We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
Malnutrition Identified by the Academy of Nutrition and Dietetics and American Society for Parenteral and Enteral Nutrition Consensus Criteria and Other Bedside Tools Is Highly Prevalent in a Sample of Individuals Undergoing Treatment for Head and Neck Cancer.
- Authors
Mulasi, Urvashi; Vock, David M.; Kuchnia, Adam J.; Jha, Gautam; Fujioka, Naomi; Rudrapatna, Venkatesh; Patel, Manish R.; Teigen, Levi; Earthman, Carrie P.
- Abstract
<bold>Background: </bold>Using the Academy of Nutrition and Dietetics and American Society for Parenteral and Enteral Nutrition (Academy/ASPEN) Consensus malnutrition definition, we estimated malnutrition prevalence in a sample of individuals with head and neck cancer (HNC) and compared it with the Patient-Generated Subjective Global Assessment (PG-SGA). We also investigated the utility of the 50-kHz phase angle (PA) and 200-kHz/5-kHz impedance ratio (IR) to identify malnutrition.<bold>Materials and Methods: </bold>Nineteen individuals (18 males, 1 female) scheduled to undergo chemoradiotherapy were seen at 5 time points during and up to 3 months after treatment completion. Multiple-frequency bioelectrical impedance analysis, PG-SGA, nutrition-focused physical examination, anthropometry, dietary intake, and handgrip strength data were collected.<bold>Results: </bold>Using the Consensus, 67% were found to be malnourished before treatment initiation; these criteria diagnosed malnutrition with overall good sensitivity (94%) and moderate specificity (43%) compared with PG-SGA. Over all pooled observations, "malnourished" (by Consensus but not PG-SGA category) had a lower mean PA (5.2 vs 5.9; P = .03) and higher IR (0.82 vs 0.79; P = .03) than "well-nourished" categorizations, although the clinical relevance of these findings is unclear. PA and IR were correlated with higher PG-SGA score (r = -0.35, r = 0.36; P < .01) and handgrip strength (r = 0.48, r = -0.47; P < .01).<bold>Conclusion: </bold>The Academy/ASPEN Consensus and the PG-SGA were in good agreement. It is unclear whether PA and IR can be used as surrogate markers of nutrition status or muscle loss.
- Subjects
MALNUTRITION; CANCER patients; CONSENSUS (Social sciences); ENTERAL feeding; HEAD tumors; BIOELECTRIC impedance; NECK tumors; NUTRITIONAL assessment; PARENTERAL feeding; DISEASE prevalence; ACADEMY of Nutrition &; Dietetics; CHEMORADIOTHERAPY
- Publication
JPEN Journal of Parenteral & Enteral Nutrition, 2018, Vol 42, Issue 1, p139
- ISSN
0148-6071
- Publication type
journal article
- DOI
10.1177/0148607116672264