quality of life in a sample population of elderly cancer patients |
| title_full_unstemmed | A poorer nutritional status impacts quality of life in a sample population of elderly cancer patients |
| title_short | A poorer nutritional status impacts quality of life in a sample population of elderly cancer patients |
| title_sort | poorer nutritional status impacts quality of life in a sample population of elderly cancer patients |
| topic | FACT-G Cancer Elderly PG-SGA Malnutrition |
| url | https://doi.org/10.1186/s12955-021-01735-7 |
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