Prevalence and Risk Factors of Malnutrition Among Adult Cancer Patients Receiving Chemotherapy Treatment in Tikur Anbesa Specialized Hospital, Addis Abeba, Ethiopia, 2019.
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Date
2019-06
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Addis Ababa University
Abstract
Background: The rise in the incidence of cancer is becoming a great concern to the global community. More than half of cancer patients develop malnutrition in the course of the disease. Malnutrition has serious consequences to treatment outcome and survival of cancer patients.
Objective: the aim of this study is to assess the prevalence and risk factors of malnutrition among adult cancer hospitalized patients in Tikur Anbessa Specialized Hospital Addis Ababa, Ethiopia 2019.
Methods: Cross-sectional study was conducted among a sample of 281 randomly selected cancer patients visiting Tikur Anbessa Specialized Hospital. Data were collected by patient interview and chart review using structured questioner adapted from subjective global assessment tool. Data were analyzed by SPSS version 24.0. Descriptive statics like frequency distribution, mean, median and standard deviation was used to describe characteristics. Bivariate and multivariable analysis using logistic regression models was used to determine the association between predictor variables with the dependent variable.
Result: From the total 281 participated patients in this study, 164(58.2%) had malnutrition. Malnutrition was higher among females 91 (55.5%) compared to males 73(44.5%). The mean BMI was 20.24 ±3.6. Of all 119(42.2%) had moderate weight loss, 101(35.8%) severe weight loss and 147(52.1%) had weight loss in the past two weeks. With regard to functional status 117(41.5%) had mild to moderate loss of strength and 115(40.8%) severe loss of function and strength. In addition, 133 (43.3%) respondents had mild to moderate loss of subcutaneous fat in all areas and 57(20.2%) severe loss of subcutaneous fat in most areas From all types of cancer malnutrition was higher in lung cancer patients 29(64.4%) followed by breast cancer 46(56.8%), colorectal, colon and rectal cancer 36(56.3%), gastric cancer 19(46.3%) and nasal pharyngeal cancer 29(46.3%). Stage four cancer ((AOR= 7.2, 95% CI: 1.3-38.5), loss of appetite (AOR= 4.5, 95%CI; 1.5-17.2) and diarrhea (AOR= 7.8, 95% CI: 2.95-20.5) were significantly associated with malnutrition.
Conclusion and recommendation: Prevalence of malnutrition in hospitalized cancer patients was high. Therefore, early identification of malnutrition and nutritional intervention should be given special attention.
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Cancer, Malnutrition, Prevalence, Adult, Risk Factors