Perfil nutricional e metabólico de pacientes com câncer de mama

• Ano de defesa: 2012
• Autor(a) principal: Tatiana Bering
• Tipo de documento: Dissertação
• Tipo de acesso: Acesso aberto
• Idioma: por
• Instituição de defesa: Universidade Federal de Minas Gerais; UFMG
• Palavras-chave em Português: Avaliação do estado nutricional; Complicações; Escore prognóstico de glasgow; Câncer de mama; Síndrome metabólica; Avaliação global subjetiva; Nutrição Avaliação; Mamas Câncer
• Link de acesso: http://hdl.handle.net/1843/BUOS-8Z7NY2

Nutritional assessment of patients with breast cancer is of great importance in order to develop strategies for promotion, maintenance and / or recovery of the nutritional status. This study has evaluated the nutritional status of patients with breast cancer, treated at the outpatient clinic Borges da Costa, Hospital das Clinicas, Universidade Federal de Minas Gerais, (HC / UFMG). We used different methods of nutritional assessment: subjective global assessment (SGA), anthropometry, bioimpedance including phase angle, functional tests such as grip strength and the Glasgow Prognostic Score (GPS) which assesses the systemic inflammatory response. We have also evaluated the presence of metabolic syndrome (MetS) as well as complications during cancer treatment. The Statistical Package for Social Sciences (SPSS) version 19.0 was used for statistical analysis. We followed 78 women, mean age 53.2 ± 11.6 years. Most patients were considered nourished (80.8%).Nutritional status defined by SGA was not associated with the GPS in patients with breast cancer (p <0.05). Patients with altered nutritional status by SGA had lower values of anthropometric parameters. On the other hand, the patients with increased CRP had higher values of anthropometric measurements (p <0.05). MS was found in of 43.7% of the patients, and abdominal obesity, high blood pressure and low HDL were the most common findings in these patients. Most breast cancer patients had complications throughout cancer treatment. Nutritional status and inflamation were not associated with complications. The results of this study emphasize the role of full nutritional assessment plus biochemical tests in order to asses the presence of nutritional deficiencies and MetS in patients with breast cancer, which may potentially impact on outcome, although not seen in this study.