scholarly journals Evaluation of Nutritional Status and Methods to Identify Nutritional Risk in Rheumatoid Arthritis and Spondyloarthritis

Nutrients ◽  
2020 ◽  
Vol 12 (11) ◽  
pp. 3571
Author(s):  
Marie Njerve Olsen ◽  
Randi J. Tangvik ◽  
Anne-Kristine Halse
Keyword(s):  
Rheumatoid Arthritis ◽  
Nutritional Status ◽  
Nutritional Assessment ◽  
Handgrip Strength ◽  
Fat Free Mass ◽  
Nutritional Risk ◽  
Anthropometric Measures ◽  
High Prevalence ◽  
Nutritional Risk Screening 2002 ◽  
Nutritional Risk Screening

Patients with rheumatoid arthritis (RA) and spondyloarthritis (SpA) experience several nutritional challenges and are prone to develop malnutrition. This observational study aimed to perform a comprehensive nutritional assessment of outpatients diagnosed with RA and SpA, as well as to evaluate methods to identify nutritional risk. Nutritional status was investigated by anthropometric measures, body composition (DXA, dual energy X-ray absorptiometry), and handgrip strength (HGS). Nutritional risk was classified by Nutritional Risk Screening 2002 (NRS2002) and malnutrition was defined by the Global Leadership Initiative on Malnutrition (GLIM) criteria and fat-free mass index (FFMI; kg/m2, <16.7 (M), <14.6 (F)). Out of 71 included patients, 46 (66%) were abdominally obese, 28 (39%) were obese in terms of body mass index (BMI), and 33 (52%) were obese in terms of the fat mass index (FMI; kg/m2, ≥8.3 (M), ≥11.8 (F)). Malnutrition was identified according to FFMI in 12 (19%) patients, according to GLIM criteria in 5 (8%) patients, and on the basis of BMI (<18.5 kg/m2) in 1 (1%) patient. None were identified by NRS2002 to be at nutritional risk. Our study revealed high prevalence of abdominal obesity and low FFMI. Waist circumference was a good indicator of FMI. BMI, NRS2002, and HGS did not capture patients with malnutrition identified by DXA.

Patient-generated subjective global assessment versus nutritional risk screening 2002 for gastric cancer in Chinese patients

2020 ◽  
Vol 16 (3) ◽  
pp. 4475-4483 ◽  
Author(s):  
Dong Yang ◽  
Zhichao Zheng ◽  
Yan Zhao ◽  
Tao Zhang ◽  
Yong Liu ◽  
...  
Keyword(s):  
Gastric Cancer ◽  
Nutritional Status ◽  
Cancer Patients ◽  
Global Assessment ◽  
Nutritional Risk ◽  
Subjective Global Assessment ◽  
Pyloric Obstruction ◽  
Gastric Cancer Patients ◽  
Nutritional Risk Screening 2002 ◽  
Nutritional Risk Screening

Aim: Patient-Generated Subjective Global Assessment (PG-SGA) and Nutritional Risk Screening 2002 (NRS2002) are used to evaluate patients’ nutritional status. Materials & methods: The data of 114 gastric cancer patients with pyloric obstruction treated between July 2016 and July 2017 were assessed retrospectively. Results: Based on clinical evaluation, 70.1% had malnutrition, with 61.4% at nutritional risk by NRS2002 and 66.7% by PG-SGA. The area under the receiver operating characteristic curve was 0.858 for PG-SGA and 0.706 for NRS2002. Sensitivity and specificity were 89 and 85% for PG-SGA and 78 and 76% for NRS2002. In both assessments, patients at risk showed more postoperative complications. Conclusion: PG-SGA was more suitable for evaluating the preoperative nutritional status of gastric cancer patients with pyloric obstruction, with higher diagnostic efficacy.

scholarly journals Association Between the Nutritional Risk and the Survival Rate in Newly Diagnosed GIST Patients

2021 ◽  
Vol 8 ◽  
Author(s):  
Ping'an Ding ◽  
Honghai Guo ◽  
Peigang Yang ◽  
Chenyu Sun ◽  
Yuan Tian ◽  
...  
Keyword(s):  
Nutritional Status ◽  
Perioperative Complications ◽  
Nutritional Intervention ◽  
Tumor Location ◽  
Nutritional Risk ◽  
Newly Diagnosed ◽  
Nih Classification ◽  
Nutritional Risk Screening 2002 ◽  
The Relationship ◽  
Nutritional Risk Screening

Background: Currently, the incidence of gastrointestinal stromal tumors (GIST) is increasing rapidly worldwide. Malnutrition may increase the risk of perioperative complications and affect the prognosis of patients. However, previous studies on the nutritional status of GIST patients and its impact on prognosis are limited. Therefore, this study aims to explore the incidence of malnutrition in newly diagnosed GIST patients, the proportion of participants in need of nutritional intervention, and the relationship between nutritional status and overall survival (OS).Methods: We retrospectively analyzed the clinical data of GIST patients treated in our hospital from January 2014 to January 2018. Nutritional Risk Screening 2002 (NRS2002) and Patient-Generated Subjective Global Assessment (PG-SGA) were used to assess the nutritional status of all patients. This study was to investigate the clinical significance of PG-SGA by analyzing the relationship between PG-SGA score and OS.Results: A total of 1,268 newly diagnosed GIST patients were included in this study, of which 77.76% were at risk of malnutrition (NRS2002 score ≥ 3), and the incidence of malnutrition was 10.09% (PG-SGA score ≥ 4). Meanwhile, we found 2.29% of the patients required urgent nutritional support (PG-SGA score ≥ 9). Multivariate analysis showed that age (p = 0.013), BMI (p = 0.001), weight loss (p = 0.001), anemia (p = 0.005), pre-albumin (p = 0.010), albumin (p = 0.002), tumor location (p = 0.001), tumor size (p = 0.002), and NIH classification (p = 0.001) were risk factors for nutritional status. The prognosis was significantly in GIST patients with different PG-SGA score at admission (p &lt; 0.05).Conclusion: This study suggested that malnutrition is common in newly diagnosed GIST patients, and the higher the PG-SGA score, the worse the clinical outcome.

scholarly journals Nutritional Assessment in Gastrointestinal Tumors: News from the 2020 ASCO and ESMO World GI Meetings

2020 ◽  
Vol 2 (3) ◽  
pp. 310-317
Author(s):  
Federica Mascaretti ◽  
Jessica Evangelista
Keyword(s):  
Nutritional Status ◽  
Clinical Outcomes ◽  
Nutritional Assessment ◽  
Interleukin 1 ◽  
Prognostic Significance ◽  
Assessment Tools ◽  
Nutritional Risk ◽  
Nutritional Interventions ◽  
Involuntary Weight Loss ◽  
Nutritional Risk Screening

Nutritional risk screening and assessment of general nutritional status are of primary importance in the management of gastrointestinal cancers (GIC). Indeed, a major problem in these patients is the involuntary weight loss leading eventually to cachexia. With our review, we aimed at collecting the most recent advances in nutritional assessment of patients with GIC. All the abstracts presented both at the 2020 ASCO and ESMO World GI meetings were considered and a total number of 12 abstracts were selected, reporting colorectal, gastric, esophageal, and pancreatic cancer (PC) series. In some of the analyzed series, pathological conditions such as cachexia and sarcopenia had prognostic significance on clinical outcomes. One abstract reported the results of a phase I trial with the use of a novel interleukin-1-alpha antagonist, bermekimab. Its association with standard chemotherapy in advanced PC brought an improved patients’ performance during treatment. Insufficient attention is paid to the nutritional status of patients with GIC both at screening and during specific cancer treatment. The use of antropometric measurements, together with nutritional assessment tools, may facilitate the clinical evaluation of these patients. Large randomized trials are warranted in order to clarify the real impact of nutritional interventions on clinical outcomes.

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