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Association between Malnutrition and Depression in Patients with Cancer: The Importance of Nutritional Status Evaluation in Cancer Care

Author

Listed:
  • Daniele Nucci

    (Nutritional Support Unit, Veneto Institute of Oncology IOV-IRCCS, 35128 Padua, Italy
    These authors contributed equally to this work.)

  • Vincenza Gianfredi

    (Department of Biomedical Sciences for Health, University of Milan, 20133 Milan, Italy
    CAPHRI Care and Public Health Research Institute, Maastricht University, 6211 Maastricht, The Netherlands
    These authors contributed equally to this work.)

  • Pietro Ferrara

    (Center for Public Health Research, University of Milan-Bicocca, 20900 Monza, Italy
    IRCCS Istituto Auxologico Italiano, 20145 Milano, Italy)

  • Omar Enzo Santangelo

    (Regional Health Care and Social Agency of Lodi, Azienda Socio Sanitaria Territoriale di Lodi (ASST Lodi), 26900 Lodi, Italy)

  • Beatrice Varotto

    (Clinical Nutrition Unit, Department of Medicine-DIMED, University of Padova, 35128 Padua, Italy)

  • Alessandra Feltrin

    (Hospital Psychology, Veneto Institute of Oncology IOV-IRCCS, 35128 Padua, Italy)

  • Antonella Galiano

    (Department of Oncology, Oncology Unit 1, Veneto Institute of Oncology IOV-IRCCS, 35128 Padua, Italy)

  • Mariateresa Nardi

    (Nutritional Support Unit, Veneto Institute of Oncology IOV-IRCCS, 35128 Padua, Italy)

Abstract

Cancer patients are at risk of several comorbid conditions, including nutritional issues and mental health illnesses. The objective of the current study was to estimate the prevalence, upon hospital admission, of depression and malnutrition among adults with cancer. A retrospective chart review was conducted using health information collected as part of routine assistance. Nutritional status was measured through structured tools, including body mass index (BMI), Nutrition Risk Screening (NRS) 2002, and dietary intake needs. Depression was assessed with the Hospital Anxiety and Depression Scale (HAD). Cancer site, disease stage, length of hospitalization, age, and sex were also considered. Multivariate analyses were used to investigate the association between malnutrition and depression. In summary, our study reveals that malnutrition increases the risk of depression among cancer patients. The findings can also be used in clinical oncology for the implementation of appropriate prevention and treatment interventions in order to reduce the extent of depression and thus improve cancer patients’ quality of life and survival rate.

Suggested Citation

  • Daniele Nucci & Vincenza Gianfredi & Pietro Ferrara & Omar Enzo Santangelo & Beatrice Varotto & Alessandra Feltrin & Antonella Galiano & Mariateresa Nardi, 2023. "Association between Malnutrition and Depression in Patients with Cancer: The Importance of Nutritional Status Evaluation in Cancer Care," IJERPH, MDPI, vol. 20(3), pages 1-10, January.
    • Handle: RePEc:gam:jijerp:v:20:y:2023:i:3:p:2295-:d:1048614
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    References listed on IDEAS

    as
    1. Vincenza Gianfredi & Lorenzo Blandi & Stefano Cacitti & Mirko Minelli & Carlo Signorelli & Andrea Amerio & Anna Odone, 2020. "Depression and Objectively Measured Physical Activity: A Systematic Review and Meta-Analysis," IJERPH, MDPI, vol. 17(10), pages 1-20, May.
    2. Naama Kanarek & Boryana Petrova & David M. Sabatini, 2020. "Dietary modifications for enhanced cancer therapy," Nature, Nature, vol. 579(7800), pages 507-517, March.
    3. Daniele Nucci & Cristina Fatigoni & Andrea Amerio & Anna Odone & Vincenza Gianfredi, 2020. "Red and Processed Meat Consumption and Risk of Depression: A Systematic Review and Meta-Analysis," IJERPH, MDPI, vol. 17(18), pages 1-20, September.
    4. Daniele Nucci & Omar Enzo Santangelo & Sandro Provenzano & Cristina Fatigoni & Mariateresa Nardi & Pietro Ferrara & Vincenza Gianfredi, 2021. "Dietary Fiber Intake and Risk of Pancreatic Cancer: Systematic Review and Meta-Analysis of Observational Studies," IJERPH, MDPI, vol. 18(21), pages 1-20, November.
    5. Pietro Ferrara & Sara Conti & Fernando Agüero & Luciana Albano & Cristina Masuet-Aumatell & Josep Maria Ramon-Torrell & Lorenzo Giovanni Mantovani, 2020. "Estimates of Cancer Mortality Attributable to Carcinogenic Infections in Italy," IJERPH, MDPI, vol. 17(23), pages 1-10, November.
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