Nutritional Cousenling in Patients with Head, Neck and Esophagus Cancer in (Chemo)Radiotherapy
Autor(a) principal: | |
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Data de Publicação: | 2020 |
Outros Autores: | , , , |
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/531 |
Resumo: | Introduction: The presence of a nutritionist in the radiotherapy sector intends to recover and maintain the nutritional status of the patients. Objective: To compare the results of daily nutritional counseling with weekly nutritional advising for patients with head, neck and esophagus cancer in radiotherapy treatment. Method: 29 patients were assigned to the study and randomly divided into two groups. The intervention group received nutritional advice daily. The standard group received weekly nutritional counseling. For both groups, body weight, calf or calf circumference, global subjective evaluation produced by the patient (ASG-PPP) and calculation of the daily dietary recall were measured. Results: The majority of the participants were male (80%), mean age 62.7 ± 26 years. Oral nutrition therapy was required for 48% of the individuals and at the end of the treatment 60% were in use of enteral nutrition. The mean weight loss in the intervention group was 1.89 ± 2.58 kg compared to the mean weight loss in the standard group of 9.92 ± 6.68 kg (p <0.001). Half of the patients in the intervention group who began treatment categorized by ASG-PPP in A, finished treatment in the same category (41.7%). More than 40% of patients in the intervention group achieved caloric needs during five weeks of treatment. Conclusion: This study found significant results for lower weight loss in patients with daily nutritional counseling. These results may in the future be precursors of guidelines that steer and direct professionals to specific conducts to patients with this profile. |
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Nutritional Cousenling in Patients with Head, Neck and Esophagus Cancer in (Chemo)RadiotherapyAsesoramiento Nutricional en Pacientes com Cáncer de Cabeza, Cuello y Esófago em Tratamiento (Quimio)RadioterápicoAconselhamento Nutricional em Pacientes com Câncer de Cabeça, Pescoço e Esôfago em Tratamento (Quimio)RadioterápicoNeoplasias de Cabeça e Pescoço/radioterapiaNeoplasias Esofágicas/radioterapiaEstado NutricionalHead and Neck Neoplasms/radiotherapyEsophageal Neoplasms/radiotherapyNutritional StatusNeoplasias de Cabeza y Cuello/radioterapiaNeoplasias Esofágicas/radioterapiaEstado NutricionalIntroduction: The presence of a nutritionist in the radiotherapy sector intends to recover and maintain the nutritional status of the patients. Objective: To compare the results of daily nutritional counseling with weekly nutritional advising for patients with head, neck and esophagus cancer in radiotherapy treatment. Method: 29 patients were assigned to the study and randomly divided into two groups. The intervention group received nutritional advice daily. The standard group received weekly nutritional counseling. For both groups, body weight, calf or calf circumference, global subjective evaluation produced by the patient (ASG-PPP) and calculation of the daily dietary recall were measured. Results: The majority of the participants were male (80%), mean age 62.7 ± 26 years. Oral nutrition therapy was required for 48% of the individuals and at the end of the treatment 60% were in use of enteral nutrition. The mean weight loss in the intervention group was 1.89 ± 2.58 kg compared to the mean weight loss in the standard group of 9.92 ± 6.68 kg (p <0.001). Half of the patients in the intervention group who began treatment categorized by ASG-PPP in A, finished treatment in the same category (41.7%). More than 40% of patients in the intervention group achieved caloric needs during five weeks of treatment. Conclusion: This study found significant results for lower weight loss in patients with daily nutritional counseling. These results may in the future be precursors of guidelines that steer and direct professionals to specific conducts to patients with this profile.Introducción: La presencia de un nutricionista en el sector de radioterapia intencional la recuperación y mantenimiento del estado nutricional de los pacientes. Objetivo: Comparar los resultados del asesoramiento nutricional diario con el asesoramiento nutricional semanal en pacientes con cáncer de cabeza, cuello y esófago en tratamiento radioterápico. Método: Fueron seleccionados 29 pacientes para el estudio y separados aleatoriamente en dos grupos. El grupo de intervención recibió asesoramiento nutricional diariamente. El grupo estándar recibió asesoramiento nutricional semanalmente. De ambos grupos se evaluaron peso corporal, circunferencia braquial o de pantorrilla, evaluación subjetiva global producida por el propio paciente (ASG-PPP) y cálculo del recordatorio alimentario diario. Resultados: La mayoría de los participantes eran del sexo masculino (80%), con una media de edad de 62,7 ± 26 años. La terapia nutricional oral fue necesaria para el 48% de los individuos y al final del tratamiento el 60% estaban en uso de nutrición enteral. La pérdida de peso media en el grupo de intervención fue de 1,89 ± 2,58 Kg comparada con la perdida media de peso en el grupo estándar de 9,92 ± 6,68 Kg (p<0,001). La mitad de los pacientes del grupo intervención que iniciaron el tratamiento categorizados por la ASG-PPP en A, finalizaron el tratamiento en esa misma categoría (41,7%). Más del 60% de los pacientes del grupo de intervención alcanzaron las necesidades calóricas durante cinco semanas del tratamiento. Conclusión: Este estudio encontró resultados significativos para una menor pérdida de peso en pacientes con asesoramiento nutricional diario. Estos resultados pueden en el futuro ser precursores de pautas que orientan y dirigen profesionales a conductas especificas a los pacientes con este perfil.Introdução: A presença de um nutricionista no setor de radioterapia objetiva a recuperação e a manutenção do estado nutricional dos pacientes. Objetivo: Comparar os resultados do aconselhamento nutricional diário com o aconselhamento nutricional semanal em pacientes com câncer de cabeça, pescoço e esôfago em tratamento radioterápico. Método: Foram selecionados 29 pacientes para o estudo e separados aleatoriamente em dois grupos. O grupo intervenção recebeu aconselhamento nutricional diariamente. O grupo padrão recebeu aconselhamento nutricional semanalmente. De ambos os grupos, foram aferidos peso corporal, circunferência braquial ou de panturrilha, avaliação subjetiva global produzida pelo próprio paciente (ASG-PPP) e calculo do recorda tório alimentar diário. Resultados: A maioria dos participantes era do sexo masculino (80%), com media de idade de 62,7 ± 26 anos. A terapia nutricional oral foi necessária para 48% dos indivíduos e, ao final do tratamento, 60% estavam em uso de nutrição enteral. A perda de peso media no grupo intervenção foi de 1,89 ± 2,58 Kg comparada a perda media de peso no grupo padrão de 9,92 ± 6,68 Kg (p=0,017). Metade dos pacientes do grupo intervenção, que iniciaram o tratamento categorizados pela ASG-PPP em A, finalizou o tratamento nessa mesma categoria (41,7%). Mais de 40% dos pacientes do grupo intervenção alcançaram as necessidades calóricas durante cinco semanas do tratamento. Conclusão: Encontraram-se resultados significativos para menor perda de peso em pacientes com aconselhamento nutricional diário que podem futuramente ser precursores de diretrizes que orientem e direcionem profissionais a condutas especificas aos pacientes com esse perfil.INCA2020-04-02info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionArtigos, Avaliado pelos paresapplication/pdfapplication/pdfhttps://rbc.inca.gov.br/index.php/revista/article/view/53110.32635/2176-9745.RBC.2020v66n1.531Revista Brasileira de Cancerologia; Vol. 66 No. 1 (2020): Jan./Feb./Mar.; e-13531Revista Brasileira de Cancerologia; Vol. 66 Núm. 1 (2020): enero/feb./marzo; e-13531Revista Brasileira de Cancerologia; v. 66 n. 1 (2020): jan./fev.mar.; e-135312176-9745reponame: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/531/572https://rbc.inca.gov.br/index.php/revista/article/view/531/676Copyright (c) 2020 Revista Brasileira de Cancerologiainfo:eu-repo/semantics/openAccessPootz, Sheila CrstinaGonçalves Boff, Dóris Canuto, Raquel Brollo, Janaína Pio da Silva, Ana Carolina2021-11-29T20:02:50Zoai:rbc.inca.gov.br:article/531Revistahttps://rbc.inca.gov.br/index.php/revistaPUBhttps://rbc.inca.gov.br/index.php/revista/oairbc@inca.gov.br0034-71162176-9745opendoar:2021-11-29T20:02:50Revista Brasileira de Cancerologia (Online) - Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA)false |
dc.title.none.fl_str_mv |
Nutritional Cousenling in Patients with Head, Neck and Esophagus Cancer in (Chemo)Radiotherapy Asesoramiento Nutricional en Pacientes com Cáncer de Cabeza, Cuello y Esófago em Tratamiento (Quimio)Radioterápico Aconselhamento Nutricional em Pacientes com Câncer de Cabeça, Pescoço e Esôfago em Tratamento (Quimio)Radioterápico |
title |
Nutritional Cousenling in Patients with Head, Neck and Esophagus Cancer in (Chemo)Radiotherapy |
spellingShingle |
Nutritional Cousenling in Patients with Head, Neck and Esophagus Cancer in (Chemo)Radiotherapy Pootz, Sheila Crstina Neoplasias de Cabeça e Pescoço/radioterapia Neoplasias Esofágicas/radioterapia Estado Nutricional Head and Neck Neoplasms/radiotherapy Esophageal Neoplasms/radiotherapy Nutritional Status Neoplasias de Cabeza y Cuello/radioterapia Neoplasias Esofágicas/radioterapia Estado Nutricional |
title_short |
Nutritional Cousenling in Patients with Head, Neck and Esophagus Cancer in (Chemo)Radiotherapy |
title_full |
Nutritional Cousenling in Patients with Head, Neck and Esophagus Cancer in (Chemo)Radiotherapy |
title_fullStr |
Nutritional Cousenling in Patients with Head, Neck and Esophagus Cancer in (Chemo)Radiotherapy |
title_full_unstemmed |
Nutritional Cousenling in Patients with Head, Neck and Esophagus Cancer in (Chemo)Radiotherapy |
title_sort |
Nutritional Cousenling in Patients with Head, Neck and Esophagus Cancer in (Chemo)Radiotherapy |
author |
Pootz, Sheila Crstina |
author_facet |
Pootz, Sheila Crstina Gonçalves Boff, Dóris Canuto, Raquel Brollo, Janaína Pio da Silva, Ana Carolina |
author_role |
author |
author2 |
Gonçalves Boff, Dóris Canuto, Raquel Brollo, Janaína Pio da Silva, Ana Carolina |
author2_role |
author author author author |
dc.contributor.author.fl_str_mv |
Pootz, Sheila Crstina Gonçalves Boff, Dóris Canuto, Raquel Brollo, Janaína Pio da Silva, Ana Carolina |
dc.subject.por.fl_str_mv |
Neoplasias de Cabeça e Pescoço/radioterapia Neoplasias Esofágicas/radioterapia Estado Nutricional Head and Neck Neoplasms/radiotherapy Esophageal Neoplasms/radiotherapy Nutritional Status Neoplasias de Cabeza y Cuello/radioterapia Neoplasias Esofágicas/radioterapia Estado Nutricional |
topic |
Neoplasias de Cabeça e Pescoço/radioterapia Neoplasias Esofágicas/radioterapia Estado Nutricional Head and Neck Neoplasms/radiotherapy Esophageal Neoplasms/radiotherapy Nutritional Status Neoplasias de Cabeza y Cuello/radioterapia Neoplasias Esofágicas/radioterapia Estado Nutricional |
description |
Introduction: The presence of a nutritionist in the radiotherapy sector intends to recover and maintain the nutritional status of the patients. Objective: To compare the results of daily nutritional counseling with weekly nutritional advising for patients with head, neck and esophagus cancer in radiotherapy treatment. Method: 29 patients were assigned to the study and randomly divided into two groups. The intervention group received nutritional advice daily. The standard group received weekly nutritional counseling. For both groups, body weight, calf or calf circumference, global subjective evaluation produced by the patient (ASG-PPP) and calculation of the daily dietary recall were measured. Results: The majority of the participants were male (80%), mean age 62.7 ± 26 years. Oral nutrition therapy was required for 48% of the individuals and at the end of the treatment 60% were in use of enteral nutrition. The mean weight loss in the intervention group was 1.89 ± 2.58 kg compared to the mean weight loss in the standard group of 9.92 ± 6.68 kg (p <0.001). Half of the patients in the intervention group who began treatment categorized by ASG-PPP in A, finished treatment in the same category (41.7%). More than 40% of patients in the intervention group achieved caloric needs during five weeks of treatment. Conclusion: This study found significant results for lower weight loss in patients with daily nutritional counseling. These results may in the future be precursors of guidelines that steer and direct professionals to specific conducts to patients with this profile. |
publishDate |
2020 |
dc.date.none.fl_str_mv |
2020-04-02 |
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/531 10.32635/2176-9745.RBC.2020v66n1.531 |
url |
https://rbc.inca.gov.br/index.php/revista/article/view/531 |
identifier_str_mv |
10.32635/2176-9745.RBC.2020v66n1.531 |
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/531/572 https://rbc.inca.gov.br/index.php/revista/article/view/531/676 |
dc.rights.driver.fl_str_mv |
Copyright (c) 2020 Revista Brasileira de Cancerologia info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Copyright (c) 2020 Revista Brasileira de Cancerologia |
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. 66 No. 1 (2020): Jan./Feb./Mar.; e-13531 Revista Brasileira de Cancerologia; Vol. 66 Núm. 1 (2020): enero/feb./marzo; e-13531 Revista Brasileira de Cancerologia; v. 66 n. 1 (2020): jan./fev.mar.; e-13531 2176-9745 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) |
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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) |
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rbc@inca.gov.br |
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1797042244445798400 |