Body Composition and Biochemical Parameters of Nutritional Status: Correlation with Health-Related Quality of Life in Patients with Colorectal Cancer

Up to 60% of colorectal cancer (CRC) patients develop malnutrition, affecting treatment effectiveness, increasing toxicity, postoperative complications, hospital stay, and worsening health-related quality of life (HRQOL). This cross-sectional study analyzed data from 48 women and 65 men with CRC. We...

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Main Authors: Luz-Ma-Adriana Balderas-Peña, Faviola González-Barba, Brenda-Eugenia Martínez-Herrera, Ulises-Rodrigo Palomares-Chacón, Oscar Durán-Anguiano, Mario Salazar-Páramo, Eduardo Gómez-Sánchez, Carlos Dávalos-Cobián, Arnulfo-Hernán Nava-Zavala, Guillermo-Allan Hernández-Chávez, Daniel Sat-Muñoz
Format: Article
Language:English
Published: MDPI AG 2020-07-01
Series:Nutrients
Subjects:
Online Access:https://www.mdpi.com/2072-6643/12/7/2110
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author Luz-Ma-Adriana Balderas-Peña
Faviola González-Barba
Brenda-Eugenia Martínez-Herrera
Ulises-Rodrigo Palomares-Chacón
Oscar Durán-Anguiano
Mario Salazar-Páramo
Eduardo Gómez-Sánchez
Carlos Dávalos-Cobián
Arnulfo-Hernán Nava-Zavala
Guillermo-Allan Hernández-Chávez
Daniel Sat-Muñoz
author_facet Luz-Ma-Adriana Balderas-Peña
Faviola González-Barba
Brenda-Eugenia Martínez-Herrera
Ulises-Rodrigo Palomares-Chacón
Oscar Durán-Anguiano
Mario Salazar-Páramo
Eduardo Gómez-Sánchez
Carlos Dávalos-Cobián
Arnulfo-Hernán Nava-Zavala
Guillermo-Allan Hernández-Chávez
Daniel Sat-Muñoz
author_sort Luz-Ma-Adriana Balderas-Peña
collection DOAJ
description Up to 60% of colorectal cancer (CRC) patients develop malnutrition, affecting treatment effectiveness, increasing toxicity, postoperative complications, hospital stay, and worsening health-related quality of life (HRQOL). This cross-sectional study analyzed data from 48 women and 65 men with CRC. We correlated scores of the scales from the questionnaires EORTC (European Organisation for Research and Treatment of Cancer) Quality of Life Questionnaire Core 30 (QLQ)-C30 and Colorectal Cancer module Colorectal 29 (QLQ-CR29) with patients’ body composition and clinical and biochemical indicators of nutritional status. Results: Scores on quality of life were negatively associated with the lymphocyte count (rP = −0.386) and the fat trunk percentage (rP = −0.349) in the women’s group. Scores on the physical and role functioning were inversely associated with the adiposity percentage (rP = −0.486 and rP = −0.411, respectively). In men, total skeletal muscle mass (SMM) was positively associated with emotional functioning (rP = 0.450); the trunk SMM was negatively related to fatigue (rP = −0.586), nausea and vomiting (rP = −0.469), pain (rP = −0.506), and financial difficulties (rP = −0.475); additionally, serum albumin was positively related to physical, emotional, and social functioning scales (rPs = 0.395, 0.453, and 0.363, respectively) and negatively to fatigue (rP = −0.362), nausea and vomiting (rP = −0.387), and appetite loss (rP = −0.347). Among the men, the reduced SMM and biochemical, nutritional parameters were related to low scores on the EORTC QLQ-C30 and QLQ-CR29 functioning scales. In conclusion, in patients with CRC, malnourishment could have a profound effect on the patients’ functionality and QoL (quality of life).
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spelling doaj.art-8777f4ac321546bc8cd8f71e175cf4de2023-11-20T06:57:36ZengMDPI AGNutrients2072-66432020-07-01127211010.3390/nu12072110Body Composition and Biochemical Parameters of Nutritional Status: Correlation with Health-Related Quality of Life in Patients with Colorectal CancerLuz-Ma-Adriana Balderas-Peña0Faviola González-Barba1Brenda-Eugenia Martínez-Herrera2Ulises-Rodrigo Palomares-Chacón3Oscar Durán-Anguiano4Mario Salazar-Páramo5Eduardo Gómez-Sánchez6Carlos Dávalos-Cobián7Arnulfo-Hernán Nava-Zavala8Guillermo-Allan Hernández-Chávez9Daniel Sat-Muñoz10Unidad de Investigación Biomédica 02, UMAE Hospital de Especialidades (HE), Centro Médico Nacional de Occidente (CMNO), Instituto Mexicano del Seguro Social (IMSS), 1000 Belisario Domínguez, Colonia Independencia, Guadalajara, Jalisco 44340, MexicoUnidad de Investigación Biomédica 02, UMAE Hospital de Especialidades (HE), Centro Médico Nacional de Occidente (CMNO), Instituto Mexicano del Seguro Social (IMSS), 1000 Belisario Domínguez, Colonia Independencia, Guadalajara, Jalisco 44340, MexicoUnidad de Investigación Biomédica 02, UMAE Hospital de Especialidades (HE), Centro Médico Nacional de Occidente (CMNO), Instituto Mexicano del Seguro Social (IMSS), 1000 Belisario Domínguez, Colonia Independencia, Guadalajara, Jalisco 44340, MexicoServicio de Coloproctología, Unidad Médica de Alta Especialidad (UMAE), Hospital de Especialidades (HE), Centro Médico Nacional de Occidente (CMNO), Instituto Mexicano del Seguro Social (IMSS), 1000 Belisario Domínguez, Colonia Independencia, Guadalajara, Jalisco 44340, MexicoServicio de Coloproctología, Unidad Médica de Alta Especialidad (UMAE), Hospital de Especialidades (HE), Centro Médico Nacional de Occidente (CMNO), Instituto Mexicano del Seguro Social (IMSS), 1000 Belisario Domínguez, Colonia Independencia, Guadalajara, Jalisco 44340, MexicoAcademia de Inmunología, Departamento de Fisiología, Centro Universitario de Ciencias de la Salud (CUCS), Universidad de Guadalajara (UdG), 950 Sierra Mojada, Gate 7, Building O, 1st level, Colonia Independencia, Guadalajara, Jalisco 44340, MexicoDivisión de Disciplinas Básicas para Salud, Centro Universitario de Ciencias de la Salud (CUCS), Universidad de Guadalajara (UdG), Sierra Mojada 950, Edificio N, Puerta 1, Planta Baja, Colonia Independencia, Guadalajara, Jalisco 44340, MexicoDepartamento Clínico de Gastroenterología Endoscópica, Unidad Médica de Alta Especialidad (UMAE), Hospital de Especialidades (HE), Centro Médico Nacional de Occidente (CMNO,) Instituto Mexicano del Seguro Social (IMSS), 1000 Belisario Domínguez, Colonia Independencia, Guadalajara, Jalisco 44340, MexicoUnidad de Investigación Biomédica 02, UMAE Hospital de Especialidades (HE), Centro Médico Nacional de Occidente (CMNO), Instituto Mexicano del Seguro Social (IMSS), 1000 Belisario Domínguez, Colonia Independencia, Guadalajara, Jalisco 44340, MexicoDivisión de Oncología Hematología, UMAE, Hospital de Especialidades, Centro Médico Nacional de Occidente, Instituto Mexicano del Seguro Social, 1000 Belisario Domínguez, Colonia Independencia, Guadalajara, Jalisco 44340, MexicoDepartamento de Morfología, Centro Universitario de Ciencias de la Salud (CUCS), Universidad de Guadalajara (UdG), Cuerpo Académico UDG CA-874 “Ciencias morfológicas en el diagnóstico y tratamiento de la enfermedad”, 950 Sierra Mojada, Gate 7, Building C, 1st level, Colonia Independencia, Guadalajara, Jalisco 44340, MexicoUp to 60% of colorectal cancer (CRC) patients develop malnutrition, affecting treatment effectiveness, increasing toxicity, postoperative complications, hospital stay, and worsening health-related quality of life (HRQOL). This cross-sectional study analyzed data from 48 women and 65 men with CRC. We correlated scores of the scales from the questionnaires EORTC (European Organisation for Research and Treatment of Cancer) Quality of Life Questionnaire Core 30 (QLQ)-C30 and Colorectal Cancer module Colorectal 29 (QLQ-CR29) with patients’ body composition and clinical and biochemical indicators of nutritional status. Results: Scores on quality of life were negatively associated with the lymphocyte count (rP = −0.386) and the fat trunk percentage (rP = −0.349) in the women’s group. Scores on the physical and role functioning were inversely associated with the adiposity percentage (rP = −0.486 and rP = −0.411, respectively). In men, total skeletal muscle mass (SMM) was positively associated with emotional functioning (rP = 0.450); the trunk SMM was negatively related to fatigue (rP = −0.586), nausea and vomiting (rP = −0.469), pain (rP = −0.506), and financial difficulties (rP = −0.475); additionally, serum albumin was positively related to physical, emotional, and social functioning scales (rPs = 0.395, 0.453, and 0.363, respectively) and negatively to fatigue (rP = −0.362), nausea and vomiting (rP = −0.387), and appetite loss (rP = −0.347). Among the men, the reduced SMM and biochemical, nutritional parameters were related to low scores on the EORTC QLQ-C30 and QLQ-CR29 functioning scales. In conclusion, in patients with CRC, malnourishment could have a profound effect on the patients’ functionality and QoL (quality of life).https://www.mdpi.com/2072-6643/12/7/2110nutritional statusbody compositioncolorectal neoplasmsquality of lifepatient-reported outcome measures
spellingShingle Luz-Ma-Adriana Balderas-Peña
Faviola González-Barba
Brenda-Eugenia Martínez-Herrera
Ulises-Rodrigo Palomares-Chacón
Oscar Durán-Anguiano
Mario Salazar-Páramo
Eduardo Gómez-Sánchez
Carlos Dávalos-Cobián
Arnulfo-Hernán Nava-Zavala
Guillermo-Allan Hernández-Chávez
Daniel Sat-Muñoz
Body Composition and Biochemical Parameters of Nutritional Status: Correlation with Health-Related Quality of Life in Patients with Colorectal Cancer
Nutrients
nutritional status
body composition
colorectal neoplasms
quality of life
patient-reported outcome measures
title Body Composition and Biochemical Parameters of Nutritional Status: Correlation with Health-Related Quality of Life in Patients with Colorectal Cancer
title_full Body Composition and Biochemical Parameters of Nutritional Status: Correlation with Health-Related Quality of Life in Patients with Colorectal Cancer
title_fullStr Body Composition and Biochemical Parameters of Nutritional Status: Correlation with Health-Related Quality of Life in Patients with Colorectal Cancer
title_full_unstemmed Body Composition and Biochemical Parameters of Nutritional Status: Correlation with Health-Related Quality of Life in Patients with Colorectal Cancer
title_short Body Composition and Biochemical Parameters of Nutritional Status: Correlation with Health-Related Quality of Life in Patients with Colorectal Cancer
title_sort body composition and biochemical parameters of nutritional status correlation with health related quality of life in patients with colorectal cancer
topic nutritional status
body composition
colorectal neoplasms
quality of life
patient-reported outcome measures
url https://www.mdpi.com/2072-6643/12/7/2110
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