Use of NutriScore and functional capacity assessment in ambulatory cancer patients

Authors

DOI:

https://doi.org/10.35454/rncm.v5n4.419

Keywords:

ECOG, NutriScore, Evaluación nutricional, Paciente oncológico

Abstract

 

 Background: Malnutrition, frequent in cancer patients, is related to a decrease in their functional capacity. NutriScore is a specific tool to measure the risk of malnutrition in outpatients with cancer. 

Objective: To determine the nutritional risk and functional status of patients attending the Oncology Day Hospital of the “Norberto Quirno” Medical Education and Clinical Research Center (CEMIC). 

Methods: Descriptive, observational, cross-sectional prospective study. Non-probabilistic sampling. NutriScore and the ECOG scale were used. The presence of symptoms related to food intake and food restriction was studied. Means, standard deviations and absolute and relative frequencies were calculated. The association between variables was determined using the Chi square test. 

Results: A total of 200 patients were included. A risk of malnutrition was found in 7%, and 36.5% of patients were overweight, according to BMI. Functional status was preserved in 90.5%; 62% presented symptoms related to food intake, the most frequent being anorexia and constipation; 33% eliminated some food from their diet, the most frequent being dairy products and gluten-containing foods. A significant association was found between nutritional risk and tumor type (

= 0.002), treatment setting (p = 0.015), and treatment (p = 0.032). 

Conclusion: The risk of malnutrition according to NutriScore was lower than described in the literature and was not associated with functional status. 

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References

Arends J, Baracos V, Bertz H, Bozzetti F, Calder PC, Deutz NEP, et al. ESPEN expert group recommendations for action against cancer-related malnutrition. Clin Nutr. 2017;36(5):1187-96. doi: 10.1016/j.clnu.2017.06.017.

de Las Peñas R, Majem M, Perez-Altozano J, Virizuela JA, Cancer E, Diz P, et al. SEOM clinical guidelines on nutrition in cancer patients (2018). Clin Transl Oncol. 2019;21(1):87-93. doi: 10.1007/s12094-018-02009-3.

Reber E, Schönenberger KA, Vasiloglou MF, Stanga Z. Nutritional risk screening in cancer patients: the first step toward better clinical outcome. Front Nutr. 2021;8:152. doi: 10.3389/fnut.2021.603936.

Muscaritoli M, Arends J, Bachmann P, Baracos V, Barthelemy N, Bertz H, et al. ESPEN practical guideline: Clin Nutr Cancer. Clin Nutr. 2021;40(5):2898-913. doi: 10.1016/j.clnu.2021.02.005.

Arribas L, Hurtós L, Sendrós MJ, Peiró I, Salleras N, Fort E, et al. NUTRISCORE: a new nutritional screening tool for oncological outpatients. Nutrition. 2017;33:297-303. doi: 10.1016/j.nut.2016.07.015.

Álvaro Sanz E, Garrido Siles M, Rey Fernández L, Villatoro Roldán R, Rueda Domínguez A, Abilés J. Nutritional risk and malnutrition rates at diagnosis of cancer in patients treated in outpatient settings: early intervention protocol. Nutrition. 2019;57:148-53. doi: 10.1016/j.nut.2018.05.021.

Álvaro Sanz E, Abilés J, Garrido Siles M, Rivas Ruíz F, Tortajada Goitia B, Domínguez AR. Evaluation of a protocol to detect malnutrition and provide nutritional care for cancer patients undergoing chemotherapy. Scient Rep. 2020;10(1):1-8. doi: 10.1038/s41598-020-78246-w

Canicoba M, Baptista G, Visconti G. Documento de consenso: funciones y competencias del nutricionista clínico. Rev Cubana Aliment Nutr. 2013;23(1):146-72.

Arends J, Strasser F, Gonella S, Solheim TS, Madeddu C, Ravasco P, et al. Cancer cachexia in adult patients: ESMO Clinical Practice Guidelines. ESMO open. 2021;6(3):100092. doi: 10.1016/j.esmoop.2021.100092.

Dolan RD, Daly LE, Simmons CP, Ryan AM, Sim WM, Fallon M, et al. The relationship between ECOG-PS, mGPS, BMI/WL grade and body composition and physical function in patients with advanced cancer. Cancers (Basel). 2020;12(5):1187. doi: 10.3390/cancers12051187.

de Vries YC, van den Berg MMGA, de Vries JHM, Boesveldt S, de Kruif JTCM, Buist N, et al. Differences in dietary intake during chemotherapy in breast cancer patients compared to women without cancer. Support Care Cancer. 2017;25(8):2581-91. doi: 10.1007/s00520-017-3668-x.

Dunne RF, Loh KP, Williams GR, Jatoi A, Mustian KM, Mohile SG. Cachexia and sarcopenia in older adults with cancer: a comprehensive review. Cancers. 2019;11(12):1861. doi: 10.3390/cancers11121861.

Steinmeyer Z, Gérard S, Filleron T, Lozano S, Brechemier D, Abellan Van Kan G, et al. Low lean mass and chemotherapy toxicity risk in the elderly: the fraction study protocol. BMC cancer. 2019;19(1):1-8. doi: 10.1186/s12885-019-6377-7.

Martin L, Gioulbasanis I, Senesse P, Baracos VE. Cancer‐associated malnutrition and CT defined sarcopenia and myosteatosis are endemic in overweight and obese patients. J Parent Enteral Nutr. 2020;44(2):227-38. doi: 10.1002/jpen.1597.

Rocculi MT, Mercuri M, Ross AM. Sobrepeso, obesidad y síndrome metabólico. Estado de situación del paciente oncológico en nuestro medio. Rev Bioquím Patol Clín. 2020;84(1):13-8.

Flores-Cisneros L, Castro-Eguiluz D, Reyes-Barretero DY, Jaimes E, Cano-Blanco C, Avendaño-Pérez C, et al. Effects of dietary components during and after concomitant chemoradiotherapy, radiotherapy, or sequential chemoradiotherapy to the abdominopelvic area. Rev Invest Clín. 2018;70(3):126-9. doi: 10.24875/RIC.18002525.

Kang WX, Li W, Huang SG, Dang Y, Gao H. Effects of nutritional intervention in head and neck cancer patients undergoing radiotherapy: A prospective randomized clinical trial. Molec Clin Oncol. 2016;5(3):279-82. doi: 10.3892/mco.2016.943.

Kurk S, Peeters P, Stellato R, Dorresteijn B, de Jong P, Jourdan M, et al. Skeletal muscle mass loss and dose‐limiting toxicities in metastatic colorectal cancer patients. J Cachexia Sarcopenia Muscle. 2019;10(4):803-13. doi: 10.1002/jcsm.12436.

Ryan AM, Prado CM, Sullivan ES, Power DG, Daly LE. Effects of weight loss and sarcopenia on response to chemotherapy, quality of life, and survival. Nutrition. 2019;67-68:110539. doi: 10.1016/j.nut.2019.06.020.

Prado CM, Purcell SA, Laviano A. Nutrition interventions to treat low muscle mass in cancer. J Cachexia Sarcopenia Muscle. 2020;11(2):366-80. doi: 10.1002/jcsm.12525.

Cessot A, Coriat R, Mir O, Boudou-Rouquette P, Giroux J, Durand JP, et al. Nutritional status is superior to the ECOG performance status in predicting the dose-intensity of the GEMOX chemotherapy regimen in patients with advanced cancer. Nutr Cancer. 2013;65(8):1254-7. doi: 10.1080/01635581.2013.830315.

Bozzetti F, Mariani L, Lo Vullo S; SCRINIO Working Group, Amerio ML, Biffi R, et al. The nutritional risk in oncology: a study of 1,453 cancer outpatients. Support Care Cancer. 2012; 20(8):1919-28. doi: 10.1007/s00520-012-1387-x.

Sullivan ES, Rice N, Kingston E, Kelly A, Reynolds JV, Feighan J, et al. A national survey of oncology survivors examining nutrition attitudes, problems and behaviours, and access to dietetic care throughout the cancer journey. Clin Nutr ESPEN. 2021;41:331-9. doi: 10.1016/j.clnesp.2020.10.023.

Hernández R, Fernández C, Baptista P. Muestreo en la investigación cualitativa. En: Metodología de la investigación. 6.a edición. México D.F.: Mcgraw-Hill/Interamericana Editores; 2014. p. 390-2.

Sullivan KM, Dean A, Soe MM. On academics: OpenEpi: a web-based epidemiologic and statistical calculator for public health. Public Health Reports. 2009;124(3):471-4. (Consultado el 26 de marzo 2021). Disponible en: http://www.openepi.com/Menu/OE_Menu.htm

World Health Organization. Obesity: preventing and managing the global epidemic: report of a WHO consultation on obesity. Geneva: World Health Organization; 1998. p. 3-5.

Lipschitz DA. Screening for nutritional status in the elderly. Prim Care. 1994;21(1):55-67.

Edición electrónica de la CIE-10-ES diagnósticos. 3.ª edición. 2021. (Consultado el 19 de mayo 2021). Disponible en: https://eciemaps.mscbs.gob.es/ecieMaps/browser/index_10_mc.html

Jensen OM, Parkin DM, MacLennan R, Muir CS, Skeet RG. Registros de cáncer: principios y métodos. Lyon, Francia: IARC. Publicación científica No. 95. 1995.

Gómez C, Peña M, de Cos Blanco AI, Iglesias Rosado C, Castillo R. Evaluación del estado nutricional en el paciente oncológico. En: Gómez, Sastre A. Soporte nutricional en el paciente oncológico. Madrid, España: You & Us; 2002. p. 43-56.

Pérez-Cruz PE, Acevedo CF. Escalas de estado funcional (o performance status) en cáncer. Gastroenterol Latinoam. 2014;25(3):219-26.

Bosch X, Monclús E, Escoda O, Guerra-García M, Moreno P, Guasch N, et al. Unintentional weight loss: clinical characteristics and outcomes in a prospective cohort of 2677 patients. PloS one. 2017;12(4). doi: 10.1371/journal.pone.0175125.

Kang J, Li H, Shi X, Ma E, Chen W. Validation of the efficacy of the NUTRISCORE for the nutritional screening of cancer patients in China. BMC Cancer. 2022;22(1):43. doi: 10.1186/s12885-021-09135-2.

Leuenberger M, Kurmann S, Stanga Z. Nutritional screening tools in daily clinical practice: the focus on cancer. Support Care Cancer. 2010;18(2):17-27. doi: 10.1007/s00520-009-0805-1.

Trujillo EB, Dixon SW, Claghorn K, Levin RM, Mills JB, Spees CK. Closing the gap in nutrition care at outpatient cancer centers: ongoing initiatives of the oncology nutrition dietetic practice group. J Acad Nutr Diet. 2018;118(4):749-60. doi: 10.1016/j.jand.2018.02.010.

Published

2022-12-08

How to Cite

Capelli, O. A., Navarro, P., & Adaglio, J. (2022). Use of NutriScore and functional capacity assessment in ambulatory cancer patients. Journal Clinical Nutrition and Metabolism, 5(4), 21–29. https://doi.org/10.35454/rncm.v5n4.419

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