Factors Associated With the Presence and Severity of Nutritional Impact Symptoms in Individuals With Head and Neck Cancer Before Treatment
2024

Nutritional Impact Symptoms in Head and Neck Cancer Patients

Sample size: 132 publication Evidence: moderate

Author Information

Author(s): Thainá C. do Rosario, Fabíola L. P. Soares, Louise V. O. Soares, Julia S. N. Gallavotti, Isabela S. Rodrigues, Camila B. do Prado, Olívia P. G. de Podestá, Katia Cirlene G. Viana, Ricardo M. Rocha, Jeferson Lenzi, José Roberto V. de Podestá, Evandro D. de Souza, Fabiano K. Haraguchi, Glenda B. Petarli, André S. Leopoldo, Luciane B. Salaroli

Primary Institution: Federal University of Espírito Santo (UFES)

Hypothesis

This study aimed to analyze the presence and severity of nutritional impact symptoms (NISs) and their associated factors in individuals with head and neck cancer before treatment.

Conclusion

Tumor location, smoking, and the presence of nutritional risk influence the quantity and severity of nutritional impact symptoms.

Supporting Evidence

  • 95% of participants showed one or more nutritional impact symptoms before treatment.
  • Cancer in the larynx had a lower NIS score compared to that in the oral cavity.
  • Ex-smokers showed a lower NIS score than current smokers.
  • Participants with nutritional risk had higher NIS scores.

Takeaway

People with head and neck cancer often have problems that make it hard to eat, and these problems can be worse if they smoke or are at risk of not getting enough nutrition.

Methodology

This is a cross-sectional study with HNC patients from a cancer reference hospital, collecting sociodemographic, lifestyle, clinical, and anthropometric data along with nutritional risk screening and NIS screening.

Potential Biases

Information bias was minimized through staff training, but selection bias was a possibility due to the low refusal rate.

Limitations

The cross-sectional design limits causality analysis, and a multicenter evaluation with a larger number of patients could provide more accurate assumptions.

Participant Demographics

The sample consisted of 132 participants, predominantly older adults (61%), men (77%), mixed-race individuals (54%), with less than eight years of education (71%), and a family income of less than or equal to two minimum wages (76%).

Statistical Information

P-Value

p=0.009

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1155/ijso/3390646

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