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The nutritional assessment of head and neck cancer patients

  • Head and Neck
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Abstract

Patients affected by head and neck cancer are particularly at risk for nutritional depletion. The aim of this study was to evaluate the nutritional status of patients affected by head and neck cancer at diagnosis. All adult patients with head and neck cancer between January 2009 and December 2013 were included. The following data were recorded: demographics, tobacco and/or alcohol consumption, weight, height, the reference weight 6 months before the diagnosis, tumor site, tumor stage, and laboratory data. Then, Body mass index (BMI), and Buzby nutrition risk index (NRI) were calculated. Statistical analysis was used to search for associations among multiple variables. 122 men and 22 women were enrolled. As for reference BMI, 77 patients were overweight, whereas just 7 subjects were underweight. At diagnosis, 72 subjects were overweight according to BMI, whereas 52 patients were underweight. Instead, according to NRI, 96 patients were severely malnourished, 42 patients were moderately malnourished, whereas just 6 patients had a normal value of NRI. The assessment of nutrition by BMI excluded from a thorough consideration all overweight and obese patients with head and neck cancer. Instead, NRI correctly identified both undernourished and overweight/obese patients as “malnourished” subjects.

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Authors and Affiliations

  1. Division of Otolaryngology, Pinerolo and Rivoli Hospitals, ASL TO3, Pinerolo, Italy

    Mauro Magnano, Patrizia Mola & Giacomo Machetta

  2. Service of Dietology, Pinerolo and Rivoli Hospitals, ASL TO3, Pinerolo, Italy

    Paola Maffeis, Ilenia Forestiero, Roberta Cavagna & Elena Artino

  3. Private practice, Turin, Italy

    Paolo Boffano

Authors
  1. Mauro Magnano
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  2. Patrizia Mola
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  3. Giacomo Machetta
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  4. Paola Maffeis
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  5. Ilenia Forestiero
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  6. Roberta Cavagna
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  7. Elena Artino
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  8. Paolo Boffano
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Correspondence to Paolo Boffano.

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Magnano, M., Mola, P., Machetta, G. et al. The nutritional assessment of head and neck cancer patients. Eur Arch Otorhinolaryngol 272, 3793–3799 (2015). https://doi.org/10.1007/s00405-014-3462-z

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  • DOI: https://doi.org/10.1007/s00405-014-3462-z

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