title: The nutritional assessment of head and neck cancer patients.
abstract: Patients affected by head and neck cancer are particularly at risk for nutritional depletion. The aim of this study was to evaluate the nutritional status of patients affected by head and neck cancer at diagnosis. All adult patients with head and neck cancer between January 2009 and December 2013 were included. The following data were recorded: demographics, tobacco and/or alcohol consumption, weight, height, the reference weight 6 months before the diagnosis, tumor site, tumor stage, and laboratory data. Then, Body mass index (BMI), and Buzby nutrition risk index (NRI) were calculated. Statistical analysis was used to search for associations among multiple variables. 122 men and 22 women were enrolled. As for reference BMI, 77 patients were overweight, whereas just 7 subjects were underweight. At diagnosis, 72 subjects were overweight according to BMI, whereas 52 patients were underweight. Instead, according to NRI, 96 patients were severely malnourished, 42 patients were moderately malnourished, whereas just 6 patients had a normal value of NRI. The assessment of nutrition by BMI excluded from a thorough consideration all overweight and obese patients with head and neck cancer. Instead, NRI correctly identified both undernourished and overweight/obese patients as "malnourished" subjects.
authors.affiliation: Division of Otolaryngology, Pinerolo and Rivoli Hospitals, ASL TO3, Pinerolo, Italy.
authors.forename: Mauro
authors.initials: M
authors.lastname: Magnano
authors.affiliation: Division of Otolaryngology, Pinerolo and Rivoli Hospitals, ASL TO3, Pinerolo, Italy.
authors.forename: Patrizia
authors.initials: P
authors.lastname: Mola
authors.affiliation: Division of Otolaryngology, Pinerolo and Rivoli Hospitals, ASL TO3, Pinerolo, Italy.
authors.forename: Giacomo
authors.initials: G
authors.lastname: Machetta
authors.affiliation: Service of Dietology, Pinerolo and Rivoli Hospitals, ASL TO3, Pinerolo, Italy.
authors.forename: Paola
authors.initials: P
authors.lastname: Maffeis
authors.affiliation: Service of Dietology, Pinerolo and Rivoli Hospitals, ASL TO3, Pinerolo, Italy.
authors.forename: Ilenia
authors.initials: I
authors.lastname: Forestiero
authors.affiliation: Service of Dietology, Pinerolo and Rivoli Hospitals, ASL TO3, Pinerolo, Italy.
authors.forename: Roberta
authors.initials: R
authors.lastname: Cavagna
authors.affiliation: Service of Dietology, Pinerolo and Rivoli Hospitals, ASL TO3, Pinerolo, Italy.
authors.forename: Elena
authors.initials: E
authors.lastname: Artino
authors.affiliation: Private practice, Turin, Italy. paolo.boffano@gmail.com.
authors.forename: Paolo
authors.initials: P
authors.lastname: Boffano
mesh_terms: D000328:Adult; D000368:Aged; D000428:Alcohol Drinking; D015992:Body Mass Index; D005260:Female; D006258:Head and Neck Neoplasms / Q000453:epidemiology*; D006801:Humans; D007558:Italy / Q000453:epidemiology; D008297:Male; D044342:Malnutrition / Q000175:diagnosis / Q000453:epidemiology; D008875:Middle Aged; D015596:Nutrition Assessment; D050177:Overweight / Q000453:epidemiology; D012189:Retrospective Studies; D012709:Serum Albumin; D012907:Smoking / Q000453:epidemiology; D013851:Thinness / Q000453:epidemiology; D014168:Transferrin / Q000032:analysis
chemical_list: D012709:Serum Albumin; D014168:Transferrin
keywords: Assessment; Cancer; Head and neck; Malnutrition; Undernourishment