Head & neck · 2014
Evaluation of patients with head and neck cancer performing standard treatment in relation to body composition, resting metabolic rate, and inflammatory cytokines.
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de Carvalho Thalyta Morandi Ridolfi, Miguel Marin Daniela, da Silva Conceição Aparecida, de Souza Aglécio Luiz, Talamoni Maristela, Lima Carmen Silvia Passos, Monte Alegre Sarah
Аннотация
BACKGROUND: Squamous cell carcinoma of the head and neck (SCCHN) usually emerges as a set of signs and symptoms that, either alone or in combination with standard treatment, may lead to malnutrition and weight loss.
METHODS: This study evaluated patients with SCCHN before day 0 and 30 days after the end of treatment, with/without tumor resection. Each individual patient underwent analyses of body composition and resting metabolic rate, as well as assessment of serum glucose, insulin, leptin, adiponectin, interleukin-6 (IL-6), tumor necrosis factor-alpha (TNF-α), IL-1β, and insulin sensitivity.
RESULTS: There was body mass loss during treatment and significant reduction in body fat and free fat mass. Early nutritional monitoring and tumor resection before treatment led to a better nutritional status and reduced inflammatory state.
CONCLUSION: Early nutritional monitoring and resection of the tumor by surgery may be important factors for patients to better tolerate treatment.
METHODS: This study evaluated patients with SCCHN before day 0 and 30 days after the end of treatment, with/without tumor resection. Each individual patient underwent analyses of body composition and resting metabolic rate, as well as assessment of serum glucose, insulin, leptin, adiponectin, interleukin-6 (IL-6), tumor necrosis factor-alpha (TNF-α), IL-1β, and insulin sensitivity.
RESULTS: There was body mass loss during treatment and significant reduction in body fat and free fat mass. Early nutritional monitoring and tumor resection before treatment led to a better nutritional status and reduced inflammatory state.
CONCLUSION: Early nutritional monitoring and resection of the tumor by surgery may be important factors for patients to better tolerate treatment.
Предметные рубрики MeSH
AdiponectinAdultAgedBlood GlucoseBody CompositionBody Mass IndexCarcinoma, Squamous CellChemoradiotherapyCohort StudiesFemaleHead and Neck NeoplasmsHealth StatusHumansInsulinInsulin ResistanceInterleukin-1betaInterleukin-6LeptinMaleMiddle AgedOutcome Assessment, Health CareSquamous Cell Carcinoma of Head and NeckTumor Necrosis Factor-alpha