engleski

Enteral nutrition indicators in non-metastatic colorectal cancer patients

Colorectal cancer (CRC), as the second cause of death globally due to cancers is distinctive for its remarkably high correlation with the diet. Enteral nutrition (EN) is introduced in patients with poorer condition and prognosis. Logistic regression was used to assess which anthropometric, dietary, lifestyle and psychosocial characteristics are indicative for EN. An observational study on 60 patients with non-metastatic CRC participated in the study (35.0% received EN). Lower Body Mass Index (p=0.026) and shorter time from the diagnosis (p=0.041) were identified as important indicators for EN. Identified dietary characteristics were higher alcohol consumption (p=0.029), intake of dietary calcium <700 mg (p=0.031) and intake of vitamin B12 below the recommendation (p=0.007). Patients who reported lower physical activity level now (p=0.004) and in comparison to prior the diagnosis (p=0.030) were more likely to receive EN. They were also more likely to assess their overall health (p<0.001), social life (p=0.002) and psychosocial condition (p=0.017) as poor. The results confirm that patients with worse physical condition are candidates for EN. EN is introduced to prevent muscle loss i.e. reduce the risk for cachexia, speed-up the recovery and improve quality of life. However, EN patients reported worsening of their life quality and identified dietary characteristics should be given more attention because of their potentially negative effect on patient's recovery.

colorectal cancer patients ; non-metastatic ; dietary characteristics ; lifestyle ; enteral nutrition

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