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PhilSPEN Online Journal of Parenteral and Enteral Nutrition

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Submitted Abstracts

PENSA 2017 Congress

Submitted: August 12, 2017

Abstract ID = 44 | Classification: (4) - Disease specific nutrition issues

Title: Handgrip dynamometry and anthropometric measurements for assessment of nutrition repletion in cancer patients

Author(s): Uthara.U (1), Prabha.V (1), Malarkodi. M (1)

Institution where study was conducted: Department of Dietetics, SIMS-SRM Institutes for Medical Science, Chennai, India

Keywords: Hand grip, nutrition support

Background: Cancer patients receiving nutrition therapy need to be periodically assessed using simple techniques to ensure nutrition repletion and better quality of life.

Objectives: To study the effect of nutrition support in nutritionally depleted cancer patients using hand grip dynamometry and anthropometric measurements – Height , Weight, Body mass index (BMI), Triceps skin fold thickness (TSF)and Mid arm circumference (MAC).

Methods: Cross- sectional study from January 2017 to April 2017 in a tertiary care Hospital. Patients diagnosed with cancer breast, colon, stomach, endometrium, rectum, tongue and lymph nodes and found to be moderately or severely malnourished using SGA were taken as subjects.Height, weight, BMI, TSF, MAC and hand grip strength (HGS) assessment was done before and after 15 days of initiating nutrition support. Oral intake was assessed daily.

Results: Out of 67 subjects, 20 met the inclusion criteria, 11 males and 9 females. The initial mean TSF, MAC, BMI was 15.6±2.5, 26.7±5.8 and 25.1±5.6 for males and 14.4±2.8, 28±3.5 and 22±6 for females .After 15 days of nutrition support, the values were 17±2.9, 30.3±6.05 and 25±5.3 in males and 16.5±2.7, 28.9±3.6 and 23±5.6 in females. Mean HGS was 22.3±10.05 in males and 15.8±3.55 in females and after 15 days, it was 25.1±10.6 in males and 16.5±4.46 in females.

Conclusion: This study shows that simple non-invasive methods such as HGS could be used routinely to assess the nutrition repletion states of malnourished cancer patients. Timely nutrition support could help regain lost weight, improve muscle strength and thereby provide a better quality of life.

Email: uthara.u@simshospitals.com

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