TÌNH TRẠNG DINH DƯỠNG VÀ MỘT SỐ YẾU TỐ LIÊN QUAN CỦA NGƯỜI BỆNH UNG THƯ VÚ ĐIỀU TRỊ HOÁ CHẤT TẠI BỆNH VIỆN K NĂM 2024-2025

Abstract

Aims: To assess the nutritional status and associated factors among breast cancer patients undergoing chemotherapy at National Cancer Hospital during 2024–2025.

Methods: A cross-sectional study was conducted on 142 post-surgical breast cancer patients receiving chemotherapy at Internal Medicine Departments 5 and 6 of the Hospital. 

Results: The findings show that the prevalence of overweight and obesity based on BMI was 35,2% and 17,6%, respectively; and 2,1% were classified as chronic energy deficiency. Anthropometric assessments revealed that 41,6% of patients had moderate central fat distribution and 4.9% had high central fat accumulation. Additionally, 47,2% of the patients had a high waist-to-hip ratio. Furthermore, 60% of the patients were at risk of sarcopenia based on calf circumference, and 52,8% demonstrated reduced muscle strength as assessed by handgrip strength. Irregular physical activity was associated with an increased risk of sarcopenia (OR = 2,5; 95% CI: 1,2–5,0).

Conclusion: The study demonstrated that breast cancer patients undergoing chemotherapy exhibited high prevalence of overweight, obesity, and sarcopenia risk, indicating the presence of sarcopenic obesity - a condition characterized by concurrent excess adiposity and reduced muscle mass - which may adversely affect treatment response and efficacy.