PhilSPEN Online Journal of Parenteral and Enteral Nutrition

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(Article 78 | POJ_0072)

Submitted Abstracts

PENSA 2017 Congress

Submitted: August 12, 2017

Abstract ID = 42 | Classification: (4) - Disease specific nutrition issues

Title: Nutrition intervention in patients with head & neck cancer (HNC) receiving chemoradiotheraphy (CRT)

Author(s): Alagirimunuswamy.R, Dr.Pothuraj .M.Christopher.S, Balasundaram.B, Shankar.B

Institution where study was conducted: Apollo Cancer Hospital, Chennai, India

Keywords: Head and neck cancer,Chemoradiotherapy, nutritional status, nutritional intervention.

Background: Head and neck cancer is associated with weight loss before, during, and after treatment with CRT.

Objectives: The study aimed to provide nutrition support for assisting CRT effects and maximize the quality of life (QOL).

Methods: A prospective study was conducted from January –July 2017, in 45 patients undergoing CRT for HNC. Patients referred to dietitian on first day of radiation and followed up for six weeks were recruited. Demographic data, diet history and nutritional assessment using subjective global assessment (SGA) was recorded on day 1.Nutritional requirement were estimated using ideal body weight. Oral nutrition supplement was provided to meet the target nutritional requirements. Calorie and protein intake were monitored with 24 hrs recall on weekly basis. Body weight, was monitored on weekly basis. Statistical analysis was done by using paired sample “t” test.

Results: SGA revealed 76% as well nourished , 24 % as moderately malnourished. During the study period, 35.5 % had odynophagia, 11% had Grade 3 mucositis, 40% had both.11% with vocal cord cancer did not have any of these complications. There was significant improvement in calorie and protein intake between day 1 (1226 ± 130, 44.6 ± 6.8) and end of sixth week (1467 ± 220, 59.2 ± 18). Minimum weight loss (3.43 ± 5.18 kg) was noted. All patients had CRT without any interruptions indicating an improvement in QOL.

Conclusion: Providing appropriate and timely nutritional intervention can help to minimize weight loss, muscle wasting and improve QOL.