Avaliação de parâmetros bioquímicos e antropométricos em pacientes com câncer de cabeça e pescoço assistidos em um hospital oncológico do Rio Grande do Norte

Abstract

Head and neck cancer (HNC) is a term used to encompass all neoplasms that affect the oral cavity, pharynx, larynx and thyroid. Patients with this cancer have a low survival rate, largely due to the nutritional complications caused by PCC, such as difficulty speaking, chewing and swallowing. Thus, nutritional intervention is essential. In order to carry out a more accurate nutritional diagnosis in these patients, it is necessary to collect information on anthropometry, body composition and biochemical parameters. This study aims to investigate correlations between these nutritional parameters and the negative effects present in patients, in order to develop more effective strategies in their nutritional management. The collected data were BMI, current weight, height and waist circumference (anthropometry and body composition) and hemoglobin, albumin, urea, creatinine and glucose (biochemical parameters); were obtained from a database of HNC patients treated by the Liga Norte Riograndense Contra o Câncer, containing patients aged 18 to 98 years, during the years 2016 and 2018. Among the biochemical parameters studied, positive correlations were established between BMI and levels of blood glucose, hemoglobin and leukocytes. In the case of the relationship between glycemia and BMI, one should also consider the effect that changes in metabolism caused by cancer and the Warburg effect had on glycemia.