Phase Angle and Nutritional Status in Individuals with Advanced Cancer in Palliative Care

Detalhes bibliográficos
Autor(a) principal: Pereira, Mayane Marinho Esteves
Data de Publicação: 2019
Outros Autores: Wiegert, Emanuelly Varea Maria, Oliveira, Livia Costa de, Lima, Larissa Calixto
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/272
Resumo: Introduction: Phase angle (PA) may be correlated with nutritional status in individuals with cancer. Objective: To investigate the correlation between PA and nutritional status in patients with advanced cancer. Method: Cross-sectional study with individuals of both sexes, aged >20 years, in their first care in the palliative care unit of the National Cancer Institute José Alencar Gomes da Silva (INCA). The PA was evaluated through bioelectrical impedance, being considered with low the values <percentile 5 (P5). The nutritional status was evaluated by the Patient-Generated Subjective Global Assessment (PG-SGA) Short Form, albumin, body mass index (BMI) and calf circumference (CC). The chi-square test and the Spearman correlation were used. The level of statistical significance adopted was 5%. Results: A total of 94 subjects were evaluated, with a median age of 66 (57; 74) years, female predominance (51.1%) and nutritional risk (85.1%). About one-third had low functional capacity (37.2%) and PA <P5 (36.2%). Nutritional risk was more prevalent in individuals with lower PA values. Body weight, CC and serum albumin levels showed a positive correlation with PA; while the total PG-SGA score, as well as most of its domains, correlated negatively. Only the BMI did not present statistical significance when evaluated in relation to PA. Conclusion: PA correlated with nutritional status;greater the value of PA, the better the nutritional status in patients with advanced cancer in palliative care.
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spelling Phase Angle and Nutritional Status in Individuals with Advanced Cancer in Palliative CareÁngulo de Fase y Estado Nutricional en Individuos con Cáncer Avanzado en Cuidados PaliativosÂngulo de Fase e Estado Nutricional em Indivíduos com Câncer Avançado em Cuidados PaliativosNeoplasiasImpedância ElétricaComposição CorporalEstado NutricionalNeoplasmsElectric ImpedanceBody CompositionNutritional StatusNeoplasiasImpedancia EléctricaComposición CorporalEstado NutricionalIntroduction: Phase angle (PA) may be correlated with nutritional status in individuals with cancer. Objective: To investigate the correlation between PA and nutritional status in patients with advanced cancer. Method: Cross-sectional study with individuals of both sexes, aged >20 years, in their first care in the palliative care unit of the National Cancer Institute José Alencar Gomes da Silva (INCA). The PA was evaluated through bioelectrical impedance, being considered with low the values <percentile 5 (P5). The nutritional status was evaluated by the Patient-Generated Subjective Global Assessment (PG-SGA) Short Form, albumin, body mass index (BMI) and calf circumference (CC). The chi-square test and the Spearman correlation were used. The level of statistical significance adopted was 5%. Results: A total of 94 subjects were evaluated, with a median age of 66 (57; 74) years, female predominance (51.1%) and nutritional risk (85.1%). About one-third had low functional capacity (37.2%) and PA <P5 (36.2%). Nutritional risk was more prevalent in individuals with lower PA values. Body weight, CC and serum albumin levels showed a positive correlation with PA; while the total PG-SGA score, as well as most of its domains, correlated negatively. Only the BMI did not present statistical significance when evaluated in relation to PA. Conclusion: PA correlated with nutritional status;greater the value of PA, the better the nutritional status in patients with advanced cancer in palliative care.Introducción: El ángulo de fase (AF) puede estar relacionado com el estado nutricional enindividuos com cáncer. Objetivo: Investigar la correlación entre el AF y el estado nutricional en pacientes com câncer avanzado. Métodos: Estudio transversal com individuos de ambos sexos, edad>20 años, em su primera atención en la unidad de cuidados paliativos del Instituto Nacional de Cáncer José Alencar Gomes da Silva (INCA). El AF fue evaluado por medio de la impedencia bioeléctrica, siendo considerados como bajoslos valores <percentil 5 (P5). El estado nutricional fue evaluado por la evaluación Subjetiva Global producida por el paciente (ESG-PPP) version reducida, albúmina, índice de masa corporal (IMC) y circunferencia de pantorrilla (CP). Se utilizar on la prueba chi-cuadrado y la correlación de Spearman. El nivel de significancia estadística adoptado fue del 5%. Resultados: Se evaluaron 94 individuos, con mediana de edad 66 (57, 74) años, predomínio del sexo femenino (51,1%) y enriesgo nutricional (85,1%). Cerca de un tercio presentó baja capacidad funcional (37,2%) y AF <P5 (36,2%). El riesgo nutricional fue más prevalente em indivíduos con menores valores de AF. El peso corporal, la CP y los niveles séricos de albumina presentaron una correlación positiva conel AF; mientras que la puntuación total de la ESG-PPP, así como lamayoría de sus dominios, se correlacionaron de forma negativa. Sóloel IMC no presentó significancia estadística cuando se evaluó en relación al AF.Conclusión: El AF se correlacionóconel estado nutricional;cuantomayorel valor del AF, mejorel estado nutricional en pacientes com câncer avanzado en cuidados paliativos.Introdução: O ângulo de fase (AF) pode estar relacionado ao estado nutricional em indivíduos com câncer. Objetivo: Investigar a correlação entre o AF e o estado nutricional em pacientes com câncer avançado. Método: Estudo transversal com indivíduos de ambos os sexos, idade >20 anos, em seu primeiro atendimento na unidade de cuidados paliativos do Instituto Nacional de CâncerJosé Alencar Gomes da Silva (INCA). O AF foi avaliado por meio da impedância bioelétrica, sendo considerados como baixos os valores<percentil 5 (P5). O estado nutricional foi avaliado pela avaliação subjetiva global produzida pelo paciente (ASG-PPP) versão reduzida, albumina, índice de massa corporal (IMC) e perímetroda panturrilha (PP). Para a análise estatística dos dados, foram utilizados o teste qui-quadrado e a correlação de Spearman. O nível de significância estatístico adotado foi de 5%. Resultados: Foram avaliados 94 indivíduos, com mediana de idade 66 (57; 74) anos, predomínio do sexo feminino (51,1%) e risco nutricional (85,1%). Aproximadamente um terço da amostra apresentou baixa capacidade funcional (37,2%) e AF <P5 (36,2%). O risco nutricional foi mais prevalente em indivíduos com menores valores de AF. O peso corporal, a PP e os níveis séricos de albumina apresentaram correlação positiva com o AF; enquanto a pontuação total da ASG-PPP assim como a maioria de seus domínios se correlacionaram de forma negativa. Apenas o IMC não apresentou significância estatística quando avaliado em relação ao AF. Conclusão: O AF se correlacionou ao estado nutricional; quanto maior o valor do AF, melhor o estado nutricional de pacientes com câncer avançado em cuidados paliativos.INCA2019-06-06info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionArtigos, Avaliado pelos paresapplication/pdfapplication/pdfhttps://rbc.inca.gov.br/index.php/revista/article/view/27210.32635/2176-9745.RBC.2019v65n1.272Revista Brasileira de Cancerologia; Vol. 65 No. 1 (2019): Jan./Feb./Mar.; e-02272Revista Brasileira de Cancerologia; Vol. 65 Núm. 1 (2019): enero/feb./marzo; e-02272Revista Brasileira de Cancerologia; v. 65 n. 1 (2019): jan./fev./mar.; e-022722176-9745reponame: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/272/181https://rbc.inca.gov.br/index.php/revista/article/view/272/502Copyright (c) 2019 Revista Brasileira de Cancerologiainfo:eu-repo/semantics/openAccessPereira, Mayane Marinho EstevesWiegert, Emanuelly Varea MariaOliveira, Livia Costa deLima, Larissa Calixto 2021-11-29T20:04:30Zoai:rbc.inca.gov.br:article/272Revistahttps://rbc.inca.gov.br/index.php/revistaPUBhttps://rbc.inca.gov.br/index.php/revista/oairbc@inca.gov.br0034-71162176-9745opendoar:2021-11-29T20:04:30Revista Brasileira de Cancerologia (Online) - Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA)false
dc.title.none.fl_str_mv Phase Angle and Nutritional Status in Individuals with Advanced Cancer in Palliative Care
Ángulo de Fase y Estado Nutricional en Individuos con Cáncer Avanzado en Cuidados Paliativos
Ângulo de Fase e Estado Nutricional em Indivíduos com Câncer Avançado em Cuidados Paliativos
title Phase Angle and Nutritional Status in Individuals with Advanced Cancer in Palliative Care
spellingShingle Phase Angle and Nutritional Status in Individuals with Advanced Cancer in Palliative Care
Pereira, Mayane Marinho Esteves
Neoplasias
Impedância Elétrica
Composição Corporal
Estado Nutricional
Neoplasms
Electric Impedance
Body Composition
Nutritional Status
Neoplasias
Impedancia Eléctrica
Composición Corporal
Estado Nutricional
title_short Phase Angle and Nutritional Status in Individuals with Advanced Cancer in Palliative Care
title_full Phase Angle and Nutritional Status in Individuals with Advanced Cancer in Palliative Care
title_fullStr Phase Angle and Nutritional Status in Individuals with Advanced Cancer in Palliative Care
title_full_unstemmed Phase Angle and Nutritional Status in Individuals with Advanced Cancer in Palliative Care
title_sort Phase Angle and Nutritional Status in Individuals with Advanced Cancer in Palliative Care
author Pereira, Mayane Marinho Esteves
author_facet Pereira, Mayane Marinho Esteves
Wiegert, Emanuelly Varea Maria
Oliveira, Livia Costa de
Lima, Larissa Calixto
author_role author
author2 Wiegert, Emanuelly Varea Maria
Oliveira, Livia Costa de
Lima, Larissa Calixto
author2_role author
author
author
dc.contributor.author.fl_str_mv Pereira, Mayane Marinho Esteves
Wiegert, Emanuelly Varea Maria
Oliveira, Livia Costa de
Lima, Larissa Calixto
dc.subject.por.fl_str_mv Neoplasias
Impedância Elétrica
Composição Corporal
Estado Nutricional
Neoplasms
Electric Impedance
Body Composition
Nutritional Status
Neoplasias
Impedancia Eléctrica
Composición Corporal
Estado Nutricional
topic Neoplasias
Impedância Elétrica
Composição Corporal
Estado Nutricional
Neoplasms
Electric Impedance
Body Composition
Nutritional Status
Neoplasias
Impedancia Eléctrica
Composición Corporal
Estado Nutricional
description Introduction: Phase angle (PA) may be correlated with nutritional status in individuals with cancer. Objective: To investigate the correlation between PA and nutritional status in patients with advanced cancer. Method: Cross-sectional study with individuals of both sexes, aged >20 years, in their first care in the palliative care unit of the National Cancer Institute José Alencar Gomes da Silva (INCA). The PA was evaluated through bioelectrical impedance, being considered with low the values <percentile 5 (P5). The nutritional status was evaluated by the Patient-Generated Subjective Global Assessment (PG-SGA) Short Form, albumin, body mass index (BMI) and calf circumference (CC). The chi-square test and the Spearman correlation were used. The level of statistical significance adopted was 5%. Results: A total of 94 subjects were evaluated, with a median age of 66 (57; 74) years, female predominance (51.1%) and nutritional risk (85.1%). About one-third had low functional capacity (37.2%) and PA <P5 (36.2%). Nutritional risk was more prevalent in individuals with lower PA values. Body weight, CC and serum albumin levels showed a positive correlation with PA; while the total PG-SGA score, as well as most of its domains, correlated negatively. Only the BMI did not present statistical significance when evaluated in relation to PA. Conclusion: PA correlated with nutritional status;greater the value of PA, the better the nutritional status in patients with advanced cancer in palliative care.
publishDate 2019
dc.date.none.fl_str_mv 2019-06-06
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/272
10.32635/2176-9745.RBC.2019v65n1.272
url https://rbc.inca.gov.br/index.php/revista/article/view/272
identifier_str_mv 10.32635/2176-9745.RBC.2019v65n1.272
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/272/181
https://rbc.inca.gov.br/index.php/revista/article/view/272/502
dc.rights.driver.fl_str_mv Copyright (c) 2019 Revista Brasileira de Cancerologia
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Copyright (c) 2019 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. 65 No. 1 (2019): Jan./Feb./Mar.; e-02272
Revista Brasileira de Cancerologia; Vol. 65 Núm. 1 (2019): enero/feb./marzo; e-02272
Revista Brasileira de Cancerologia; v. 65 n. 1 (2019): jan./fev./mar.; e-02272
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)
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
_version_ 1797042242927460352

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