Radiation Oncology Journal

The Korean Society for Radiation Oncology (대한방사선종양학회)
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Nutritional status of patients treated with radiotherapy as determined by subjective global assessment

  • Koom, Woong Sub (Department of Radiation Oncology, Yonsei University College of Medicine) ;
  • Ahn, Seung Do (Department of Radiation Oncology, Asan Medical Center) ;
  • Song, Si Yeol (Department of Radiation Oncology, Asan Medical Center) ;
  • Lee, Chang Geol (Department of Radiation Oncology, Gangnam Severance Hospital, Yonsei University College of Medicine) ;
  • Moon, Sung Ho (Department of Radiation Oncology, Research Institute and Hospital, National Cancer Center) ;
  • Chie, Eui Kyu (Department of Radiation Oncology, Seoul National University College of Medicine) ;
  • Jang, Hong Seok (Department of Radiation Oncology, Seoul St. Mary's Hospital, The Catholic University of Korea College of Medicine) ;
  • Oh, Young-Taek (Department of Radiation Oncology, Ajou University School of Medicine) ;
  • Lee, Ho Sun (Department of Nutrition and Dietetics, Severance Hospital, Yonsei University Health System) ;
  • Keum, Ki Chang (Department of Radiation Oncology, Yonsei University College of Medicine)
  • Received : 2012.08.23
  • Accepted : 2012.09.21
  • Published : 2012.09.30
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Abstract

Purpose: The purpose of this prospective multi-institutional study was to evaluate the nutritional status of patients undergoing radiotherapy (RT) for treatment of head and neck, lung, or gastrointestinal cancer. Materials and Methods: A total of 1,000 patients were enrolled in this study at seven different hospitals in Seoul, Korea between October 2009 and May 2010. The nutritional status of patients after receiving 3 weeks of RT was evaluated using subjective global assessment (SGA). The nutritional status of each patient was rated as well nourished (A), moderately malnourished (B), or severely malnourished (C). Results: The mean age of patients in this study was $59.4{\pm}11.9$ years, and the male to female ratio was 7:3. According to the SGA results, 60.8%, 34.5%, and 4.7% of patients were classified as A, B, or C, respectively. The following criteria were significantly associated with malnutrition (SGA B or C; p < 0.001): loss of subcutaneous fat or muscle wasting (odds ratio [OR], 11.473); increased metabolic demand/stress (OR, 8.688); ankle, sacral edema, or ascites (OR, 3.234); and weight loss ${\geq}5%$ (OR, 2.299). Conclusion: SGA was applied successfully to assess the nutritional status of most patients. The prevalence of malnutrition in a radiation oncology department was 39.2%. The results of this study serve as a basis for implementation of nutrition intervention to patients being treated at radiation oncology departments.

Keywords

References

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