Estado nutricional en pacientes adultas mayores con cáncer de mama. Hospital General Universitario V I Lenin, 2004-2008: V I Lenin University General Hospital, 2004-2008
2010
Introduccion: El cancer de mama en la adulta mayor es un problema de salud. Es importante conocer los factores de riesgo para su control, entre ellos el estado nutricional expresado en indice de masa corporal. Metodos: Se realizo un estudio descriptivo observacional de 268 pacientes adultas mayores con cancer de mama diagnosticado y estadiadas en el Servicio de Mastologia del Hospital Universitario V I Lenin durante el periodo comprendido de enero del 2004 a diciembre del 2008. Se calculo el indice de masa corporal a cada paciente para determinar su estado nutricional. Resultados: Del total de pacientes, 101 (37,7 por ciento) presentaron un indice de masa corporal normal, fueron categorizadas en sobrepeso y obesas, 99 y 53 casos para el 36,9 y 19,8 por ciento, respectivamente, mientras que 15 (5,6 por ciento) fueron ubicadas en la categoria desnutridas. Se hallo que no existia relacion significativa entre el estado nutricional y la etapa clinica. Conclusiones: La obesidad constituye un factor de riesgo para el cancer de mama en la adulta mayor. La dispensarizacion de las pacientes obesas facilita realizar acciones de pesquisa encaminadas al diagnostico temprano de esta enfermedad Introduction: The breast cancer in elderly patient is a health problem. It is important to know the risk factors for their control including the nutritional status expressed in the body mass index (BMI). Methods: An observational and descriptive study was conducted in 268 elderly patients with breast cancer diagnosed and stayed in the Mastology Service of the V I Lenin University and General Hospital from January, 2004 to December, 2008. In each patient the BMI was estimated to determine its nutritional status. Results: From the total of patients, 101 (37.7 percent) had a BMI normal, 99 were classified as excess weight and obeses and 53 cases for the 36,9 and the 19,8 percent, respectively; whereas 15 of them were located in the undernourished category. There was not a significant relation between the nutritional status and the clinical stage. Conclusions: Obesity is a risk factor for the breast cancer in elderly. The medical assessment of obese patients allows taking actions of screening directed to the early diagnosis of this disease
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