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Monitoring the effect of perioperative nutritional care on body composition and functional status in patients with carcinoma of gastrointestinal and hepatobiliary system and pancreas Cover

Monitoring the effect of perioperative nutritional care on body composition and functional status in patients with carcinoma of gastrointestinal and hepatobiliary system and pancreas

Open Access
|Jul 2023

Figures & Tables

TABLE 1.

Baseline demographic and clinical characteristics of patients (n = 47)

VariableAll participants
N = 47
G1
N = 27
G2
N = 20
P
SexMale, N (%)33 (70.2)21 (77.8)12 (60.0)0.214
Female, N (%)14 (29.8)6 (22.2)8 (40.0)
AgeYears, mean ± SD70.5 ± 11.270.3 ± 8.770.7 ± 12.90.477
DiagnosisGIT tumours, N (%)27 (57.4)15 (55.6)12 (60.0)1.000
Tumours of liver, gallbladder, biliary system and pancreas, N (%)20 (42.6)12 (44.4)8 (40.0)

[i] GIT = gastrointestinal tract; N 0 number; SD = standard deviation

TABLE 2.

Clinical characteristics of patients upon enrolment into the study

VariableG1
N = 27
G2
N = 20
P
Body masskg, median (25–75%)82.0 (70.0–98.0)78.5 (72.3–88.3)0.268
BMIkg/m2, median (25–75%)26.2 (23.4–34.5)27.5 (24.3–29.6)0.569
Lean masskg, median (25–75%)53.1 (47.1–64.2)53.9 (45.0–59.6)0.505
FFMImedian (25–75%)17.8 (16.4–20.3)17.6 (15.9–20.4)0.561
Phase angle°, median (25–75%)4.7 (4.3–5.4)4.6 (4.0–5.5)0.846
3rd space waterL, median (25–75%)−0.1 (−0.8–1.0)0.4 (−0.4–0.9)0.425
NRS 2002Points, median (25–75%)2 (0–3)3 (3–3,8)0.012
Malnutrition according to GLIMNo, N (%)14 (51.9)16 (80.0)0.067
Yes, N (%)13 (48.1)4 (20.0)

[i] BMI = body mass index; FFMI = fat free mass index; GLIM = Global Leadership in Malnutrition

TABLE 3.

Handgrip strength data

VariableUpon enrolmentAfter 7 daysAfter 14 daysAfter 4 weeks
G1
N = 27
G2G1
N = 19 [8]
G2
N = 18 [2]
PG1
N = 15 [12]
G2
N = 13 [7]
P
Hand grip strengthkg, median (25–75%)34.1 (28.5–41.6)//30.2 (25–35.3)30.3 (25.8–36.8)0.78229.7 (23.6–32.7)32.6 (27.3–35.6)0.254
Hand grip strength: normNo, N (%)19 (70.4)/11 (61.1)9 (52.9)0.7388 (53.3)8 (61.5)0.718
Yes, N (%)8 (29.6)/8 (47.1)7 (38.9)7 (46.7)5 (38.5)
Hand grip strength: deviationmedian (25–75%)0.2 (−0.1–1.2)/0 (−0.5–0.5)0.3 (−0.4–1)0.3690.1 (−0.7–0.3)0.3 (−0.8–.8)0.683

[i] norm = patients meets the norm for hand grip strength for age and sex; **Hand grip strength: deviation = deviation of hand grip strength from the norm expressed as a multiple of standard deviation

[ii] [number of missing participants]

TABLE 4.

Clinical characteristics of patients at different time points

VariableAfter 7 daysAfter 14 daysAfter 4 weeks
G1
N = 11 [16]
G2
N = 18 [2]
PG1
N = 19 [8]
G2
N = 18 [2]
PG1
N = 15 [12]
G2
N = 13 [7]
P
Body masskg median (25–75%)72.0 (67.8–93.2)76.4 (68.5–85.6)0.91273.0 (65.0–92.0)75.5 (70–84.5)0.86969.4 (66–76.8)75 (72.5–86.5)0.130
BMIkg/m2 median (25–75%)25.4 (22.7–36.1)26.8 (24.1–29.0)0.80825 (22.5–34.1)26.4 (22–28.9)0.62023.8 (21.7–27.2)26 (23–29.5)0.413
Lean massKg median (25–75%)52.0 (48.2–53.2)52.0 (41.9–57.1)0.84250.1 (46.4–52.1)53.2 (45–58)0.70748.4 (41.7–50.6)55 (46.5–60.2)0.065
FFMImedian (25–75%)17.8 (16.5–20.8)17.4 (15.8–19.0)0.34016.8 (15.8–19.4)17.4 (15.6–19.6)1.00016.5 (15.1–17.5)18.8 (15.9–19.8)0.118
Phase anglemedian (25–75%)4.3 (3.5–4.9)4.4 (3.3–5.1)0.9474.4 (4.1–5)4.2 (3.6–4.7)0.4614.8 (3.7–5.3)4.4 (3.3–4.7)0.201
3rd space waterL median (25–75%)0.7 (−0.3–1.6)0.4(−0.6–1.0)0.6420.5 (−0.–1.4)0.2 (−0.1–1)0.9880.4 (−0.2 do 1.1)0.4 (−0.2–1.3)0.928
NRS 2002**Points median (25–75%)/4 (3–4.3)4 (3–4.5)0.9614 (3–5)3 (3–4)0.235

[i] BMI = body mass index; FFMI = fat free mass index; NRS 2002 = score achieved on screening with NRS 2002 tool

[ii] [number of missing participants]

FIGURE 1.

Consolidated Standards of Reporting Trials (CONSORT) flow diagram.

DOI: https://doi.org/10.2478/raon-2023-0028 | Journal eISSN: 1581-3207 | Journal ISSN: 1318-2099
Language: English
Page range: 371 - 379
Submitted on: Mar 31, 2023
Accepted on: May 17, 2023
Published on: Jul 13, 2023
Published by: Association of Radiology and Oncology
In partnership with: Paradigm Publishing Services
Publication frequency: 4 issues per year

© 2023 Andrej Gyergyek, Nada Rotovnik Kozjek, Jasna Klen, published by Association of Radiology and Oncology
This work is licensed under the Creative Commons Attribution 4.0 License.