THE NUTRITIONAL CHARACTERISTICS AND SOME RELATED FACTORS  OF GYNECOLOGICAL CANCER PATIENTS AT HANOI OBSTETRICS AND GYNECOLOGY HOSPITAL IN 2023

Thu Thuy HO1, Thi Huong Lan NGUYEN2,, Thi Thanh Tam NGUYEN1
1 Hanoi Obstestrics and Gynecology Hospital
2 Hanoi Medical University, Vietnam

Main Article Content

Abstract

Aims: To assess the nutritional status and some related factors of cancer patients  at Hanoi  Obstetrics and Gynecology Hospital in 2023.


Methods: A cross-sectional study was conducted on 116 gynecological cancer patients. The patient was measured for weight, height, biochemical index test, directly interviewed PG-SGA questionnaire and surveyed on the diet using the 24-hour ration questionnaire method.


Results: Based on the BMI classification, the rate of chronic energy deficiency was 4.3%, while the rate of overweight-obesity was 17.2%. According to the PG-SGA method, the rate of patients at risk of malnutrition or malnutrition (PG-SGA B) was 11.2%.


The rate of malnutrition varied depending on the type of cancer, marital status, education and support from family and society. The 24-hours diet energy was undifferentiated from dissimilar kind of cancers.


Conclusion: The main nutritional problems in the patients were anemia, PG-SGA B malnutrition, and overweight-obesity. Some factors associated to PG-SGA B malnutrition including cancer location, educational level, marital status, and family and social support need to be confirmed in cohort studies.

Article Details

References

1. Delano MJ and Moldawer LL. The origins of cachexia in acute and chronic inflammatory diseases. Nutr Clin Pract. 2006; 21(1):68–81. doi: 10.1177/011542650602100168.
2. Marín Caro MM, Laviano A, and Pichard C. Nutritional intervention and quality of life in adult oncology patients. Clin Nutr. 26(3): 289–301. doi: 10.1016/j.clnu.2007.01.005.
3. Dương Thị Phượng, Nguyễn Thị Thùy Linh, and Lê Thị Hương. Tình trạng dinh dưỡng của bệnh nhân ung thư tại bệnh viện Đại Học Y Hà Nội năm 2016. Tạp chí nghiên cứu Y học. 2017;1:106.
4. Das D, Patel S, Dave K, and Bhansali R. Assessment of nutritional status of gynecological cancer cases in India and comparison of subjective and objective nutrition assessment parameters. South Asian J Cancer. 2014; 3(1):38–42. doi: 10.4103/2278-330X.126518.
5. Surwillo S and WawrzyniakA. Nutritional assessment of selected patients with cancer. Rocz Panstw Zakl Hig. 2013;64(3):225–233.
6. Nguyễn Thị Thu Liễu. Tình trạng dinh dưỡng và khẩu phần thực tế của bệnh nhân ung thư có điều trị bằng hóa chất tại bệnh viện Phụ sản trung ương năm 2019 - 2020. Tạp chí dinh dưỡng và thực phẩm. 2020;6(36).
7. Nguyễn Thùy Linh. Hiệu quả can thiệp dinh dưỡng cho bệnh nhân ung thư điều trị hóa chất tại Bệnh viện Đại học Y Hà Nội. Trường Đại học Y khoa Hà Nội, 2016.
8. Wu G, Liu Z, Zheng L, Quan Y, and Wu Z. Prevalence of malnutrition in general surgical patients: evaluation of nutritional status and prognosis. Zhonghua Wai Ke Za Zhi. 2005; 43(11):693–696.
9. Wie GA, Cho YA, Kim SY, Kim SM, Bae JM, and Joung H. Prevalence and risk factors of malnutrition among cancer patients according to tumor location and stage in the National Cancer Center in Korea. Nutrition. 2010; 26(3):263–268. doi: 10.1016/j.nut.2009.04.013.
10. Adikari A, Sivakanesan R, Wijesinghe D, and Liyanage C. Assessment of nutritional status of pregnant women in a rural area in Sri Lanka. Tropical Agricultural Research. 2016;27(2), Accessed: Oct. 07, 2023. [Online]. Available: https://maternalnutritionsouthasia.com/wp-content/uploads/assessment-of-nutritional-status-of-pregnant-women-in-a-rural-area-in-sri-lanka.pdf
11.Nguyen Thuy Linh. The nutrtional status of pre-operative patient’s gastrointestinal and the relation with post operative complications of patients in Hanoi Medical University hospital 2015. Vietnam J Med Pharm.:105–112.
12.Phạm Thị Thu Hương. Thực trạng dinh dưỡng , kiến thức và thực hành dinh dưỡng bệnh nhân ung thư đại, trực tràng điều trị hóa chất. Tạp chí dinh dưỡng và thực phẩm. 2013;4:34–40.
13.Nguyễn Đình Phú and Nguyễn Thị Nhiên. Đánh giá tình trạng dinh dưỡng của bệnh nhân ung thư tại bệnh viện Trung ương Quân đội năm 2018. Tạp chí nghiên cứu Y học. 2019;4:36–43.
14.Menon K, Razak SA, Ismail KA, and Krishna BVM. Nutrient intake and nutritional status of newly diagnosed patients with cancer from the East Coast of Peninsular Malaysia. BMC Res Notes. 2014;7:680. doi: 10.1186/1756-0500-7-680.
15. Lopes JP, de Castro Cardoso Pereira PM, dos Reis Baltazar Vicente AF, Bernardo A, and de Mesquita MF. Nutritional status assessment in colorectal cancer patients. Nutr Hosp. 2013;28(2):412–418. doi: 10.3305/nh.2013.28.2.6173.
16.Rodrigues CS, Lacerda MS, and Chaves GV. Patient Generated Subjective Global Assessment as a prognosis tool in women with gynecologic cancer. Nutrition. 2015;31(11–12):1372–1378. doi: 10.1016/j.nut.2015.06.001.