Hand Grip Strength and nutritional status in hospitalized oncological patients/Forca de Preensao Manual e estado nutricional em pacientes oncologicos hospitalizados

To evaluate the nutritional status and functional capacity of hospitalized adult patients. Cross-sectional study of adult oncology patients at Hospital de Clinicas de Porto Alegre. Patients were evaluated according to Solid Tumors and Hematologic Tumors. The nutritional status was obtained using Pat...

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Veröffentlicht in:Revista de nutrição 2018-09, Vol.31 (5), p.489
Hauptverfasser: Steemburgo, Thais, Averbuch, Natalia Cristina, Belin, Christy Hannah Sanini, Behling, Estela Beatriz
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Averbuch, Natalia Cristina
Belin, Christy Hannah Sanini
Behling, Estela Beatriz
description To evaluate the nutritional status and functional capacity of hospitalized adult patients. Cross-sectional study of adult oncology patients at Hospital de Clinicas de Porto Alegre. Patients were evaluated according to Solid Tumors and Hematologic Tumors. The nutritional status was obtained using Patient Generated Subjective Global Assessment, and the functional capacity was evaluated by Handgrip Strength using a Jamar[R] dynamometer--and the Performance Index of the Eastern Cooperative Oncology Group. This study evaluated 76 patients (56[+ or -]17 years old, 35.5% female), 63.2% with Solid Tumors and 36.8% with Hematologic Tumors. According to the Patient Generated Subjective Global Assessment, 53.9% of the patients were moderately and severely malnourished and demonstrated functional capacity, according to the Handgrip Strength and Performance Index of the Eastern Cooperative Oncology Group, of 47.9% and 32.2%, respectively The functional capacity instruments showed a moderate agreement (Kappa=0.427, p
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Cross-sectional study of adult oncology patients at Hospital de Clinicas de Porto Alegre. Patients were evaluated according to Solid Tumors and Hematologic Tumors. The nutritional status was obtained using Patient Generated Subjective Global Assessment, and the functional capacity was evaluated by Handgrip Strength using a Jamar[R] dynamometer--and the Performance Index of the Eastern Cooperative Oncology Group. This study evaluated 76 patients (56[+ or -]17 years old, 35.5% female), 63.2% with Solid Tumors and 36.8% with Hematologic Tumors. According to the Patient Generated Subjective Global Assessment, 53.9% of the patients were moderately and severely malnourished and demonstrated functional capacity, according to the Handgrip Strength and Performance Index of the Eastern Cooperative Oncology Group, of 47.9% and 32.2%, respectively The functional capacity instruments showed a moderate agreement (Kappa=0.427, p&lt;0.001) and positive correlation (r=0.136, p=0.028). Severely malnourished patients had a lower Handgrip Strength when compared to well nourished (24.0[+ or -]10.4 vs. 34.2[+ or -]16.6kg, p=0.015). The results were confirmed among moderately and severely malnourished patients, who were rated at the 40 percentile, considered low functional capacity. In this study, hospitalized oncological patients presented poor nutritional status and low functional capacity The Patient Generated Subjective Global Assessment identifies the nutritional specification earlier. In addition, Handgrip Strength dynamometry can be a useful tool to evaluate the low functional capacity and nutritional status. It can be included in cancer patient's evaluation, along with other nutritional assessment tools. Avaliar o estado nutricional e capacidade funcional de pacientes adultos oncologicos hospitalizados. Foram avaliados 76 pacientes (56[+ or -]17 anos, 35,5% do sexo feminino), 63,2% apresentaram Tumores Solidos e 36,8% Tumores Hematologicos. De acordo com a Avaliacao Subjetiva Global Produzida pelo Paciente, 53,9% dos pacientes estavam moderadamente e gravemente desnutridos e demonstraram baixa capacidade funcional de acordo com a Forca do Aperto de Mao e Indice de Desempenho do Eastern Cooperative Oncology Group, 47,9% e 32,2%, respectivamente. Os instrumentos de capacidade funcional demonstraram uma concordancia moderada (Kappa=0,427; p&lt;0,001) e correlacao positiva (r=0,136; p=0,028). Pacientes gravemente desnutridos demonstraram ter uma menor Forca do Aperto de Mao quando comparados aos bem nutridos (24,0[+ or -]10,4 vs. 34,2[+ or -]16,6kg; p=0,015). Resultados foram confirmados entre pacientes moderadamente e gravemente desnutridos que apresentaram Forca do Aperto de Mao abaixo do percentil 40, considerado uma baixa capacidade funcional.</description><identifier>ISSN: 1415-5273</identifier><identifier>DOI: 10.1590/1678-98652018000500006</identifier><language>eng</language><publisher>Pontificia Universidade Catolica de Campinas</publisher><ispartof>Revista de nutrição, 2018-09, Vol.31 (5), p.489</ispartof><rights>COPYRIGHT 2018 Pontificia Universidade Catolica de Campinas</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids></links><search><creatorcontrib>Steemburgo, Thais</creatorcontrib><creatorcontrib>Averbuch, Natalia Cristina</creatorcontrib><creatorcontrib>Belin, Christy Hannah Sanini</creatorcontrib><creatorcontrib>Behling, Estela Beatriz</creatorcontrib><title>Hand Grip Strength and nutritional status in hospitalized oncological patients/Forca de Preensao Manual e estado nutricional em pacientes oncologicos hospitalizados</title><title>Revista de nutrição</title><description>To evaluate the nutritional status and functional capacity of hospitalized adult patients. Cross-sectional study of adult oncology patients at Hospital de Clinicas de Porto Alegre. Patients were evaluated according to Solid Tumors and Hematologic Tumors. The nutritional status was obtained using Patient Generated Subjective Global Assessment, and the functional capacity was evaluated by Handgrip Strength using a Jamar[R] dynamometer--and the Performance Index of the Eastern Cooperative Oncology Group. This study evaluated 76 patients (56[+ or -]17 years old, 35.5% female), 63.2% with Solid Tumors and 36.8% with Hematologic Tumors. According to the Patient Generated Subjective Global Assessment, 53.9% of the patients were moderately and severely malnourished and demonstrated functional capacity, according to the Handgrip Strength and Performance Index of the Eastern Cooperative Oncology Group, of 47.9% and 32.2%, respectively The functional capacity instruments showed a moderate agreement (Kappa=0.427, p&lt;0.001) and positive correlation (r=0.136, p=0.028). Severely malnourished patients had a lower Handgrip Strength when compared to well nourished (24.0[+ or -]10.4 vs. 34.2[+ or -]16.6kg, p=0.015). The results were confirmed among moderately and severely malnourished patients, who were rated at the 40 percentile, considered low functional capacity. In this study, hospitalized oncological patients presented poor nutritional status and low functional capacity The Patient Generated Subjective Global Assessment identifies the nutritional specification earlier. In addition, Handgrip Strength dynamometry can be a useful tool to evaluate the low functional capacity and nutritional status. It can be included in cancer patient's evaluation, along with other nutritional assessment tools. Avaliar o estado nutricional e capacidade funcional de pacientes adultos oncologicos hospitalizados. Foram avaliados 76 pacientes (56[+ or -]17 anos, 35,5% do sexo feminino), 63,2% apresentaram Tumores Solidos e 36,8% Tumores Hematologicos. De acordo com a Avaliacao Subjetiva Global Produzida pelo Paciente, 53,9% dos pacientes estavam moderadamente e gravemente desnutridos e demonstraram baixa capacidade funcional de acordo com a Forca do Aperto de Mao e Indice de Desempenho do Eastern Cooperative Oncology Group, 47,9% e 32,2%, respectivamente. Os instrumentos de capacidade funcional demonstraram uma concordancia moderada (Kappa=0,427; p&lt;0,001) e correlacao positiva (r=0,136; p=0,028). Pacientes gravemente desnutridos demonstraram ter uma menor Forca do Aperto de Mao quando comparados aos bem nutridos (24,0[+ or -]10,4 vs. 34,2[+ or -]16,6kg; p=0,015). 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Cross-sectional study of adult oncology patients at Hospital de Clinicas de Porto Alegre. Patients were evaluated according to Solid Tumors and Hematologic Tumors. The nutritional status was obtained using Patient Generated Subjective Global Assessment, and the functional capacity was evaluated by Handgrip Strength using a Jamar[R] dynamometer--and the Performance Index of the Eastern Cooperative Oncology Group. This study evaluated 76 patients (56[+ or -]17 years old, 35.5% female), 63.2% with Solid Tumors and 36.8% with Hematologic Tumors. According to the Patient Generated Subjective Global Assessment, 53.9% of the patients were moderately and severely malnourished and demonstrated functional capacity, according to the Handgrip Strength and Performance Index of the Eastern Cooperative Oncology Group, of 47.9% and 32.2%, respectively The functional capacity instruments showed a moderate agreement (Kappa=0.427, p&lt;0.001) and positive correlation (r=0.136, p=0.028). Severely malnourished patients had a lower Handgrip Strength when compared to well nourished (24.0[+ or -]10.4 vs. 34.2[+ or -]16.6kg, p=0.015). The results were confirmed among moderately and severely malnourished patients, who were rated at the 40 percentile, considered low functional capacity. In this study, hospitalized oncological patients presented poor nutritional status and low functional capacity The Patient Generated Subjective Global Assessment identifies the nutritional specification earlier. In addition, Handgrip Strength dynamometry can be a useful tool to evaluate the low functional capacity and nutritional status. It can be included in cancer patient's evaluation, along with other nutritional assessment tools. Avaliar o estado nutricional e capacidade funcional de pacientes adultos oncologicos hospitalizados. Foram avaliados 76 pacientes (56[+ or -]17 anos, 35,5% do sexo feminino), 63,2% apresentaram Tumores Solidos e 36,8% Tumores Hematologicos. De acordo com a Avaliacao Subjetiva Global Produzida pelo Paciente, 53,9% dos pacientes estavam moderadamente e gravemente desnutridos e demonstraram baixa capacidade funcional de acordo com a Forca do Aperto de Mao e Indice de Desempenho do Eastern Cooperative Oncology Group, 47,9% e 32,2%, respectivamente. Os instrumentos de capacidade funcional demonstraram uma concordancia moderada (Kappa=0,427; p&lt;0,001) e correlacao positiva (r=0,136; p=0,028). Pacientes gravemente desnutridos demonstraram ter uma menor Forca do Aperto de Mao quando comparados aos bem nutridos (24,0[+ or -]10,4 vs. 34,2[+ or -]16,6kg; p=0,015). Resultados foram confirmados entre pacientes moderadamente e gravemente desnutridos que apresentaram Forca do Aperto de Mao abaixo do percentil 40, considerado uma baixa capacidade funcional.</abstract><pub>Pontificia Universidade Catolica de Campinas</pub><doi>10.1590/1678-98652018000500006</doi></addata></record>
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