Nutritional status of advanced cancer patients and its correlation with anxiety and depression
Objective To study the nutritional status of patients with advanced cancer and its correlation with anxiety and
depression. Methods To screening the advanced cancer patients hospitalized in the oncology department of our hospital from
January 2019 to January 2020, and investigate the nutritional risk screening 2002 (NRS 2002) score, body mass index (BMI),
hematological indexes (total protein, albumin, hemoglobin). The hospital anxiety and Depression Scale (HADS) was used to
evaluate the patients′ anxiety and depression, and to analyze the relationship between nutritional status and anxiety and
depression in patients with advanced cancer. Results The incidence of malnutrition (BMI<18.5 kg/m2) was 22.39% (336/1501),
and the incidence of nutritional risk (NRS 2002≥3) was 56.70% (851/1501).Patients with nutritional risk had lower total protein,
albumin, hemoglobin and BMI. Compared with different kinds of cancer, patients with advanced gastrointestinal cancer had the
highest proportion of malnutrition and nutritional risk.The positive rates of anxiety and depression were 78.61% (1180/1501) and
69.62% (1045/1501), respectively. NRS 2002 score was positively correlated with anxiety and depression (P<0.05); BMI was
negatively correlated with anxiety and depression (P<0.05). Conclusion The higher the NRS 2002 score, the lower the BMI, and
the more serious the degree of anxiety and depression.For advanced cancer patients with high nutritional risk and malnutrition,
we should strengthen nutritional support and the intervention of anxiety and depression.
1
Department of Nutrition, People′s Hospital of Chongqing Banan District, Banan 401320, Chongqing, China;2
Department of Cardiotho?
racic Surgery, People′s Hospital of Chongqing Banan District, Banan 401320, Chongqing, China.
Abstract：Objective To study the nutritional status of patients with advanced cancer and its correlation with anxiety and
depression. Methods To screening the advanced cancer patients hospitalized in the oncology department of our hospital from
January 2019 to January 2020, and investigate the nutritional risk screening 2002 (NRS 2002) score, body mass index (BMI),
hematological indexes (total protein, albumin, hemoglobin). The hospital anxiety and Depression Scale (HADS) was used to
evaluate the patients′ anxiety and depression, and to analyze the relationship between nutritional status and anxiety and
depression in patients with advanced cancer. Results The incidence of malnutrition (BMI<18.5 kg/m2) was 22.39% (336/1501),
and the incidence of nutritional risk (NRS 2002≥3) was 56.70% (851/1501).Patients with nutritional risk had lower total protein,
albumin, hemoglobin and BMI. Compared with different kinds of cancer, patients with advanced gastrointestinal cancer had the
highest proportion of malnutrition and nutritional risk.The positive rates of anxiety and depression were 78.61% (1180/1501) and
69.62% (1045/1501), respectively. NRS 2002 score was positively correlated with anxiety and depression (P<0.05); BMI was
negatively correlated with anxiety and depression (P<0.05). Conclusion The higher the NRS 2002 score, the lower the BMI, and
the more serious the degree of anxiety and depression.For advanced cancer patients with high nutritional risk and malnutrition,
we should strengthen nutritional support and the intervention of anxiety and depression.
1郑婧，2李建军，1郑金英，1徐小华，1周永. 晚期肿瘤患者营养状况与焦虑、抑郁的相关性分析[J]. 肿瘤代谢与营养电子杂志, 2021, 8(2): 162-167.
1ZhengJing,2LiJianjun,1ZhengJinying,1XuXiaohua,1ZhouYong. Nutritional status of advanced cancer patients and its correlation with anxiety and depression. Electron J Metab Nutr Cancer, 2021, 8(2): 162-167.
