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안수미,윤기영,김은실,강원근,류동원,김태현,최경현,정은애,임선계,김홍선,이금숙,김종숙,이선옥 대한영양사협회 2002 대한영양사협회 학술지 Vol.8 No.3
The purpose of this study is to investigate initial nutritional status of stomach cancer patients. The study subjects were 88 patients with stomach cancer admitted at Kosin University Gospel Hospital in Busan. We assessed the initial nutritional status by anthropometric, biochemical and dietary intake data along with subjective global assessment(SGA). The results are as fallows: 1. The mean age, weight, height, triceps skinfold thickness, mid arm circumference, and mid arm muscle circumference of the subjects were 55.9±11.0years, 60.0±9.8㎏, 162.4±8.5㎝, 10.9±5.7㎜, 26.8±3.8㎝, and 23.4±3.5㎝ respectively. The mean body mass index was within the normal range, with 22.7±2.8㎏/㎡, white 15.4% of the patients was underweight. The result shows that body fat mass and body protein mass of the patients with stomach cancer were decreased. 2. The mean biochemical data of the subjects were 4.0±0.5g/dl for albumin, 174.7±41.9㎎/dl for cholesterol, 107.6±57.2㎎/dl for triglyceride, 92.1㎍/dl for Zn, 297.0±103.1㎎/dl for transferring, 1980.0±0.8㏖ for total lymphocyte count. 3. Daily energy intake was 1997.8±579.3㎉. And the ratio of carbohydrate, protein, and lipid to energy intake was 72:14:14. 4. The patents were divided into three groups according to SGA performed by an observer. Group A(well nourished)was 55.7% with 49patients, Group B(moderately malnourished)was 22.7% with 20patients, and Group C(severely malnourished)was 21.6% with 19patients, The three groups showed a significant difference in body weight(p<0.01), 1 month weight loss %(p<0.001), 6 months weight loss %(p<0.001), body mass index(p<0.01), and mid arm circumference(p<0.05), albumin(p<0.01), energy intake(p<0.05) as well as carbohydrate intake(p(0.05). From these results, it may be concluded that SGA can be used as a nutrition screening tool, and comprehensive nutrition assessment is desirable for those malnourished.