Articles Vol. 67 No. Số CĐ12- Bệnh viện Ung bướu Nghệ An (2026) 25/08/2026

NUTRITIONAL STATUS ACCORDING TO PG-SGA AND SOME RELATED FACTORS OF PATIENTS WITH GASTRIC AND COLORECTAL CANCER AT BAI CHAY HOSPITAL IN 2025

Pham Thanh Vu1,2, Tran Thi Hao3,4, Do Thi Van5,6, Phan Minh Hai5,6, Nguyen Trong Hung7,8, Tran Thi Hao3,4, Do Nam Khanh3,4
1 Thanh Vu Medic Bac Lieu Hospital
2 Bệnh viện Thanh Vũ Medic Bạc Liêu
3 Hanoi Medical University
4 Trường Đại học Y Hà Nội
5 Bai Chay Hospital, Quang Ninh
6 Bệnh viện Bãi Cháy, Quảng Ninh
7 National Institute of Nutrition
8 Viện Dinh dưỡng quốc gia
DOI: 10.52163/yhc.v67iCD12.6274
264 Views
0 Downloads
Abstract

Objective: To describe the nutritional status and associated factors among patients with gastric and colorectal cancer undergoing chemotherapy at Bai Chay General Hospital in 2025. Methods: A cross-sectional descriptive study was conducted on 109 patients. Results: Males accounted for 69.7%; the mean age was 60.9±11.7 years, with patients aged >60 years comprising 60.7%. Rectal cancer accounted for 45.0%, colon cancer 36.7%, and gastric cancer 18.3%; most patients were at stage III–IV (89%). The mean number of chemotherapy cycles was 4.1±2.1. Based on BMI, 67.0% had normal nutritional status, while 29.4% were malnourished. According to PG-SGA classification, 62.4% were categorized as A, 26.6% as B, and 11.0% as C. Weight loss was common: 62.4% lost weight within 1 month (2.7±2.1 kg) and 76.1% within 6 months (4.0±3.0 kg). Within 1 month, 57.8% reported reduced food intake, mainly consuming less than usual. Patients with fewer than 5 chemotherapy cycles had a 5.1-fold higher risk of severe malnutrition (95% CI: 1.2–20.8; p=0.021). Hypoalbuminemia was significantly associated with severe malnutrition (p<0.001), whereas cancer stage and diagnosis showed no clear association. Conclusion: Malnutrition and weight loss are common among patients with gastrointestinal cancers undergoing chemotherapy. PG-SGA is a useful tool for early detection, and routine nutritional screening and intervention should be strengthened in clinical practice.

References
[1]
Hébuterne X, Lemarié E, Michallet M, de Montreuil CB, Schneider SM, Goldwasser F. Prevalence of malnutrition and current use of nutrition support in patients with cancer. JPEN J Parenter Enteral Nutr. Feb 2014;38(2):196-204. DOI:10.1177/0148607113502674 Google Scholar
[2]
Doganay M, Halil MG, Uyar M, et al. Prevalence of malnutrition risk in hospitalized patients: a large nationwide study. J Health Popul Nutr. Apr 25 2025;44(1):137. DOI:10.1186/s41043-025-00891-6 Google Scholar
[3]
Nguyễn Thị Thuý, Lê Thị Hương, Nguyễn Thị Thanh. Tình trạng dinh dưỡng của người bệnh ung thư dạ dày trong quá trình điều trị hoá chất tại Bệnh viện K năm 2020-2021. Tạp chí Nghiên cứu Y học. 10/29 2021;146(10):140-149. doi:10.52852/tcncyh.v146i10.460 Google Scholar
[4]
Bùi Thị Hoa, Nguyễn Đỗ Huy, Đặng Đức Ngọc, Nguyễn Thị Hồng Thắm. Tình trạng dinh dưỡng ở người bệnh ung thư đường tiêu hoá điều trị hoá chất tại Bệnh viện E năm 2024. Tạp chí Dinh dưỡng và Thực phẩm. 01/08 2025;21(1):91-97. DOI:10.56283/1859-0381/868 Google Scholar
[5]
Arends J. Malnutrition in cancer patients: Causes, consequences and treatment options. Eur J Surg Oncol. May 2024;50(5):107074. DOI:10.1016/j.ejso.2023.107074 Google Scholar
[6]
Zhang X, Tang T, Pang L, et al. Malnutrition and overall survival in older adults with cancer: A systematic review and meta-analysis. J Geriatr Oncol. Nov 2019;10(6):874-883. DOI:10.1016/j.jgo.2019.03.002 Google Scholar
[7]
GLOBOCAN. GLOBOCAN 2022: Latest global cancer data shows rising incidence and stark inequities. 2022. https://www.uicc.org/news-and-updates/news/globocan-2022-latest-global-cancer-data-shows-rising-incidence-and-stark Google Scholar
[8]
Jayakrishnan T, Ng K. Early-Onset Gastrointestinal Cancers: A Review. JAMA. Oct 21 2025;334(15):1373-1385. DOI:10.1001/jama.2025.10218 Google Scholar
[9]
Nguyễn Thị Tú Ngọc, Nguyễn Hải Yến, Hà Văn Sơn, Huệ ĐT. Tình trạng dinh dưỡng của người bệnh ung thư đường tiêu hóa điều trị hóa chất tại Bệnh viện Trung ương Thái Nguyên. Tạp chí Nghiên cứu Y học. 03/26 2025;188(3):145-152. DOI:10.52852/tcncyh.v188i3.3159 Google Scholar
[10]
La Văn Phú, Nguyễn Thị Nga, Nguyễn Văn Non. Tình trạng dinh dưỡng của bệnh nhân ung thư đường tiêu hoá trước phẫu thuật theo BMI và SGA tại Bệnh viện Đa khoa Thành phố Cần Thơ. Tạp chí Y học Việt Nam. 05/05 2024;538(1).DOI:10.51298/vmj.v538i1.9401 Google Scholar
[11]
Aprile G, Basile D, Giaretta R, et al. The Clinical Value of Nutritional Care before and during Active Cancer Treatment. Nutrients. Apr 5 2021;13(4). DOI:10.3390/nu13041196 Google Scholar
[12]
Tan S, Meng Q, Jiang Y, et al. Impact of oral nutritional supplements in post-discharge patients at nutritional risk following colorectal cancer surgery: A randomised clinical trial. Clin Nutr. Jan 2021;40(1):47-53. DOI:10.1016/j.clnu.2020.05.038 Google Scholar
[13]
Huo Z, Chong F, Yin L, et al. Comparison of the performance of the GLIM criteria, PG-SGA and mPG-SGA in diagnosing malnutrition and predicting survival among lung cancer patients: A multicenter study. Clin Nutr. Jun 2023;42(6):1048-1058. doi:10.1016/j.clnu.2023.04.021 Google Scholar
[14]
Zhou J, Yang S, Liu T, Sun Y, Li S. Diagnostic performance of GLIM and PG-SGA for malnutrition assessment in adult cancer patients: a systematic review and meta-analysis. BMC Cancer. Apr 23 2025;25(1):765. DOI:10.1186/s12885-025-13809-6 Google Scholar
[16]
Bauer J, Capra S, Ferguson M. Use of the scored Patient-Generated Subjective Global Assessment (PG-SGA) as a nutrition assessment tool in patients with cancer. Eur J Clin Nutr. Aug 2002;56(8):779-85. DOI:10.1038/sj.ejcn.1601412 Google Scholar