Nutritional Assessment Tools for the Identification of Malnutrition and Nutritional Risk Associated with Cancer Treatment

Lilia Castillo Martínez ; Denisse Castro Eguiluz ; Erika Thalía Copca Mendoza ; Dana Aline Pérez Camargo ; Carlos Alberto Reyes Torres ^[1] ; Erika Alejandra Damasco Ávila ; Griselda López Córdova ^[2] ; Maricruz Ruth Fuentes Hernández ^[3] ; Lucely del Rosario Cetina Pérez ; María del Pilar Milke García
1. [1] Instituto Tecnológico y de Estudios Superiores de Monterrey
  
  Instituto Tecnológico y de Estudios Superiores de Monterrey
  
  México
2. [2] Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán
  
  Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán
  
  México
3. [3] Centro Oncológico Estatal Issemym (MEX)
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Localización: Revista de investigación clínica, ISSN 0034-8376, ISSN-e 2564-8896, Vol. 70, Nº. 3, 2018, págs. 121-125
Idioma: inglés
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Resumen
- Malnutrition and muscle wasting are common features of cancer cachexia that may interfere with the patient’s response to cancer treatment, survival, and quality of life. An accurate nutritional screening at the time of diagnosis and throughout the patient’s treatment fosters better control of the disease. Several screening tools have proven to be useful for this purpose.
  
  Nevertheless, nutritional evaluation is not a routine practice in this clinical setting and procedures must be standardized. Nutritional risk screening (NRS), malnutrition screening tool (MST), and patient-generated subjective global assessment (PG-SGA) are the most common screening tools, and each one possesses some benefits when screening patients for malnutrition; however, weight loss over a specific time period, dietary intake and anorexia must also be considered. The body mass index-adjusted weight loss grading system predicts survival. We recommend the application of MST or NRS, followed by PG-SGA, food intake determination, measurement of body weight, and its changes as well as body composition, biochemical nutritional markers, muscle function, and physical performance. (REV INVES CLIN. 2018;70:121-5)