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The nutritional status of older men with advanced prostate cancer and factors affecting it

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Abstract

Aim

Our aim was to study the nutritional status of older men receiving treatment for advanced prostate cancer (PC).

Method

We assessed 80 patients: 40 patients with advanced PC (research group) and 40 with benign prostatic hyperplasia (BPH) (control group). The instruments used were: Mini Nutritional Assessment (MNA) and the Yesavage Geriatric Depression Scale (GDS)—Short Form. Complementary questions were asked reflecting nutritional status.

Results

Mean age of PC patients was 72 (65–94) years and that of control group 71 (65–85) years. Patients with PC had rapid weight loss—15 (39.5%) of patients lost more than 3 kg over 3 months. Depressive symptomatology was more common in the research group (p<0.05), and it was inversely correlated with nutrition. Age had no influence on symptoms of depression. Digestive disorders troubled 23 (57.5%) of the research group and 14 (20%) of the control group. Digestive troubles had an influence on appetite in both groups r=0.54 and r=0.46 (p<0.05). No patient who had digestive symptoms was instructed as to how to control them.

Conclusions

Among PC patients, 50% were at risk of malnutrition compared to 7.5% in the BPH group, as assessed by the MNA questionnaire. Patients suffering from PC were more depressed than those with BPH. A higher degree of depressive symptomatology was related to poorer nutritional status. Assessment of nutritional status is important and should be routinely performed in older men with PC.

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References

  1. Alekna V, Cobotas M, Ceremnych E et al (2000) Lietuvos ilgaamziu mirties priezasciu struktura (Mortality structure of Lithuanian oldest-olds). Medicinos teorija ir praktika 2(1):7 (in Lithuanian)

    Google Scholar 

  2. Balducci I, Extermann M (1998) Difficulties in treating older patients with cancer. Oncol Practice 2:15–18

    Google Scholar 

  3. Celaya PS, Valero ZMA (1999) Nutrition management of oncology patients. Nutr Hosp 14 (Suppl 2): 435–525

    Google Scholar 

  4. Cohendy R, Gros T, Arnaud-Battandier F et al (1999) Preoperative nutritional evaluation of elderly patients: the Mini Nutritional Assessment as a practical tool. Clin Nutr 18(6):345–348

    CAS  PubMed  Google Scholar 

  5. Gazewood JD, Mehr DR (1998) Diagnosis and management of weight loss in the elderly. J Fam Pract 47(1):19–25

    CAS  PubMed  Google Scholar 

  6. Guigoz Y, Vellas B, Garry PJ (1994) Mini Nutritional Assessment: a practical assessment tool for grading the nutritional state of elderly patients. Facts Res Gerontol (Suppl 2): 15–59

    Google Scholar 

  7. Jakaityte J, Lesauskaite V, Cygaite I (1997) Lietuvos gyventoju senejimas. Dabartis ir perspektyvos (Ageing of Lithuanian population. Presence and trends, in Lithuanian) Medicina 33:1042–1048

  8. Jeejeebhoy KN (1998) Nutritional assessment. Gastroenterol Clin North Am 27(2):347–367

    CAS  PubMed  Google Scholar 

  9. Kamat AM, Lamm DL (2000) Diet and nutrition in urologic cancer. WV Med J 96(3):449–454

    CAS  Google Scholar 

  10. Lietuvos kancerregistras (Lithuanian Cancer-Register) (2001) Pagrindiniai onkologines pagalbos rodikliai Lietuvoje 2000 metais (Main indices of oncology health care). Vilnius (in Lithuanian)

  11. Longo D (1998) Approach to the patient with cancer. In: Fauci A, Braunwald E, Isselbacher K et al (eds), Harrison’s principles of internal medicine, 14th edn, McGraw Hill, New York

  12. Ravasco P, Monteiro-Grillo I, Camilo ME (2003). Does nutrition influence quality of life in cancer patients undergoing radiotherapy? Radiotherapy and Oncology 67:213–220

    Article  PubMed  Google Scholar 

  13. Ravasco P, Monteiro-Grillo I, Vidal PM et al. (2003) Nutritional deterioration in cancer: the role of disease and diet. Clinical Oncology 15:443–450

    Article  CAS  PubMed  Google Scholar 

  14. Rivadeneira DE, Evoy D, Fahey TJ et al. (1998) Nutritional support of the cancer patient.CA Cancer J Clin 48(2): 69–80

    CAS  PubMed  Google Scholar 

  15. Sarhill N, Mahmoud F, Walsh D et al (2003) Evaluation of nutritional status in advanced metastatic cancer. Support Care Ancer 11:652–659

    Article  CAS  Google Scholar 

  16. Vetta F, Ronzoni S, Taglieri G, Bollea MR (1999) The impact of malnutrition on the quality of life in the elderly. Clin Nutr 18(5): 259–267

    CAS  PubMed  Google Scholar 

  17. Webb GP, Copemann J (1996) Nutrition of older adults. Arnold, London

  18. Yesavage JA (1998) Geriatric Depression Scale. Psychopharmacol Bull 24:709–711

    Google Scholar 

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Acknowledgement

The authors thank Dr. Martin J Ebejer for help with the English language in this paper.

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Authors and Affiliations

  1. Department of Nursing and Care, Kaunas University of Medicine, Kaunas, Lithuania

    Jolanta Toliusiene

  2. Geriatric Clinic, Kaunas University of Medicine, Mickeviciaus str. 9, 3000, Kaunas, Lithuania

    Vita Lesauskaite

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  1. Jolanta Toliusiene
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  2. Vita Lesauskaite
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Correspondence to Vita Lesauskaite.

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Toliusiene, J., Lesauskaite, V. The nutritional status of older men with advanced prostate cancer and factors affecting it. Support Care Cancer 12, 716–719 (2004). https://doi.org/10.1007/s00520-004-0635-0

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  • DOI: https://doi.org/10.1007/s00520-004-0635-0

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