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Peer-reviewedCC BYSupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer

Insufficient dietary intake and symptom burden are associated with early nutritional decline in hospitalized patients with cancer.

  • Camilla Horn Soares1,2
  • Larissa Farinha Maffini2,3
  • Heloisa Jacques Friedrich2,4
  • Giovanna Strapasson Faccin2,4
  • Thais Steemburgo5,6,7,8
8 affiliations
  1. 1Graduate Program in Food, Nutrition, and Health, Universidade Federal Do Rio Grande Do Sul, Porto Alegre, Rio Grande Do Sul, Brazil.
  2. 2Hospital de Clínicas de Porto Alegre, Porto Alegre, Rio Grande Do Sul, Brazil.
  3. 3Graduate Program in Medical Sciences, Endocrinology, Universidade Federal Do Rio Grande Do Sul, Porto Alegre, RS, Brazil.
  4. 4Department of Nutrition, Universidade Federal Do Rio Grande Do Sul, Porto Alegre, Rio Grande Do Sul, Brazil.
  5. 5Graduate Program in Food, Nutrition, and Health, Universidade Federal Do Rio Grande Do Sul, Porto Alegre, Rio Grande Do Sul, Brazil. [email protected].
  6. 6Hospital de Clínicas de Porto Alegre, Porto Alegre, Rio Grande Do Sul, Brazil. [email protected].
  7. 7Graduate Program in Medical Sciences, Endocrinology, Universidade Federal Do Rio Grande Do Sul, Porto Alegre, RS, Brazil. [email protected].
  8. 8Department of Nutrition, Universidade Federal Do Rio Grande Do Sul, Porto Alegre, Rio Grande Do Sul, Brazil. [email protected].
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Abstract

Purpose

To assess energy and protein intake relative to nutritional prescriptions in hospitalized patients with cancer and examine associations with appetite, nutrition-related symptoms, cancer-related factors, and changes in body weight (BW), anthropometric, and muscle strength indicators.Methods

This longitudinal study included patients with cancer following during the first six days of hospitalization. Appetite and dietary intake were assessed on days 2, 4, and 6 using a Visual Analogue Scale (VAS) and Food Intake Visual Scale (FIVS), respectively. Reduced appetite was defined as mean VAS ≤ 70 mm and reduced dietary intake as mean FIVS < 75%. BW, calf circumference (CC), mid-upper arm circumference (MUAC), and handgrip strength (HGS) were assessed. Differences between prescribed and estimated energy and protein intake, associations, and longitudinal changes were analyzed.Results

Seventy-seven patients (62.6 ± 12.9 years; 54.5% male) were included, mostly with gastrointestinal cancer and advanced-stage disease. Reduced CC, MUAC, and HGS were observed in 83.1%, 53.2%, and 41.6%, respectively. Estimated energy and protein intake was significantly lower than prescribed amounts on all assessment days, with median deficits of 867-1012 kcal/day and 35.2-50.1 g/day, respectively. Reduced dietary intake was associated with anorexia, dry mouth, taste and smell alterations, and recent chemotherapy. Among men with reduced dietary intake, BW and MUAC decreased from day 2 to day 6.Conclusions

Energy and protein intake were consistently lower than prescribed amounts. Reduced dietary intake was associated with nutrition-related symptoms and cancer-related factors and with early declines in BW and MUAC among men.

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Cite

BibTeXRIS
BibTeX
@article{soares2026insufficient,
  title = {{Insufficient dietary intake and symptom burden are associated with early nutritional decline in hospitalized patients with cancer.}},
  author = {Camilla Horn Soares and Larissa Farinha Maffini and Heloisa Jacques Friedrich and Giovanna Strapasson Faccin and Thais Steemburgo},
  journal = {Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer},
  year = {2026},
  month = oct,
  doi = {10.1007/s00520-026-11410-6},
  url = {https://europepmc.org/article/MED/42909631},
  note = {CC BY},
}
RIS
TY  - JOUR
TI  - Insufficient dietary intake and symptom burden are associated with early nutritional decline in hospitalized patients with cancer.
AU  - Camilla Horn Soares
AU  - Larissa Farinha Maffini
AU  - Heloisa Jacques Friedrich
AU  - Giovanna Strapasson Faccin
AU  - Thais Steemburgo
PY  - 2026
DA  - 2026/10/23
JO  - Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer
DO  - 10.1007/s00520-026-11410-6
UR  - https://europepmc.org/article/MED/42909631
AB  - Purpose  To assess energy and protein intake relative to nutritional prescriptions in hospitalized patients with cancer and examine associations with appetite, nutrition-related symptoms, cancer-related factors, and changes in body weight (BW), anthropometric, and muscle strength indicators.Methods  This longitudinal study included patients with cancer following during the first six days of hospitalization. Appetite and dietary intake were assessed on days 2, 4, and 6 using a Visual Analogue Scale (VAS) and Food Intake Visual Scale (FIVS), respectively. Reduced appetite was defined as mean VAS ≤ 70 mm and reduced dietary intake as mean FIVS < 75%. BW, calf circumference (CC), mid-upper arm circumference (MUAC), and handgrip strength (HGS) were assessed. Differences between prescribed and estimated energy and protein intake, associations, and longitudinal changes were analyzed.Results  Seventy-seven patients (62.6 ± 12.9 years; 54.5% male) were included, mostly with gastrointestinal cancer and advanced-stage disease. Reduced CC, MUAC, and HGS were observed in 83.1%, 53.2%, and 41.6%, respectively. Estimated energy and protein intake was significantly lower than prescribed amounts on all assessment days, with median deficits of 867-1012 kcal/day and 35.2-50.1 g/day, respectively. Reduced dietary intake was associated with anorexia, dry mouth, taste and smell alterations, and recent chemotherapy. Among men with reduced dietary intake, BW and MUAC decreased from day 2 to day 6.Conclusions  Energy and protein intake were consistently lower than prescribed amounts. Reduced dietary intake was associated with nutrition-related symptoms and cancer-related factors and with early declines in BW and MUAC among men.
SN  - 0941-4355
SN  - 1433-7339
ER  -