Long-term enteral nutrition facilitates optimization of body weight Journal Article

Authors: Schattner, M. A.; Willis, H. J.; Raykher, A.; Brown, P.; Quesada, O.; Scott, B.; Shike, M.
Article Title: Long-term enteral nutrition facilitates optimization of body weight
Abstract: Background: Optimization of body mass index (BMI) among cancer survivors is a priority. Long-term enteral nutrition is required by many head and neck cancer survivors and may be utilized to affect changes in BMI. Methods: We used a retrospective review of head and neck cancer survivors dependent on enteral nutrition. Patients were grouped according to their BMI at initiation of enteral feeding. Patients with normal, low, or elevated BMI were assigned a goal of weight maintenance, weight gain, or weight reduction, respectively. Changes in BMI over time were recorded. Results: We identified 39 head and neck cancer survivors requiring enteral nutrition. Median time on enteral nutrition was 32 ± 39.6 months. At the initiation of enteral feeding, 51% of patients had a normal BMI and were assigned to the weight maintenance group, 84% successfully maintained a normal BMI (mean 22.4 ± 1.7 kg/m2), and 18% had a low BMI and were assigned to the weight gain group. In all, 85% achieved or trended toward a normal BMI (from 16.5 ± 1.9 to 19.2 ± 1.6 kg/m2; p = .02). When enteral feedings began, 31% of patients had an elevated BMI and were assigned a goal of weight reduction; all were able to reduce their BMI (from 30.2 ± 5 to 27.3 ± 6 kg/m2; p < .001). Conclusions: Long-term enteral feeding facilitates body weight optimization among ambulatory head and neck cancer survivors. These findings may potentially be generalized to all ambulatory patients who are dependent on enteral nutrition. Copyright © 2005 by the American Society for Parenteral and Enteral Nutrition.
Keywords: adult; cancer survival; clinical article; treatment outcome; aged; middle aged; retrospective studies; cancer patient; body weight; weight loss; weight reduction; drug effect; retrospective study; physiology; time; time factors; body mass; body mass index; head and neck cancer; head and neck neoplasms; long term care; head and neck tumor; enteral nutrition; enteric feeding; weight gain; patient mobility
Journal Title: Journal of Parenteral and Enteral Nutrition
Volume: 29
Issue: 3
ISSN: 0148-6071
Publisher: Sage Publications  
Date Published: 2005-05-01
Start Page: 198
End Page: 203
Language: English
DOI: 10.1177/0148607105029003198
PUBMED: 15837780
PROVIDER: scopus
Notes: --- - "Cited By (since 1996): 13" - "Export Date: 24 October 2012" - "CODEN: JPEND" - "Source: Scopus"
Citation Impact
MSK Authors
  1. Holly J Willis
    1 Willis
  2. Moshe Shike
    164 Shike
  3. Mark Schattner
    128 Schattner
  4. Burma F Scott
    2 Scott
  5. Patricia A Brown
    7 Brown