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Clinical, dietary and demographic characteristics interfering on quality of life of cancer patients

2018Journal article Open access
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dc.contributor.authorAlvares Duarte Bonini Campos, Juliana
dc.contributor.authorSilva, Wanderson Roberto Da
dc.contributor.authorSpexoto, Maria Claudia Bernardes
dc.contributor.authorSerrano, Sergio Vicente
dc.contributor.authorMaroco, J. P.
dc.date.accessioned2019-01-08T16:09:16Z
dc.date.available2019-01-08T16:09:16Z
dc.date.issued2018
dc.description.abstractObjetivo: Estimar a ingestão dietética de pacientes com câncer e sua relação com características clínicas e demográficas, além de verificar a contribuição da ingestão dietética, apetite/sintomas e características clínicas e demográficas para a qualidade de vida deles. Métodos: Foi estimado o consumo de energia e de macronutrientes. A relação entre ingestão dietética e características clínicas e demográficas foi avaliada pela análise de variância. A ingestão de energia e macronutrientes dos pacientes foi comparada com a necessidade nutricional, utilizando intervalo de confiança de 95%. O Cancer Appetite and Symptom Questionnaire (CASQ) e o European Organization for Research and Treatment of Cancer (EORTC QLQ C-30) foram utilizados para avaliar apetite/sintomas e qualidade de vida, respectivamente. As propriedades psicométricas dos instrumentos foram estimadas. Elaborou-se modelo de equações estruturais. Resultados: Participaram do estudo 772 pacientes oncológicos (63,1% mulheres). Observou-se relação significativa entre ingestão dietética e atividade laboral, classe econômica, especialidade do diagnóstico, tipo de tratamento e estado nutricional. O consumo de energia e macronutrientes dos pacientes esteve abaixo do recomendado. Tanto o CASQ quando o EORTC QLQ C-30 foram refinados para bom ajustamento aos dados. No modelo estrutural, comprometimento do apetite, maior acometimento por sintomas, presença de metástase, ser mulher e pertencer às classes econômicas mais altas foram características que contribuíram significativamente para o comprometimento da qualidade de vida dos pacientes oncológicos. Conclusão: A ingestão dietética dos pacientes oncológicos não atingiu os níveis recomendados. Diferentes características impactaram na qualidade de vida dos pacientes e devem ser consideradas em protocolos clínicos e epidemiológicos.pt_PT
dc.description.abstractABSTRACT: Objective: To estimate the dietary intake of cancer patients and its relation with clinical and demographic characteristics, and to assess the contribution of dietary intake, appetite/symptoms and clinical and demographic characteristics to their quality of life. Methods: The consumption of energy and macronutrients of patients was estimated. The relation between dietary intake and clinical and demographic characteristics was evaluated by analysis of variance. The intake of energy and macronutrient of the patients was compared to the nutritional recommendations using 95% confidence interval. The Cancer Appetite and Symptom Questionnaire (CASQ) and the European Organization for Research and Treatment of Cancer (EORTC QLQ C-30) were used to assess appetite/symptoms and quality of life, respectively. The psychometric properties of the instruments were estimated. A structural equation model was prepared. Results: In this study, 772 cancer patients (63.1% women) participated. There was a significant relation between dietary intake and work activity, economic class, specialty field of cancer, type of treatment and nutritional status. Patients’ energy and macronutrients intake was below recommended values. Both CASQ and EORTC QLQ C-30 were refined to fit the data. In the structural model, impaired appetite, more symptoms, presence of metastasis, being female and of higher economic classes were characteristics that significantly contributed to interfering in patients’ quality of life. Conclusion: The dietary intake of oncology patients did not reach the recommended values. Different characteristics impacted on quality of life of patients and should be considered in clinical and epidemiological protocols.pt_PT
dc.description.sponsorshipFundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP); Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationEinstein, 16(4), 1-9 Doi: 10.31744/einstein_journal/2018AO4368pt_PT
dc.identifier.doi10.31744/einstein_journal/2018AO4368pt_PT
dc.identifier.issn16794508
dc.identifier.urihttp://hdl.handle.net/10400.12/6798
dc.language.isoporpt_PT
dc.peerreviewedyespt_PT
dc.publisherInstituto de Ensino e Pesquisa Albert Einsteinpt_PT
dc.relation2011/22620-5pt_PT
dc.rights.urihttp://creativecommons.org/licenses/by-nc/4.0/pt_PT
dc.subjectDietéticapt_PT
dc.subjectIngestão de alimentospt_PT
dc.subjectNeoplasiaspt_PT
dc.subjectQualidade de vidapt_PT
dc.subjectDieteticspt_PT
dc.subjectEatingpt_PT
dc.subjectNeoplasmspt_PT
dc.subjectQuality of lifept_PT
dc.titleClinical, dietary and demographic characteristics interfering on quality of life of cancer patientspt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.conferencePlaceBrasilpt_PT
oaire.citation.endPage9pt_PT
oaire.citation.issue4pt_PT
oaire.citation.startPage1pt_PT
oaire.citation.titleEinstein (São Paulo)pt_PT
oaire.citation.volume16pt_PT
person.familyNameAlvares Duarte Bonini Campos
person.familyNameSilva
person.familyNameSpexoto
person.familyNameSerrano
person.familyNamePaulo Marôco Domingos
person.givenNameJuliana
person.givenNameWanderson Roberto da
person.givenNameMaria Claudia Bernardes
person.givenNameSergio Vicente
person.givenNameJoão
person.identifierD-4339-2015
person.identifier.ciencia-idD81B-BE2D-9B43
person.identifier.orcid0000-0001-7123-5585
person.identifier.orcid0000-0001-8897-8772
person.identifier.orcid0000-0001-7681-1422
person.identifier.orcid0000-0003-1222-9016
person.identifier.orcid0000-0001-9214-5378
person.identifier.scopus-author-id18433502000
person.identifier.scopus-author-id6602157617
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT
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relation.isAuthorOfPublication.latestForDiscovery14869d29-f5c4-4476-a172-ad161c7400e6

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