Introduction: the body composition and lifestyle of university students are infl uenced by behavioral, psychological, socioeconomic and cultural factors. Objective: to analyze body composition and its correlation with lifestyle in a sample of university students in the health area living at the Ribeirao Preto Campus of the University of São Paulo (USP). Methodology: a cross-sectional study was conducted on 501 students enrolled in USP courses of the Ribeirao Preto Campus. Weight and height were measured and body composition was determined by bioelectrical impedance. The short version of the International Physical Activity Questionnaire (IPAQ) was then applied. Results: The sample predominantly consisted of females (73.05%), with 26.95% males. The averages of age, weight, stature body mass index (BMI), total fat mass and fat-free mass were 20.4±2.8 years, 63.0±13.5 kg, 166.9±9.0 cm, 22.4±3.4 kg/m², 24.0±7.5%, 45.3±10.3 kg, respectively. Although almost 70% of the students were in the normal BMI range, 70.8% of them had high levels of fat mass. According to IPAQ, the individuals were classifi ed as sedentary (10.2%), irregularly active (39.3%), active (42.1%), and very active (8.4%). Conclusions: Most of the university students studied were classifi ed as being of normal weight according to the BMI, but the high levels of body fat mass detected should not be overlooked. In addition, even though most of the sample was considered to be active, according to the IPAQ, it can be seen that practically half the students (49.5%) were irregularly active or sedentary.
e19628 Background: Fatigue is one of the most frequent symptoms in cancer patients, characterized by profound fatigue that is not relieved by rest. This symptom can be identified at the time of diagnosis and could affects up to 90% of patients undergoing cancer treatment. There are some instruments available in the literature that can characterize the presence of fatigue through clinical questioning. Methods: Considering the large population of patients with metastatic colorectal cancer treated with chemotherapy and the prevalence of fatigue in these patients, this study evaluated the presence of fatigue in 27 metastatic colon cancer patients before the first, second, third and fourth cycles of fist line palliative chemotherapy regimen containing CAPOX (capecitabine and oxaliplatin) by applying the evaluation questionnaire FACIT-F fatigue. Results: The results post Friedman chi-squared test demonstrated that there was no improvement of fatigue during these four cycles of CAPOX palliative chemotherapy (p=0,2574). The FACIT-G analysis demonstrated no worsening of quality of life (p=0,2411) during and between the four cycles of chemo. All different parameters included in FACIT-F questionnaires: emotional (p=0,2629), physical (p=0,3199), familiar (p=0,1456), functional (p=0,8662) and specific fatigue topic (p=0,7569) confirmed no difference between the cycles. Conclusions: Despite the metastatic stage of colon cancer patients and concurrent chemotherapy treatment, there was no fatigue improvement during the four first CAPOX chemo cycles courses and there was the maintenance of quality of life.
Background Older advanced stage cancer patients, with changes in nutritional status, represent an important demand for palliative care. The aim was to determine the effects of 4 weeks of chocolate consumption on the nutritional status of older cancer patients in palliative care. Methods Older cancer patients in palliative care with ambulatory (n = 46) monitoring were randomized to control (CG, n = 15), intervention with 55% cocoa chocolate (IG1, n = 16) and intervention with white chocolate (IG2, n = 15) groups and evaluated before and after 4 weeks for nutritional status (primary outcome), evaluated by the Mini Nutritional Assessment tool (MNA). Food consumption, anthropometry, body composition, laboratory parameters and quality of life (QL) with the European Organization for the Research and Treatment of Cancer instrument were also evaluated. Results IG1 progressed with increased screening (estimated difference [95% CI]: − 1.3 [− 2.2;-0.4], p < 0.01), and nutritional (estimated difference [95% CI]: − 1.3 [− 2.5;-0.1], p = 0.04) scores on the MNA, with no change in anthropometry and body composition. Regarding antioxidant capacity, reduced glutathione levels increased (estimated difference [95% CI]: − 0.8 [− 1.6;-0.02], p = 0.04) and malondealdehyde levels decreased in IG2 (estimated difference [95% CI]:+ 4.9 [+ 0.7;+ 9.1], p = 0.02). Regarding QL, functionality improved in IG1, with higher score in the functional domain (estimated difference [95% CI]:-7.0 [− 13.3;-0.7], p = 0.03). Conclusions The consumption of chocolate with a greater cocoa content may contribute to the improvement of the nutritional status and functionality among older cancer patients in palliative care. The consumption of white chocolate was associated with improved oxidative stress. Trial registration A randomized clinical trial (ClinicalTrials.gov NCT04367493).
Background: Cancer patients usually require palliative care. One of the reasons for this is malnutrition, which is common in these patients, affecting their prognosis and quality of life. Data on nutritional care in palliative care are still scarce. Objective: To characterize the diagnosis and nutritional care in palliative care cancer patients hospitalized in a public health setting. Methods: Descriptive retrospective cohort study on clinical, laboratory, and nutritional data obtained from medical records of cancer patients in palliative care. Results: A total of 128 admissions of cancer patients in palliative care were analyzed. Main primary cancer sites were in digestive, urologic and pulmonary systems. Mean age was 64.3±16.6 years. Patients were clinically and nutritionally compromised – mean performance status of 17.77±7.15, hemoglobin 9.6±2.37U/dL, albumin 2.64±0.64g/dL, C-reactive protein 125.37±68.37ml/L, and 60.8% of malnutrition (mean BMI of 20.19±5.57kg/m2). Oral route was the main route of administration (62.5%) and analysis of agreement revealed nutritional provision in excess of estimated daily requirements. No association was found between fasting condition, hospitalization outcome (death) and nutritional diagnosis (p=0.51). Conclusions: These cancer patients received palliative care just at the end stage of life, when most of them were malnourished, symptomatic, without specific oncologic treatment, and with a poor performance status. There was a preference for oral nutritional therapy, however, energy and protein supply were higher than the estimated nutritional requirements. The realization of fasting during hospitalization in the moments before death was not associated with the patient’s outcome.
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