Factors associated with malnutrition among head and neck cancer in-patients before radiotherapy in National Cancer Institute, Putrajaya
Introduction: Head and neck cancer (HNC) patients are often malnourished during diagnosis and before treatment. This study determined the prevalence of malnutrition and factors associated with malnutrition among HNC patients. Methods: A crosssectional study among HNC in-patients before radiotherapy...
| Main Authors: | , , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Persatuan Pemakanan Malaysia
2020
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| Online Access: | http://psasir.upm.edu.my/id/eprint/88967/1/ABSTRACT.pdf |
| _version_ | 1825936601346211840 |
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| author | Neoh, May Kay Abu Zaid, Zalina Abdul Rahman, Zuwariah Jamhuri, Norshariza Kahairudin, Zuliehaiza Ahmad Samwil, Siti Noraini Abdullah, Aeininhayatey Ho, Chiou Yi Haniff Lai, Betti Sharina Ng, Wai Han Mohammad, Aini Masitah Md Yusop, Nor Baizura Ibrahim, Zuriati Mat Daud, Zulfitri 'Azuan |
| author_facet | Neoh, May Kay Abu Zaid, Zalina Abdul Rahman, Zuwariah Jamhuri, Norshariza Kahairudin, Zuliehaiza Ahmad Samwil, Siti Noraini Abdullah, Aeininhayatey Ho, Chiou Yi Haniff Lai, Betti Sharina Ng, Wai Han Mohammad, Aini Masitah Md Yusop, Nor Baizura Ibrahim, Zuriati Mat Daud, Zulfitri 'Azuan |
| author_sort | Neoh, May Kay |
| collection | UPM |
| description | Introduction: Head and neck cancer (HNC) patients are often malnourished during diagnosis and before treatment. This study determined the prevalence of malnutrition and factors associated with malnutrition among HNC patients. Methods: A crosssectional study among HNC in-patients before radiotherapy was conducted.
Malnutrition status of the patients was determined using scored Patient GeneratedSubjective Global Assessment (PG-SGA). Nutritional parameters of muscle mass, fat mass, albumin, energy and protein intakes were collected. Nutrition impact symptoms (NIS) of the patients were assessed using a validated Head and Neck Symptoms Checklist© (HNSC©). Results: Fifty HNC patients were recruited in this study and the age range of patients was 21 to 78 years old, with gender distribution of 78% males and 22% females. More than half of the patients were malnourished, with 20% severely malnourished before radiotherapy. The lack of dietitian referral before treatment was found to significantly affect nutritional status (p=0.027). There was a significant negative relationship between energy intake (r=0.342, p=0.015) and protein intake (r=0.386, p=0.006) with PG-SGA, indicating lower energy and protein intakes related with poor nutritional status. The result showed a significant positive relationship between NIS score (r=0.731, p<0.001) and PG-SGA, indicating the lower the NIS, the better the nutritional status among HNC patients. More than half of the HNC patients had difficulty chewing. Conclusion: A strong association between nutritional status and NIS showed the importance of dietary management in HNC patients. Early identification of the nutritional status of HNC patients can ensure optimal nutritional status to improve treatment outcomes. |
| first_indexed | 2024-03-06T10:46:46Z |
| format | Article |
| id | upm.eprints-88967 |
| institution | Universiti Putra Malaysia |
| language | English |
| last_indexed | 2024-03-06T10:46:46Z |
| publishDate | 2020 |
| publisher | Persatuan Pemakanan Malaysia |
| record_format | dspace |
| spelling | upm.eprints-889672021-11-01T23:08:14Z http://psasir.upm.edu.my/id/eprint/88967/ Factors associated with malnutrition among head and neck cancer in-patients before radiotherapy in National Cancer Institute, Putrajaya Neoh, May Kay Abu Zaid, Zalina Abdul Rahman, Zuwariah Jamhuri, Norshariza Kahairudin, Zuliehaiza Ahmad Samwil, Siti Noraini Abdullah, Aeininhayatey Ho, Chiou Yi Haniff Lai, Betti Sharina Ng, Wai Han Mohammad, Aini Masitah Md Yusop, Nor Baizura Ibrahim, Zuriati Mat Daud, Zulfitri 'Azuan Introduction: Head and neck cancer (HNC) patients are often malnourished during diagnosis and before treatment. This study determined the prevalence of malnutrition and factors associated with malnutrition among HNC patients. Methods: A crosssectional study among HNC in-patients before radiotherapy was conducted. Malnutrition status of the patients was determined using scored Patient GeneratedSubjective Global Assessment (PG-SGA). Nutritional parameters of muscle mass, fat mass, albumin, energy and protein intakes were collected. Nutrition impact symptoms (NIS) of the patients were assessed using a validated Head and Neck Symptoms Checklist© (HNSC©). Results: Fifty HNC patients were recruited in this study and the age range of patients was 21 to 78 years old, with gender distribution of 78% males and 22% females. More than half of the patients were malnourished, with 20% severely malnourished before radiotherapy. The lack of dietitian referral before treatment was found to significantly affect nutritional status (p=0.027). There was a significant negative relationship between energy intake (r=0.342, p=0.015) and protein intake (r=0.386, p=0.006) with PG-SGA, indicating lower energy and protein intakes related with poor nutritional status. The result showed a significant positive relationship between NIS score (r=0.731, p<0.001) and PG-SGA, indicating the lower the NIS, the better the nutritional status among HNC patients. More than half of the HNC patients had difficulty chewing. Conclusion: A strong association between nutritional status and NIS showed the importance of dietary management in HNC patients. Early identification of the nutritional status of HNC patients can ensure optimal nutritional status to improve treatment outcomes. Persatuan Pemakanan Malaysia 2020 Article PeerReviewed text en http://psasir.upm.edu.my/id/eprint/88967/1/ABSTRACT.pdf Neoh, May Kay and Abu Zaid, Zalina and Abdul Rahman, Zuwariah and Jamhuri, Norshariza and Kahairudin, Zuliehaiza and Ahmad Samwil, Siti Noraini and Abdullah, Aeininhayatey and Ho, Chiou Yi and Haniff Lai, Betti Sharina and Ng, Wai Han and Mohammad, Aini Masitah and Md Yusop, Nor Baizura and Ibrahim, Zuriati and Mat Daud, Zulfitri 'Azuan (2020) Factors associated with malnutrition among head and neck cancer in-patients before radiotherapy in National Cancer Institute, Putrajaya. Malaysian Journal of Nutrition, 26 (2). 257 - 271. ISSN 1394-035X https://nutriweb.org.my/mjn/2020.php 10.31246/mjn-2019-0094 |
| spellingShingle | Neoh, May Kay Abu Zaid, Zalina Abdul Rahman, Zuwariah Jamhuri, Norshariza Kahairudin, Zuliehaiza Ahmad Samwil, Siti Noraini Abdullah, Aeininhayatey Ho, Chiou Yi Haniff Lai, Betti Sharina Ng, Wai Han Mohammad, Aini Masitah Md Yusop, Nor Baizura Ibrahim, Zuriati Mat Daud, Zulfitri 'Azuan Factors associated with malnutrition among head and neck cancer in-patients before radiotherapy in National Cancer Institute, Putrajaya |
| title | Factors associated with malnutrition among head and neck cancer in-patients before radiotherapy in National Cancer Institute, Putrajaya |
| title_full | Factors associated with malnutrition among head and neck cancer in-patients before radiotherapy in National Cancer Institute, Putrajaya |
| title_fullStr | Factors associated with malnutrition among head and neck cancer in-patients before radiotherapy in National Cancer Institute, Putrajaya |
| title_full_unstemmed | Factors associated with malnutrition among head and neck cancer in-patients before radiotherapy in National Cancer Institute, Putrajaya |
| title_short | Factors associated with malnutrition among head and neck cancer in-patients before radiotherapy in National Cancer Institute, Putrajaya |
| title_sort | factors associated with malnutrition among head and neck cancer in patients before radiotherapy in national cancer institute putrajaya |
| url | http://psasir.upm.edu.my/id/eprint/88967/1/ABSTRACT.pdf |
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