Investigation of the nutritional status and its influencing factors in tumor patients

ObjectiveTo investigate the nutritional status, and analyze the influencing factors in cancer patients.

MethodsThe nutritional status of 996 tumor patients from the departments of radiotherapy and chemotherapy of Anhui Provincial Tumor Hospital from February 2014 to August 2016 were evaluated using the patient-generated subjective global assessment(PG-SGA) within 48 h of admission.The patients were divided into the good nutrition(stage PG-SGA A) group, suspected or moderate malnutrition(stage PG-SGA B) group and severe malnutrition(stage PG-SGA C) group.The stage PG-SGA A was classified as the non-malnutrition group, and the stage PG-SGA B and C were classified as malnutrition group, the basic information and various objective nutritional indicators of patients were collected to analyze the correlation between each factor and malnutrition.

ResultsAmong 959 tumor patients, the stage PG-SGA A in 366 cases(38.16%), stage PG-SGA B in 268 cases(27.95%) and stage PG-SGA C in 325 cases(33.89%) were identified, and the incidence rate of malnutrition was 61.84%.The results of multivariate logistic regression analysis showed that the radiotherapy(OR=1.629), booly mass index(OR=11.769), hypoproteinemia(OR=10.982) and grip strength(OR=1.060) were the independent risk factors of malnutrition(P < 0.05 to P < 0.01), and the female(OR=0.164), youth(OR=0.958), no dry mouth(OR=0.038), and premature satiation(OR=0.053) were the protective factors(P < 0.01).

ConclusionsMalnutrition is a common problem in patients with malignant tumors.The nutritional screening should be conducted as early as possible in patients with malignant tumors.