Mal J Nutr 23(3): 361-373, 2017

Nutritional Status and Quality of Life of Oncology Patients Prior to Pelvic Radiotherapy
Dzairudzee Rosli1, Suzana Shahar11, Zahara Abdul Manaf1, Hazreen Abd Majid2 & Mohd Roslan Haron3

1 Dietetic Programmes, Faculty of Health Sciences, The National University of Malaysia, 50300 Kuala Lumpur
2 Centre for Population Health and Department of Social and Preventive Medicine, Faculty of Medicine, University of Malaya, 50603 Kuala Lumpur
31 Oncology and Radiotherapy Department, Hospital Sultan Ismail, Jalan Persiaran Mutiara Emas Utama, 81100 Johor Bahru


ABSTRACT

Introduction: Malnutrition among cancer patients is associated with a higher risk of gastrointestinal toxicity which develops during treatment and may affect quality of life (QOL). Thus, this cross-sectional study aimed to determine the nutritional status and QOL of 30 oncology patients (mean age 50.0+10.7 years) prior to pelvic radiotherapy at Hospital Sultan Ismail, Johor Bahru. Methods: Patients were assessed for anthropometry measurements, 24-h diet recall and nutritional status using Scored Patient-Generated Subjective Global Assessment (PG-SGA) questionnaire while the European Organization for Research and Treatment of Cancer Care Quality of Life Questionnaire (EORTC QLQ-C30) was used to assess QOL two weeks prior to the initiation of pelvic radiotherapy. Results: Mean Body Mass Index (BMI) of patients was 23.3+3.3kg/m2 and 33% of patients experienced weight loss prior to pelvic radiotherapy. The PG-SGA rating indicated that 63% of patients were at Stage A (well-nourished) and 37% were in Stage B (moderate malnutrition). The PG-SGA numerical score was a significant predictor of QOL, after adjusting for socio-demographic factors (R2=0.861, p<0.05). Conclusion: In general, the low nutritional status of the patients indicates the need for early nutritional assessment, education and intervention in ensuring optimal nutritional status throughout the pelvic radiotherapy treatment.

Keywords: EORTC QLQ-C30, malnutrition, pelvic radiotherapy, PG-SGA

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