老年肿瘤患者营养评估及影响因素研究进展

doi:10.16689/j.cnki.cn11-9349/r.2020.01.023

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摘要我国人口老龄化形势严峻，罹患肿瘤的老年患者不断增加，伴随而来的老年肿瘤住院患者逐年上升，老年肿瘤患者作为特殊群体获得临床学者的广泛关注。肿瘤作为一种慢性消耗性疾病，其本身及其治疗的不良反应，会持续大量的消耗肌肉、脂肪组织。老年肿瘤患者合并症多、病情比较复杂，治疗周期相对较长，营养风险及营养不良的发生概率较高。营养不良会增加老年肿瘤患者并发症发生风险、延长住院时间、增加医疗费用，对患者的生存质量造成严重不良影响。了解老年肿瘤患者营养评估内容,采取合适的营养筛查和评估方法,同时了解引起老年肿瘤患者营养风险和营养不良的影响因素,对老年肿瘤患者具有重要意义。本文从老年肿瘤患者营养评估内容、营养筛查与评估方法的选择、营养不良影响因素等方面进行讨论。以期全面提高对老年肿瘤患者营养情况的认识，选择合适的营养评估内容，筛选最佳的营养评估工具，根据影响因素采取针对性措施，更好地提高老年肿瘤患者的营养状况，提高预后和生活质量。

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	2郑峰娟
	2刘伟
	1秦楠
	2李佳楠
	2赵佳琪
	1姜桂春

关键词 ：老年患者, 肿瘤, 营养, 营养评估, 影响因素

Abstract：The aging situation of national population is severe, and the number of elderly patients suffering from cancer is increasing year by year, accompanying the rising hospitalized rate which attracted widely attention from clinical scholars. As a chronic consumptive disease, tumors consume a lot of muscle and adipose tissue continuously due to its rapid proliferation and side effects of treatment. The elderly cancer patients have many comorbidities, complicated condition, relatively long treatment period, and high proportion of nutritional risk and malnutrition. Since malnutrition could increase the risk of complications, prolong the length of hospital stay, increase medical costs, and lead to seriously adverse effect on the quality of life. It is of great significance for the elderly cancer patients to understand the content of their nutritional evaluation, to take appropriate nutritional screening and evaluation, and to understand the factors that cause the nutritional risk and malnutrition. This article reviewed the content of nutritional evaluation, the selection of nutritional screening and evaluation methods, and the influencing factors of malnutrition in elderly cancer patients. With a view to comprehensively improving the understanding of the nutritional status, selecting appropriate nutritional evaluation content, screening the best nutritional evaluation tools, taking targeted measures according to the influencing factors, to better improve the nutritional status of elderly cancer patients and improve the prognosis and life quality.

Key words： Elderly patients； Tumor； Nutrition； Nutritional assessment； Influencing factors

基金资助:辽宁省自然科学基金（2019-ZD-1020）

通讯作者: 刘伟，电子邮箱：julylnzy2007@163.com

引用本文:

1,2郑峰娟， 2刘伟， 1秦楠，2李佳楠， 2赵佳琪，1姜桂春. 老年肿瘤患者营养评估及影响因素研究进展[J]. 肿瘤代谢与营养电子杂志, 2020, 7(1): 126-130.
1,2 Zheng Fengjuan,2Liu Wei,1Qin Nan, 2Li Jianan, 2 Zhao Jiaqi, 1Jiang Guichun. Research progress of nutritional assessment and influencing factors in elderly cancer patients. Electron J Metab Nutr Cancer, 2020, 7(1): 126-130.

1.杜鹏,翟振武,陈卫.中国人口老龄化百年发展趋势.人口研究. 2005；29(6)：90-93.
2.Thoresen L, Fjeldstad I, Krogstad K, et al. Nutritional status of patients with advanced cancer：the value of using the subjective global assessment of nutritional status as a screening tool. Palliat Med. 2002；16(1)：33-42.
3.Von Meyenfeldt M.Cancer-associated malnutrition：an introduction.Eur J Oncol Nurs.2005；9 (Suppl 2)：S35-S38.
4.许静涌,唐普贤,陈伟,等.老年肿瘤患者营养风险、营养不良及营养治疗情况调查. 肿瘤代谢与营养电子杂志.2018；(2)：159-164.
5.许微微.老年直肠癌手术患者围手术期营养状况调查及营养护理干预.航空航天医学杂志.2016；(5)：664-665.
6.肖琼怡, 郭致平, 殷芳, 等.消化内科老年住院患者营养不良和营养风险评估分析.实用老年医学.2012；26 (6)：491-493.
7.Gupta D, Lis CG, Vashi PG ,et al. Impact of improved nutritional status on survival in ovarian canaer. Support Care Cancer. 2010；18(3)：373-381.
8.Ferlay J, Steliarova-Foucher E, Lortet-Tieulent J, et al. Cancer incidence and mortality patterns in Europe：estimates for 40countries in 2012. Eur J Cancer. 2013；49 (6)：1374-1403.
9.Bartoszek A, Doma-Drzewicka R, Kachaniuk H, et al. The state of nutrition and the self-assessment of symptoms of depression in the group of seniors living in the countryside of Lubin province-preliminary report. Prz Gastroenterol. 2015；10 (4)：208-214.
10.Chen ZY,Gao C,Ye T,et al. Association between nutritional risk and routine clinical laboratory measurements and adverse outcomes：a prospective study in hospitalized patients of wuhan tongji hospitalized patients of wuhan tongji hospital.Eur J Clinl Nutr. 2015；69(5)：552-557.
11.Mueller C, Compher C, Ellen DM, et al.A.S.P.E.N.clinical guidelines：nutrition screening,assessment, and intervention in adults. JPEN J Parenter Enteral Nutr.2011；35(1)：16-24.
12.Marshall S, Young A, Bauer J, et al. Nutrition screening in geriatric rehabilitation：criterion (concurrent and predictive) validity of the malnutrition screening tool and the mini nutritional assessment-short form. J Acad Nutr Diet. 2016；116 (5)：795-801.
13.石汉平, 凌文华,李薇,等.肿瘤营养学.北京：人民卫生出版社, 2012.
14.Garcia GH, FU MC, Dines DM, et al. Malnutrition：a marker for increased complications, mortality ,and length of stay after total shoulder arthroplasty. J Shoulder Elbow Surg.2016；25(2)：193-200.
15.Detsky AS, McLaughlin JR, Baker JP, et al. What is subjective global assessment of nutritional status？1987.classical article. Nutr Hosp.2008；23(4)：400-407.
16.Guigoz Y,Vellas BJ,Garry PJ.Mini nutritional assessment：a practical assessment tool for grading the nutritional state of elderly patients.Facts Res Gerontonol.1994；4(suppl 2)：15-59.
17.石汉平, 李薇, 齐玉梅,等.营养筛查与评估.北京：人民卫生出版社, 2014.
18.McClave SA, DiBaise JK, Mullin GE, et al. ACG clinical guideline：nutrition therapy in the adult hospitalized patient. Am J Gastroenterol.2016；111(3)：315-334.
19.陈亚文.NRS 2002 在胰腺癌患者术前营养风险筛查中的应用效果观察.齐鲁护理杂志.2012；18(14)：16-17.
20.Stratton RJ, Hackston A, Longmore D, et al.Malnutrition in hospital outpatients and inpatients：prvalence, concurrent validity and ease of use of the“malnutrition universal screening tool”(“MUST”) for adults.Br J Nutr.2004；92(5)：799-808.
21.秦楠,姜桂春.肿瘤化疗患者营养不良现状及研究进展. 肿瘤代谢与营养电子杂志. 2018；5(2)：220-224.
22.Jeejeebhoy KN, Detsk AS, Baker JP. Assessment of nutritional status.JPEN, J Parenter Enteral Nutr.1990；14(5Suppl)：193S-196S.
23.Detsky AS, McLaughlin JR, Baker JP, et al. What is subjective global assessment of nutritional status? JPEN J Parenter Enteral Nutr. 1987；11 (1)：8-13.
24.李维,季黎明,邱琼,等.主观整体评估和微型营养评估在老年代谢综合征患者营养状况评估中的运用.实用老年医学.2016；3(7)：562-564.
25.Ottery FD.Rethinking nutritional support of the cancer patient：the new field of nutritional oncology.Semin Oncol.1994；21(6)：770-778.
26.Martin L, Watanabe S, Fainsinger R, et al.Prognostic factors in patients with advanced cancer：use of the patient-generated subjective global assessment in survival prediction.J Clin Oncol.2010；28 (28)：4376-4383.
27.Guigoz Y.The mini nutritional assessment (MNA) review of the literature：what does it tell us? J Nutr Health Aging. 2006；10 (6)：466-485.
28.Salvà Casanovas A. The mini nutritional assessment. Twenty years contributing to nutritional assessment. Rev Esp Geriatr Gerontol.2012；47 (6)：245-246.
29.Montejano Lozoya R, Martínez-Alzamora N, Clemente Marín G, et al. Predictive ability of the mini nutritional assessment short form (MNA-SF) in a free-living elderly population：a cross-sectional study.PeerJ. 2017；5：e3345.
30.杨杰孚,王建业,左明章.默克老年健康手册.北京：人民卫生出版社,2008.
31.郭长良,刘克为,戚其华.老年生物学.北京：科学出版社,2007.
32.张其胜, 邵刚, 王慧.肠内营养联合肠外营养在老年营养不良病人中的应用.实用老年医学.2013；27(5)：435-436.
33. Suominen MH, Jyvakorpi SK, Pitkala KH, et al. Nutritional guidelines for older people in Finland. J Nutr Health Aging.2014；18 (10)：861-867.
34.Chang CC, Roberts BL. Malnutrition and feeding difficulty in Taiwanese older with dementia. J Clin Nurs.2011；20 (15-16)：2153-2161.
35.徐洁琼,李维辛.两种营养风险评估方法在老年2型糖尿病住院病人中的应用.实用老年医学.2019；33(3)：273-276.
36.应丽美, 陈芳芳, 陈艺丹, 等.国内肿瘤患者的营养风险及营养不良研究现状分析.肿瘤代谢与营养电子杂志.2017；4 (2)：226-231.
37.Stanislaw Klek. Malnutrition and its impact on cost of hospitalization, length of stay, readmission and 3-year mortality-letter to the Editor. Clinical Nutrition.2013；32(3)：488.
38.Johnson-Down L, Labonte ME, Martin ID, et al. Quality of diet is associated with insulin resistance in the Cree (Eeyouch) indigenous population of northern Quebec. Nutr Metab Cardiovasc Dis.2015；25(1)：85-92.
39.Soybel DI, Knuf K. The perioperative surgical home：Cui Bono? JAMA Surg. 2016；151(11)：1003-1004.
40.Herszényi L, Tulassay Z. Epidemiology of gastrointestinal and liver tumors. Eur Rev Med Pharmacol Sci. 2010；14(4)：249-258.
41.Unsal D, Mentes B, Akmansu M, et al. Evaluation of nutritional status in cancer patients receiving radiotherapy：a prospective study. Am J Clin Oncol. 2006；29(2)：183-188.