Malnutrition and chemotherapy-induced nausea and vomiting: Implications for practice

Wendy Davidson, Laisa Teleni, Jacqueline Muller, Maree Ferguson, Alexandra Leigh McCarthy, Jo Vick, Elisabeth Isenring

Research output: Contribution to journalArticleResearchpeer-review

28 Citations (Scopus)

Abstract

PURPOSE/OBJECTIVES: To determine the prevalence of malnutrition and chemotherapy-induced nausea and vomiting (CINV) limiting patients' dietary intake in a chemotherapy unit.

DESIGN: Cross-sectional descriptive audit.

SETTING: Chemotherapy ambulatory care unit in a teaching hospital in Australia.

SAMPLE: 121 patients receiving chemotherapy for malignancies, aged 18 years and older, and able to provide verbal consent.

METHODS: An accredited practicing dietitian collected all data. Chi-square tests were used to determine the relationship of malnutrition with variables and demographic data.

MAIN RESEARCH VARIABLES: Nutritional status, weight change, body mass index, prior dietetic input, CINV, and CINV that limited dietary intake.

FINDINGS: Thirty-one participants (26%) were malnourished, 12 (10%) had intake-limiting CINV, 22 (20%) reported significant weight loss, and 20 (18%) required improved nutrition symptom management. High nutrition risk diagnoses, CINV, body mass index, and weight loss were significantly associated with malnutrition. Thirteen participants (35%) with malnutrition, significant weight loss, intake-limiting CINV, and/or who critically required improved symptom management reported no prior dietetic contact; the majority of those participants were overweight or obese.

CONCLUSIONS: Of patients receiving chemotherapy in this ambulatory setting, 26% were malnourished, as were the majority of patients reporting intake-limiting CINV.

IMPLICATIONS FOR NURSING: Patients with malnutrition and/or intake-limiting CINV and in need of improved nutrition symptom management may be overlooked, particularly patients who are overweight or obese-an increasing proportion of the Australian population. Evidence-based practice guidelines recommend implementing validated nutrition screening tools, such as the Malnutrition Screening Tool, in patients undergoing chemotherapy to identify those at risk of malnutrition who require dietitian referral.

Original languageEnglish
Pages (from-to)E340-5
JournalOncology Nursing Forum
Volume39
Issue number4
DOIs
Publication statusPublished - Jul 2012

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Malnutrition
Nausea
Vomiting
Drug Therapy
Weight Loss
Dietetics
Nutritionists
Body Mass Index
Evidence-Based Practice
Chi-Square Distribution
Ambulatory Care
Nutritional Status
Practice Guidelines
Teaching Hospitals
Nursing
Referral and Consultation
Demography
Weights and Measures

Cite this

Davidson, Wendy ; Teleni, Laisa ; Muller, Jacqueline ; Ferguson, Maree ; McCarthy, Alexandra Leigh ; Vick, Jo ; Isenring, Elisabeth. / Malnutrition and chemotherapy-induced nausea and vomiting : Implications for practice. In: Oncology Nursing Forum. 2012 ; Vol. 39, No. 4. pp. E340-5.
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title = "Malnutrition and chemotherapy-induced nausea and vomiting: Implications for practice",
abstract = "PURPOSE/OBJECTIVES: To determine the prevalence of malnutrition and chemotherapy-induced nausea and vomiting (CINV) limiting patients' dietary intake in a chemotherapy unit.DESIGN: Cross-sectional descriptive audit.SETTING: Chemotherapy ambulatory care unit in a teaching hospital in Australia.SAMPLE: 121 patients receiving chemotherapy for malignancies, aged 18 years and older, and able to provide verbal consent.METHODS: An accredited practicing dietitian collected all data. Chi-square tests were used to determine the relationship of malnutrition with variables and demographic data.MAIN RESEARCH VARIABLES: Nutritional status, weight change, body mass index, prior dietetic input, CINV, and CINV that limited dietary intake.FINDINGS: Thirty-one participants (26{\%}) were malnourished, 12 (10{\%}) had intake-limiting CINV, 22 (20{\%}) reported significant weight loss, and 20 (18{\%}) required improved nutrition symptom management. High nutrition risk diagnoses, CINV, body mass index, and weight loss were significantly associated with malnutrition. Thirteen participants (35{\%}) with malnutrition, significant weight loss, intake-limiting CINV, and/or who critically required improved symptom management reported no prior dietetic contact; the majority of those participants were overweight or obese.CONCLUSIONS: Of patients receiving chemotherapy in this ambulatory setting, 26{\%} were malnourished, as were the majority of patients reporting intake-limiting CINV.IMPLICATIONS FOR NURSING: Patients with malnutrition and/or intake-limiting CINV and in need of improved nutrition symptom management may be overlooked, particularly patients who are overweight or obese-an increasing proportion of the Australian population. Evidence-based practice guidelines recommend implementing validated nutrition screening tools, such as the Malnutrition Screening Tool, in patients undergoing chemotherapy to identify those at risk of malnutrition who require dietitian referral.",
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Davidson, W, Teleni, L, Muller, J, Ferguson, M, McCarthy, AL, Vick, J & Isenring, E 2012, 'Malnutrition and chemotherapy-induced nausea and vomiting: Implications for practice' Oncology Nursing Forum, vol. 39, no. 4, pp. E340-5. https://doi.org/10.1188/12.ONF.E340-E345

Malnutrition and chemotherapy-induced nausea and vomiting : Implications for practice. / Davidson, Wendy; Teleni, Laisa; Muller, Jacqueline; Ferguson, Maree; McCarthy, Alexandra Leigh; Vick, Jo; Isenring, Elisabeth.

In: Oncology Nursing Forum, Vol. 39, No. 4, 07.2012, p. E340-5.

Research output: Contribution to journalArticleResearchpeer-review

TY - JOUR

T1 - Malnutrition and chemotherapy-induced nausea and vomiting

T2 - Implications for practice

AU - Davidson, Wendy

AU - Teleni, Laisa

AU - Muller, Jacqueline

AU - Ferguson, Maree

AU - McCarthy, Alexandra Leigh

AU - Vick, Jo

AU - Isenring, Elisabeth

PY - 2012/7

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N2 - PURPOSE/OBJECTIVES: To determine the prevalence of malnutrition and chemotherapy-induced nausea and vomiting (CINV) limiting patients' dietary intake in a chemotherapy unit.DESIGN: Cross-sectional descriptive audit.SETTING: Chemotherapy ambulatory care unit in a teaching hospital in Australia.SAMPLE: 121 patients receiving chemotherapy for malignancies, aged 18 years and older, and able to provide verbal consent.METHODS: An accredited practicing dietitian collected all data. Chi-square tests were used to determine the relationship of malnutrition with variables and demographic data.MAIN RESEARCH VARIABLES: Nutritional status, weight change, body mass index, prior dietetic input, CINV, and CINV that limited dietary intake.FINDINGS: Thirty-one participants (26%) were malnourished, 12 (10%) had intake-limiting CINV, 22 (20%) reported significant weight loss, and 20 (18%) required improved nutrition symptom management. High nutrition risk diagnoses, CINV, body mass index, and weight loss were significantly associated with malnutrition. Thirteen participants (35%) with malnutrition, significant weight loss, intake-limiting CINV, and/or who critically required improved symptom management reported no prior dietetic contact; the majority of those participants were overweight or obese.CONCLUSIONS: Of patients receiving chemotherapy in this ambulatory setting, 26% were malnourished, as were the majority of patients reporting intake-limiting CINV.IMPLICATIONS FOR NURSING: Patients with malnutrition and/or intake-limiting CINV and in need of improved nutrition symptom management may be overlooked, particularly patients who are overweight or obese-an increasing proportion of the Australian population. Evidence-based practice guidelines recommend implementing validated nutrition screening tools, such as the Malnutrition Screening Tool, in patients undergoing chemotherapy to identify those at risk of malnutrition who require dietitian referral.

AB - PURPOSE/OBJECTIVES: To determine the prevalence of malnutrition and chemotherapy-induced nausea and vomiting (CINV) limiting patients' dietary intake in a chemotherapy unit.DESIGN: Cross-sectional descriptive audit.SETTING: Chemotherapy ambulatory care unit in a teaching hospital in Australia.SAMPLE: 121 patients receiving chemotherapy for malignancies, aged 18 years and older, and able to provide verbal consent.METHODS: An accredited practicing dietitian collected all data. Chi-square tests were used to determine the relationship of malnutrition with variables and demographic data.MAIN RESEARCH VARIABLES: Nutritional status, weight change, body mass index, prior dietetic input, CINV, and CINV that limited dietary intake.FINDINGS: Thirty-one participants (26%) were malnourished, 12 (10%) had intake-limiting CINV, 22 (20%) reported significant weight loss, and 20 (18%) required improved nutrition symptom management. High nutrition risk diagnoses, CINV, body mass index, and weight loss were significantly associated with malnutrition. Thirteen participants (35%) with malnutrition, significant weight loss, intake-limiting CINV, and/or who critically required improved symptom management reported no prior dietetic contact; the majority of those participants were overweight or obese.CONCLUSIONS: Of patients receiving chemotherapy in this ambulatory setting, 26% were malnourished, as were the majority of patients reporting intake-limiting CINV.IMPLICATIONS FOR NURSING: Patients with malnutrition and/or intake-limiting CINV and in need of improved nutrition symptom management may be overlooked, particularly patients who are overweight or obese-an increasing proportion of the Australian population. Evidence-based practice guidelines recommend implementing validated nutrition screening tools, such as the Malnutrition Screening Tool, in patients undergoing chemotherapy to identify those at risk of malnutrition who require dietitian referral.

U2 - 10.1188/12.ONF.E340-E345

DO - 10.1188/12.ONF.E340-E345

M3 - Article

VL - 39

SP - E340-5

JO - Oncology Nursing Forum

JF - Oncology Nursing Forum

SN - 0190-535X

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Davidson W, Teleni L, Muller J, Ferguson M, McCarthy AL, Vick J et al. Malnutrition and chemotherapy-induced nausea and vomiting: Implications for practice. Oncology Nursing Forum. 2012 Jul;39(4):E340-5. https://doi.org/10.1188/12.ONF.E340-E345