Association Between Nutritional Status and Manual Grip Strength in Oncologic Patients in Palliative Care

Detalhes bibliográficos
Autor(a) principal: Silva, Eliza Helena Eliete da
Data de Publicação: 2018
Outros Autores: Borges, Florença Maria, Cruz, Franciele Carolina Soares da, Pena, Geórgia das Graças
Tipo de documento: Artigo
Idioma: por
eng
Título da fonte: Revista Brasileira de Cancerologia (Online)
Texto Completo: https://rbc.inca.gov.br/index.php/revista/article/view/196
Resumo: Introduction: Nutritional monitoring in palliative care is extremely important, since levels of mortality, malnutrition and unintentional weight loss occur in the majority of cancer patients. In this way, it is possible to prevent nutritional deficiencies and weight loss, which leads to a worsening nutritional status. Objective: The aim of the study was to evaluate the association between the classification of nutritional status obtained by the patient-generated subjective global assessment (PG-SGA), handgrip strength (HGS) and adductor pollicis muscle (APM) in cancer patients palliative. Method: We evaluated 70 cancer patients enrolled in the exclusive palliative care program. The PG-SGA was used to assess the nutritional status. To evaluate the association of nutritional status with other predictive measures, HGS measurements were performed with a dynamometer and APM with an adipometer. Descriptive statistics and linear regression analysis were  used to evaluate the ability of these measures to predict nutritional status. Results: Of the 70 patients, aged between 31 and 101 years, in which 58.6% were male and malnutrition (B+C) was found in 87.2% (n=61) according to PG-SGA. The value of APM was altered in 72.9% (n=51) patients and 42.9% (n=30) in HGS. HGS was associated with PG-SGA (b=-0.273, p=0.04) and APM didn’t (b=-0,124; p=0.546); therefore, only HGS was a good predictor of nutritional status in this study. Conclusion: It’s suggested the use of HGS to evaluate nutritional status in palliative cancer patients. 
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spelling Association Between Nutritional Status and Manual Grip Strength in Oncologic Patients in Palliative CareAsociación entre Estado Nutricional y Fuerza de Asimiento Manual en Pacientes Oncológicos en Cuidados PaliativosAssociação entre Estado Nutricional e Força de Preensão Manual em Pacientes Oncológicos em Cuidados PaliativosCuidados PaliativosNeoplasiasEstado NutricionalDesnutriçãoForça MuscularPalliative CareNeoplasmNutritional StatusMalnutritionMuscle StrengthCuidados PaliativosNeoplasiasEstado Nutricional;DesnutriciónFuerza Muscular.Introduction: Nutritional monitoring in palliative care is extremely important, since levels of mortality, malnutrition and unintentional weight loss occur in the majority of cancer patients. In this way, it is possible to prevent nutritional deficiencies and weight loss, which leads to a worsening nutritional status. Objective: The aim of the study was to evaluate the association between the classification of nutritional status obtained by the patient-generated subjective global assessment (PG-SGA), handgrip strength (HGS) and adductor pollicis muscle (APM) in cancer patients palliative. Method: We evaluated 70 cancer patients enrolled in the exclusive palliative care program. The PG-SGA was used to assess the nutritional status. To evaluate the association of nutritional status with other predictive measures, HGS measurements were performed with a dynamometer and APM with an adipometer. Descriptive statistics and linear regression analysis were  used to evaluate the ability of these measures to predict nutritional status. Results: Of the 70 patients, aged between 31 and 101 years, in which 58.6% were male and malnutrition (B+C) was found in 87.2% (n=61) according to PG-SGA. The value of APM was altered in 72.9% (n=51) patients and 42.9% (n=30) in HGS. HGS was associated with PG-SGA (b=-0.273, p=0.04) and APM didn’t (b=-0,124; p=0.546); therefore, only HGS was a good predictor of nutritional status in this study. Conclusion: It’s suggested the use of HGS to evaluate nutritional status in palliative cancer patients. Introducción: El seguimiento nutricional en los cuidados paliativos es de extrema importancia, ya que los niveles de mortalidad, desnutrición y pérdida de peso no intencional ocurre en la mayoría de los pacientes oncológicos. De esta manera, es posible prevenir carencias nutricionales y pérdidas de peso, lo que lleva a un  empeoramiento del estado nutricional. Objetivo: El objetivo del estudio fue evaluar la asociación entre la clasificación del estado nutricional obtenido por la valoración subjetiva global generada por el Paciente (GP-VSG), la fuerza de asimiento manual (FAM) y el espesor del músculo aductor del pollicis (EMAP) en pacientes  oncológicos paliativos exclusivos. Método: Se evaluaron 70 pacientes oncológicos registrados en el Programa de Cuidados Paliativos. Para la evaluación del estado nutricional se utilizó la GP-VSG.Para evaluar la asociación del estado nutricional con otras medidas preditoras, se realizaron las medidas de la FAM con un dinamómetro y EMAP con un adipómetro. Se utilizaron estadísticas descriptivas y análisis de regresión lineal para evaluar la capacidad de esas medidas de predecir el estado nutricional. Resultados: De los 70 pacientes, con edad entre 31 y 101 años, en que 58,6% eran del sexo masculino y se encontró frecuencia de desnutrición (B+C) en el 87,2% (n=61) de acuerdo con la GP-VSG. El valor del EMAP estaba alterada en el 72,9% (n=51) pacientes y el 42,9% (n=30) en la FAM. La FAM fue asociada al GP-VSG (b=-0,273, p=0,04) y el EMAP no (b=-0,124, p=0,546), por lo tanto, sólo el FAM fue un buen predictor del estado nutricional en este estudio. Conclusión: Se sugiere la utilización de la FAM para evaluación del estado nutricional en pacientesoncológicos paliativos. Introdução: O acompanhamento nutricional nos cuidados paliativos é de extrema importância, já que os níveis de mortalidade, desnutrição e perda de peso não intencional ocorre na maioria dos pacientes oncológicos. Dessa maneira, é possível prevenir carências nutricionais e perdas de peso, o que leva a uma piora do estado nutricional. Objetivo: O objetivo do estudo foi avaliar a associação entre a classificação do estado nutricional obtido pela avaliação subjetiva global produzida pelo próprio paciente (ASG-PPP), a força de preensão manual (FPM) e a espessura do músculo adutor do polegar (EMAP) em pacientes oncológicos em cuidados paliativos exclusivos. Método: Foram avaliados 70 pacientes oncológicos cadastrados no Programa de Cuidados Paliativos. Para a avaliação do estado nutricional, foi utilizada a ASG-PPP. Para avaliar a associação do estado nutricional com outras medidas preditoras, foram realizadas as medidas da FPM com um dinamômetro e a EMAP com um adipômetro. Foram utilizadas estatísticas descritivas e a análise de regressão linear para avaliar a capacidade dessas medidas de predizer o estado nutricional. Resultados: Dos 70 pacientes, com idade entre 31 e 101 anos, 58,6% eram do sexo masculino e foi encontrada frequência de desnutrição (B+C) em 87,2% (n=61) de acordo com a ASG-PPP. O valor da EMAP estava alterado em 72,9% (n=51) pacientes e 42,9% (n=30) na FPM. A FPM foi associada ao ASG-PPP (b=-0,273; p=0,04) e o EMAP não (b=-0,124; p=0,546); portanto, somente o FPM foi um bom preditor do estado nutricional neste estudo. Conclusão: Sugere-se a utilização da FPM para avaliação do estado nutricional em pacientes oncológicos paliativos.INCA2018-12-31info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionArtigos, Avaliado pelos paresapplication/pdfapplication/pdfhttps://rbc.inca.gov.br/index.php/revista/article/view/19610.32635/2176-9745.RBC.2018v64n4.196Revista Brasileira de Cancerologia; Vol. 64 No. 4 (2018): Oct./Nov./Dec.; 479-487Revista Brasileira de Cancerologia; Vol. 64 Núm. 4 (2018): oct./nov./dic.; 479-487Revista Brasileira de Cancerologia; v. 64 n. 4 (2018): out./nov./dez.; 479-4872176-974510.32635/2176-9745.RBC.2018v64n4reponame:Revista Brasileira de Cancerologia (Online)instname:Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA)instacron:INCAporenghttps://rbc.inca.gov.br/index.php/revista/article/view/196/128https://rbc.inca.gov.br/index.php/revista/article/view/196/399Silva, Eliza Helena Eliete daBorges, Florença MariaCruz, Franciele Carolina Soares daPena, Geórgia das Graçasinfo:eu-repo/semantics/openAccess2021-11-29T20:05:43Zoai:rbc.inca.gov.br:article/196Revistahttps://rbc.inca.gov.br/index.php/revistaPUBhttps://rbc.inca.gov.br/index.php/revista/oairbc@inca.gov.br0034-71162176-9745opendoar:2021-11-29T20:05:43Revista Brasileira de Cancerologia (Online) - Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA)false
dc.title.none.fl_str_mv Association Between Nutritional Status and Manual Grip Strength in Oncologic Patients in Palliative Care
Asociación entre Estado Nutricional y Fuerza de Asimiento Manual en Pacientes Oncológicos en Cuidados Paliativos
Associação entre Estado Nutricional e Força de Preensão Manual em Pacientes Oncológicos em Cuidados Paliativos
title Association Between Nutritional Status and Manual Grip Strength in Oncologic Patients in Palliative Care
spellingShingle Association Between Nutritional Status and Manual Grip Strength in Oncologic Patients in Palliative Care
Silva, Eliza Helena Eliete da
Cuidados Paliativos
Neoplasias
Estado Nutricional
Desnutrição
Força Muscular
Palliative Care
Neoplasm
Nutritional Status
Malnutrition
Muscle Strength
Cuidados Paliativos
Neoplasias
Estado Nutricional;
Desnutrición
Fuerza Muscular.
title_short Association Between Nutritional Status and Manual Grip Strength in Oncologic Patients in Palliative Care
title_full Association Between Nutritional Status and Manual Grip Strength in Oncologic Patients in Palliative Care
title_fullStr Association Between Nutritional Status and Manual Grip Strength in Oncologic Patients in Palliative Care
title_full_unstemmed Association Between Nutritional Status and Manual Grip Strength in Oncologic Patients in Palliative Care
title_sort Association Between Nutritional Status and Manual Grip Strength in Oncologic Patients in Palliative Care
author Silva, Eliza Helena Eliete da
author_facet Silva, Eliza Helena Eliete da
Borges, Florença Maria
Cruz, Franciele Carolina Soares da
Pena, Geórgia das Graças
author_role author
author2 Borges, Florença Maria
Cruz, Franciele Carolina Soares da
Pena, Geórgia das Graças
author2_role author
author
author
dc.contributor.author.fl_str_mv Silva, Eliza Helena Eliete da
Borges, Florença Maria
Cruz, Franciele Carolina Soares da
Pena, Geórgia das Graças
dc.subject.por.fl_str_mv Cuidados Paliativos
Neoplasias
Estado Nutricional
Desnutrição
Força Muscular
Palliative Care
Neoplasm
Nutritional Status
Malnutrition
Muscle Strength
Cuidados Paliativos
Neoplasias
Estado Nutricional;
Desnutrición
Fuerza Muscular.
topic Cuidados Paliativos
Neoplasias
Estado Nutricional
Desnutrição
Força Muscular
Palliative Care
Neoplasm
Nutritional Status
Malnutrition
Muscle Strength
Cuidados Paliativos
Neoplasias
Estado Nutricional;
Desnutrición
Fuerza Muscular.
description Introduction: Nutritional monitoring in palliative care is extremely important, since levels of mortality, malnutrition and unintentional weight loss occur in the majority of cancer patients. In this way, it is possible to prevent nutritional deficiencies and weight loss, which leads to a worsening nutritional status. Objective: The aim of the study was to evaluate the association between the classification of nutritional status obtained by the patient-generated subjective global assessment (PG-SGA), handgrip strength (HGS) and adductor pollicis muscle (APM) in cancer patients palliative. Method: We evaluated 70 cancer patients enrolled in the exclusive palliative care program. The PG-SGA was used to assess the nutritional status. To evaluate the association of nutritional status with other predictive measures, HGS measurements were performed with a dynamometer and APM with an adipometer. Descriptive statistics and linear regression analysis were  used to evaluate the ability of these measures to predict nutritional status. Results: Of the 70 patients, aged between 31 and 101 years, in which 58.6% were male and malnutrition (B+C) was found in 87.2% (n=61) according to PG-SGA. The value of APM was altered in 72.9% (n=51) patients and 42.9% (n=30) in HGS. HGS was associated with PG-SGA (b=-0.273, p=0.04) and APM didn’t (b=-0,124; p=0.546); therefore, only HGS was a good predictor of nutritional status in this study. Conclusion: It’s suggested the use of HGS to evaluate nutritional status in palliative cancer patients. 
publishDate 2018
dc.date.none.fl_str_mv 2018-12-31
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
Artigos, Avaliado pelos pares
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://rbc.inca.gov.br/index.php/revista/article/view/196
10.32635/2176-9745.RBC.2018v64n4.196
url https://rbc.inca.gov.br/index.php/revista/article/view/196
identifier_str_mv 10.32635/2176-9745.RBC.2018v64n4.196
dc.language.iso.fl_str_mv por
eng
language por
eng
dc.relation.none.fl_str_mv https://rbc.inca.gov.br/index.php/revista/article/view/196/128
https://rbc.inca.gov.br/index.php/revista/article/view/196/399
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
application/pdf
dc.publisher.none.fl_str_mv INCA
publisher.none.fl_str_mv INCA
dc.source.none.fl_str_mv Revista Brasileira de Cancerologia; Vol. 64 No. 4 (2018): Oct./Nov./Dec.; 479-487
Revista Brasileira de Cancerologia; Vol. 64 Núm. 4 (2018): oct./nov./dic.; 479-487
Revista Brasileira de Cancerologia; v. 64 n. 4 (2018): out./nov./dez.; 479-487
2176-9745
10.32635/2176-9745.RBC.2018v64n4
reponame:Revista Brasileira de Cancerologia (Online)
instname:Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA)
instacron:INCA
instname_str Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA)
instacron_str INCA
institution INCA
reponame_str Revista Brasileira de Cancerologia (Online)
collection Revista Brasileira de Cancerologia (Online)
repository.name.fl_str_mv Revista Brasileira de Cancerologia (Online) - Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA)
repository.mail.fl_str_mv rbc@inca.gov.br
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