An early moderate recommendation for energy intake based on nutritional status and clinical outcomes in patients with cancer: A retrospective study

Hsieh, Li-Chun; Chang, Po-Sheng; Wu, Pei‐Ju; Huang, Yin-Tzu; Lin, Ping-Ting

doi:10.1016/j.nut.2020.110997

Cited by 4 publications

(8 citation statements)

References 22 publications

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“…The eleven studies included a total of 6634 patients ( Table 1 ). Three studies were composed exclusively of oncology patients [ 32 , 36 , 39 ], while eight studies were composed of mixed-diagnosis hospital inpatients that included a subgroup of oncology patients [ 29 , 30 , 31 , 33 , 34 , 35 , 38 ]. The studies were highly heterogeneous, with differing study designs, intervention types and follow-up durations.…”

Section: Resultsmentioning

confidence: 99%

“…Dietary energy and protein intakes were estimated using validated methods, including 24-h recalls, and 5-point visual scale methods, for all studies. Nutrition interventions assessing the dietary intakes in mixed-diagnosis hospitalised cohorts typically use a benchmark of patients achieving ≥ 75% recommended daily intakes (RDI) of protein and energy [ 29 , 31 , 33 , 35 , 38 , 39 ].…”

Section: Resultsmentioning

confidence: 99%

“…The nutrition interventions showed an increase in daily energy and protein consumption in all cases [ 30 , 31 , 33 , 34 , 35 , 36 , 37 , 38 , 39 ]. The interventions increased energy intakes by a minimum of 623 kJ per day ( p = 0.006) [ 37 ] to 2000 kJ per day ( p = 0.000) [ 33 ].…”

Section: Resultsmentioning

confidence: 99%

“…No statistically significant relationship between dietary intakes and LOS was noted in six of the studies with mixed inpatient populations [ 29 , 31 , 32 , 33 , 37 , 38 ]. Conversely, four studies with a focus on oncology patients found an association between dietary intake and LOS [ 30 , 34 , 36 , 39 ]. Three of these studies [ 30 , 34 , 36 ] focused on specific oncology types (haematology or colorectal cancer) and treatment (surgical or chemotherapy) populations.…”

Section: Resultsmentioning

confidence: 99%

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Interrelationships between Dietary Outcomes, Readmission Rates and Length of Stay in Hospitalised Oncology Patients: A Scoping Review

2023

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Background: Poor food intake is an independent risk factor for malnutrition in oncology patients, and achieving adequate nutrition is essential for optimal clinical and health outcomes. This review investigated the interrelationships between dietary intakes, hospital readmissions and length of stay in hospitalised adult oncology patients. Methodology: Three databases, MEDLINE, Web of Science and PubMed were searched for relevant publications from January 2000 to the end of August 2022. Results: Eleven studies investigating the effects of dietary intakes on length of stay (LOS) and hospital readmissions in cohorts of hospitalised patients that included oncology patients were identified. Heterogenous study design, nutritional interventions and study populations limited comparisons; however, a meta-analysis of two randomised controlled trials comparing dietary interventions in mixed patient cohorts including oncology patients showed no effect on LOS: mean difference −0.08 (95% confidence interval −0.64–0.49) days (p = 0.79). Conclusions: Despite research showing the benefits of nutritional intake during hospitalisation, evidence is emerging that the relationship between intakes, LOS and hospital readmissions may be confounded by nutritional status and cancer diagnosis.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 2 more Smart Citations

Interrelationships between Dietary Outcomes, Readmission Rates and Length of Stay in Hospitalised Oncology Patients: A Scoping Review

2023

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“…A generalization of energy requirements can, therefore, lead to a reduction in fat-free mass and malnutrition in the long term. Regular documentation of body weight and daily calorie intake is, therefore, recommended, as even a small daily deficit can have a lasting negative influence on the course of therapy [ 39 ]. Although there are already results regarding possible positive effects of controlled energy restriction through continuous or intermittent fasting, these findings are not meaningful enough to draw clear conclusions [ 40 ].…”

Section: Nutrition and Nutrition Assessmentmentioning

confidence: 99%

Supportive Care in Oncology—From Physical Activity to Nutrition

et al. 2022

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The diagnosis and treatment of cancer are associated with impairment at the physical and at psychological level. In addition, side effects are a potentially treatment-limiting factor that may necessitate dose reduction, delay, or even discontinuation of therapy, with negative consequences for outcome and mean survival. Numerous studies have shown that physical activity and sports and exercise therapy programs are not only practicable but also recommendable for oncologic patients during the acute phase and in the aftercare. Furthermore, nutrition plays an important role in all stages of tumor therapy. A timely integration of a nutrition therapy and physical activity in the form of physiotherapy and sports therapy serves to prevent and reduce treatment-associated side effects. Evidence-based recommendations on cancer prevention through nutrition therapy, physical activity, and sports and exercise therapy should be integrated into treatment plans for oncology patients as well as in health care services for the general population. Individual counselling by trained nutrition and exercise specialists may be advisable to receive concrete recommendations on the respective tumor entity or specific side effects. This mini review is based on a selective literature search in the PubMed database and Cochrane Central Register of Controlled Trials on the subjects of healthy diet and physical activity in primary prevention and follow-up about cancer.

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Comparison of nasojejunal nutrition and intravenous nutrition supplementation in patients with upper gastrointestinal tract strictures and analysis of risk factors for malnutrition

Yang,

Ji,

Shi

2024

Medicine

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This study examines the effectiveness of nasojejunal and intravenous nutrition in supplementing nutrition for patients with upper gastrointestinal (GI) strictures and analyzes the risk factors associated with malnutrition to provide references for clinical nutrition strategies. A retrospective analysis was conducted on 71 patients with upper GI strictures caused by esophageal and gastric cancers, who received nutritional support from January 2015 to January 2023. Out of these, 53 patients had complete baseline and follow-up data. We collected general clinical and perioperative data for comparison of the efficacy between nasojejunal nutrition and intravenous nutrition. Risk factors for malnutrition were analyzed using univariate and multivariate logistic regression. Malnutrition occurred in 24.53% (13/53) of the patients with upper GI strictures. The incidence of malnutrition was 6.06% (2/33) in the nasojejunal nutrition group compared to 55.00% (11/20) in the intravenous nutrition group, with a statistically significant difference (P < .001). Univariate and multivariate regression analyses identified diabetes (P < .001), initial blood K (P = .011), pathological staging (P < .001), and pathological grading (P < .001) as risk factors for malnutrition in patients with upper GI strictures. Diabetes (P = .028), initial blood K (P = .018), and pathological staging (P = .011) were found to be independent risk factors. Nasojejunal nutrition results in a lower incidence of malnutrition compared to intravenous nutrition in patients with upper GI strictures. Diabetes, initial blood K, pathological staging, and pathological grading are risk factors for malnutrition, with diabetes, initial blood K, and pathological staging serving as independent risk factors.

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An early moderate recommendation for energy intake based on nutritional status and clinical outcomes in patients with cancer: A retrospective study

Cited by 4 publications

References 22 publications

Interrelationships between Dietary Outcomes, Readmission Rates and Length of Stay in Hospitalised Oncology Patients: A Scoping Review

Interrelationships between Dietary Outcomes, Readmission Rates and Length of Stay in Hospitalised Oncology Patients: A Scoping Review

Supportive Care in Oncology—From Physical Activity to Nutrition

Comparison of nasojejunal nutrition and intravenous nutrition supplementation in patients with upper gastrointestinal tract strictures and analysis of risk factors for malnutrition

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