Correlation of nutritional parameters of gallbladder cancer patients

Background and Objective Gallbladder cancer (GBC) is a highly fatal disease with poor prognosis and 5‐year survival

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Veröffentlicht in:Journal of surgical oncology 2006-06, Vol.93 (8), p.705-708
Hauptverfasser: Rai, Arundhati, Tewari, Mallika, Mohapatra, S.C., Shukla, H.S.
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container_issue 8
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container_title Journal of surgical oncology
container_volume 93
creator Rai, Arundhati
Tewari, Mallika
Mohapatra, S.C.
Shukla, H.S.
description Background and Objective Gallbladder cancer (GBC) is a highly fatal disease with poor prognosis and 5‐year survival
doi_str_mv 10.1002/jso.20539
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Weight loss and nutritional deterioration are associated with adverse outcomes in terms of cancer prognosis. Protein‐calorie malnutrition is the single most common secondary diagnosis in a patient with cancer, and is a direct consequence of the anorexia of malignancy and altered host metabolism induced by the tumor. The present study of nutritional assessment is of particular interest for it helps in better understanding the extent of malnutrition in patients of GBC. Patients and Methods A case–control study was designed comprising of 153 cases of GBC and 153 controls of gallstone disease (GSD). To assess the nutritional status of the GBC patients, anthropometric measurements such as height, weight, mid arm circumference, and skinfold thickness were recorded together with the biochemical parameters and their nutrient intake. Results and Conclusions The present study showed that GBC influences the nutritional status of the patients. Forty‐three percent of GBC patients were malnourished with low body mass index (BMI). A significant reduction in all the anthropometric measures was observed for GBC patients compared to those with GSD. GBC patients had significantly low hemoglobin and serum albumin levels compared to the control group. The hemoglobin levels in case and control groups were 10.87 g/dl (±1.81 SD) and 11.62 g/dl (±1.89 SD), respectively (P &lt; 0.001). Intake of almost all the nutrients was far below the recommendations of Indian Council of Medical Research. GBC patients had anorexia and weight loss. J. Surg. Oncol. 2006;93:705–708. © 2006 Wiley‐Liss, Inc.</description><identifier>ISSN: 0022-4790</identifier><identifier>EISSN: 1096-9098</identifier><identifier>DOI: 10.1002/jso.20539</identifier><identifier>PMID: 16724358</identifier><language>eng</language><publisher>Hoboken: Wiley Subscription Services, Inc., A Wiley Company</publisher><subject>Anorexia - metabolism ; Anthropometry ; BMI ; Body Mass Index ; Case-Control Studies ; Gallbladder cancer ; Gallbladder Neoplasms - complications ; Gallbladder Neoplasms - metabolism ; Gallstones - complications ; Gallstones - metabolism ; Hemoglobins - analysis ; Humans ; malnutrition ; Nutrition Assessment ; Nutritional Status ; Prognosis ; Protein-Energy Malnutrition - etiology ; Serum Albumin - analysis ; Weight Loss</subject><ispartof>Journal of surgical oncology, 2006-06, Vol.93 (8), p.705-708</ispartof><rights>Copyright © 2006 Wiley‐Liss, Inc.</rights><rights>Copyright 2006 Wiley-Liss, Inc.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3619-16b7b914602d27943cb099158baa1207c81fa6003223b6448fbf2fcee7d70413</citedby><cites>FETCH-LOGICAL-c3619-16b7b914602d27943cb099158baa1207c81fa6003223b6448fbf2fcee7d70413</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%2Fjso.20539$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Fjso.20539$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1416,27923,27924,45573,45574</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/16724358$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Rai, Arundhati</creatorcontrib><creatorcontrib>Tewari, Mallika</creatorcontrib><creatorcontrib>Mohapatra, S.C.</creatorcontrib><creatorcontrib>Shukla, H.S.</creatorcontrib><title>Correlation of nutritional parameters of gallbladder cancer patients</title><title>Journal of surgical oncology</title><addtitle>J. Surg. Oncol</addtitle><description>Background and Objective Gallbladder cancer (GBC) is a highly fatal disease with poor prognosis and 5‐year survival &lt;5%. Weight loss and nutritional deterioration are associated with adverse outcomes in terms of cancer prognosis. Protein‐calorie malnutrition is the single most common secondary diagnosis in a patient with cancer, and is a direct consequence of the anorexia of malignancy and altered host metabolism induced by the tumor. The present study of nutritional assessment is of particular interest for it helps in better understanding the extent of malnutrition in patients of GBC. Patients and Methods A case–control study was designed comprising of 153 cases of GBC and 153 controls of gallstone disease (GSD). To assess the nutritional status of the GBC patients, anthropometric measurements such as height, weight, mid arm circumference, and skinfold thickness were recorded together with the biochemical parameters and their nutrient intake. Results and Conclusions The present study showed that GBC influences the nutritional status of the patients. Forty‐three percent of GBC patients were malnourished with low body mass index (BMI). A significant reduction in all the anthropometric measures was observed for GBC patients compared to those with GSD. GBC patients had significantly low hemoglobin and serum albumin levels compared to the control group. The hemoglobin levels in case and control groups were 10.87 g/dl (±1.81 SD) and 11.62 g/dl (±1.89 SD), respectively (P &lt; 0.001). Intake of almost all the nutrients was far below the recommendations of Indian Council of Medical Research. GBC patients had anorexia and weight loss. J. Surg. Oncol. 2006;93:705–708. © 2006 Wiley‐Liss, Inc.</description><subject>Anorexia - metabolism</subject><subject>Anthropometry</subject><subject>BMI</subject><subject>Body Mass Index</subject><subject>Case-Control Studies</subject><subject>Gallbladder cancer</subject><subject>Gallbladder Neoplasms - complications</subject><subject>Gallbladder Neoplasms - metabolism</subject><subject>Gallstones - complications</subject><subject>Gallstones - metabolism</subject><subject>Hemoglobins - analysis</subject><subject>Humans</subject><subject>malnutrition</subject><subject>Nutrition Assessment</subject><subject>Nutritional Status</subject><subject>Prognosis</subject><subject>Protein-Energy Malnutrition - etiology</subject><subject>Serum Albumin - analysis</subject><subject>Weight Loss</subject><issn>0022-4790</issn><issn>1096-9098</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2006</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kM1OwzAQhC0EoqVw4AVQT0gcUtY_seMjKrSASiugEkfLSRyU4ibBTgR9e1JS4MRptJpvRqtB6BTDCAOQy5UvRwRCKvdQH4PkgQQZ7aN-65GACQk9dOT9CgCk5OwQ9TAXhNEw6qPrcemcsbrOy2JYZsOiqV2-PbQdVtrptamN81vnVVsbW52mxg0TXSStVG3MFLU_RgeZtt6c7HSAlpOb5fg2mC2md-OrWZBQjmWAeSxiiRkHkhIhGU3i9iEcRrHWmIBIIpxpDkAJoTFnLMrijGSJMSIVwDAdoPOutnLle2N8rda5T4y1ujBl4xWPgFCGSQtedGDiSu-dyVTl8rV2G4VBbRdT7WLqe7GWPduVNvHapH_kbqIWuOyAj9yazf9N6v558VMZdInc1-bzN6Hdm-KCilC9zKdqzpdPE_L4oGb0CxyphAs</recordid><startdate>20060615</startdate><enddate>20060615</enddate><creator>Rai, Arundhati</creator><creator>Tewari, Mallika</creator><creator>Mohapatra, S.C.</creator><creator>Shukla, H.S.</creator><general>Wiley Subscription Services, Inc., A Wiley Company</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20060615</creationdate><title>Correlation of nutritional parameters of gallbladder cancer patients</title><author>Rai, Arundhati ; Tewari, Mallika ; Mohapatra, S.C. ; Shukla, H.S.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3619-16b7b914602d27943cb099158baa1207c81fa6003223b6448fbf2fcee7d70413</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2006</creationdate><topic>Anorexia - metabolism</topic><topic>Anthropometry</topic><topic>BMI</topic><topic>Body Mass Index</topic><topic>Case-Control Studies</topic><topic>Gallbladder cancer</topic><topic>Gallbladder Neoplasms - complications</topic><topic>Gallbladder Neoplasms - metabolism</topic><topic>Gallstones - complications</topic><topic>Gallstones - metabolism</topic><topic>Hemoglobins - analysis</topic><topic>Humans</topic><topic>malnutrition</topic><topic>Nutrition Assessment</topic><topic>Nutritional Status</topic><topic>Prognosis</topic><topic>Protein-Energy Malnutrition - etiology</topic><topic>Serum Albumin - analysis</topic><topic>Weight Loss</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Rai, Arundhati</creatorcontrib><creatorcontrib>Tewari, Mallika</creatorcontrib><creatorcontrib>Mohapatra, S.C.</creatorcontrib><creatorcontrib>Shukla, H.S.</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of surgical oncology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Rai, Arundhati</au><au>Tewari, Mallika</au><au>Mohapatra, S.C.</au><au>Shukla, H.S.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Correlation of nutritional parameters of gallbladder cancer patients</atitle><jtitle>Journal of surgical oncology</jtitle><addtitle>J. Surg. Oncol</addtitle><date>2006-06-15</date><risdate>2006</risdate><volume>93</volume><issue>8</issue><spage>705</spage><epage>708</epage><pages>705-708</pages><issn>0022-4790</issn><eissn>1096-9098</eissn><abstract>Background and Objective Gallbladder cancer (GBC) is a highly fatal disease with poor prognosis and 5‐year survival &lt;5%. Weight loss and nutritional deterioration are associated with adverse outcomes in terms of cancer prognosis. Protein‐calorie malnutrition is the single most common secondary diagnosis in a patient with cancer, and is a direct consequence of the anorexia of malignancy and altered host metabolism induced by the tumor. The present study of nutritional assessment is of particular interest for it helps in better understanding the extent of malnutrition in patients of GBC. Patients and Methods A case–control study was designed comprising of 153 cases of GBC and 153 controls of gallstone disease (GSD). To assess the nutritional status of the GBC patients, anthropometric measurements such as height, weight, mid arm circumference, and skinfold thickness were recorded together with the biochemical parameters and their nutrient intake. Results and Conclusions The present study showed that GBC influences the nutritional status of the patients. Forty‐three percent of GBC patients were malnourished with low body mass index (BMI). A significant reduction in all the anthropometric measures was observed for GBC patients compared to those with GSD. GBC patients had significantly low hemoglobin and serum albumin levels compared to the control group. The hemoglobin levels in case and control groups were 10.87 g/dl (±1.81 SD) and 11.62 g/dl (±1.89 SD), respectively (P &lt; 0.001). Intake of almost all the nutrients was far below the recommendations of Indian Council of Medical Research. GBC patients had anorexia and weight loss. J. Surg. 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subjects Anorexia - metabolism
Anthropometry
BMI
Body Mass Index
Case-Control Studies
Gallbladder cancer
Gallbladder Neoplasms - complications
Gallbladder Neoplasms - metabolism
Gallstones - complications
Gallstones - metabolism
Hemoglobins - analysis
Humans
malnutrition
Nutrition Assessment
Nutritional Status
Prognosis
Protein-Energy Malnutrition - etiology
Serum Albumin - analysis
Weight Loss
title Correlation of nutritional parameters of gallbladder cancer patients
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