Skip to main content
Erschienen in: Supportive Care in Cancer 12/2023

01.12.2023 | Research

Risk factors for malnutrition in patients with nasopharyngeal carcinoma

verfasst von: Pengpeng Wang, Kim Lam Soh, Yanping Ying, Jinlian Liao, Xueling Huang, Huihan Zhao, Xiao Pan, Lan Deng, Xiaoxia Yu

Erschienen in: Supportive Care in Cancer | Ausgabe 12/2023

Einloggen, um Zugang zu erhalten

Abstract

Background

Malnutrition is a common complication in patients with nasopharyngeal carcinoma (NPC). However, there are few studies on risk factors for malnutrition in NPC patients. Our aims were to identify the risk factors for malnutrition in NPC patients.

Methods

NPC patients were recruited in this cross-sectional study, and they were divided into well-nourished and malnourished groups according to the Global Leadership Initiative on Malnutrition (GLIM). Potential risk factors were initially screened using univariate analysis (p < 0.1), and the selected ones were analyzed by logistic regression analysis (p < 0.05) to identify the risk factors for malnutrition in NPC patients.

Results

In total, 305 NPC patients meeting eligibility criteria were enrolled. Multivariate logistic regression analysis revealed that low body mass index (BMI) (OR = 0.596, 95% CI 0.520–0.683, p < 0.001), the high total radiation dose received (OR = 1.046, 95% CI 1.023–1.069, p < 0.001), appetite loss (OR = 2.839, 95% CI 1.269–6.353, p = 0.011), and low PA (OR = 0.993, 95% CI 0.988–0.998, p = 0.008) were risk factors for malnutrition in NPC patients.

Conclusions

The low BMI, the high total radiation dose received, appetite loss, and low prealbumin were risk factors for malnutrition in NPC patients.
Literatur
1.
Zurück zum Zitat Zhang X-M, Wang T, Hu P, Li B, Liu H, Cheng Y-F (2019) SERPINB2 overexpression inhibited cell proliferation, invasion and migration, led to G2/M arrest, and increased radiosensitivity in nasopharyngeal carcinoma cells. J Radiat Res 60(3):318–327PubMedPubMedCentral Zhang X-M, Wang T, Hu P, Li B, Liu H, Cheng Y-F (2019) SERPINB2 overexpression inhibited cell proliferation, invasion and migration, led to G2/M arrest, and increased radiosensitivity in nasopharyngeal carcinoma cells. J Radiat Res 60(3):318–327PubMedPubMedCentral
2.
Zurück zum Zitat Chua ML, Wee JT, Hui EP, Chan AT (2016) Nasopharyngeal carcinoma. The Lancet 387(10022):1012–1024 Chua ML, Wee JT, Hui EP, Chan AT (2016) Nasopharyngeal carcinoma. The Lancet 387(10022):1012–1024
3.
Zurück zum Zitat Lee HM, Okuda KS, González FE, Patel V (2019) Current perspectives on nasopharyngeal carcinoma. Hum Cell Transform 1164:11–34 Lee HM, Okuda KS, González FE, Patel V (2019) Current perspectives on nasopharyngeal carcinoma. Hum Cell Transform 1164:11–34
4.
Zurück zum Zitat Chen Y-P, Chan AT, Le Q-T, Blanchard P, Sun Y, Ma J (2019) Nasopharyngeal carcinoma. The Lancet 394(10192):64–80 Chen Y-P, Chan AT, Le Q-T, Blanchard P, Sun Y, Ma J (2019) Nasopharyngeal carcinoma. The Lancet 394(10192):64–80
5.
Zurück zum Zitat Pan X, Wang C, Li R, Su L, Zhang M, Cai C et al (2020) Applicability of the nutrition risk screening 2002 combined with a patient-generated subjective global assessment in patients with nasopharyngeal carcinoma. Cancer Manag Res 12:8221PubMedPubMedCentral Pan X, Wang C, Li R, Su L, Zhang M, Cai C et al (2020) Applicability of the nutrition risk screening 2002 combined with a patient-generated subjective global assessment in patients with nasopharyngeal carcinoma. Cancer Manag Res 12:8221PubMedPubMedCentral
6.
Zurück zum Zitat Pan X, Liu H, Feng G, Xiao J, Wang M, Liu H et al (2021) Role of muscle mass and nutritional assessment tools in evaluating the nutritional status of patients with locally advanced nasopharyngeal carcinoma. Front Nutr 8:567085PubMedPubMedCentral Pan X, Liu H, Feng G, Xiao J, Wang M, Liu H et al (2021) Role of muscle mass and nutritional assessment tools in evaluating the nutritional status of patients with locally advanced nasopharyngeal carcinoma. Front Nutr 8:567085PubMedPubMedCentral
7.
Zurück zum Zitat Wan M, Zhang L, Chen C, Zhao D, Zheng B, Xiao S et al (2022) GLIM criteria-defined malnutrition informs on survival of nasopharyngeal carcinoma patients undergoing radiotherapy. Nutr Cancer 1–10 Wan M, Zhang L, Chen C, Zhao D, Zheng B, Xiao S et al (2022) GLIM criteria-defined malnutrition informs on survival of nasopharyngeal carcinoma patients undergoing radiotherapy. Nutr Cancer 1–10
8.
Zurück zum Zitat Deng J, He Y, Sun X-S, Li J-M, Xin M-Z, Li W-Q et al (2019) Construction of a comprehensive nutritional index and its correlation with quality of life and survival in patients with nasopharyngeal carcinoma undergoing IMRT: a prospective study. Oral Oncol 98:62–68PubMed Deng J, He Y, Sun X-S, Li J-M, Xin M-Z, Li W-Q et al (2019) Construction of a comprehensive nutritional index and its correlation with quality of life and survival in patients with nasopharyngeal carcinoma undergoing IMRT: a prospective study. Oral Oncol 98:62–68PubMed
9.
Zurück zum Zitat Rhoten BA, Murphy BA, Dietrich MS, Ridner SH (2018) Depressive symptoms, social anxiety, and perceived neck function in patients with head and neck cancer. Head Neck 40(7):1443–1452PubMedPubMedCentral Rhoten BA, Murphy BA, Dietrich MS, Ridner SH (2018) Depressive symptoms, social anxiety, and perceived neck function in patients with head and neck cancer. Head Neck 40(7):1443–1452PubMedPubMedCentral
10.
Zurück zum Zitat He Y, Chen L, Chen L, Hu W, Wang C, Tang L et al (2017) Relationship between the comprehensive nutritional index and the EORTC QLQ-H&N35 in nasopharyngeal carcinoma patients treated with intensity-modulated radiation therapy. Nutr Cancer 69(3):436–443PubMed He Y, Chen L, Chen L, Hu W, Wang C, Tang L et al (2017) Relationship between the comprehensive nutritional index and the EORTC QLQ-H&N35 in nasopharyngeal carcinoma patients treated with intensity-modulated radiation therapy. Nutr Cancer 69(3):436–443PubMed
11.
Zurück zum Zitat Ji J, Jiang DD, Xu Z, Yang YQ, Ky Qian, Zhang MX (2021) Continuous quality improvement of nutrition management during radiotherapy in patients with nasopharyngeal carcinoma. Nursing Open 8(6):3261–3270PubMedPubMedCentral Ji J, Jiang DD, Xu Z, Yang YQ, Ky Qian, Zhang MX (2021) Continuous quality improvement of nutrition management during radiotherapy in patients with nasopharyngeal carcinoma. Nursing Open 8(6):3261–3270PubMedPubMedCentral
12.
Zurück zum Zitat Larsson M, Hedelin B, Johansson I, Athlin E (2005) Eating problems and weight loss for patients with head and neck cancer: a chart review from diagnosis until one year after treatment. Cancer Nurs 28(6):425–435PubMed Larsson M, Hedelin B, Johansson I, Athlin E (2005) Eating problems and weight loss for patients with head and neck cancer: a chart review from diagnosis until one year after treatment. Cancer Nurs 28(6):425–435PubMed
13.
Zurück zum Zitat Li G, Jiang X-Y, Qiu B, Shen L-J, Chen C, Xia Y-F (2017) Vicious circle of acute radiation toxicities and weight loss predicts poor prognosis for nasopharyngeal carcinoma patients receiving intensity modulated radiotherapy. J Cancer 8(5):832PubMedPubMedCentral Li G, Jiang X-Y, Qiu B, Shen L-J, Chen C, Xia Y-F (2017) Vicious circle of acute radiation toxicities and weight loss predicts poor prognosis for nasopharyngeal carcinoma patients receiving intensity modulated radiotherapy. J Cancer 8(5):832PubMedPubMedCentral
14.
Zurück zum Zitat Wang X, Yang M, Ge Y, Tang M, Rao B, Chen Y et al (2021) Association of systemic inflammation and malnutrition with survival in nasopharyngeal carcinoma undergoing chemoradiotherapy: results from a multicentre cohort study. Front Oncol 11:766398 Wang X, Yang M, Ge Y, Tang M, Rao B, Chen Y et al (2021) Association of systemic inflammation and malnutrition with survival in nasopharyngeal carcinoma undergoing chemoradiotherapy: results from a multicentre cohort study. Front Oncol 11:766398
15.
Zurück zum Zitat Colasanto JM, Prasad P, Nash MA, Decker RH, Wilson LD (2005) Nutritional support of patients undergoing radiation therapy for head and neck cancer. Oncology (Williston Park, NY) 19(3):371–379 (discussion 380) Colasanto JM, Prasad P, Nash MA, Decker RH, Wilson LD (2005) Nutritional support of patients undergoing radiation therapy for head and neck cancer. Oncology (Williston Park, NY) 19(3):371–379 (discussion 380)
16.
Zurück zum Zitat Reber E, Gomes F, Vasiloglou MF, Schuetz P, Stanga Z (2019) Nutritional risk screening and assessment. J Clin Med 8(7):1065PubMedPubMedCentral Reber E, Gomes F, Vasiloglou MF, Schuetz P, Stanga Z (2019) Nutritional risk screening and assessment. J Clin Med 8(7):1065PubMedPubMedCentral
17.
Zurück zum Zitat Cederholm T, Jensen G, Correia M, Gonzalez MC, Fukushima R, Higashiguchi T et al (2019) GLIM criteria for the diagnosis of malnutrition–a consensus report from the global clinical nutrition community. J Cachexia Sarcopenia Muscle 10(1):207–217PubMedPubMedCentral Cederholm T, Jensen G, Correia M, Gonzalez MC, Fukushima R, Higashiguchi T et al (2019) GLIM criteria for the diagnosis of malnutrition–a consensus report from the global clinical nutrition community. J Cachexia Sarcopenia Muscle 10(1):207–217PubMedPubMedCentral
18.
19.
Zurück zum Zitat Von Elm E, Altman DG, Egger M, Pocock SJ, Gøtzsche PC, Vandenbroucke JP et al (2007) The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) statement: guidelines for reporting observational studies. Ann Intern Med 147(8):573–577 Von Elm E, Altman DG, Egger M, Pocock SJ, Gøtzsche PC, Vandenbroucke JP et al (2007) The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) statement: guidelines for reporting observational studies. Ann Intern Med 147(8):573–577
20.
Zurück zum Zitat Zhang M, Guo Y, Zhang X, Zhang Y, Fan Y, Liu Y et al (2022) Nutritional risk screening in malignant tumors: a study of 375 cancer inpatients. Support Care Cancer 30(10):8333–8337PubMed Zhang M, Guo Y, Zhang X, Zhang Y, Fan Y, Liu Y et al (2022) Nutritional risk screening in malignant tumors: a study of 375 cancer inpatients. Support Care Cancer 30(10):8333–8337PubMed
21.
Zurück zum Zitat Einarsson S, Karlsson H-E, Björ O, Haylock A-K, Ehrsson YT (2020) Mapping impact factors leading to the GLIM diagnosis of malnutrition in patients with head and neck cancer. Clinical nutrition ESPEN 40:149–155PubMed Einarsson S, Karlsson H-E, Björ O, Haylock A-K, Ehrsson YT (2020) Mapping impact factors leading to the GLIM diagnosis of malnutrition in patients with head and neck cancer. Clinical nutrition ESPEN 40:149–155PubMed
22.
Zurück zum Zitat Li S, Fu L, Tian T, Deng L, Li H, Xia W et al (2018) Disrupting SOD1 activity inhibits cell growth and enhances lipid accumulation in nasopharyngeal carcinoma. Cell Commun Signaling 16(1):1–13 Li S, Fu L, Tian T, Deng L, Li H, Xia W et al (2018) Disrupting SOD1 activity inhibits cell growth and enhances lipid accumulation in nasopharyngeal carcinoma. Cell Commun Signaling 16(1):1–13
23.
Zurück zum Zitat Zhang J, Jiang H, Xie T, Zheng J, Tian Y, Li R et al (2020) Differential expression and alternative splicing of transcripts associated with cisplatin-induced chemoresistance in nasopharyngeal carcinoma. Front Genet 11:52PubMedPubMedCentral Zhang J, Jiang H, Xie T, Zheng J, Tian Y, Li R et al (2020) Differential expression and alternative splicing of transcripts associated with cisplatin-induced chemoresistance in nasopharyngeal carcinoma. Front Genet 11:52PubMedPubMedCentral
24.
Zurück zum Zitat Hong J-S, Wu L-H, Su L, Zhang H-R, Lv W-L, Zhang W-J et al (2016) Effect of chemoradiotherapy on nutrition status of patients with nasopharyngeal cancer. Nutr Cancer 68(1):63–69PubMed Hong J-S, Wu L-H, Su L, Zhang H-R, Lv W-L, Zhang W-J et al (2016) Effect of chemoradiotherapy on nutrition status of patients with nasopharyngeal cancer. Nutr Cancer 68(1):63–69PubMed
25.
Zurück zum Zitat Van Tonder E, Gardner L, Cressey S, Tydeman-Edwards R, Gerber K (2019) Adult malnutrition: prevalence and use of nutrition-related quality indicators in South African public-sector hospitals. South Afr J Clin Nutr 32(1–2):1–7 Van Tonder E, Gardner L, Cressey S, Tydeman-Edwards R, Gerber K (2019) Adult malnutrition: prevalence and use of nutrition-related quality indicators in South African public-sector hospitals. South Afr J Clin Nutr 32(1–2):1–7
26.
Zurück zum Zitat Correia MIT, Perman MI, Waitzberg DL (2017) Hospital malnutrition in Latin America: a systematic review. Clin Nutr 36(4):958–967PubMed Correia MIT, Perman MI, Waitzberg DL (2017) Hospital malnutrition in Latin America: a systematic review. Clin Nutr 36(4):958–967PubMed
27.
Zurück zum Zitat Wright D (2019) Nutrition and hospital mortality, morbidity and health outcomes. In: Strategies to reduce hospital mortality in lower and middle income countries (LMICs) and resource-limited settings: IntechOpen Wright D (2019) Nutrition and hospital mortality, morbidity and health outcomes. In: Strategies to reduce hospital mortality in lower and middle income countries (LMICs) and resource-limited settings: IntechOpen
28.
Zurück zum Zitat Kobylińska M, Antosik K, Decyk A, Kurowska K (2022) Malnutrition in obesity: is it possible? Obes Facts 15(1):19–25PubMed Kobylińska M, Antosik K, Decyk A, Kurowska K (2022) Malnutrition in obesity: is it possible? Obes Facts 15(1):19–25PubMed
29.
Zurück zum Zitat Mijač DD, Janković GL, Jorga J, Krstić MN (2010) Nutritional status in patients with active inflammatory bowel disease: prevalence of malnutrition and methods for routine nutritional assessment. Eur J Intern Med 21(4):315–319PubMed Mijač DD, Janković GL, Jorga J, Krstić MN (2010) Nutritional status in patients with active inflammatory bowel disease: prevalence of malnutrition and methods for routine nutritional assessment. Eur J Intern Med 21(4):315–319PubMed
30.
Zurück zum Zitat Baek M-H, Heo Y-R (2015) Evaluation of the efficacy of nutritional screening tools to predict malnutrition in the elderly at a geriatric care hospital. Nurs Res Pract 9(6):637–643 Baek M-H, Heo Y-R (2015) Evaluation of the efficacy of nutritional screening tools to predict malnutrition in the elderly at a geriatric care hospital. Nurs Res Pract 9(6):637–643
31.
Zurück zum Zitat De Van Der Schueren M, Keller H, Cederholm T, Barazzoni R, Compher C, Correia M et al (2020) Global Leadership Initiative on Malnutrition (GLIM): guidance on validation of the operational criteria for the diagnosis of protein-energy malnutrition in adults. Clinical nutrition 39(9):2872–2880 De Van Der Schueren M, Keller H, Cederholm T, Barazzoni R, Compher C, Correia M et al (2020) Global Leadership Initiative on Malnutrition (GLIM): guidance on validation of the operational criteria for the diagnosis of protein-energy malnutrition in adults. Clinical nutrition 39(9):2872–2880
32.
Zurück zum Zitat Savicka L, Salaka S, Bērziņa G (2022) Comparison of content and psychometric properties of malnutrition outcome measures: a systematic review. J Rehabil Med 54 Savicka L, Salaka S, Bērziņa G (2022) Comparison of content and psychometric properties of malnutrition outcome measures: a systematic review. J Rehabil Med 54
33.
Zurück zum Zitat Dawed A, Mekonnen TC, Genetu M, Tadesse SE, Dewau R, Muche A et al (2022) Comparing the validity of anthropometric measurements in identifying malnutrition status of older age people in Borena district, North Central Ethiopia: a cross_sectional study. BMC Geriatr 22(1):1–10 Dawed A, Mekonnen TC, Genetu M, Tadesse SE, Dewau R, Muche A et al (2022) Comparing the validity of anthropometric measurements in identifying malnutrition status of older age people in Borena district, North Central Ethiopia: a cross_sectional study. BMC Geriatr 22(1):1–10
34.
Zurück zum Zitat Ng W, Collins P, Hickling D, Bell J (2019) Evaluating the concurrent validity of body mass index (BMI) in the identification of malnutrition in older hospital inpatients. Clin Nutr 38(5):2417–2422PubMed Ng W, Collins P, Hickling D, Bell J (2019) Evaluating the concurrent validity of body mass index (BMI) in the identification of malnutrition in older hospital inpatients. Clin Nutr 38(5):2417–2422PubMed
35.
Zurück zum Zitat Campillo B, Paillaud E, Uzan I, Merlier I, Abdellaoui M, Perennec J et al (2004) Value of body mass index in the detection of severe malnutrition: influence of the pathology and changes in anthropometric parameters. Clin Nutr 23(4):551–559PubMed Campillo B, Paillaud E, Uzan I, Merlier I, Abdellaoui M, Perennec J et al (2004) Value of body mass index in the detection of severe malnutrition: influence of the pathology and changes in anthropometric parameters. Clin Nutr 23(4):551–559PubMed
36.
Zurück zum Zitat Skeie E, Tangvik RJ, Nymo LS, Harthug S, Lassen K, Viste A (2020) Weight loss and BMI criteria in GLIM’s definition of malnutrition is associated with postoperative complications following abdominal resections–results from a National Quality Registry. Clin Nutr 39(5):1593–1599PubMed Skeie E, Tangvik RJ, Nymo LS, Harthug S, Lassen K, Viste A (2020) Weight loss and BMI criteria in GLIM’s definition of malnutrition is associated with postoperative complications following abdominal resections–results from a National Quality Registry. Clin Nutr 39(5):1593–1599PubMed
37.
Zurück zum Zitat Kondrup J, Rasmussen HH, Hamberg O, Stanga Z, Group AahEW (2003) Nutritional risk screening (NRS 2002): a new method based on an analysis of controlled clinical trials. Clin Nutr 22(3):321–336PubMed Kondrup J, Rasmussen HH, Hamberg O, Stanga Z, Group AahEW (2003) Nutritional risk screening (NRS 2002): a new method based on an analysis of controlled clinical trials. Clin Nutr 22(3):321–336PubMed
38.
Zurück zum Zitat Vellas B, Guigoz Y, Garry PJ, Nourhashemi F, Bennahum D, Lauque S et al (1999) The Mini Nutritional Assessment (MNA) and its use in grading the nutritional state of elderly patients. Nutrition 15(2):116–122PubMed Vellas B, Guigoz Y, Garry PJ, Nourhashemi F, Bennahum D, Lauque S et al (1999) The Mini Nutritional Assessment (MNA) and its use in grading the nutritional state of elderly patients. Nutrition 15(2):116–122PubMed
39.
Zurück zum Zitat Cederholm T, Bosaeus I, Barazzoni R, Bauer J, Van Gossum A, Klek S et al (2015) Diagnostic criteria for malnutrition–an ESPEN consensus statement. Clin Nutr 34(3):335–340PubMed Cederholm T, Bosaeus I, Barazzoni R, Bauer J, Van Gossum A, Klek S et al (2015) Diagnostic criteria for malnutrition–an ESPEN consensus statement. Clin Nutr 34(3):335–340PubMed
40.
Zurück zum Zitat Santarpia L, Contaldo F, Pasanisi F (2011) Nutritional screening and early treatment of malnutrition in cancer patients. J Cachexia Sarcopenia Muscle 2(1):27–35PubMedPubMedCentral Santarpia L, Contaldo F, Pasanisi F (2011) Nutritional screening and early treatment of malnutrition in cancer patients. J Cachexia Sarcopenia Muscle 2(1):27–35PubMedPubMedCentral
41.
Zurück zum Zitat Stone HB, Coleman CN, Anscher MS, McBride WH (2003) Effects of radiation on normal tissue: consequences and mechanisms. Lancet Oncol 4(9):529–536PubMed Stone HB, Coleman CN, Anscher MS, McBride WH (2003) Effects of radiation on normal tissue: consequences and mechanisms. Lancet Oncol 4(9):529–536PubMed
42.
Zurück zum Zitat Gaillard D, Shechtman LA, Millar SE, Barlow LA (2019) Fractionated head and neck irradiation impacts taste progenitors, differentiated taste cells, and Wnt/β-catenin signaling in adult mice. Sci Rep 9(1):1–17 Gaillard D, Shechtman LA, Millar SE, Barlow LA (2019) Fractionated head and neck irradiation impacts taste progenitors, differentiated taste cells, and Wnt/β-catenin signaling in adult mice. Sci Rep 9(1):1–17
43.
Zurück zum Zitat Vyas P, Thakar A, Baghel M, Sisodia A, Deole Y (2010) Efficacy of Rasayana Avaleha as adjuvant to radiotherapy and chemotherapy in reducing adverse effects. Ayu 31(4):417PubMedPubMedCentral Vyas P, Thakar A, Baghel M, Sisodia A, Deole Y (2010) Efficacy of Rasayana Avaleha as adjuvant to radiotherapy and chemotherapy in reducing adverse effects. Ayu 31(4):417PubMedPubMedCentral
44.
Zurück zum Zitat Mahdavi R, Faramarzi E, Mohammad-Zadeh M, Ghaeammaghami J, Jabbari MV (2007) Consequences of radiotherapy on nutritional status, dietary intake, serum zinc and copper levels in patients with gastrointestinal tract and head and neck cancer. Saudi Med J 28(3):435PubMed Mahdavi R, Faramarzi E, Mohammad-Zadeh M, Ghaeammaghami J, Jabbari MV (2007) Consequences of radiotherapy on nutritional status, dietary intake, serum zinc and copper levels in patients with gastrointestinal tract and head and neck cancer. Saudi Med J 28(3):435PubMed
45.
Zurück zum Zitat Jiang L, Huang C, Gan Y, Wu T, Tang X, Wang Y et al (2018) Radiation-induced late dysphagia after intensity-modulated radiotherapy in nasopharyngeal carcinoma patients: a dose-volume effect analysis. Sci Rep 8(1):1–8 Jiang L, Huang C, Gan Y, Wu T, Tang X, Wang Y et al (2018) Radiation-induced late dysphagia after intensity-modulated radiotherapy in nasopharyngeal carcinoma patients: a dose-volume effect analysis. Sci Rep 8(1):1–8
46.
Zurück zum Zitat Zhou N, Guo T, Zheng H, Pan X, Chu C, Dou X et al (2017) Apparent diffusion coefficient histogram analysis can evaluate radiation-induced parotid damage and predict late xerostomia degree in nasopharyngeal carcinoma. Oncotarget 8(41):70226PubMedPubMedCentral Zhou N, Guo T, Zheng H, Pan X, Chu C, Dou X et al (2017) Apparent diffusion coefficient histogram analysis can evaluate radiation-induced parotid damage and predict late xerostomia degree in nasopharyngeal carcinoma. Oncotarget 8(41):70226PubMedPubMedCentral
47.
Zurück zum Zitat Fanetti G, Polesel J, Fratta E, Muraro E, Lupato V, Alfieri S et al (2021) Prognostic nutritional index predicts toxicity in head and neck cancer patients treated with definitive radiotherapy in association with chemotherapy. Nutrients 13(4):1277PubMedPubMedCentral Fanetti G, Polesel J, Fratta E, Muraro E, Lupato V, Alfieri S et al (2021) Prognostic nutritional index predicts toxicity in head and neck cancer patients treated with definitive radiotherapy in association with chemotherapy. Nutrients 13(4):1277PubMedPubMedCentral
48.
Zurück zum Zitat Laurell G, Kraepelien T, Mavroidis P, Lind BK, Fernberg JO, Beckman M et al (2003) Stricture of the proximal esophagus in head and neck carcinoma patients after radiotherapy. Cancer: Interdiscip Int J Am Cancer Soc 97(7):1693–1700 Laurell G, Kraepelien T, Mavroidis P, Lind BK, Fernberg JO, Beckman M et al (2003) Stricture of the proximal esophagus in head and neck carcinoma patients after radiotherapy. Cancer: Interdiscip Int J Am Cancer Soc 97(7):1693–1700
49.
Zurück zum Zitat Li P-J, Li K-X, Jin T, Lin H-M, Fang J-B, Yang S-Y et al (2020) Predictive model and precaution for oral mucositis during chemo-radiotherapy in nasopharyngeal carcinoma patients. Front Oncol 10:596822PubMedPubMedCentral Li P-J, Li K-X, Jin T, Lin H-M, Fang J-B, Yang S-Y et al (2020) Predictive model and precaution for oral mucositis during chemo-radiotherapy in nasopharyngeal carcinoma patients. Front Oncol 10:596822PubMedPubMedCentral
50.
Zurück zum Zitat Sumita Y, Minamizato T, Umebayashi M, Liu Y, Tran S, Asahina I (2014) Bone marrow–derived cell therapy for oral mucosal repair after irradiation. J Dent Res 93(8):813PubMedPubMedCentral Sumita Y, Minamizato T, Umebayashi M, Liu Y, Tran S, Asahina I (2014) Bone marrow–derived cell therapy for oral mucosal repair after irradiation. J Dent Res 93(8):813PubMedPubMedCentral
51.
Zurück zum Zitat Ehrsson YT, Hellström PM, Brismar K, Sharp L, Langius-Eklöf A, Laurell G (2010) Explorative study on the predictive value of systematic inflammatory and metabolic markers on weight loss in head and neck cancer patients undergoing radiotherapy. Support Care Cancer 18(11):1385–1391PubMed Ehrsson YT, Hellström PM, Brismar K, Sharp L, Langius-Eklöf A, Laurell G (2010) Explorative study on the predictive value of systematic inflammatory and metabolic markers on weight loss in head and neck cancer patients undergoing radiotherapy. Support Care Cancer 18(11):1385–1391PubMed
52.
Zurück zum Zitat Jager-Wittenaar H, Dijkstra PU, Vissink A, Langendijk JA, van der Laan BF, Pruim J et al (2011) Changes in nutritional status and dietary intake during and after head and neck cancer treatment. Head Neck 33(6):863–870PubMed Jager-Wittenaar H, Dijkstra PU, Vissink A, Langendijk JA, van der Laan BF, Pruim J et al (2011) Changes in nutritional status and dietary intake during and after head and neck cancer treatment. Head Neck 33(6):863–870PubMed
53.
Zurück zum Zitat Guadagni M, Biolo G (2009) Effects of inflammation and/or inactivity on the need for dietary protein. Curr Opin Clin Nutr Metab Care 12(6):617–622PubMed Guadagni M, Biolo G (2009) Effects of inflammation and/or inactivity on the need for dietary protein. Curr Opin Clin Nutr Metab Care 12(6):617–622PubMed
54.
Zurück zum Zitat Unsal D, Mentes B, Akmansu M, Uner A, Oguz M, Pak Y (2006) Evaluation of nutritional status in cancer patients receiving radiotherapy: a prospective study. Am J Clin Oncol 29(2):183–188PubMed Unsal D, Mentes B, Akmansu M, Uner A, Oguz M, Pak Y (2006) Evaluation of nutritional status in cancer patients receiving radiotherapy: a prospective study. Am J Clin Oncol 29(2):183–188PubMed
55.
Zurück zum Zitat Bossola M, Muscaritoli M, Valenza V, Panocchia N, Tazza L, Cascino A et al (2004) Anorexia and serum leptin levels in hemodialysis patients. Nephron Clin Pract 97(3):c76–c82PubMed Bossola M, Muscaritoli M, Valenza V, Panocchia N, Tazza L, Cascino A et al (2004) Anorexia and serum leptin levels in hemodialysis patients. Nephron Clin Pract 97(3):c76–c82PubMed
56.
Zurück zum Zitat Galindo DEB, Vidal-Casariego A, Calleja-Fernández A, Hernández-Moreno A, de la Maza BP, Pedraza-Lorenzo M et al (2017) Appetite disorders in cancer patients: impact on nutritional status and quality of life. Appetite 114:23–27 Galindo DEB, Vidal-Casariego A, Calleja-Fernández A, Hernández-Moreno A, de la Maza BP, Pedraza-Lorenzo M et al (2017) Appetite disorders in cancer patients: impact on nutritional status and quality of life. Appetite 114:23–27
57.
Zurück zum Zitat Borner T, Arnold M, Ruud J, Breit SN, Langhans W, Lutz TA et al (2017) Anorexia-cachexia syndrome in hepatoma tumour-bearing rats requires the area postrema but not vagal afferents and is paralleled by increased MIC-1/GDF15. J Cachexia Sarcopenia Muscle 8(3):417–427PubMed Borner T, Arnold M, Ruud J, Breit SN, Langhans W, Lutz TA et al (2017) Anorexia-cachexia syndrome in hepatoma tumour-bearing rats requires the area postrema but not vagal afferents and is paralleled by increased MIC-1/GDF15. J Cachexia Sarcopenia Muscle 8(3):417–427PubMed
58.
Zurück zum Zitat Hanisah R, Shahar S, Lee F (2012) Validation of screening tools to assess appetite among geriatric patients. J Nutr Health Aging 16(7):660–665PubMed Hanisah R, Shahar S, Lee F (2012) Validation of screening tools to assess appetite among geriatric patients. J Nutr Health Aging 16(7):660–665PubMed
59.
Zurück zum Zitat Suzana S, Boon P, Chan P, Normah C (2013) Malnutrition risk and its association with appetite, functional and psychosocial status among elderly Malays in an agricultural settlement. Malays J Nutr 19(1):65–75 Suzana S, Boon P, Chan P, Normah C (2013) Malnutrition risk and its association with appetite, functional and psychosocial status among elderly Malays in an agricultural settlement. Malays J Nutr 19(1):65–75
60.
Zurück zum Zitat Nho J-H, Kim SR, Kwon YS (2014) Depression and appetite: predictors of malnutrition in gynecologic cancer. Support Care Cancer 22(11):3081–3088PubMed Nho J-H, Kim SR, Kwon YS (2014) Depression and appetite: predictors of malnutrition in gynecologic cancer. Support Care Cancer 22(11):3081–3088PubMed
61.
Zurück zum Zitat Bernstein LH, Ingenbleek Y (2002) Transthyretin: its response to malnutrition and stress injury. Clin Usefulness Econ Implications 40(12):1344–1348 Bernstein LH, Ingenbleek Y (2002) Transthyretin: its response to malnutrition and stress injury. Clin Usefulness Econ Implications 40(12):1344–1348
62.
Zurück zum Zitat Spiekerman AM (1993) Proteins used in nutritional assessment. Clin Lab Med 13(2):353–369PubMed Spiekerman AM (1993) Proteins used in nutritional assessment. Clin Lab Med 13(2):353–369PubMed
63.
Zurück zum Zitat Bernstein L, Pleban W (1996) Prealbumin in nutrition evaluation. Nutrition 12(4):255–259PubMed Bernstein L, Pleban W (1996) Prealbumin in nutrition evaluation. Nutrition 12(4):255–259PubMed
64.
Zurück zum Zitat Bernstein L, Leukhardt-Fairfield C, Pleban W, Rudolph R (1989) Usefulness of data on albumin and prealbumin concentrations in determining effectiveness of nutritional support. Clin Chem 35(2):271–274PubMed Bernstein L, Leukhardt-Fairfield C, Pleban W, Rudolph R (1989) Usefulness of data on albumin and prealbumin concentrations in determining effectiveness of nutritional support. Clin Chem 35(2):271–274PubMed
65.
Zurück zum Zitat Devoto G, Gallo F, Marchello C, Racchi O, Garbarini R, Bonassi S et al (2006) Prealbumin serum concentrations as a useful tool in the assessment of malnutrition in hospitalized patients. Clin Chem 52(12):2281–2285PubMed Devoto G, Gallo F, Marchello C, Racchi O, Garbarini R, Bonassi S et al (2006) Prealbumin serum concentrations as a useful tool in the assessment of malnutrition in hospitalized patients. Clin Chem 52(12):2281–2285PubMed
66.
Zurück zum Zitat Brantley JN, Verla TD (2015) Use of placental membranes for the treatment of chronic diabetic foot ulcers. Adv Wound Care 4(9):545–559 Brantley JN, Verla TD (2015) Use of placental membranes for the treatment of chronic diabetic foot ulcers. Adv Wound Care 4(9):545–559
67.
Zurück zum Zitat Cao J, Xu H, Li W, Guo Z, Lin Y, Shi Y et al (2021) Nutritional assessment and risk factors associated to malnutrition in patients with esophageal cancer. Curr Probl Cancer 45(1):100638PubMed Cao J, Xu H, Li W, Guo Z, Lin Y, Shi Y et al (2021) Nutritional assessment and risk factors associated to malnutrition in patients with esophageal cancer. Curr Probl Cancer 45(1):100638PubMed
68.
Zurück zum Zitat Zhang X, Pang L, Sharma SV, Li R, Nyitray AG, Edwards BJ (2019) Prevalence and factors associated with malnutrition in older patients with cancer. J Geriatr Oncol 10(5):763–769PubMed Zhang X, Pang L, Sharma SV, Li R, Nyitray AG, Edwards BJ (2019) Prevalence and factors associated with malnutrition in older patients with cancer. J Geriatr Oncol 10(5):763–769PubMed
69.
Zurück zum Zitat Zhang X, Zhang J, Du Y, Wu X, Chang Y, Li W et al (2022) The clinical application value of phase angle of six parts in nutritional evaluation of tumor patients. Support Care Cancer 30(10):7983–7989PubMedPubMedCentral Zhang X, Zhang J, Du Y, Wu X, Chang Y, Li W et al (2022) The clinical application value of phase angle of six parts in nutritional evaluation of tumor patients. Support Care Cancer 30(10):7983–7989PubMedPubMedCentral
70.
Zurück zum Zitat Irungu CW, Oburra HO, Ochola B (2015) Prevalence and predictors of malnutrition in nasopharyngeal carcinoma. Clin Med Insights: Ear, Nose Throat 8:CMENT. S12119 Irungu CW, Oburra HO, Ochola B (2015) Prevalence and predictors of malnutrition in nasopharyngeal carcinoma. Clin Med Insights: Ear, Nose Throat 8:CMENT. S12119
71.
Zurück zum Zitat Chen YJ, Chen SC, Wang CP, Fang YY, Lee YH, Lou PJ et al (2016) Trismus, xerostomia and nutrition status in nasopharyngeal carcinoma survivors treated with radiation. Eur J Cancer Care 25(3):440–448 Chen YJ, Chen SC, Wang CP, Fang YY, Lee YH, Lou PJ et al (2016) Trismus, xerostomia and nutrition status in nasopharyngeal carcinoma survivors treated with radiation. Eur J Cancer Care 25(3):440–448
72.
Zurück zum Zitat Shu Z, Zeng Z, Yu B, Huang S, Hua Y, Jin T et al (2020) Nutritional status and its association with radiation-induced oral mucositis in patients with nasopharyngeal carcinoma during radiotherapy: a prospective study. Front Oncol 10:594687PubMedPubMedCentral Shu Z, Zeng Z, Yu B, Huang S, Hua Y, Jin T et al (2020) Nutritional status and its association with radiation-induced oral mucositis in patients with nasopharyngeal carcinoma during radiotherapy: a prospective study. Front Oncol 10:594687PubMedPubMedCentral
73.
Zurück zum Zitat Zhang X, Tang M, Zhang Q, Zhang K-P, Guo Z-Q, Xu H-X et al (2021) The GLIM criteria as an effective tool for nutrition assessment and survival prediction in older adult cancer patients. Clin Nutr 40(3):1224–1232PubMed Zhang X, Tang M, Zhang Q, Zhang K-P, Guo Z-Q, Xu H-X et al (2021) The GLIM criteria as an effective tool for nutrition assessment and survival prediction in older adult cancer patients. Clin Nutr 40(3):1224–1232PubMed
Metadaten
Titel
Risk factors for malnutrition in patients with nasopharyngeal carcinoma
verfasst von
Pengpeng Wang
Kim Lam Soh
Yanping Ying
Jinlian Liao
Xueling Huang
Huihan Zhao
Xiao Pan
Lan Deng
Xiaoxia Yu
Publikationsdatum
01.12.2023
Verlag
Springer Berlin Heidelberg
Erschienen in
Supportive Care in Cancer / Ausgabe 12/2023
Print ISSN: 0941-4355
Elektronische ISSN: 1433-7339
DOI
https://doi.org/10.1007/s00520-023-08166-8

Weitere Artikel der Ausgabe 12/2023

Supportive Care in Cancer 12/2023 Zur Ausgabe

Labor, CT-Anthropometrie zeigen Risiko für Pankreaskrebs

13.05.2024 Pankreaskarzinom Nachrichten

Gerade bei aggressiven Malignomen wie dem duktalen Adenokarzinom des Pankreas könnte Früherkennung die Therapiechancen verbessern. Noch jedoch klafft hier eine Lücke. Ein Studienteam hat einen Weg gesucht, sie zu schließen.

Viel pflanzliche Nahrung, seltener Prostata-Ca.-Progression

12.05.2024 Prostatakarzinom Nachrichten

Ein hoher Anteil pflanzlicher Nahrung trägt möglicherweise dazu bei, das Progressionsrisiko von Männern mit Prostatakarzinomen zu senken. In einer US-Studie war das Risiko bei ausgeprägter pflanzlicher Ernährung in etwa halbiert.

Alter verschlechtert Prognose bei Endometriumkarzinom

11.05.2024 Endometriumkarzinom Nachrichten

Ein höheres Alter bei der Diagnose eines Endometriumkarzinoms ist mit aggressiveren Tumorcharakteristika assoziiert, scheint aber auch unabhängig von bekannten Risikofaktoren die Prognose der Erkrankung zu verschlimmern.

Darf man die Behandlung eines Neonazis ablehnen?

08.05.2024 Gesellschaft Nachrichten

In einer Leseranfrage in der Zeitschrift Journal of the American Academy of Dermatology möchte ein anonymer Dermatologe bzw. eine anonyme Dermatologin wissen, ob er oder sie einen Patienten behandeln muss, der eine rassistische Tätowierung trägt.

Update Onkologie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.