Malnutrition and quality of life in patients treated for oral or oropharyngeal cancer

Background. This study assessed whether malnourished patients score lower on quality of life after treatment for oral/oropharyngeal cancer. Methods. Malnutrition (weight loss ≥10% in 6 months/≥5% in 1 month) and quality of life (European Organization for Research and Treatment of Cancer Quality of L...

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Bibliographic Details
Published in:Head & neck 2011-04, Vol.33 (4), p.490-496
Main Authors: Jager-Wittenaar, Harriët, Dijkstra, Pieter U., Vissink, Arjan, van der Laan, Bernard F. A. M., van Oort, Rob P., Roodenburg, Jan L. N.
Format: Article
Language:English
Subjects:
Biological and medical sciences
Female
Health Status
Humans
Male
malnutrition
Malnutrition - etiology
Medical sciences
Metabolic diseases
Middle Aged
Mouth Neoplasms - complications
Mouth Neoplasms - therapy
oral cancer
oropharyngeal cancer
oropharyngeal cancer, quality of life
Oropharyngeal Neoplasms - complications
Oropharyngeal Neoplasms - therapy
Other nutritional diseases (malnutrition, nutritional and vitamin deficiencies...)
Otorhinolaryngology. Stomatology
Quality of Life
Surveys and Questionnaires
Tumors
Upper respiratory tract, upper alimentary tract, paranasal sinuses, salivary glands: diseases, semeiology
Weight Loss
weight loss, oral cancer
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Summary:Background. This study assessed whether malnourished patients score lower on quality of life after treatment for oral/oropharyngeal cancer. Methods. Malnutrition (weight loss ≥10% in 6 months/≥5% in 1 month) and quality of life (European Organization for Research and Treatment of Cancer Quality of Life Questionnaire Core 30 questionnaire) were assessed cross‐sectionally in patients treated for oral/oropharyngeal cancer. The interval after treatment varied from 1 day to 3 years. The relationship between malnutrition and quality of life was analyzed univariately (Mann–Whitney U test) and multivariately (linear regression analyses). Statistical significance was set at p < .05. Results. Prevalence of posttreatment malnutrition was 16% (18/115, 95% confidence interval [CI]: 9% to 23%). Analyzed univariately, malnourished patients scored significantly worse on physical functioning (p = .007) and fatigue (p = .034) than well‐nourished patients. Multivariate analysis revealed that malnutrition was significantly related to physical functioning (p = .015). Conclusions. Malnourished patients treated for oral/oropharyngeal cancer score lower on quality of life scales related to physical fitness. © 2010 Wiley Periodicals, Inc. Head Neck, 2011
ISSN:1043-3074
1097-0347
DOI:10.1002/hed.21473