NUTRITIONAL STATUS AND ASSOCIATED FACTORS AMONG PATIENTS AFTER OVARIAN CANCER SURGERY AT K HOSPITAL, 2025-2026
Main Article Content
Abstract
Objective: To assess the nutritional status and related factors among postoperative ovarian cancer patients at Vietnam National Cancer Hospital, 2025-2026.
Subjects and methods: A cross-sectional study was conducted on 125 ovarian cancer patients on the 7th day after surgery during inpatient treatment at the Gynecologic Surgery Department and the On-Demand Treatment Department of Vietnam National Cancer Hospital.
Results: The prevalence of postoperative malnutrition according to GLIM criteria was 79.2%. Malnutrition based on BMI was observed in 23.2% of patients, while the prevalence of overweight/obesity was 4%. Serum albumin-defined malnutrition was found in 33.8% of cases. The prevalence of anemia was 44.8%. Patients living in rural areas had a 2.95-fold higher risk of malnutrition compared to those living in urban areas (OR = 2.95; 95% CI: 1.01-8.56; p < 0.05), and this difference was statistically significant.
Conclusion: Postoperative malnutrition is highly prevalent. Place of residence is an independent factor associated with patients’ nutritional status. Timely and appropriate nutritional assessment, counseling, and intervention are essential to improve postoperative nutritional outcomes.
Article Details
Keywords
Nutritional status, ovarian cancer, postoperative, GLIM.
References
[2] Benna-Doyle S, Baguley B.J, Laing E, Kiss N. Nutritional interventions during treatment for ovarian cancer: a narrative review and recommendations for future research. Maturitas, 2024, 183: 107938. doi: 10.1016/j.maturitas.2024.107938
[3] Nguyen T.L, Vu T.H, Do N.K, Nguyen T.T.H, Pham V.B, Chu D.T. Nutritional status of patients with ovarian cancer and associated factors. World Acad Sci J, 2023, 5 (6): 1-8. doi: 10.3892/wasj.2023.213
[4] Rajan S, Dhamija E, Malhotra N et al. Nutritional assessment in gynecological cancers: Experience from an Indian tertiary care center. Eur J Obstet Gynecol Reprod Biol, 2025, 310: 113964. doi: 10.1016/j.ejogrb.2025.113964.
[5] World Health Organization. Body mass index (BMI). Geneva [cited 2026 May 3]. https://www.who.int/data/gho/data/themes/topics/topic-details/GHO/body-mass-index
[6] Cederholm T, Jensen G.L, Correia MITD et al. GLIM criteria for the diagnosis of malnutrition: a consensus report from the global clinical nutrition community. J Cachexia Sarcopenia Muscle, 2019, 10 (1): 207-17. doi: 10.1002/jcsm.12383
[7] Lis C.G, Grutsch J.F, Vashi P.G, Lammersfeld C.A. Is serum albumin an independent predictor of survival in patients with breast cancer? JPEN J Parenter Enteral Nutr, 2003, 27 (1): 10-15. doi: 10.1177/014860710302700110
[8] World Health Organization. Haemoglobin concentrations for the diagnosis of anaemia and assessment of severity. Geneva, 2011 [cited 2025 Jan 3]. https://iris.who.int/handle/10665/85839
[9] Hoàng Thị Phương, Nguyễn Thị Thanh Hòa, Phạm Văn Bình, Hoàng Việt Bách, Lê Thị Hương. Tình trạng dinh dưỡng của người bệnh ung thư buồng trứng tại Bệnh viện K năm 2018-2019. Tạp chí Y học Việt Nam, 2023, 526 (2): 296-300. doi: 10.51298/vmj.v526i2.5575
[10] Hoàng Việt Bách, Đào Thị Phúc Thịnh, Phạm Văn Bình, Lê Thị Hương. Tình trạng dinh dưỡng và các yếu tố liên quan của bệnh nhân ung thư buồng trứng điều trị hóa chất tại Bệnh viện K năm 2023-2024. Tạp chí Y học Việt Nam, 2025, 54 6 (2): 366-370. doi: 10.51298/vmj.v546i2.12672
[11] Nguyễn Thị Thúy, Nguyễn Thị Đính, Hoàng Việt Bách. Tình trạng dinh dưỡng trước, sau phẫu thuật và các yếu tố liên quan của người bệnh ung thư dạ dày tại Bệnh viện K năm 2023. Tạp chí Y học Việt Nam, 2026, 558 (1): 108-112. doi: 10.51298/vmj.v558i1.16935
[12] Zhang Q, Zhang K.P, Zhang X et al. Scored-GLIM as an effective tool to assess nutrition status and predict survival in patients with cancer. Clin Nutr, 2021, 40 (6): 4225-33. doi: 10.1016/j.clnu.2021.01.033
[13] Arends J, Bachmann P, Baracos V et al. ESPEN guidelines on nutrition in cancer patients. Clin Nutr, 2017, 36 (1): 11-48. doi: 10.1016/j.clnu.2016.07.015.
[14] Argefa T.G, Roets L. Malnutrition and the survival of cervical cancer patients: a prospective cohort study using the PG-SGA tool. Nutr Cancer, 2022, 74 (2): 605-12.
[15] Haskins C.P, Champ C.E, Miller R, Vyfhuis M.A.L. Nutrition in cancer: evidence and equality. Adv Radiat Oncol, 2020, 5 (5) :817-23. doi: 10.1016/j.adro.2020.05.008