AVALIAÇÃO NUTRICIONAL DE PACIENTES COM CÂNCER GÁSTRICO E DE OUTRAS LOCALIZAÇÕES / NUTRITIONAL EVALUATION OF PATIENTS WITH GASTRIC CANCER AND OTHER LOCATIONS

Resumo Introducao: O câncer promove perda de peso progressiva e acentuada. A desnutricao oncologica varia de 40,0% a 80,0%. O câncer gastrointestinal resulta em diversas complicacoes nutricionais. Objetivos: Avaliar a prevalencia de desnutricao por diferentes metodos de avaliacao nutricional em pacientes com tumores no trato digestivo e em outras localizacoes. Metodos: Estudo transversal realizado com 366 pacientes em um hospital referencia do municipio de Sao Luis (MA). Os dados clinicos, demograficos e o estado nutricional dos pacientes foram avaliados utilizando-se metodos objetivos (antropometricos) e Avaliacao Subjetiva Global (ASG-PPP escore). Resultados: Dos pacientes avaliados 27,6% tinham tumor no trato digestivo. Houve prevalencia de mulheres (51,7%), procedentes de Sao Luis (48,1%), com faixa etaria acima de 59 anos (45,1%), o tratamento predominante foi o cirurgico (27,9%). Apenas a idade se associou estatisticamente (p<0,05) a tumores de outras localizacoes. Os pacientes com tumores digestivos apresentaram menor peso (p =0,010) e menor IMC (<0,022) em adultos e idosos (p<0,001) quando comparados com pacientes com tumores em outras localizacoes. Dentre os pacientes que foram avaliados pela ASG-PPP, 63,9% nao estavam desnutridos. Dentre os pacientes com tumor digestivo, o maior percentual foi de gravemente desnutrido (33,8%) segundo a ASG-PPP, e em contrapartida, nos tumores de outras localizacoes observou se maior percentual de pacientes com desnutricao moderada (76,6%). Conclusao: O presente estudo identificou a associacao do aumento da idade a tumores de outras localizacoes, em contrapartida, pacientes com tumores digestivos apresentaram menor peso e IMC. Palavras-chave : Neoplasias gastricas. Desnutricao. Antropometria. Estado nutricional. Indice de Massa Corporal. Abstract Introduction: Cancer causes progressive and acute loss of weight. The cancer malnutrition varies from 40.0% to 0.80%. The gastrointestinal cancer results in various nutritional complications Objective: To compare the prevalence of malnutrition rates for different methods of nutritional assessment in patients with and without tumors in the digestive tract in a reference hospital in Sao Luis, MA. Methods: Cross-sectional study with 366 patients in reference cancer hospital in Sao Luiz cancer - MA. There was nutritional status through anthropometric methods (weight and BMI) and subjective (ASGPPP). Results: 27.6% had a tumor in the digestive tract. There was a prevalence of women (51.7%), from Sao Luiz (48.1%), with age group above 59 years (45.1%), the predominant treatment was surgery (27.9%). Only age was statistically associated (p <0.05) with tumors from other locations. Patients with digestive tumors presented lower weight (p = 0.010) and lower BMI (<0.022) in adults and elderly (p <0.001) when compared to patients with tumors in other locations. Among the patients who were evaluated by ASG-PPP, 63.9% were not malnourished. Among the patients with digestive tumor, the highest percentage was severely malnourished (33.8%) according to the ASG-PPP, and in contrast, in the tumors of other locations, a higher percentage of patients with moderate malnutrition (76.6%) were observed. Conclusion: The present study identified the association of increased age to tumors from other locations, in contrast, patients with digestive tumors presented lower weight and BMI. Keywords: Stomach Neoplasms. Malnutrition. Anthropometry. Nutritional status. Body Mass Index.