TY - JOUR
T1 - Impact of an oral nutritional protocol with oligomeric enteral nutrition on the quality of life of patients with oncology treatment-related diarrhea
AU - DIAPOENO Study
AU - Sanz-Paris, Alejandro
AU - Martinez-Trufero, Javier
AU - Lambea-Sorrosal, Julio
AU - Milà-Villarroel, Raimon
AU - Calvo-Gracia, Fernando
N1 - Funding Information:
Acknowledgments: The following investigators participated in the acquisition data of the OEN study (multiauthor 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 - 2021/1
Y1 - 2021/1
N2 - (1) Background: Nutritional status can influence the quality of life (QoL) of cancer patients. (2) Methods: This subanalysis evaluated the impact of an oral oligomeric enteral nutrition (OEN) protocol on the QoL of patients with oncology treatment-related diarrhea (OTRD) in a multicenter, observational, prospective study (DIAPOENO study). QoL was assessed with the Nottingham Health Profile (NHP) at baseline and after eight weeks of OEN treatment. (3) In the overall population, all the NHP categories significantly improved after eight weeks of OEN treatment: energy levels (p < 0.001), pain (p < 0.001), emotional reactions (p < 0.001), sleep (p < 0.001), social isolation (p = 0.023), and physical abilities (p = 0.001). QoL improvement was higher in patients with improved or maintained nutritional status and in those with improved consistency of stools with the OEN protocol. However, QoL did not significantly improve in patients with worse nutritional status and with worse or maintained stool consistency with the OEN protocol. QoL improved regardless of disease severity. Multivariate logistic regression analysis showed that weight change was significantly associated with improved QoL (OR 2.90–5.3), except for social isolation, in models unadjusted and adjusted to age, sex, oncology treatment, and stool consistency. (4) Conclusion: In this subanalysis, the OEN protocol was associated with improved QoL.
AB - (1) Background: Nutritional status can influence the quality of life (QoL) of cancer patients. (2) Methods: This subanalysis evaluated the impact of an oral oligomeric enteral nutrition (OEN) protocol on the QoL of patients with oncology treatment-related diarrhea (OTRD) in a multicenter, observational, prospective study (DIAPOENO study). QoL was assessed with the Nottingham Health Profile (NHP) at baseline and after eight weeks of OEN treatment. (3) In the overall population, all the NHP categories significantly improved after eight weeks of OEN treatment: energy levels (p < 0.001), pain (p < 0.001), emotional reactions (p < 0.001), sleep (p < 0.001), social isolation (p = 0.023), and physical abilities (p = 0.001). QoL improvement was higher in patients with improved or maintained nutritional status and in those with improved consistency of stools with the OEN protocol. However, QoL did not significantly improve in patients with worse nutritional status and with worse or maintained stool consistency with the OEN protocol. QoL improved regardless of disease severity. Multivariate logistic regression analysis showed that weight change was significantly associated with improved QoL (OR 2.90–5.3), except for social isolation, in models unadjusted and adjusted to age, sex, oncology treatment, and stool consistency. (4) Conclusion: In this subanalysis, the OEN protocol was associated with improved QoL.
KW - Nutritional protocol
KW - Oligomeric enteral nutrition
KW - Oncology treatment-related diarrhea
KW - Quality of life
UR - http://www.scopus.com/inward/record.url?scp=85098619210&partnerID=8YFLogxK
U2 - 10.3390/nu13010084
DO - 10.3390/nu13010084
M3 - Article
C2 - 33383949
AN - SCOPUS:85098619210
SN - 2072-6643
VL - 13
SP - 1
EP - 13
JO - Nutrients
JF - Nutrients
IS - 1
M1 - 84
ER -