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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Faculty of Medicine and Health Sciences, University Putra Malaysia
2020
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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 |
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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. |
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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 |
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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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13.211869 |