Assessment of the nutritional status of elderly patients with colorectal cancer by MNA-SF and NRS2002

doi:10.3877/cma.j.issn.2095-3224.2013.06.06

Abstract

Abstract:

Objective

To assess the nutritional status in elderly patients with colorectal cancer and to analyze the correlation between different tools, and to confirm the correlation of short-form mini nutritional assessment(MNA-SF)along with NRS-2002 with classical nutritional markers.

Methods

Nutritional status of 125 hospitalized aged patients with colorectal cancer were evaluated by MNA-SF and NRS2002, and at the same time measured their classical nutritional markers.Then the relevance between them was analyzed.

Results

The prevalence of malnutrition in 125 patients by BMI, MNA-SF and NRS2002 was 30.0%, 59.2% and 59.2% respectively.MNA-SF and NRS2002 had the unanimous correlation with classical nutritional markers.

Conclusion

There is a high prevalence of malnutrition in elderly patients with colorectal cancer.MNA-SF and NRS2002 are suitable tools to evaluate the nutritional status of the hospitalized aged patients with colorectal cancer, though the reliability is to be further confirmed in our country.

Key words: Colorectal neoplasms, Nutritional status, Nutrition assessment

Hai-kuan WANG, Jun-de ZHOU, Qiang CHI. Assessment of the nutritional status of elderly patients with colorectal cancer by MNA-SF and NRS2002[J]. Chinese Journal of Colorectal Diseases(Electronic Edition), 2013, 02(06): 304-307.

/ / Recommend

Add to citation manager EndNote|Ris|BibTeX

URL: https://zhjzcjbdzzz.cma-cmc.com.cn/EN/10.3877/cma.j.issn.2095-3224.2013.06.06

https://zhjzcjbdzzz.cma-cmc.com.cn/EN/Y2013/V02/I06/304

Figures/Tables 2

References 12

[1]	Gioulbasanis I，Georgoulias P，Vlachostergios PJ，et al.Mini Nutritional Assessment(MNA)and biochemical markers of cachexiain metastatic lung cancer patients：interrelations and associations with prognosis.Lung Cancer，2011,74(3):516-520.
[2]	Kwang AY，KandiahM.Objective and subjective nutritional assessment of patients with cancer in palliative care.AmJ HospP alliatCare，2010,27(2):117-126.
[3]	陈琼，刘志才，程兰平，等.2003～2007年中国结直肠癌发病与死亡分析．中国肿瘤，，2012,21(3):179-182.
[4]	Rubenstein LZ，Harker JO，Salva A，et al.Screening for under-nutritionin geriatric practice：developing the short-form mini-nutritional assessment(MNA-SF)．Jgerontol Abiol Sci，，2001,56:366-372.
[5]	陈春明．中国成人体重指数分类的推荐意见简介．中华预防医学杂志，2001,35(5):349-350.
[6]	Remy Meier，陈凌．ESPEN营养风险筛选(NRS2002)循证的方法及在欧洲的应用．中国临床营养杂志，2007,(1):4.
[7]	Karin Barendregt，Peter B，Simon P，et al.Basic concepts in nutrition：Diagnosis of malnutrition screening and assessment.the European e-Journal of Clinical Nutrition and Metabolism，2008,3:121-125.
[8]	Woo J．Nutritional strategies for successful aging.Med Clin North Am，2011,95(3):477-93.
[9]	Adrienne M，Young B，Sarah Kidston B，et al.Malnutrition screening tools：comparison against two validated nutrition assessment methods in older medical inpatients.Nutrition，2013,29:101–106.
[10]	Kondrup J，Rasmussen HH，Ham berg，et al.Nutritional risk screening(NRS2002)：a mew method based an analysis of controlled clinical trails[J]．Cline Nutria，2006，22(3):321-336.
[11]	Rasm ussen HH，Kondrup J，Staun M，et al.Prevalence of patients at nutritional risk in Danish hospitals.Clin Nutr，2004,23(5):1009-1015.
[12]	Kuzuya M，Kanda S，Koike T，et al.Evaluation of mini-nutritional assessmentfor Japanese fraile lderly.Nutrition，2005,21(4):498-503.

传统营养指标	NRS2002		MNA-SF
传统营养指标	r	P	r	P
BMI(kg/m²)	－0.281	<0.001	0.452	<0.001
CC(cm)	－0.230	0.003	0.303	<0.001
AC(cm)	－0.207	0.010	0.258	0.001
Alb(g/L)	－0.225	0.008	0.229	0.003
Hb(g/L)	－0.296	<0.001	0.272	<0.001

传统营养指标	NRS2002		MNA-SF
传统营养指标	r	P	r	P
BMI(kg/m²)	－0.281	<0.001	0.452	<0.001
CC(cm)	－0.230	0.003	0.303	<0.001
AC(cm)	－0.207	0.010	0.258	0.001
Alb(g/L)	－0.225	0.008	0.229	0.003
Hb(g/L)	－0.296	<0.001	0.272	<0.001

传统营养指标	NRS2002				MNA-SF
传统营养指标	A(n＝41)	a(n＝84)	t值	P值	B(n＝51)	b(n＝74)	t值	P值
BMI(kg/m²)	24.8±3.5	22.7±3.9	－3.125	<0.001	25.1±3.0	23.2±3.5	3.045	0.003
CC(cm)	23.7±2.6	21.1±2.2	－3.087	0.003	24.6±2.9	22.5±3.0	3.097	<0.001
AC(cm)	22.3±3.0	20.3±1.9	－2.552	0.007	22.1±2.8	20.3±2.2	2.795	0.007
Alb(g/L)	38.9±3.9	36.7±4.0	－1.668	0.042	38.2±3.4	35.9±4.4	2.263	0.018
Hb(g/L)	119.8±16.0	110.2±21.3	－3.602	<0.001	116.4±15.3	109.1±20.3	2.849	0.026

传统营养指标	NRS2002				MNA-SF
传统营养指标	A(n＝41)	a(n＝84)	t值	P值	B(n＝51)	b(n＝74)	t值	P值
BMI(kg/m²)	24.8±3.5	22.7±3.9	－3.125	<0.001	25.1±3.0	23.2±3.5	3.045	0.003
CC(cm)	23.7±2.6	21.1±2.2	－3.087	0.003	24.6±2.9	22.5±3.0	3.097	<0.001
AC(cm)	22.3±3.0	20.3±1.9	－2.552	0.007	22.1±2.8	20.3±2.2	2.795	0.007
Alb(g/L)	38.9±3.9	36.7±4.0	－1.668	0.042	38.2±3.4	35.9±4.4	2.263	0.018
Hb(g/L)	119.8±16.0	110.2±21.3	－3.602	<0.001	116.4±15.3	109.1±20.3	2.849	0.026

[1]	Xia Kang, Hao Tian, Jin Qian, Yuan Gao, Hongming Miao, Xiaowei Qi. Osteorin attenuates osteolysis during bone metastasis of cancers through inhibiting osteoclastogenesis [J]. Chinese Journal of Breast Disease(Electronic Edition), 2023, 17(06): 329-339.
[2]	Dechen Wang, Kang Yang, Zijie Yang, Mingbin Gui, Lianping Qu, Xiaofeng Zhang, Feng Gao. Progress of microsatellite stability state and PD-1/PD-L1/IDO in colorectal carcinoma [J]. Chinese Archives of General Surgery(Electronic Edition), 2023, 17(06): 462-465.
[3]	Jia Fu, Haimin Xiao, Xi Wu, Tao Feng, Shuai Shi. Value of age-adjusted Charlson comorbidity index in assessing perioperative complications for laparoscopic colorectal cancer [J]. Chinese Archives of General Surgery(Electronic Edition), 2023, 17(05): 336-341.
[4]	Yongting Xue, Feng Gao, Yanan Wang, Lianping Qu. Application of oncolytic virus therapy in colorectal cancer [J]. Chinese Archives of General Surgery(Electronic Edition), 2023, 17(05): 380-384.
[5]	Huiming Wu, Renkai Guo, Huiyu Li. Safety and efficacy of robot-assisted natural orifice specimen extraction surgery for colorectal cancer: A meta-analysis [J]. Chinese Archives of General Surgery(Electronic Edition), 2023, 17(05): 395-400.
[6]	Xu Tang, Bing Han, Wei Liu, Ruxing Chen. Analysis of risk factors for metachronous liver metastases after radical colorectal cancer surgery and construction of a predictive model [J]. Chinese Journal of Operative Procedures of General Surgery(Electronic Edition), 2024, 18(01): 16-20.
[7]	Shengjun Zhang, Ajing Zhao, Shoubo Li, Xianghong Hao, Minli Liu. An experimental study on the promotion of colorectal cancer invasion and migration by high glucose through HGF/c-met pathway [J]. Chinese Journal of Operative Procedures of General Surgery(Electronic Edition), 2024, 18(01): 21-24.
[8]	Ting Li, Lin Zhang. Relationship between serum fatty acid metabolites and vitamin D levels and colorectal cancer [J]. Chinese Journal of Operative Procedures of General Surgery(Electronic Edition), 2023, 17(06): 661-665.
[9]	Jian Chang, Feng Qiu, Yuqi Mao. Analysis of the relationship between ingestion inhibition factor-1 and liver metastasis after laparoscopic radical resection of colorectal cancer [J]. Chinese Journal of Operative Procedures of General Surgery(Electronic Edition), 2023, 17(05): 502-505.
[10]	Xu Guan, Xishan Wang. Reflecting on the merits and demerits of regional lymph node management in colorectal cancer based on surgical and immune perspectives [J]. Chinese Journal of Colorectal Diseases(Electronic Edition), 2023, 12(06): 448-452.
[11]	Ruiqi Gu, Hongsheng Fang, Guoxiang Cai. Application and progress of circulating tumor DNA detection technology in the diagnosis and treatment of colorectal cancer [J]. Chinese Journal of Colorectal Diseases(Electronic Edition), 2023, 12(06): 453-459.
[12]	Wenkai Ni, Chong Qi, Xiaodan Xu, Xiecheng Zhou, Qingzhang Yin, Yuankun Cai. Analysis of influencing factors of prolonged postoperative ileus in patients with colorectal cancer after operation [J]. Chinese Journal of Colorectal Diseases(Electronic Edition), 2023, 12(06): 484-489.
[13]	Xiaoyu Fan, Sizheng Sun, Yimin E, Chunzhao Yu. Different surgical options for obstructive left colon cancer [J]. Chinese Journal of Colorectal Diseases(Electronic Edition), 2023, 12(06): 500-504.
[14]	Wenyun Hou, Hengchang Liu, Lizhou Dou, Haipeng Chen, Zhaoxu Zheng, Guiqi Wang, Xishan Wang. A case of total laparoscopic radical surgery for right colon cancer with colonoscope-assisted transluminal extraction of specimen without auxiliary incision (ileocecal junction preservation) [J]. Chinese Journal of Colorectal Diseases(Electronic Edition), 2023, 12(05): 436-440.
[15]	Xin Sun, Haibo Cheng, Weixing Shen. Curative effect mechanism of Xianlian Jiedu decoction in treatment of patients with stage Ⅲ colorectal cancer based on transcriptomics [J]. Chinese Journal of Digestion and Medical Imageology(Electronic Edition), 2023, 13(05): 277-283.

Please choose a citation manager

Content to export