Association of malignant neoplasms and impaired nutritional status in patients receiving palliative care
https://doi.org/10.18027/2224-5057-2020-10-4-16-20
Abstract
Malnutrition is one of the most common disorders observed in patients who are being treated for various diseases. In cancer patients with a palliative profile, compared with patients without malignant neoplasms, anemia, lymphopenia, decreased glomerular filtration rate were significantly more often detected, and a tendency to lower albumin levels was revealed. There was a significant decrease in PNI, BMI, shoulder circumference, thickness of the skin‑fat fold of the scapula and shoulder, and a tendency to reduce lean body weight in patients with palliative malignancies. The logistic regression analysis revealed the relationship between the presence of a malignant tumor in palliative patients and the presence of trophic status disorders: PNI (β = –0.37, p = 0.021), weight (β = –0.41, p = 0.001), BMI (β = –0.36, p = 0.001), shoulder circumference (β =–0.65, p = 0.001), thickness of the scapular skin‑fat fold (β = –0.66, p = 0.001).
About the Authors
O. V. Kurchenkova
Chelyabinsk Regional Clinical Centre of Oncology and Nuclear Medicine
Russian Federation
Russian Federation
Olga V. Kurchenkova, Oncologist, Head of the Department,
Chelyabinsk
A. V. Vazhenin
Chelyabinsk Regional Clinical Centre of Oncology and Nuclear Medicine; South Ural State Medical University
Russian Federation
Russian Federation
Andrey V. Vazhenin, MD, PhD, DSc, Prof., Honoured Doctor of the Russian Federation
Chelyabinsk
U. V. Harlamova
Chelyabinsk Regional Clinical Centre of Oncology and Nuclear Medicine; South Ural State Medical University
Russian Federation
Russian Federation
Ulyana V. Harlamova, MD, PhD, DSc, Associate Professor, Professor of the Department of Life Safety, Disaster Medicine
Chelyabinsk
A. O. Abdalov
Chelyabinsk Regional Clinical Centre of Oncology and Nuclear Medicine
Russian Federation
Russian Federation
Aleksandr O. Abdalov, Oncologist, Palliative Care Department
Chelyabinsk
O. Yu. Bastrikov
South Ural State Medical University; City Clinical Hospital No. 8, Chelyabinsk
Russian Federation
Russian Federation
Oleg Yu. Bastrikov, MD, PhD, Associate Professor, Department of Hospital Therapy
Chelyabinsk
S. I. Samodurov
South Ural State Medical University
Russian Federation
Russian Federation
Stefan I. Samodurov, medical student
Chelyabinsk
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Review
For citations:
Kurchenkova O.V., Vazhenin A.V., Harlamova U.V., Abdalov A. ., Bastrikov O. ., Samodurov S.I. Association of malignant neoplasms and impaired nutritional status in patients receiving palliative care. Malignant tumours. 2020;10(4):16-20. (In Russ.) https://doi.org/10.18027/2224-5057-2020-10-4-16-20
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