Nutritional status, food intake, and dysphagia in long-term survivors with head and neck cancer treated with chemoradiotherapy: A cross-sectional study

Background The aim of this study was to evaluate nutritional status, food intake, and dysphagia in long‐term head and neck cancer survivors. Methods Thirty‐two patients with stage III–IV head and neck cancer treated by chemoradiotherapy were invited to evaluate nutritional status (malnutrition, rela...

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Veröffentlicht in:Head & neck 2014-01, Vol.36 (1), p.60-65
Hauptverfasser: van den Berg, Manon G. A., Rütten, Heidi, Rasmussen-Conrad, Ellen L., Knuijt, Simone, Takes, Robert P., van Herpen, Carla M. L., Wanten, Geert J. A., Kaanders, Johannes H. A. M., Merkx, Matthias A. W.
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container_end_page 65
container_issue 1
container_start_page 60
container_title Head & neck
container_volume 36
creator van den Berg, Manon G. A.
Rütten, Heidi
Rasmussen-Conrad, Ellen L.
Knuijt, Simone
Takes, Robert P.
van Herpen, Carla M. L.
Wanten, Geert J. A.
Kaanders, Johannes H. A. M.
Merkx, Matthias A. W.
description Background The aim of this study was to evaluate nutritional status, food intake, and dysphagia in long‐term head and neck cancer survivors. Methods Thirty‐two patients with stage III–IV head and neck cancer treated by chemoradiotherapy were invited to evaluate nutritional status (malnutrition, relative weight loss), food intake (food modification; quality), and dysphagia. Results At a median follow up of 44 months, 6 of 32 patients were at risk for malnutrition. Women (p = .049) and patients with high body mass index before treatment (p = .024) showed more weight loss. None of the 32 patients could eat a “full diet.” Six patients used nutritional supplements/tube feeding. Low dysphagia‐related quality of life scores were significantly correlated to increased food modification (r = 0.405; p = .024). Conclusions Nutritional advice in patients with head and neck cancer is still necessary years after chemoradiation and should focus on nutritional status, food modification, and quality, in accord with recommended food groups. © 2013 Wiley Periodicals, Inc. Head Neck 36: 60–65, 2014
doi_str_mv 10.1002/hed.23265
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A. ; Rütten, Heidi ; Rasmussen-Conrad, Ellen L. ; Knuijt, Simone ; Takes, Robert P. ; van Herpen, Carla M. L. ; Wanten, Geert J. A. ; Kaanders, Johannes H. A. M. ; Merkx, Matthias A. W.</creator><creatorcontrib>van den Berg, Manon G. A. ; Rütten, Heidi ; Rasmussen-Conrad, Ellen L. ; Knuijt, Simone ; Takes, Robert P. ; van Herpen, Carla M. L. ; Wanten, Geert J. A. ; Kaanders, Johannes H. A. M. ; Merkx, Matthias A. W.</creatorcontrib><description>Background The aim of this study was to evaluate nutritional status, food intake, and dysphagia in long‐term head and neck cancer survivors. Methods Thirty‐two patients with stage III–IV head and neck cancer treated by chemoradiotherapy were invited to evaluate nutritional status (malnutrition, relative weight loss), food intake (food modification; quality), and dysphagia. Results At a median follow up of 44 months, 6 of 32 patients were at risk for malnutrition. Women (p = .049) and patients with high body mass index before treatment (p = .024) showed more weight loss. None of the 32 patients could eat a “full diet.” Six patients used nutritional supplements/tube feeding. Low dysphagia‐related quality of life scores were significantly correlated to increased food modification (r = 0.405; p = .024). Conclusions Nutritional advice in patients with head and neck cancer is still necessary years after chemoradiation and should focus on nutritional status, food modification, and quality, in accord with recommended food groups. © 2013 Wiley Periodicals, Inc. Head Neck 36: 60–65, 2014</description><identifier>ISSN: 1043-3074</identifier><identifier>EISSN: 1097-0347</identifier><identifier>DOI: 10.1002/hed.23265</identifier><identifier>PMID: 23559543</identifier><identifier>CODEN: HEANEE</identifier><language>eng</language><publisher>United States: Blackwell Publishing Ltd</publisher><subject>Adult ; Aged ; Body Mass Index ; chemoradiotherapy ; Chemoradiotherapy - adverse effects ; Chemoradiotherapy - methods ; Cross-Sectional Studies ; Deglutition Disorders - epidemiology ; Deglutition Disorders - etiology ; dysphagia ; Eating ; Female ; Follow-Up Studies ; head and neck neoplasms ; Head and Neck Neoplasms - mortality ; Head and Neck Neoplasms - pathology ; Head and Neck Neoplasms - therapy ; Humans ; Male ; Middle Aged ; nutrition assessment ; nutritional status ; Nutritional Status - physiology ; Quality of Life ; Risk Assessment ; Survivors ; Treatment Outcome ; Weight Loss</subject><ispartof>Head &amp; neck, 2014-01, Vol.36 (1), p.60-65</ispartof><rights>Copyright © 2013 Wiley Periodicals, Inc.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4265-37f77b0a3965698dedde1fb1425c8cd3560e6ef6a8d091ac5e6262bb3dc6952c3</citedby><cites>FETCH-LOGICAL-c4265-37f77b0a3965698dedde1fb1425c8cd3560e6ef6a8d091ac5e6262bb3dc6952c3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Fhed.23265$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Fhed.23265$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23559543$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>van den Berg, Manon G. A.</creatorcontrib><creatorcontrib>Rütten, Heidi</creatorcontrib><creatorcontrib>Rasmussen-Conrad, Ellen L.</creatorcontrib><creatorcontrib>Knuijt, Simone</creatorcontrib><creatorcontrib>Takes, Robert P.</creatorcontrib><creatorcontrib>van Herpen, Carla M. L.</creatorcontrib><creatorcontrib>Wanten, Geert J. A.</creatorcontrib><creatorcontrib>Kaanders, Johannes H. A. M.</creatorcontrib><creatorcontrib>Merkx, Matthias A. W.</creatorcontrib><title>Nutritional status, food intake, and dysphagia in long-term survivors with head and neck cancer treated with chemoradiotherapy: A cross-sectional study</title><title>Head &amp; neck</title><addtitle>Head Neck</addtitle><description>Background The aim of this study was to evaluate nutritional status, food intake, and dysphagia in long‐term head and neck cancer survivors. Methods Thirty‐two patients with stage III–IV head and neck cancer treated by chemoradiotherapy were invited to evaluate nutritional status (malnutrition, relative weight loss), food intake (food modification; quality), and dysphagia. Results At a median follow up of 44 months, 6 of 32 patients were at risk for malnutrition. Women (p = .049) and patients with high body mass index before treatment (p = .024) showed more weight loss. None of the 32 patients could eat a “full diet.” Six patients used nutritional supplements/tube feeding. Low dysphagia‐related quality of life scores were significantly correlated to increased food modification (r = 0.405; p = .024). Conclusions Nutritional advice in patients with head and neck cancer is still necessary years after chemoradiation and should focus on nutritional status, food modification, and quality, in accord with recommended food groups. © 2013 Wiley Periodicals, Inc. 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A. ; Rütten, Heidi ; Rasmussen-Conrad, Ellen L. ; Knuijt, Simone ; Takes, Robert P. ; van Herpen, Carla M. L. ; Wanten, Geert J. A. ; Kaanders, Johannes H. A. M. ; Merkx, Matthias A. 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W.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Nutritional status, food intake, and dysphagia in long-term survivors with head and neck cancer treated with chemoradiotherapy: A cross-sectional study</atitle><jtitle>Head &amp; neck</jtitle><addtitle>Head Neck</addtitle><date>2014-01</date><risdate>2014</risdate><volume>36</volume><issue>1</issue><spage>60</spage><epage>65</epage><pages>60-65</pages><issn>1043-3074</issn><eissn>1097-0347</eissn><coden>HEANEE</coden><abstract>Background The aim of this study was to evaluate nutritional status, food intake, and dysphagia in long‐term head and neck cancer survivors. Methods Thirty‐two patients with stage III–IV head and neck cancer treated by chemoradiotherapy were invited to evaluate nutritional status (malnutrition, relative weight loss), food intake (food modification; quality), and dysphagia. Results At a median follow up of 44 months, 6 of 32 patients were at risk for malnutrition. Women (p = .049) and patients with high body mass index before treatment (p = .024) showed more weight loss. None of the 32 patients could eat a “full diet.” Six patients used nutritional supplements/tube feeding. Low dysphagia‐related quality of life scores were significantly correlated to increased food modification (r = 0.405; p = .024). Conclusions Nutritional advice in patients with head and neck cancer is still necessary years after chemoradiation and should focus on nutritional status, food modification, and quality, in accord with recommended food groups. © 2013 Wiley Periodicals, Inc. Head Neck 36: 60–65, 2014</abstract><cop>United States</cop><pub>Blackwell Publishing Ltd</pub><pmid>23559543</pmid><doi>10.1002/hed.23265</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record>
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source MEDLINE; Wiley Online Library Journals Frontfile Complete
subjects Adult
Aged
Body Mass Index
chemoradiotherapy
Chemoradiotherapy - adverse effects
Chemoradiotherapy - methods
Cross-Sectional Studies
Deglutition Disorders - epidemiology
Deglutition Disorders - etiology
dysphagia
Eating
Female
Follow-Up Studies
head and neck neoplasms
Head and Neck Neoplasms - mortality
Head and Neck Neoplasms - pathology
Head and Neck Neoplasms - therapy
Humans
Male
Middle Aged
nutrition assessment
nutritional status
Nutritional Status - physiology
Quality of Life
Risk Assessment
Survivors
Treatment Outcome
Weight Loss
title Nutritional status, food intake, and dysphagia in long-term survivors with head and neck cancer treated with chemoradiotherapy: A cross-sectional study
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