PhilSPEN Online Journal of Parenteral and Enteral Nutrition

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(Article 93 | POJ_0087)

Submitted Abstracts

PENSA 2017 Congress

Submitted: August 15, 2017

Abstract ID = 57 | Classification: (2) - Malnutrition and related issues

Title: Need for nutrition support through top-up formula for patients undergoing cancer treatment in a multispecialty tertiary care hospital in Chennai, India.

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

Institution where study was conducted: SIMS-SRM Institute for Medical Science, Chennai, India


Background: Nutrition in cancer patients is frequently compromised. Cancer treatment modalities are known to cause various side-effects. There often exists a wide gap between calorie deficit and calorie adequacy.

Objectives: The need for nutrition support through top-up formula for optimizing the intake in cancer patients were taken up as a study in a multispecialty tertiary care hospital. In view of numerous side effects in cancer treatment, reduced food intake during various modes of treatment such as chemotherapy and radiotherapy were observed.

Methods: Prospective observational study was designed for a period of two months. 76 patients who were admitted for cancer treatment between mean age was 56±12. Data regarding their food intake, demographics, nutritional status, estimated nutritional needs, consumption and the cause for reduced consumption were noted.

Results: Among the 76 subjects (48 male & 28 female) included in the study, 26% of patients required nutritional supplements to meet their calorie and protein requirements, irrespective of their current nutritional status. An overall calorie deficit of 27% and a protein deficit of 30% were observed prior to initiation of top-up feeds. This deficit was brought down to 5% and 7% for calorie and protein intake respectively, by ensuring compliance to the prescribed top-up supplements.

Conclusion: Timely and goal oriented nutrition support is much significant for cancer patients, irrespective of their current nutritional status. Intake being compromised due to treatment-related side effects such as nausea, vomiting etc. appropriate disease specific top-up formula supplementation is beneficial in bridging the gap between deficit and adequacy of nutrient intake in these patients.