Association of nutritional status and functional capacity in gastrointestinal cancer patients

Pérez-Cruz, Elizabeth; Camacho-Limas, Christian Patricio

doi:10.24875/gmm.m18000046

Cited by 2 publications

(2 citation statements)

References 23 publications

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“…25 Finally, patients with gastrointestinal cancers often present with malnutrition and cachexia [26][27][28] affecting respiratory muscle mass and strength, and subsequently increasing the risk for development of PPCs 29,30 and poor functional capacity. 31 Physiotherapy regimens such as early mobilization and breathing exercises aim to decrease the risk for PPCs by reversing atelectasis. 32 There is some evidence that breathing exercises, both in the preoperative period 32 and during postoperative recovery, 33 decrease the incidence of PPCs in upper abdominal surgery.…”

Section: Introductionmentioning

confidence: 99%

Physiotherapy Regimens in Esophagectomy and Gastrectomy: a Systematic Review and Meta-Analysis

et al. 2021

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Background Esophageal and gastric cancer surgery are associated with considerable morbidity, specifically postoperative pulmonary complications (PPCs), potentially accentuated by underlying challenges with malnutrition and cachexia affecting respiratory muscle mass. Physiotherapy regimens aim to increase the respiratory muscle strength and may prevent postoperative morbidity. Objective The aim of this study was to assess the impact of physiotherapy regimens in patients treated with esophagectomy or gastrectomy. Methods An electronic database search was performed in the MEDLINE, EMBASE, CENTRAL, CINAHL and Pedro databases. A meta-analysis was performed to assess the impact of physiotherapy on the functional capacity, incidence of PPCs and postoperative morbidity, in-hospital mortality rate, length of hospital stay (LOS) and health-related quality of life (HRQoL). Results Seven randomized controlled trials (RCTs) and seven cohort studies assessing prehabilitation totaling 960 patients, and five RCTs and five cohort studies assessing peri- or postoperative physiotherapy with 703 total patients, were included. Prehabilitation resulted in a lower incidence of postoperative pneumonia and morbidity (Clavien–Dindo score ≥ II). No difference was observed in functional exercise capacity and in-hospital mortality following prehabilitation. Meanwhile, peri- or postoperative rehabilitation resulted in a lower incidence of pneumonia, shorter LOS, and better HRQoL scores for dyspnea and physical functioning, while no differences were found for the QoL summary score, global health status, fatigue, and pain scores. Conclusion This meta-analysis suggests that implementing an exercise intervention may be beneficial in both the preoperative and peri- or postoperative periods. Further investigation is needed to understand the mechanism through which exercise interventions improve clinical outcomes and which patient subgroup will gain the maximal benefit.

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Section: Introductionmentioning

confidence: 99%

Physiotherapy Regimens in Esophagectomy and Gastrectomy: a Systematic Review and Meta-Analysis

et al. 2021

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“…Although the results of some other studies show that malnutrition is associated with a lower Karnofsky score, none of them pointed the Karnofsky score as a risk factor for malnutrition. [55][56][57] In these studies a low Karnofsky score could be a consequence, rather than a cause of malnutrition.…”

Section: Risk Factors For Malnutritionon During Hospitalizationmentioning

confidence: 90%

Risk factors for malnutrition among hospitalized gastroenterological patients

et al. 2022

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Background / Aims. Risk factors for malnutrition of patients during hospitalization have not been precisely determined. The aim of the study was to determine these factors in hospitalized gastroenterological patients. Methods. Nutritional status (NS) of 650 gastroenterological patients was assessed on admission and at discharge by the six parameters: unintentional weight loss, lymphocyte counts, serum albumin concentration, body mass index, triceps skinfold thickness and midupper arm muscle circumference. The influence on NS at discharge was tested for ten factors: gender, age, affected organ, the nature, severity and complications of the disease, the lenght of hospitalization, mobility worsening during hospitalization, Karnofsky score and NS on admission. Primary and secondary risk factors were defined among the factors influencing significantly the malnutrition. Results. Seven factors were found to be the independent predictors for malnutrition in hospitalized gastroenterological patients. NS on admission was considered as primary risk factor (Forwald: Wald multivariate logistic regression analysis, p<0.001 for five applied assessment parameters). The other factors, obtained in the evaluation according to 1-3 parameters, were considered as secondary risk factors: severe disease activity, malignancy, the existence of complications, male gender, hospitalization >14 days, and mobility worsening during the hospitalization (Forwald:Wald multivariate logistic regression analysis, p from 0.001 to 0.027). Conclusion. There are seven risk factors for malnutrition among gastroenterological patients during hospitalization. Timely nutritional support in these patients can prevent the development of intrahospital malnutrition and its negative influence on clinical outcome.

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Association of nutritional status and functional capacity in gastrointestinal cancer patients

Cited by 2 publications

References 23 publications

Physiotherapy Regimens in Esophagectomy and Gastrectomy: a Systematic Review and Meta-Analysis

Physiotherapy Regimens in Esophagectomy and Gastrectomy: a Systematic Review and Meta-Analysis

Risk factors for malnutrition among hospitalized gastroenterological patients

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