Assessment of the fat mass index in women recently diagnosed with gynecological tumors / Evaluación del índice de masa grasa en mujeres diagnosticadas recientemente de tumores ginecológicos

Objectives: to evaluate the nutritional status and body composition of women with gynecological tumors and evaluate the fat mass index (FMI) as a complementary indicator for addressing the nutrition status. Methods: a cross-sectional study with women recently diagnosed with gynecological tumors. Nutritional status was assessed using conventional anthropometry and the Patient-Generated Subjective Global Assessment. For body composition, bioelectrical impedance was used. Results: a total of 158 women participated, most of them with excess weight and high body fat. The FMI showed a positive and significant correlation with body mass index, arm circumference, tricipital skinfold, and arm muscle circumference. Conclusion: women recently diagnosed with gynecological tumors had excess weight and high body fat. The FMI may be a potentially useful indicator to complement the assessment of nutritional status and help the multidisciplinary team to perform early clinical and nutritional interventions (AU)

Objetivos: evaluar el estado Nutricional y la composición corporal de mujeres con tumores ginecológicos, y evaluar el índice de masa grasa (IMG) como indicador Nutricional complementario. Métodos: estudio transversal con mujeres diagnosticadas recientemente de tumores ginecológicos. El estado Nutricional se evaluó mediante la antropometría convencional y la Evaluación Global Subjetiva Generada por el Paciente. Para la composición corporal se utilizó la impedancia bioeléctrica. Resultados: participaron 158 mujeres, la mayoría con exceso de peso y grasa corporal alta. El IMG mostró una correlación positiva y significativa con el índice de masa corporal, la circunferencia del brazo, el pliegue cutáneo tricipital y la circunferencia de los músculos del brazo. Conclusión: las mujeres diagnosticadas recientemente con tumores ginecológicos presentaron exceso de peso y grasa corporal alta. El IMG puede ser un indicador potencialmente útil para complementar la evaluación del estado Nutricional y ayudar al equipo multidisciplinario a realizar intervenciones clínicas y Nutricionales tempranas (AU)

Adherence to nutritional interventions in head and neck cancer patients: a systematic scoping review of the literature.

BACKGROUND: Dietary counselling provided by a dietitian, with or without oral nutritional supplements, can impact on nutritional and clinical outcomes in head and neck cancer (HNC) patients undergoing radiotherapy. However, little is known about the role of adherence to oral nutritional interventions in this population. This review aimed to map the literature for evidence of adherence to oral nutritional interventions in HNC patients undergoing radiotherapy and to identify gaps in knowledge in this field. METHODS: A scoping review methodology was used to identify studies, extract data, and collate and summarise results. We searched Medline, Embase, Cochrane Central and CINAHL, from the earliest available time up to 8 January 2020. RESULTS: In total, 2315 unique articles were identified, 163 studies were assessed in full and niner were included in the scoping review. The use of different measures to assess adherence and variability in the timing of the assessments was noted across studies. Despite identifying studies that have measured adherence to oral nutritional interventions, very few studies monitored its influence on clinical and nutritional outcomes in HNC patients or reported factors related to adherence. CONCLUSIONS: A robust evidence base is lacking for adherence to oral nutritional intervention in HNC patients. Overall, further studies evaluating the impact of oral nutritional interventions in HNC patients undergoing radiotherapy should measure adherence to the intervention. Early recognition of non-adherence and the contributing factors could ensure intensification of nutritional support and better health outcomes.