Download PDF
CC BY-NC-ND 4.0 · Ibnosina Journal of Medicine and Biomedical Sciences 2018; 10(03): 88-93
DOI: 10.4103/ijmbs.ijmbs_79_17
Original Article

Malnutrition and risk factors in tunisian patients with colorectal cancer

Rym Othman
1   Department of A, National Institute of Nutrition of Tunis, Tunis, Tunisia
,
Imen Ksira
1   Department of A, National Institute of Nutrition of Tunis, Tunis, Tunisia
,
Amal Smida
2   Department of C, National Institute of Nutrition of Tunis, Tunis, Tunisia
,
Olfa Berriche
1   Department of A, National Institute of Nutrition of Tunis, Tunis, Tunisia
,
Feten Mahjoub
1   Department of A, National Institute of Nutrition of Tunis, Tunis, Tunisia
,
Sabrine Mansour
3   Department of Nutrition, University of Mahmoud il Materi, Tunis, Tunisia
,
Jihed Belghith
3   Department of Nutrition, University of Mahmoud il Materi, Tunis, Tunisia
,
Henda Jamoussi
1   Department of A, National Institute of Nutrition of Tunis, Tunis, Tunisia
› Author Affiliations
› Further Information
  PDF Download Permissions and Reprints

Background and Objectives: Colorectal cancer (CRC) is the most frequent digestive cancer. Its occurrence is associated with many factors including nutrition and lifestyle. CRC is often associated to malnutrition which worsens its prognosis. The objectives of the study were to evaluate the nutritional status of patients with CRC. Patients and Methods: A retrospective study about fifty patients with CRC recruited in the Department of Gastroenterology and Surgery of “La Rabta” Hospital in Tunis as well as fifty random controls. The groups were matched for age and sex. The nutritional status of patients was assessed by anthropometric measurements, laboratory tests (albumin), and three nutritional scores. Dietary intakes were quantified by a frequency questionnaire and 24-h recall. Results: Significant risk factors were obesity (P = 0.02), menopause (P = 0.006) and the high consumption of red meat (P = 0.002), processed meat (P = 0.002), fried foods (P = 0.0001), and sugar (P = 0.0001). The consumption of green tea (P = 0.003), fruit (P = 0.001), and cereals (P = 0.0001) was higher in controls. Malnutrition was common measured by the body mass index, the percentage of weight loss (42%), albumin (60%), and different nutritional scores. The energy and protein intakes of patients were below the recommended requirements in 94% and 92% of patients, respectively. Deficiencies in minerals, vitamins, and trace elements were found. Conclusions: Malnutrition was very common in patients with CRC with multiple vitamin and mineral deficits.

Key-words:

Albumin - colorectal cancer - malnutrition - nutritional risk index


Publication History

Article published online:
07 July 2022

© 2018. The Libyan Authority of Scientific Research and Technologyand the Libyan Biotechnology Research Center. All rights reserved. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License,permitting copying and reproductionso long as the original work is given appropriate credit. Contents may not be used for commercial purposes, oradapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

Thieme Medical and Scientific Publishers Pvt. Ltd.
A-12, 2nd Floor, Sector 2, Noida-201301 UP, India