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Nutritional status, physical condition, motivation and ability for physical exercise in lung cancer patients at the start of chemotherapy

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Nutritional status, physical condition, motivation and ability for physical exercise in lung cancer patients at the start of chemotherapy

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Objective: Lung cancer patients are often malnourished and may lack physical condition and exercise during chemotherapy. The objective of this pilot study was to obtain data on nutritional status, physical condition, motivation and ability for a physical exercise program in patients with lung cancer, at the start of chemotherapy. Materials and methods: Patients with any type and stage of lung cancer starting with chemotherapy at the VU University Medical Center were approached. Malnutrition was defined as BMI < 18,5 (age ≤ 65) or < 20 kg/m2 (age > 65), weight loss > 5% in the previous month or > 10% in the previous 6 months. Fat free mass index (FFMI), hand grip strength and WHO performance score were assessed. Energy intake and protein intake were calculated from 24-h recalls. Patients filled out questionnaires on global health status and physical function (EORTC QLQ-C30) and exercise beliefs, ASE, and visual analogue scales (VAS) on fatigue and appetite. Subgroup differences were analysed by independent and one sample t-tests or chi-square tests, with  = 0.05. Results: Nineteen lung cancer patients (stage I to IV) were included; 16 % had a WHO performance score 3 or 4, 26% was malnourished and FFMI was below the 5th percentile in 26%. Hand grip strength was on average 113.7 ± 22.9 % of reference values. Energy intake and protein intake were respectively, 88.4 ± 24.3% of TEE and 1.0 ± 0.4 g/kg/d. Fifty-three percent had had a decreased appetite (VAS < 5) (mean appetite: 5.5 ± 2.9) and 32% experienced fatigue (VAS > 5) (mean fatigue: 4.3 ± 2.6). Global health status and physical function, as compared with the general population, were both reduced in 63%. Motivation and ability to participate in a physical exercise program during chemotherapy were respectively 53% and 37%. Patients who were more motivated and able to participate in a physical exercise program, had a higher global health status (P < 0.01). Conclusion: This pilot study shows that a minority of lung cancer patients is malnourished and experiences a reduced performance status. About one third of patients, in particular those with a better global health status, is motivated and expects to be able to follow a physical exercise program during chemotherapy.

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OrganisatieHogeschool van Amsterdam
InstituutBewegen, Sport en Voeding
Gepubliceerd in
Jaar2012
TypeBachelorscriptie
TaalEngels

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