title: EFFECTIVENESS OF IMMUNONUTRITION ON INFLAMMATORY MARKERS IN PATIENTS WITH CANCER; RANDOMIZED CLINICAL TRIAL.
abstract: BACKGROUND
  malnutrition is a common complication in patients with cancer and is associated with immunosuppression and alterations with inflammatory response.
  
  
  OBJECTIVE
  the aim of our study was to evaluate the effect of enteral nutrition supplemented with two enteral formulas on inflammatory markers (CRP, IL-6 and FNTα) in cancer patients undergoing chemotherapy.
  
  
  METHODS
  randomized control trial, conducted at the Hospital Juarez of Mexico in patients with cancer undergoing chemotherapy with IRN < 97.5 and SGA B/C. Patients were randomly allocated to two groups: group I (immunomodulatory), group II (high ω3). The intervention began on the first day of chemotherapy until day 10 after. We evaluated nutritional status and an inflammatory marker on days 0, +5, +10 QT. Statistical analysis was performed with T Student, x2 and analysis of variance for repeated measurements. P < 0.05 was considered statistically significant.
  
  
  RESULTS
  a total of 29 patients were analyzed, 27 (62.8%) females and 16 (37.2%) males. Mean age 43.91 + 11.3 years old. Malnutrition prevalence was 48.8% moderate and 51.2% severe. Prealbumin levels significantly increase in group II vs group I (p < 0.05). Both groups maintenance body weight, lean mass and fat mass. No decrease levels of CRP, IL-6 and FNTα.
  
  
  CONCLUSIONS
  enteral supplementation during chemotherapy inhibits nutritional deterioration and maintenance body weight and lean mass. No decreased levels of inflammatory markers.
authors.affiliation: Metabolism and Nutritional Support Unit. Hospital Juárez de México.. pece_liz@yahoo.com.mx.
authors.forename: Elizabeth
authors.initials: E
authors.lastname: Pérez Cruz
authors.affiliation: Medicinas Departament. Hospital Juárez de México.. artmar@prodigy.net.mx.
authors.forename: Arturo
authors.initials: A
authors.lastname: Reyes Marín
authors.affiliation: Researcher. Section of Postgraduate Studies and Research of the School of Medicine of the National Polytechnic Institute. México.. juanasbun@yahoo.com.mx.
authors.forename: Juan
authors.initials: J
authors.lastname: Asbun Bojalil
authors.affiliation: Metabolism and Nutritional Support Unit. Hospital Juárez de México.. nutricionrenal89@gmail.com.
authors.forename: Jose Ignacio
authors.initials: JI
authors.lastname: Arteaga Morfin
mesh_terms: D000328:Adult; D000368:Aged; D015415:Biomarkers / Q000097:blood*; D001835:Body Weight; D016207:Cytokines / Q000097:blood; D004750:Enteral Nutrition / Q000379:methods*; D005260:Female; D006801:Humans; D007167:Immunotherapy / Q000379:methods*; D007249:Inflammation / Q000097:blood*; D008297:Male; D008875:Middle Aged; D009369:Neoplasms / Q000097:blood / Q000628:therapy*; D009752:Nutritional Status; D011446:Prospective Studies; D016896:Treatment Outcome
chemical_list: D015415:Biomarkers; D016207:Cytokines