Study of nutritional risk screening and body composition changes in preoperative gastrointestinal cancer patients

doi:10.3877/cma.j.issn.1674-0793.2011.06.008

Abstract

Abstract:

Objective

To investigate nutritional risk screening and body composition changes in preoperative gastrointestinal cancer patients, and provide basis for nutritional treatment choice.

Methods

One hundred and thirty-two patients with gastrointestinal cancer were selected as the object of study. A multi-frequency bioelectrical impedance analysis was applied to measure the patients’body composition. The nutritional risk screening 2002 (NRS 2002) was applied for screening.

Results

The rate of gastric cancer patients with NRS 2002 scores more than 3 was significantly higher than that of colorectal cancer patients (P < 0.001). Obesity degree, body mass index (BMI), weight ratio, relative ratio of fat, relative ratio of fat content and cell mass in gastric cancer patients, were lower than that of colorectal cancer patients (P < 0.05). And such indexes (except relative ratio of fat) in the patients with nutritional risk were lower than that in patients without nutritional risk (P < 0.05).

Conclusions

The incidence of nutritional risk of gastric cancer patients is significantly higher than that of patients with colorectal cancer. Gastric cancer patients are more vulnerable to fat loss.

Key words: Gastric cancer, Colorectal cancer, Multi-frequency bioelectrical impedance, Body composition

Xiao-bin WU, Hua-she WANG, Yan-ping DU, Zhong-hui LIU, Ling-ling LI, Xiao-jing WEN, Jun-sheng PENG. Study of nutritional risk screening and body composition changes in preoperative gastrointestinal cancer patients[J]. Chinese Archives of General Surgery(Electronic Edition), 2011, 05(06): 492-496.

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Figures/Tables 6

References 9

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组别	例数	年龄（岁）	水肿发生率（%）				肿瘤分期（例）
组别	例数	年龄（岁）	Ⅰ	Ⅱ	Ⅲ	Ⅳ	肿瘤分期（例）
胃癌组	49	60.93 ± 10.05	3	16	21	9	12.24
结肠癌组	40	57.74 ± 8.69	2	14	18	6	10.00
直肠癌组	43	59.02 ± 9.42	2	12	20	9	11.63

组别	例数	年龄（岁）	水肿发生率（%）				肿瘤分期（例）
组别	例数	年龄（岁）	Ⅰ	Ⅱ	Ⅲ	Ⅳ	肿瘤分期（例）
胃癌组	49	60.93 ± 10.05	3	16	21	9	12.24
结肠癌组	40	57.74 ± 8.69	2	14	18	6	10.00
直肠癌组	43	59.02 ± 9.42	2	12	20	9	11.63

组别	例数	< 3分	≥3分	χ²值	P值
结肠癌组	40	23(57.75)	17(42.25)	0.16	0.92
直肠癌组	43	24(55.82)	19(44.19)	?	?

组别	例数	< 3分	≥3分	χ²值	P值
结肠癌组	40	23(57.75)	17(42.25)	0.16	0.92
直肠癌组	43	24(55.82)	19(44.19)	?	?

组别	例数	< 3分	≥3分	χ²值	P值
胃癌组	49	7(14.29)	42(85.72)	25.46	< 0.001
结直肠癌组	83	47(56.63)	36(43.37)	?	?

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