The Effects of Compliance with Nutritional Counselling on Body Composition Parameters in Head and Neck Cancer Patients under Radiotherapy
Joint Authors
Meseri, Reci
Hopanci Bicakli, D.
Ozkaya Akagunduz, O.
Esassolak, M.
Uslu, R.
Uyar, M.
Source
Journal of Nutrition and Metabolism
Issue
Vol. 2017, Issue 2017 (31 Dec. 2017), pp.1-7, 7 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2017-01-01
Country of Publication
Egypt
No. of Pages
7
Main Subjects
Abstract EN
Background.
Radiotherapy (RT) has been associated with increased risk of malnutrition in cancer patients, particularly in those with head and neck cancer (HNC).
The aim of this prospective study was to evaluate the effects of compliance of patients with individual dietary counselling on body composition parameters in HNC patients under RT.
Material and Methods.
Sixty-nine consecutive patients (mean age: 61.0±13.8) were prospectively followed.
Bioelectrical impedance analysis (BIA) was performed to determine body composition parameters before, in the middle of, and at the end of RT.
All patients received nutritional counselling and majority of them (94.6%) received oral nutritional supplement (ONS) during RT or chemoradiotherapy.
If a patient consumed ≥75% of the recommended energy and protein intake via ONS and regular food, he/she was considered to be “compliant” (n=18), while those who failed to meet this criteria were considered to be “noncompliant” (n=30).
Results.
Body mass index, weight, fat percentage, fat mass, fat free mass, and muscle mass did not decrease significantly over time in compliant patients, but in noncompliant patients, all of these indices decreased significantly from baseline compared to the end of treatment (p<0.001).
Hand grip strength did not differ significantly between the two groups at baseline and over time in each group.
When retrospectively evaluated, heavy mucositis was less commonly observed in compliant than noncompliant patients (11.1% versus 88.9%, resp.) (p<0.009).
Conclusion.
We conclude that body composition parameters were better in head and neck cancer patients considered as compliant with nutritional counselling than noncompliant ones during RT period.
American Psychological Association (APA)
Hopanci Bicakli, D.& Ozkaya Akagunduz, O.& Meseri, Reci& Esassolak, M.& Uslu, R.& Uyar, M.. 2017. The Effects of Compliance with Nutritional Counselling on Body Composition Parameters in Head and Neck Cancer Patients under Radiotherapy. Journal of Nutrition and Metabolism،Vol. 2017, no. 2017, pp.1-7.
https://search.emarefa.net/detail/BIM-1184030
Modern Language Association (MLA)
Hopanci Bicakli, D.…[et al.]. The Effects of Compliance with Nutritional Counselling on Body Composition Parameters in Head and Neck Cancer Patients under Radiotherapy. Journal of Nutrition and Metabolism No. 2017 (2017), pp.1-7.
https://search.emarefa.net/detail/BIM-1184030
American Medical Association (AMA)
Hopanci Bicakli, D.& Ozkaya Akagunduz, O.& Meseri, Reci& Esassolak, M.& Uslu, R.& Uyar, M.. The Effects of Compliance with Nutritional Counselling on Body Composition Parameters in Head and Neck Cancer Patients under Radiotherapy. Journal of Nutrition and Metabolism. 2017. Vol. 2017, no. 2017, pp.1-7.
https://search.emarefa.net/detail/BIM-1184030
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1184030