gms | German Medical Science

15. Deutscher Kongress für Versorgungsforschung

Deutsches Netzwerk Versorgungsforschung e. V.

5. - 7. Oktober 2016, Berlin

Nutritional status, physical condition, fatigue, and quality of life in oncological out-patients

Meeting Abstract

  • Sandra van Eckert - Patienten im Mittelpunkt GmbH, Hamburg, Deutschland
  • Kathrin Schlüter - Patienten im Mittelpunkt GmbH, Hamburg, Deutschland
  • Silke Klapdor - Patienten im Mittelpunkt GmbH, Hamburg, Deutschland
  • Stefan Patra - University Medical Center Hamburg Eppendorf, Sport- und Bewegungsmedizin, Hamburg, Deutschland
  • Karl-Heinz Schulz - University Medical Center Hamburg Eppendorf, Sport- und Bewegungsmedizin, Hamburg, Deutschland

15. Deutscher Kongress für Versorgungsforschung. Berlin, 05.-07.10.2016. Düsseldorf: German Medical Science GMS Publishing House; 2016. DocP161

doi: 10.3205/16dkvf205, urn:nbn:de:0183-16dkvf2052

Veröffentlicht: 28. September 2016

© 2016 van Eckert et al.
Dieser Artikel ist ein Open-Access-Artikel und steht unter den Lizenzbedingungen der Creative Commons Attribution 4.0 License (Namensnennung). Lizenz-Angaben siehe http://creativecommons.org/licenses/by/4.0/.


Gliederung

Text

Background: Nutrition and physical activity are vital factors for cancer survivors. Early detection of deficiencies could contribute early treatment, sustained improvement, preservation of quality of life (QoL) and the decrease of fatigue.

Aim: The aim of this study is to describe the nutritional status and the physical condition in tumor out-patients and its association with fatigue and QoL.

Methods: Data on bioelectrical impedance analysis (BIA), postural stability (stability index, SI), body mass index (BMI), Karnofsky index (KI), QoL (SF-36) and multidimensional fatigue (MFI-20) of 203 oncological out-patients were collected. Phase angle (PA) was calculated from BIA.

Results: PA and SI are far below the norm. Qol is significantly lower than in the normal population and the level of fatigue is significantly higher. PA correlates with KI (r=-0.302) and with the SF-36 scales physical component summary (PCS, r=0.306), physical functioning (r=0.363), role limitations physical (r=0.242), general health perception`(r=0.202) and vitality (r=0.157). Furthermore, the MFI-20 scales physical fatigue(r=-0.194), reduced motivation (r=-0.162) and MFI-20 reduced activity (r=-0.170) are significantly associated with PA. MFT S3-SI (front/back, r=-0.380 and left/right, r=-0.370) correlates with SF-36 PCS but not with SF-36 mental health summary (MCS).

Discussion: The physical condition and the state of nutrition in tumor out-patients comprise their individual QoL. These variables also show associations to the manifestation of fatigue.

Practical implications: These results highlight the need for interdisciplinary cooperation to detect physical, nutritional and psychological deficiencies and demand the development of multimodal approaches in the adjuvant treatment of oncological out-patients.