Impact of dietitian delivered intensive nutrition intervention on dietary intake and weight outcome among gynecology cancer outpatient prior to surgery

Introduction: This is open label randomised control trial, aimed to identify whether an early (commenced at the time of diagnosis) and intensive nutrition intervention (INI) (individualised dietary counselling, oral nutritional supplements [ONS], telephone, and home visit) can improve weight and die...

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Main Authors: Mohammad, Aini Masitah, Abu Zaid, Zalina, Ho, Chiou Yi, Ibrahim, Zuriati, Mat Daud, Zulfitri ‘Azuan, Md. Yusop, Nor Baizura, Jamhuri, Norshariza, Mohd Samwil, Siti Nuraini, Abd Rahman, Zuwariah
Format: Article
Language:English
Published: Faculty of Medicine and Health Sciences, University Putra Malaysia 2020
Online Access:http://psasir.upm.edu.my/id/eprint/89277/1/2020081208271616_MJMHS_0009_L.pdf
http://psasir.upm.edu.my/id/eprint/89277/
https://medic.upm.edu.my/jurnal_kami/malaysian_journal_of_medicine_and_health_sciences_mjmhs/mjmhs_vol_16_supp_6_august_2020-57866
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spelling my.upm.eprints.892772021-09-03T09:52:36Z http://psasir.upm.edu.my/id/eprint/89277/ Impact of dietitian delivered intensive nutrition intervention on dietary intake and weight outcome among gynecology cancer outpatient prior to surgery Mohammad, Aini Masitah Abu Zaid, Zalina Ho, Chiou Yi Ibrahim, Zuriati Mat Daud, Zulfitri ‘Azuan Md. Yusop, Nor Baizura Jamhuri, Norshariza Mohd Samwil, Siti Nuraini Abd Rahman, Zuwariah Introduction: This is open label randomised control trial, aimed to identify whether an early (commenced at the time of diagnosis) and intensive nutrition intervention (INI) (individualised dietary counselling, oral nutritional supplements [ONS], telephone, and home visit) can improve weight and dietary intake of gynaecological cancer (GC) patients preoperatively. Methods: Selected GC patients planned for surgery were randomly grouped into control group (CG) (n = 35) and intervention group (IG) (n = 34). Malnutrition screening tool (MST) was used as a screening tool, while Patient-Generated Subjective Global Assessment (PG-SGA) was used as a nutrition assessment tool. IG received an intensive individualised dietary counselling with the supply of ONS at baseline (Day 1). This continued with telephone and home visit follow-up by research dietitian (Day 3 and Day 6). Meanwhile, CG only received general nutritional counselling without supply of ONS. Final assessment was conducted on Day 14. The primary outcomes included weight changes measured using TANITA and dietary intake assessment using 24-hour diet recall. Results: Mean duration of INI was 14 days. At the end of the treatment period, there was a significant weight change between groups (p < 0.001), with 0.14% weight gain in IG and 1.3% weight reduction in CG. Mean energy and protein intake of IG were higher compared to CG by +329 kcal/day and +12.2 g/day, respectively. Conclusion: This study showed that INI that incorporated individualised dietary counselling, ONS, telephone counselling, and home visit can increase energy and protein intake of GC patients, resulting in weight gain. Faculty of Medicine and Health Sciences, University Putra Malaysia 2020 Article PeerReviewed text en http://psasir.upm.edu.my/id/eprint/89277/1/2020081208271616_MJMHS_0009_L.pdf Mohammad, Aini Masitah and Abu Zaid, Zalina and Ho, Chiou Yi and Ibrahim, Zuriati and Mat Daud, Zulfitri ‘Azuan and Md. Yusop, Nor Baizura and Jamhuri, Norshariza and Mohd Samwil, Siti Nuraini and Abd Rahman, Zuwariah (2020) Impact of dietitian delivered intensive nutrition intervention on dietary intake and weight outcome among gynecology cancer outpatient prior to surgery. Malaysian Journal of Medicine and Health Sciences, 16 (suppl. 6). 122 - 130. ISSN 2636-9346 https://medic.upm.edu.my/jurnal_kami/malaysian_journal_of_medicine_and_health_sciences_mjmhs/mjmhs_vol_16_supp_6_august_2020-57866
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: This is open label randomised control trial, aimed to identify whether an early (commenced at the time of diagnosis) and intensive nutrition intervention (INI) (individualised dietary counselling, oral nutritional supplements [ONS], telephone, and home visit) can improve weight and dietary intake of gynaecological cancer (GC) patients preoperatively. Methods: Selected GC patients planned for surgery were randomly grouped into control group (CG) (n = 35) and intervention group (IG) (n = 34). Malnutrition screening tool (MST) was used as a screening tool, while Patient-Generated Subjective Global Assessment (PG-SGA) was used as a nutrition assessment tool. IG received an intensive individualised dietary counselling with the supply of ONS at baseline (Day 1). This continued with telephone and home visit follow-up by research dietitian (Day 3 and Day 6). Meanwhile, CG only received general nutritional counselling without supply of ONS. Final assessment was conducted on Day 14. The primary outcomes included weight changes measured using TANITA and dietary intake assessment using 24-hour diet recall. Results: Mean duration of INI was 14 days. At the end of the treatment period, there was a significant weight change between groups (p < 0.001), with 0.14% weight gain in IG and 1.3% weight reduction in CG. Mean energy and protein intake of IG were higher compared to CG by +329 kcal/day and +12.2 g/day, respectively. Conclusion: This study showed that INI that incorporated individualised dietary counselling, ONS, telephone counselling, and home visit can increase energy and protein intake of GC patients, resulting in weight gain.
format Article
author Mohammad, Aini Masitah
Abu Zaid, Zalina
Ho, Chiou Yi
Ibrahim, Zuriati
Mat Daud, Zulfitri ‘Azuan
Md. Yusop, Nor Baizura
Jamhuri, Norshariza
Mohd Samwil, Siti Nuraini
Abd Rahman, Zuwariah
spellingShingle Mohammad, Aini Masitah
Abu Zaid, Zalina
Ho, Chiou Yi
Ibrahim, Zuriati
Mat Daud, Zulfitri ‘Azuan
Md. Yusop, Nor Baizura
Jamhuri, Norshariza
Mohd Samwil, Siti Nuraini
Abd Rahman, Zuwariah
Impact of dietitian delivered intensive nutrition intervention on dietary intake and weight outcome among gynecology cancer outpatient prior to surgery
author_facet Mohammad, Aini Masitah
Abu Zaid, Zalina
Ho, Chiou Yi
Ibrahim, Zuriati
Mat Daud, Zulfitri ‘Azuan
Md. Yusop, Nor Baizura
Jamhuri, Norshariza
Mohd Samwil, Siti Nuraini
Abd Rahman, Zuwariah
author_sort Mohammad, Aini Masitah
title Impact of dietitian delivered intensive nutrition intervention on dietary intake and weight outcome among gynecology cancer outpatient prior to surgery
title_short Impact of dietitian delivered intensive nutrition intervention on dietary intake and weight outcome among gynecology cancer outpatient prior to surgery
title_full Impact of dietitian delivered intensive nutrition intervention on dietary intake and weight outcome among gynecology cancer outpatient prior to surgery
title_fullStr Impact of dietitian delivered intensive nutrition intervention on dietary intake and weight outcome among gynecology cancer outpatient prior to surgery
title_full_unstemmed Impact of dietitian delivered intensive nutrition intervention on dietary intake and weight outcome among gynecology cancer outpatient prior to surgery
title_sort impact of dietitian delivered intensive nutrition intervention on dietary intake and weight outcome among gynecology cancer outpatient prior to surgery
publisher Faculty of Medicine and Health Sciences, University Putra Malaysia
publishDate 2020
url http://psasir.upm.edu.my/id/eprint/89277/1/2020081208271616_MJMHS_0009_L.pdf
http://psasir.upm.edu.my/id/eprint/89277/
https://medic.upm.edu.my/jurnal_kami/malaysian_journal_of_medicine_and_health_sciences_mjmhs/mjmhs_vol_16_supp_6_august_2020-57866
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score 13.211869