TY - JOUR
T1 - Clinical and nutritional effectiveness of a nutritional protocol with oligomeric enteral nutrition in patients with oncology treatment-related diarrhea
AU - Sanz-Paris, Alejandro
AU - Martinez-Trufero, Javier
AU - Lambea-Sorrosal, Julio
AU - Calvo-Gracia, Fernando
AU - Milà-Villarroel, Raimon
N1 - Funding Information:
Acknowledgments: The following investigators participated in the acquisition data of the OEN study (multi-author group): Eduardo Polo (Oncology department, Miguel Servet, Zaragoza); Marta Marcos (Oncology Department, Hosp San Juan, Alicante); Antonio Blanco Orones (Geriatrics department, H. Virgen del Valle, Toledo); Juan Ignacio Delgado Mingorance (Oncology department, Infanta Cristina, Badajoz); Jesús José Cuadrado Blanco (Geriatrics department, Residencia Diputación Salamanca); Berta Jimenez (Oncology department, Hosp Ernest Lluch, Calatayud); Daniel Antonio de Luis Román (Clínico Valladolid); Olatz Izaola Jauregui (Dietitian, Clínico Valladolid, Valladolid); Radiation Oncology department (Hospital Universitario Ramón y Cajal, Fundación Investigación Biomédica); Rodolfo Augusto Chicas Sett (Hospital Campo Grande, Valladolid); Miguel Angel Berenguer (Oncology department, Hosp San Juan, Alicante); Laura Cerezo (Oncology department, Hospital La Princesa, Madrid); Ana Isabel Ferrer (Oncology department, Obispo Polanco, Teruel); Ana I. Alonso García (Hosp Central de Asturias, Asturias); Raul Amurrio Quevedo (H. Rey Juan carlos, Móstoles); M. Dolores de las Peñas Cabrera (H. Rey Juan carlos, Móstoles). Carla Granados from Trialance SCCL provided medical writing support. We want to thank the Miguel Servet Biomedical Foundation for the financial support provided for the publication of this article.
Publisher Copyright:
© 2020 by the authors. Licensee MDPI, Basel, Switzerland.
PY - 2020/5
Y1 - 2020/5
N2 - (1) Background: Poor nutritional status and diarrhea are common complications in cancer patients. (2) Methods: This multicenter, observational, prospective study evaluated the effectiveness of an oligomeric enteral nutrition (OEN) protocol in the improvement of nutritional status and reduction of diarrhea symptoms. Nutritional status was assessed with the Subjective Global Assessment (SGA), Body Mass Index (BMI) and albumin levels. Diarrhea was evaluated by the frequency and consistency of stools (Bristol Stool form scale). (3) Results: After 8 weeks of OEN protocol, the nutritional status improved in 48.3% of patients, with an increased proportion of patients at risk of malnourishment (+27.3%) at the expense of a decrease of moderately (−19.9%) and severely (−7.3%) malnourished patients (p < 0.001). Serum albumin and BMI significantly increased after 8 weeks of OEN treatment (p < 0.005). OEN showed a 71.1% effectiveness in the improvement of stool consistency. The mean number of stools per day significantly decreased from baseline (4.17 stools/day) to week 8 (1.42 stools/day; p = 0.0041). The nutritional status significantly improved even in those patients with persistent diarrhea. (4) Conclusion: The proposed OEN protocol seemed to be effective in improving the nutritional status, frequency and consistency of stools in patients with oncology treatment-related diarrhea even in persistent cases.
AB - (1) Background: Poor nutritional status and diarrhea are common complications in cancer patients. (2) Methods: This multicenter, observational, prospective study evaluated the effectiveness of an oligomeric enteral nutrition (OEN) protocol in the improvement of nutritional status and reduction of diarrhea symptoms. Nutritional status was assessed with the Subjective Global Assessment (SGA), Body Mass Index (BMI) and albumin levels. Diarrhea was evaluated by the frequency and consistency of stools (Bristol Stool form scale). (3) Results: After 8 weeks of OEN protocol, the nutritional status improved in 48.3% of patients, with an increased proportion of patients at risk of malnourishment (+27.3%) at the expense of a decrease of moderately (−19.9%) and severely (−7.3%) malnourished patients (p < 0.001). Serum albumin and BMI significantly increased after 8 weeks of OEN treatment (p < 0.005). OEN showed a 71.1% effectiveness in the improvement of stool consistency. The mean number of stools per day significantly decreased from baseline (4.17 stools/day) to week 8 (1.42 stools/day; p = 0.0041). The nutritional status significantly improved even in those patients with persistent diarrhea. (4) Conclusion: The proposed OEN protocol seemed to be effective in improving the nutritional status, frequency and consistency of stools in patients with oncology treatment-related diarrhea even in persistent cases.
KW - Nutritional protocol
KW - Oligomeric enteral nutrition
KW - Oncology treatment-related diarrhea
UR - http://www.scopus.com/inward/record.url?scp=85085471714&partnerID=8YFLogxK
U2 - 10.3390/nu12051534
DO - 10.3390/nu12051534
M3 - Article
C2 - 32466127
AN - SCOPUS:85085471714
SN - 2072-6643
VL - 12
JO - Nutrients
JF - Nutrients
IS - 5
M1 - 1534
ER -