Evaluation of Nutritional Status of Cancer Patients during Treatment by Patient-Generated Subjective Global Assessment: a Hospital-Based Study

  • Sharma, Dibyendu (Centre of Diet & Nutritional Science, Cachar Cancer Hospital & Research Centre) ;
  • Kannan, Ravi (Department of Surgical Oncology, Cachar Cancer Hospital & Research Centre) ;
  • Tapkire, Ritesh (Department of Surgical Oncology, Cachar Cancer Hospital & Research Centre) ;
  • Nath, Soumitra (Department of Biotechnology, Gurucharan College)
  • Published : 2016.01.11


Cancer patients frequently experience malnutrition. Cancer and cancer therapy effects nutritional status through alterations in the metabolic system and reduction in food intake. In the present study, fifty seven cancer patients were selected as subjects from the oncology ward of Cachar Cancer Hospital and Research Centre, Silchar, India. Evaluation of nutritional status of cancer patients during treatment was carried out by scored Patient-Generated Subjective Global Assessment (PG-SGA). The findings of PG-SGA showed that 15.8% (9) were well nourished, 31.6% (18) were moderately or suspected of being malnourished and 52.6% (30) were severely malnourished. The prevalence of malnutrition was highest in lip/oral (33.33%) cancer patients. The study showed that the prevalence of malnutrition (84.2%) was high in cancer patients during treatment.


  1. Abe Vicente M, Barao K, Silva TD, et al (2013). What are the most effective methods for assessment of nutritional status in outpatients with gastric and colorectal cancer? Nutr Hosp, 28, 585-91.
  2. Amaral TF, Antunes A, Cabral S, et al (2008). An evaluation of three nutritional screening tools in a Portuguese oncology centre. J Hum Nutr Diet, 21, 575-83.
  3. Bauer J, Capra S, Ferguson M (2002). Use of the scored Patient- Generated Subjective Global Assessment (PG-SGA) as a nutrition assessment tool in patients with cancer. Eur J Clin Nutr, 56, 779-85.
  4. Braga M, Ljungqvist O, Soeters P, et al (2009). ESPEN Guidelines on Parenteral Nutrition: surgery. Clin Nutr, 28, 378-86.
  5. Desbrow B, Bauer J, Blum C, et al (2005). Assessment of nutritional status in hemodialysis patients using patientgenerated subjective global assessment. J Ren Nutr, 15, 211-6.
  6. Dyrbye LN, Thomas MR, Shanafelt TD (2006). Systematic review of depression, anxiety, and other indicators of psychological distress among U.S. and Canadian medical students. Acad Med, 81, 354-73.
  7. Gabrielson DK, Scaffidi D, Leung E, et al (2013). Use of an abridged scored Patient-Generated Subjective Global Assessment (abPG-SGA) as a nutritional screening tool for cancer patients in an outpatient setting. Nutr Cancer, 65, 234-9.
  8. Hickson M, Frost G (2004). An investigation into the relationships between quality of life, nutritional status and physical function. Clin Nutr, 23, 213-21.
  9. Isenring E, Cross G, Daniels L, et al (2006). Validity of the malnutrition screening tool as an effective predictor of nutritional risk in oncology outpatients receiving chemotherapy. Support Care Cancer, 14, 1152-6.
  10. Jemal A, Bray F, Center MM, et al (2011). Global cancer statistics. CA Cancer J Clin, 61, 69-90.
  11. Kern KA, Norton JA (1988). Cancer cachexia. JPEN J Parenter Enteral Nutr, 12, 286-98.
  12. Khoshnevis N, Ahmadizar F, Alizadeh M, et al (2012). Nutritional assessment of cancer patients in Tehran, Iran. Asian Pac J Cancer Prev, 13, 1621-6.
  13. Kyle UG, Genton L, Pichard C (2005). Hospital length of stay and nutritional status. Curr Opin Clin Nutr Metab Care, 8, 397-402.
  14. Ma L, Poulin P, Feldstain A, et al (2013). The association between malnutrition and psychological distress in patients with advanced head-and-neck cancer. Curr Oncol, 20, 554-60.
  15. Malihi Z, Kandiah M, Chan YM, et al (2013). Nutritional status and quality of life in patients with acute leukaemia prior to and after induction chemotherapy in three hospitals in Tehran, Iran: a prospective study. J Hum Nutr Diet, 26, 123-31.
  16. Nitenberg G, Raynard B (2000). Nutritional support of the cancer patient: issues and dilemmas. Crit Rev Oncol Hematol, 34, 137-68.
  17. Odelli C, Burgess D, Bateman L, et al (2005). Nutrition support improves patient outcomes, treatment tolerance and admission characteristics in oesophageal cancer. Clin Oncol (R Coll Radiol), 17, 639-45.
  18. Ollenschlager G, Viell B, Thomas W, et al (1991). Tumor anorexia: causes, assessment, treatment. Recent Results Cancer Res, 121, 249-59.
  19. Ottery FD (1996). Definition of standardized nutritional assessment and interventional pathways in oncology. Nutrition, 12, 15-9.
  20. Paccagnella A, Morello M, Da Mosto MC, et al (2010). Early nutritional intervention improves treatment tolerance and outcomes in head and neck cancer patients undergoing concurrent chemoradiotherapy. Support Care Cancer, 18, 837-45.
  21. Sattianayagam PT, Lane T, Fox Z, et al (2013). A prospective study of nutritional status in immunoglobulin light chain amyloidosis. Haematologica, 98, 136-40.
  22. Shike M (1996). Nutrition therapy for the cancer patient. Hematol Oncol Clin North Am, 10, 221-34.
  23. Weimann A, Braga M, Harsanyi L, et al (2006). ESPEN guidelines on enteral nutrition: surgery including organ transplantation. Clin Nutr, 25, 224-44.

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