Impact of cancer, type, site, stage and treatment on the nutritional status of patients

F. Bozzetti, S. Migliavacca, A. Scotti, M. G. Bonalumi, D. Scarpa, F. Baticci, M. Ammatuna, A. Pupa, G. Terno, C. Sequeira, C. Masserini, H. Emanuelli

Research output: Contribution to journalArticle

Abstract

This study analyzed the nutritional status of cancer patients in relation to type and site of origin of the tumor, stage of disease, and previous chemical or radiation therapy. The analysis was performed on 321 patients (280 with cancer and 41 controls). The nutritional parameters included per cent of weight loss, anthropometric indices (arm circumference, triceps skinfold, arm muscle circumference), creatinine-height index, serum protein, albumin, total iron binding capacity and cholinesterase, C3 and C4 components of complement, total peripheral lymphocytes, and skin tests. The statistical comparison between patients with different tumors and controls, between patients with different stages of the same tumor, and between patients treated with or without previous chemical or radiation therapy led to the following conclusions: 1) malnutrition is mainly related to the type and site of origin of the tumor and, in the early stages of disease, is more pronounced in patients with cancer of the esophagus and stomach; 2) except in patients with breast and cervix cancer, malnutrition gets more severe as the disease becomes advanced; 3) chemical or radiation therapy has a variable impact on the nutritional status, but in selected patients it causes a drop in body weight, arm circumference, arm muscle circumference, and peripheral lymphocytes; 4) body weight, cutaneous delayed hypersensitivity and serum albumin are the most commonly altered parameters.

Original languageEnglish
Pages (from-to)170-179
Number of pages10
JournalAnnals of Surgery
Volume196
Issue number2
Publication statusPublished - 1982

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Nutritional Status
Neoplasms
Radiotherapy
Therapeutics
Serum Albumin
Malnutrition
Muscles
Body Weight
Lymphocytes
Complement C4
Cholinesterases
Delayed Hypersensitivity
Esophageal Neoplasms
Skin Tests
Uterine Cervical Neoplasms
Stomach Neoplasms
Blood Proteins
Weight Loss
Creatinine
Iron

ASJC Scopus subject areas

  • Surgery

Cite this

Bozzetti, F., Migliavacca, S., Scotti, A., Bonalumi, M. G., Scarpa, D., Baticci, F., ... Emanuelli, H. (1982). Impact of cancer, type, site, stage and treatment on the nutritional status of patients. Annals of Surgery, 196(2), 170-179.

Impact of cancer, type, site, stage and treatment on the nutritional status of patients. / Bozzetti, F.; Migliavacca, S.; Scotti, A.; Bonalumi, M. G.; Scarpa, D.; Baticci, F.; Ammatuna, M.; Pupa, A.; Terno, G.; Sequeira, C.; Masserini, C.; Emanuelli, H.

In: Annals of Surgery, Vol. 196, No. 2, 1982, p. 170-179.

Research output: Contribution to journalArticle

Bozzetti, F, Migliavacca, S, Scotti, A, Bonalumi, MG, Scarpa, D, Baticci, F, Ammatuna, M, Pupa, A, Terno, G, Sequeira, C, Masserini, C & Emanuelli, H 1982, 'Impact of cancer, type, site, stage and treatment on the nutritional status of patients', Annals of Surgery, vol. 196, no. 2, pp. 170-179.
Bozzetti F, Migliavacca S, Scotti A, Bonalumi MG, Scarpa D, Baticci F et al. Impact of cancer, type, site, stage and treatment on the nutritional status of patients. Annals of Surgery. 1982;196(2):170-179.
Bozzetti, F. ; Migliavacca, S. ; Scotti, A. ; Bonalumi, M. G. ; Scarpa, D. ; Baticci, F. ; Ammatuna, M. ; Pupa, A. ; Terno, G. ; Sequeira, C. ; Masserini, C. ; Emanuelli, H. / Impact of cancer, type, site, stage and treatment on the nutritional status of patients. In: Annals of Surgery. 1982 ; Vol. 196, No. 2. pp. 170-179.
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