Yeni Tanı Almış Akciğer Kanserli Hastalarda Malnütrisyon Riski ve Yaşam Kalitesinin Değerlendirilmesi

Abstract

The aim of this study, was to determine the effect of malnutrition risk, metastasis and stage of cancer to the quality of life and nutritional status of hospitalized patients newly diagnosed with lung cancer, by evaluating 24-hour dietary records, biochemical parameters, antropometric measurements and by using nutritional screening tool, Nutritional Risk Screening (NRS-2002) and quality of life questionnaire (EORTC QLQ-C30). In this study, 65 patients (50 males and 15 females), hospitalized at A.Ü.T.F. Department of Medical Oncology and Department of Thoracic Surgery were evaluated. The questionnaire, including general characteristics, physical activity record, NRS-2002, EORTC QLQ-C30 and dietary record was conducted to patients. Body weight, body height, body fat percentage (with body fat analyzer) and mid-upper arm circumference (MUAC) of patients were measured. Malnutrition risk was observed in %81.5 of patients. Metastasis was more prevalent in patients at risk of malnutrition than those who were not (p<0.001). There were a positive and statistically significant relationship between the stage of cancer and the risk of malnutrition (p<0.01). Quality of life was decreased while risk of malnutrition increased at patients. This difference was statistically significant only at females (p<0.01). With increasing malnutrition risk, serum albumin (p<0.05), total cholesterol (p<0.05), daily energy intake and energy intake in percent of daily recommendation and body mass index (BMI) decreased. Quality of life was decreased with the advanced stage of cancer at females (p<0.05). Patients with lung cancer should be screened for comorbidities, quality of life, risk of malnutrition and nutritional status and start treatment without delay.