Protein Adequacy versus Nutritional Status of Adult Oncology Patients in Intensive Care Unit

Detalhes bibliográficos
Autor(a) principal: Villardo, Gradzielle Polito
Data de Publicação: 2018
Outros Autores: Segadilha, Nara Lucia Andrade Lopes, Rocha, Eduardo Eiras Moreira da
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/201
Resumo: Introduction: Adequate nutrition can reduce complications, length of hospital stay, and improve patient outcomes. Objective: To evaluate the adequacy of the protein prescription in enteral nutritional therapy for cancer patients and to compare the protein nutritional prescription with the specific recommendations available for oncology, according to the current literature. Method: This is a retrospective quantitative study. The data of the research were obtained through the map of daily use by the Nutritionist. Results: 54% of the patients were women and 46% were men. 41% of women had breast cancer and 21% of men had lung cancer. The nutritional risk score 3 was prevalent in adults and the elderly, of both sexes. Eutrophic adults accounted for 64% and undernourished elderly 50%. The average protein requirement for eutrophic adults was 1.5 g ptn/kg; for malnourished 2.1 g ptn/kg; for overweight 1.4 g ptn/kg and for the obese 1.8 g ptn/kg. For malnutrition in the elderly, the mean protein requirement was 1.4 g ptn/kg, for eutrophic 1.5 g ptn/kg and for obese 1.5 g ptn/kg. No evaluated result presented statistical significance. Conclusion: The malignancy of the underlying disease, age and the presence of nutritional risk suggest greater need to increase the amount of nutritional supply. It highlights the need to use protein modules to adjust nutritional prescription, especially to obese patients.
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spelling Protein Adequacy versus Nutritional Status of Adult Oncology Patients in Intensive Care UnitProtein Adecuado contra el Estado Nutricional de Pacientes Adultos en Oncología en la Unidad de Cuidados IntensivosAdequação Proteica versus Estado Nutricional de Pacientes Oncológicos Adultos em Unidade de Terapia IntensivaNutrição EnteralNeoplasiasEstado NutricionalProteínas na Dieta.Enteral Nutrition,NeoplasmsNutritional StatusDietary Proteins.Nutrición Enteral,NeoplasiasEstado NutricionalProteínas de la DietaIntroduction: Adequate nutrition can reduce complications, length of hospital stay, and improve patient outcomes. Objective: To evaluate the adequacy of the protein prescription in enteral nutritional therapy for cancer patients and to compare the protein nutritional prescription with the specific recommendations available for oncology, according to the current literature. Method: This is a retrospective quantitative study. The data of the research were obtained through the map of daily use by the Nutritionist. Results: 54% of the patients were women and 46% were men. 41% of women had breast cancer and 21% of men had lung cancer. The nutritional risk score 3 was prevalent in adults and the elderly, of both sexes. Eutrophic adults accounted for 64% and undernourished elderly 50%. The average protein requirement for eutrophic adults was 1.5 g ptn/kg; for malnourished 2.1 g ptn/kg; for overweight 1.4 g ptn/kg and for the obese 1.8 g ptn/kg. For malnutrition in the elderly, the mean protein requirement was 1.4 g ptn/kg, for eutrophic 1.5 g ptn/kg and for obese 1.5 g ptn/kg. No evaluated result presented statistical significance. Conclusion: The malignancy of the underlying disease, age and the presence of nutritional risk suggest greater need to increase the amount of nutritional supply. It highlights the need to use protein modules to adjust nutritional prescription, especially to obese patients.Introducción: La nutrición adecuada puede reducir las complicaciones, el tiempo de internación hospitalaria y mejorar los resultados clínicos de los pacientes. Objetivo: Evaluar la adecuación de la prescripción proteica  en la terapia nutricional enteral para pacientes oncológicos y comparar la prescripción nutricional proteica con las recomendaciones específicas disponibles para oncología, según la literatura actual. Método: Se trata de un estudio cuantitativo retrospectivo. Los datos de la encuesta fueron obtenidos a través del mapa de uso diario por la Nutricionista. Resultados: 54% de los pacientes eran mujeres y el 46% eran hombres. El 41% de las mujeres tenían cáncer de mama y el 21% de los hombres de cáncer de pulmón. La puntuación de riesgo nutricional 3 fue prevalente en adultos y ancianos, de ambos sexos. Los adultos eutróficos representaron el 64% y los ancianos desnutridos 50%. La exigencia proteica media para adultos eutróficos fue de 1,5 g ptn/kg; desnutridos 2,1 g ptn/kg; sobrepeso 1,4 g ptn/kg y el obesos 1,8 g ptn/kg. Para la desnutrición en ancianos, la exigencia proteica media fue de 1,4 g ptn/kg, eutróficos 1,5 g ptn/kg y para obesos 1,5 g ptn/kg. Ningún resultado evaluado presenta significancia estadística. Conclusión: La malignidad de la enfermedad subyacente, la edad y la presencia de riesgo nutricional sugieren mayor necesidad de incrementar el cuantitativo de suministro nutricional. Se evidencia también la necesidad de la utilización de módulos de proteina para adecuar la prescripción nutricional, principalmente en los pacientes obesos. Introdução: A nutrição adequada pode reduzir as complicações, o tempo de internação hospitalar e melhorar os desfechos clínicos dos pacientes. Objetivo: Avaliar a adequação da prescrição proteica na terapia nutricional enteral para pacientes oncológicos e comparar a prescrição nutricional proteica com as recomendações específicas disponíveis para oncologia, segundo a literatura atual. Método: Trata-se de um estudo quantitativo retrospectivo. Os dados da pesquisa foram obtidos por meio do mapa de uso diário pela nutricionista. Resultados: 54% dos pacientes eram mulheres, 41% das mulheres tinham câncer de mama e 21% dos homens, câncer de pulmão. Pelo NRS 2002, o escore de risco nutricional 3 foi prevalente em adultos e idosos de ambos os sexos. Adultos eutróficos representaram 64% e idosos desnutridos, 50%. A exigência proteica média para adultos eutróficos foi de 1,5 g ptn/kg; para desnutridos, 2,1 g ptn/kg; para sobrepeso, 1,4 g ptn/kg; e para o obesos, 1,8 g ptn/kg. Para a desnutrição em idosos, a exigência proteica média foi de 1,4 g ptn/kg; para eutróficos, 1,5 g ptn/kg; e para obesos, 1,5 g ptn/kg. Nenhum resultado avaliado apresentou significância estatística. Conclusão: A malignidade da doença de base, a idade e a presença do risco nutricional sugerem maior necessidade de incrementar o quantitativo de aporte nutricional. Evidencia-se também a necessidade da utilização de módulos de proteína para adequar a prescrição nutricional principalmente aos pacientes obesos.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/20110.32635/2176-9745.RBC.2018v64n4.201Revista Brasileira de Cancerologia; Vol. 64 No. 4 (2018): Oct./Nov./Dec.; 527-532Revista Brasileira de Cancerologia; Vol. 64 Núm. 4 (2018): oct./nov./dic.; 527-532Revista Brasileira de Cancerologia; v. 64 n. 4 (2018): out./nov./dez.; 527-5322176-974510.32635/2176-9745.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/201/133https://rbc.inca.gov.br/index.php/revista/article/view/201/404Villardo, Gradzielle PolitoSegadilha, Nara Lucia Andrade LopesRocha, Eduardo Eiras Moreira dainfo:eu-repo/semantics/openAccess2021-11-29T20:05:36Zoai:rbc.inca.gov.br:article/201Revistahttps://rbc.inca.gov.br/index.php/revistaPUBhttps://rbc.inca.gov.br/index.php/revista/oairbc@inca.gov.br0034-71162176-9745opendoar:2021-11-29T20:05:36Revista Brasileira de Cancerologia (Online) - Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA)false
dc.title.none.fl_str_mv Protein Adequacy versus Nutritional Status of Adult Oncology Patients in Intensive Care Unit
Protein Adecuado contra el Estado Nutricional de Pacientes Adultos en Oncología en la Unidad de Cuidados Intensivos
Adequação Proteica versus Estado Nutricional de Pacientes Oncológicos Adultos em Unidade de Terapia Intensiva
title Protein Adequacy versus Nutritional Status of Adult Oncology Patients in Intensive Care Unit
spellingShingle Protein Adequacy versus Nutritional Status of Adult Oncology Patients in Intensive Care Unit
Villardo, Gradzielle Polito
Nutrição Enteral
Neoplasias
Estado Nutricional
Proteínas na Dieta.
Enteral Nutrition,
Neoplasms
Nutritional Status
Dietary Proteins.
Nutrición Enteral,
Neoplasias
Estado Nutricional
Proteínas de la Dieta
title_short Protein Adequacy versus Nutritional Status of Adult Oncology Patients in Intensive Care Unit
title_full Protein Adequacy versus Nutritional Status of Adult Oncology Patients in Intensive Care Unit
title_fullStr Protein Adequacy versus Nutritional Status of Adult Oncology Patients in Intensive Care Unit
title_full_unstemmed Protein Adequacy versus Nutritional Status of Adult Oncology Patients in Intensive Care Unit
title_sort Protein Adequacy versus Nutritional Status of Adult Oncology Patients in Intensive Care Unit
author Villardo, Gradzielle Polito
author_facet Villardo, Gradzielle Polito
Segadilha, Nara Lucia Andrade Lopes
Rocha, Eduardo Eiras Moreira da
author_role author
author2 Segadilha, Nara Lucia Andrade Lopes
Rocha, Eduardo Eiras Moreira da
author2_role author
author
dc.contributor.author.fl_str_mv Villardo, Gradzielle Polito
Segadilha, Nara Lucia Andrade Lopes
Rocha, Eduardo Eiras Moreira da
dc.subject.por.fl_str_mv Nutrição Enteral
Neoplasias
Estado Nutricional
Proteínas na Dieta.
Enteral Nutrition,
Neoplasms
Nutritional Status
Dietary Proteins.
Nutrición Enteral,
Neoplasias
Estado Nutricional
Proteínas de la Dieta
topic Nutrição Enteral
Neoplasias
Estado Nutricional
Proteínas na Dieta.
Enteral Nutrition,
Neoplasms
Nutritional Status
Dietary Proteins.
Nutrición Enteral,
Neoplasias
Estado Nutricional
Proteínas de la Dieta
description Introduction: Adequate nutrition can reduce complications, length of hospital stay, and improve patient outcomes. Objective: To evaluate the adequacy of the protein prescription in enteral nutritional therapy for cancer patients and to compare the protein nutritional prescription with the specific recommendations available for oncology, according to the current literature. Method: This is a retrospective quantitative study. The data of the research were obtained through the map of daily use by the Nutritionist. Results: 54% of the patients were women and 46% were men. 41% of women had breast cancer and 21% of men had lung cancer. The nutritional risk score 3 was prevalent in adults and the elderly, of both sexes. Eutrophic adults accounted for 64% and undernourished elderly 50%. The average protein requirement for eutrophic adults was 1.5 g ptn/kg; for malnourished 2.1 g ptn/kg; for overweight 1.4 g ptn/kg and for the obese 1.8 g ptn/kg. For malnutrition in the elderly, the mean protein requirement was 1.4 g ptn/kg, for eutrophic 1.5 g ptn/kg and for obese 1.5 g ptn/kg. No evaluated result presented statistical significance. Conclusion: The malignancy of the underlying disease, age and the presence of nutritional risk suggest greater need to increase the amount of nutritional supply. It highlights the need to use protein modules to adjust nutritional prescription, especially to obese 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/201
10.32635/2176-9745.RBC.2018v64n4.201
url https://rbc.inca.gov.br/index.php/revista/article/view/201
identifier_str_mv 10.32635/2176-9745.RBC.2018v64n4.201
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/201/133
https://rbc.inca.gov.br/index.php/revista/article/view/201/404
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.; 527-532
Revista Brasileira de Cancerologia; Vol. 64 Núm. 4 (2018): oct./nov./dic.; 527-532
Revista Brasileira de Cancerologia; v. 64 n. 4 (2018): out./nov./dez.; 527-532
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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