Factors associated with malnutrition among head and neck cancer in-patients before radiotherapy in National Cancer Institute, Putrajaya

Introduction: Head and neck cancer (HNC) patients are often malnourished during diagnosis and before treatment. This study determined the prevalence of malnutrition and factors associated with malnutrition among HNC patients. Methods: A crosssectional study among HNC in-patients before radiotherapy...

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Main Authors: Neoh, May Kay, Abu Zaid, Zalina, Abdul Rahman, Zuwariah, Jamhuri, Norshariza, Kahairudin, Zuliehaiza, Ahmad Samwil, Siti Noraini, Abdullah, Aeininhayatey, Ho, Chiou Yi, Haniff Lai, Betti Sharina, Ng, Wai Han, Mohammad, Aini Masitah, Md Yusop, Nor Baizura, Ibrahim, Zuriati, Mat Daud, Zulfitri 'Azuan
Format: Article
Language:English
Published: Persatuan Pemakanan Malaysia 2020
Online Access:http://psasir.upm.edu.my/id/eprint/88967/1/ABSTRACT.pdf
http://psasir.upm.edu.my/id/eprint/88967/
https://nutriweb.org.my/mjn/2020.php
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spelling my.upm.eprints.889672021-11-01T23:08:14Z http://psasir.upm.edu.my/id/eprint/88967/ Factors associated with malnutrition among head and neck cancer in-patients before radiotherapy in National Cancer Institute, Putrajaya Neoh, May Kay Abu Zaid, Zalina Abdul Rahman, Zuwariah Jamhuri, Norshariza Kahairudin, Zuliehaiza Ahmad Samwil, Siti Noraini Abdullah, Aeininhayatey Ho, Chiou Yi Haniff Lai, Betti Sharina Ng, Wai Han Mohammad, Aini Masitah Md Yusop, Nor Baizura Ibrahim, Zuriati Mat Daud, Zulfitri 'Azuan Introduction: Head and neck cancer (HNC) patients are often malnourished during diagnosis and before treatment. This study determined the prevalence of malnutrition and factors associated with malnutrition among HNC patients. Methods: A crosssectional study among HNC in-patients before radiotherapy was conducted. Malnutrition status of the patients was determined using scored Patient GeneratedSubjective Global Assessment (PG-SGA). Nutritional parameters of muscle mass, fat mass, albumin, energy and protein intakes were collected. Nutrition impact symptoms (NIS) of the patients were assessed using a validated Head and Neck Symptoms Checklist© (HNSC©). Results: Fifty HNC patients were recruited in this study and the age range of patients was 21 to 78 years old, with gender distribution of 78% males and 22% females. More than half of the patients were malnourished, with 20% severely malnourished before radiotherapy. The lack of dietitian referral before treatment was found to significantly affect nutritional status (p=0.027). There was a significant negative relationship between energy intake (r=0.342, p=0.015) and protein intake (r=0.386, p=0.006) with PG-SGA, indicating lower energy and protein intakes related with poor nutritional status. The result showed a significant positive relationship between NIS score (r=0.731, p<0.001) and PG-SGA, indicating the lower the NIS, the better the nutritional status among HNC patients. More than half of the HNC patients had difficulty chewing. Conclusion: A strong association between nutritional status and NIS showed the importance of dietary management in HNC patients. Early identification of the nutritional status of HNC patients can ensure optimal nutritional status to improve treatment outcomes. Persatuan Pemakanan Malaysia 2020 Article PeerReviewed text en http://psasir.upm.edu.my/id/eprint/88967/1/ABSTRACT.pdf Neoh, May Kay and Abu Zaid, Zalina and Abdul Rahman, Zuwariah and Jamhuri, Norshariza and Kahairudin, Zuliehaiza and Ahmad Samwil, Siti Noraini and Abdullah, Aeininhayatey and Ho, Chiou Yi and Haniff Lai, Betti Sharina and Ng, Wai Han and Mohammad, Aini Masitah and Md Yusop, Nor Baizura and Ibrahim, Zuriati and Mat Daud, Zulfitri 'Azuan (2020) Factors associated with malnutrition among head and neck cancer in-patients before radiotherapy in National Cancer Institute, Putrajaya. Malaysian Journal of Nutrition, 26 (2). 257 - 271. ISSN 1394-035X https://nutriweb.org.my/mjn/2020.php 10.31246/mjn-2019-0094
institution Universiti Putra Malaysia
building UPM Library
collection Institutional Repository
continent Asia
country Malaysia
content_provider Universiti Putra Malaysia
content_source UPM Institutional Repository
url_provider http://psasir.upm.edu.my/
language English
description Introduction: Head and neck cancer (HNC) patients are often malnourished during diagnosis and before treatment. This study determined the prevalence of malnutrition and factors associated with malnutrition among HNC patients. Methods: A crosssectional study among HNC in-patients before radiotherapy was conducted. Malnutrition status of the patients was determined using scored Patient GeneratedSubjective Global Assessment (PG-SGA). Nutritional parameters of muscle mass, fat mass, albumin, energy and protein intakes were collected. Nutrition impact symptoms (NIS) of the patients were assessed using a validated Head and Neck Symptoms Checklist© (HNSC©). Results: Fifty HNC patients were recruited in this study and the age range of patients was 21 to 78 years old, with gender distribution of 78% males and 22% females. More than half of the patients were malnourished, with 20% severely malnourished before radiotherapy. The lack of dietitian referral before treatment was found to significantly affect nutritional status (p=0.027). There was a significant negative relationship between energy intake (r=0.342, p=0.015) and protein intake (r=0.386, p=0.006) with PG-SGA, indicating lower energy and protein intakes related with poor nutritional status. The result showed a significant positive relationship between NIS score (r=0.731, p<0.001) and PG-SGA, indicating the lower the NIS, the better the nutritional status among HNC patients. More than half of the HNC patients had difficulty chewing. Conclusion: A strong association between nutritional status and NIS showed the importance of dietary management in HNC patients. Early identification of the nutritional status of HNC patients can ensure optimal nutritional status to improve treatment outcomes.
format Article
author Neoh, May Kay
Abu Zaid, Zalina
Abdul Rahman, Zuwariah
Jamhuri, Norshariza
Kahairudin, Zuliehaiza
Ahmad Samwil, Siti Noraini
Abdullah, Aeininhayatey
Ho, Chiou Yi
Haniff Lai, Betti Sharina
Ng, Wai Han
Mohammad, Aini Masitah
Md Yusop, Nor Baizura
Ibrahim, Zuriati
Mat Daud, Zulfitri 'Azuan
spellingShingle Neoh, May Kay
Abu Zaid, Zalina
Abdul Rahman, Zuwariah
Jamhuri, Norshariza
Kahairudin, Zuliehaiza
Ahmad Samwil, Siti Noraini
Abdullah, Aeininhayatey
Ho, Chiou Yi
Haniff Lai, Betti Sharina
Ng, Wai Han
Mohammad, Aini Masitah
Md Yusop, Nor Baizura
Ibrahim, Zuriati
Mat Daud, Zulfitri 'Azuan
Factors associated with malnutrition among head and neck cancer in-patients before radiotherapy in National Cancer Institute, Putrajaya
author_facet Neoh, May Kay
Abu Zaid, Zalina
Abdul Rahman, Zuwariah
Jamhuri, Norshariza
Kahairudin, Zuliehaiza
Ahmad Samwil, Siti Noraini
Abdullah, Aeininhayatey
Ho, Chiou Yi
Haniff Lai, Betti Sharina
Ng, Wai Han
Mohammad, Aini Masitah
Md Yusop, Nor Baizura
Ibrahim, Zuriati
Mat Daud, Zulfitri 'Azuan
author_sort Neoh, May Kay
title Factors associated with malnutrition among head and neck cancer in-patients before radiotherapy in National Cancer Institute, Putrajaya
title_short Factors associated with malnutrition among head and neck cancer in-patients before radiotherapy in National Cancer Institute, Putrajaya
title_full Factors associated with malnutrition among head and neck cancer in-patients before radiotherapy in National Cancer Institute, Putrajaya
title_fullStr Factors associated with malnutrition among head and neck cancer in-patients before radiotherapy in National Cancer Institute, Putrajaya
title_full_unstemmed Factors associated with malnutrition among head and neck cancer in-patients before radiotherapy in National Cancer Institute, Putrajaya
title_sort factors associated with malnutrition among head and neck cancer in-patients before radiotherapy in national cancer institute, putrajaya
publisher Persatuan Pemakanan Malaysia
publishDate 2020
url http://psasir.upm.edu.my/id/eprint/88967/1/ABSTRACT.pdf
http://psasir.upm.edu.my/id/eprint/88967/
https://nutriweb.org.my/mjn/2020.php
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score 13.211869