IR@PKUHSC  > 北京大学第二临床医学院
学科主题临床医学
Nutritional assessment with different tools in leukemia patients after hematopoietic stem cell transplantation
Wang, Boshi1; Yan, Xia2; Cai, Jingjing1; Wang, Yu1; Liu, Peng1
关键词Nutritional Screening Hematopoietic Stem Cell Transplantation (Hsct) Leukemia Nutritional Risk Screening 2002 (Nrs2002) Mini Nutritional Assessment (Nina) Subjective Globe Assessment (Sga) Malnutritional Universal Screening Tools (Must)
刊名CHINESE JOURNAL OF CANCER RESEARCH
2013-12-01
DOI10.3978/j.issn.1000-9604.2013.12.09
25期:6页:762-769
收录类别SCI
文章类型Article
WOS标题词Science & Technology
类目[WOS]Oncology
研究领域[WOS]Oncology
关键词[WOS]ASSESSMENT MNA ; CANCER ; ASSOCIATIONS ; VALIDATION
英文摘要

Objective: Correct nutritional assessment is essential for leukemia patients after hematopoiedc stem cell transplantation (HSCT). This study aimed to investigate the best nutritional assessment method for leukemia patients after HSCT, and find the possible nutritional risk of the patients during the transplantation process in order to intervene in the patients with nutritional risks and undernourished patients timely, so that the entire transplantation process could be successfully completed.

Methods: A prospective study was performed in 108 leukemia patients after HSCT, and different nutritional assessment methods, including nutritional risk screening 2002 (NRS2002), mini nutritional assessment (MNA), subjective globe assessment (SGA) and malnutritional universal screening tools (MUST), were used. The associations between nutritional status of these patients and nutritional assessment methods were analyzed.

Results: A total of 108 patients completed SGA, and 99 patients completed NRS2002, MNA and MUST. During the treatment process, 85.2% of the patients lost weight, wherein, 50% lost weight greater than 5%, and 42.6% had significantly reduced food intake. For nutritional risk assessment, the positive rates of NRS2002, MNA and MUST were 100%, 74.7% and 63.6%, respectively. There was a significant difference (P<0.05) among the positive rates of NRS2002, MNA and MUST. In undernutrition assessment, the positive rate of SGA (83.3%) was significantly higher than that of MNA (17.2%) (P<0.05), and the incidence rate of nutritional risk among leukemia patients <= 30 years old was greater than that of patients >30 years old (P<0.05).

Conclusions: Patients with leukemia were in poor nutritional status during and after HSCT. The leukemia patients <= 30 years old had a greater incidence rate of nutritional risk. As nutritional risk screening tool, the specificity of NRS2002 is not high, but it can be used for evaluating nutritional deficiencies. MNA is a good nutritional risk screening tool, but not an adequate tool for nutritional assessment. If assessment of undernutrition is necessary, the combination of all these screening tools and clinical laboratory indicators should be applied to improve accuracy.

语种英语
WOS记录号WOS:000329477800019
Citation statistics
Cited Times:9[WOS]   [WOS Record]     [Related Records in WOS]
文献类型期刊论文
条目标识符http://ir.bjmu.edu.cn/handle/400002259/54474
Collection北京大学第二临床医学院
北京大学第二临床医学院_血液科
作者单位1.Peking Univ, Peoples Hosp, Dept Clin Nutr, Beijing 100044, Peoples R China
2.Peking Univ, Peoples Hosp, Dept Hematol, Beijing 100044, Peoples R China
Recommended Citation
GB/T 7714
Wang, Boshi,Yan, Xia,Cai, Jingjing,et al. Nutritional assessment with different tools in leukemia patients after hematopoietic stem cell transplantation[J]. CHINESE JOURNAL OF CANCER RESEARCH,2013,25(6):762-769.
APA Wang, Boshi,Yan, Xia,Cai, Jingjing,Wang, Yu,&Liu, Peng.(2013).Nutritional assessment with different tools in leukemia patients after hematopoietic stem cell transplantation.CHINESE JOURNAL OF CANCER RESEARCH,25(6),762-769.
MLA Wang, Boshi,et al."Nutritional assessment with different tools in leukemia patients after hematopoietic stem cell transplantation".CHINESE JOURNAL OF CANCER RESEARCH 25.6(2013):762-769.
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