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Influence of Chemotherapy Treatment on Eating Behavior and Quality of Life of Oncologic Patients

Authors: Andrade, Ana Letícia Pereira; Maciel, Emilene Maciel e; Rodrigues, Gilmara Péres; Freitas, Suelem Torres de; Silva, Maria da Cruz Moura e;

Influence of Chemotherapy Treatment on Eating Behavior and Quality of Life of Oncologic Patients

Abstract

Introdução: O câncer é uma doença de origem multifatorial, com crescimento irregular e descontrolado de células, cujo tratamento pode desencadear aversões alimentares e mudanças na qualidade de vida. Objetivo: Avaliar a influência do tratamento quimioterápico no comportamento alimentar e na qualidade vida de pacientes oncológicos. Método: Estudo longitudinal e observacional, realizado de junho a outubro de 2018, no Hospital Universitário da Universidade Federal do Piauí. Os dados foram obtidos em dois momentos: T0, socioeconômicos, demográficos, clínicos, de comportamento alimentar e qualidade de vida; e T1, de comportamento alimentar e qualidade de vida. Foram utilizados os testes Shapiro-Wilk, t-Student e Wilcoxon; Pearson e Spearman com p< 0,05. Resultados: Dos 17 pacientes, a maioria era do sexo feminino (82,4%), média de 54,2 anos, renda familiar de um a dois salários mínimos (64,7%) e de etnia parda (76,5%). O câncer mais frequente foi o de mama (52,9%). Houve aversões alimentares em T1 para: “sopas e massas” (p=0,001), “carnes e peixes” (p=0,016), e “doces, sobremesas e aperitivos” (p=0,001). Houve diferença significativa na qualidade de vida quanto à medida global de saúde (p=0,001) e dificuldade financeira (p=0,026), assim também como nas correlações entre qualidade de vida e comportamento alimentar. Conclusão: Os resultados reforçam a necessidade de constante monitoramento nutricional desde o início do tratamento quimioterápico com o intuito de evitar e/ou reduzir suas repercussões negativas no estado nutricional e, consequentemente, na qualidade de vida. Além disso, a realização de mais estudos, com amostra e intervalo de tempo maiores, é necessária.

Introducción: El cáncer es una enfermedad de origen multifactorial, con crecimiento descontrolado de células, cuyo tratamiento puede desencadenar aversiones alimenticias y cambios en la calidad de vida. Objetivo: Evaluar la influencia Del tratamiento quimioterápico en el comportamiento alimentario y en la calidad de vida de pacientes oncológicos. Método: Estudio longitudinal y observacional, realizado de junio a octubre de 2018, en el Hospital Universitario de la Universidad Federal de Piauí. Los datos fueron obtenidos en dos momentos: T0, socioeconómicos, demográficos, clínicos, de comportamiento alimentario y calidad de vida y T1, de comportamiento alimentario y calidad de vida. Se utilizaron las pruebas: Shapiro-Wilk, t-Student y Wilcoxon; Pearson y Spearman, con p <0,05. Resultados: De los 17 pacientes, la mayoría eran mujeres (82,4%), promedio de 54,2 años, ingreso familiar de 1 a 2 salarios mínimos (64,7%) y de etnia parda (76,5%). El cáncer más frecuente fue el de mama (52,9%). Se observaron aversiones alimentarias en T1, para algunos grupos de alimentos. Se observó una diferencia significativa em la calidad de vida en cuanto a la medida global de salud (p=0,001) y dificultad financiera (p=0,026), así como las correlaciones entre calidad de vida y comportamiento alimentario. Conclusión: Los resultados refuerzan la necesidad de constante monitoreo nutricional desde el inicio del tratamiento quimioterápico con el fin de evitar y/o reducir lãs repercusiones negativas de este en el estado nutricional y en calidad de vida. Además, la realización de más estúdios con muestra e intervalo de tempo mayor, son necesarios.

Introduction: Cancer is a multifactorial disease with uncontrolled cells growth, whose treatment can trigger food aversions and changes in quality of life. Objective: To evaluate the influence of chemotherapy treatment on eating behavior and quality of life of oncologic patients. Method: A longitudinal and observational study, carried out from June to October of 2018, at the University Hospital of the Federal University of Piauí. The data were obtained in two moments: T0, socioeconomic, demographic, clinical, food behavior and quality of life, and T1, food behavior and quality of life. The following tests were used: Shapiro-Wilk, t-Student and Wilcoxon; Pearson and Spearman, with p <0.05. Results: Of the 17 patients, the majority were females (82.4%), medium age of 54.2 years, family income of 1 to 2 minimum wages (64.7%) and ethnics, brown (76.5%). Breast cancer was the most frequent (52.9%). There were food aversions in T1, for “soups and pastas” (p=0.001), “meats and fish” (p=0.016), and “sweets, desserts and appetizers (p=0.001). There was a significant difference in quality of life regarding the general health status (p=0.001) and financial difficulty (p=0.026), as well as in correlations between quality of life and food behavior. Conclusion: The results reinforce the need of constant nutritional monitoring since the beginning of the chemotherapy in order to avoid and/or reduce the negative repercussions on the nutritional status and, consequently, on the quality of life. In addition, more studies with longer time ranges and larger samples are required.

Keywords

Neoplasias/tratamento farmacológico, Neoplasias/tratamiento farmacológico, Quality of Life, Feeding Behavior/drug effects, Calidad de Vida, Conducta Alimentaria/efectos de los fármacos, Comportamento Alimentar/efeitos dos fármacos, Qualidade de Vida, Neoplasms/drug therapy

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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
0
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Cancer Research