Publication

Assessment of malnutrition in patients with head and neck cancer: a multidimensional approach

Sealy, M. J., 2019, [Groningen]. 227 p.

Research output: ThesisThesis fully internal (DIV)Academic

Copy link to clipboard

Documents

  • Title and contents

    Final publisher's version, 698 KB, PDF-document

  • Chapter 1

    Final publisher's version, 2 MB, PDF-document

  • Chapter 2

    Final publisher's version, 2 MB, PDF-document

  • Chapter 3

    Final publisher's version, 3 MB, PDF-document

  • Chapter 4

    Final publisher's version, 1 MB, PDF-document

  • Chapter 5

    Final publisher's version, 3 MB, PDF-document

    Embargo ends: 22/02/2020

    Request copy

  • Chapter 6

    Final publisher's version, 2 MB, PDF-document

    Embargo ends: 10/04/2020

    Request copy

  • Chapter 7

    Final publisher's version, 1 MB, PDF-document

  • Samenvatting

    Final publisher's version, 1 MB, PDF-document

  • Dankwoord

    Final publisher's version, 620 KB, PDF-document

  • About the author

    Final publisher's version, 968 KB, PDF-document

  • Complete thesis

    Final publisher's version, 9 MB, PDF-document

    Embargo ends: 10/04/2020

    Request copy

  • Propositions

    Final publisher's version, 590 KB, PDF-document

Patients with head and neck cancer often have problems with food intake that can result in a disturbed nutritional balance and malnutrition. The disease itself, the localization of the tumor, and the side effects of the treatment, that is often aggressive, may result in not fulfilling nutritional needs. Malnutrition in its turn can delay recovery and negatively influence treatment tolerance.
In this thesis the general aim was threefold. Firstly, to describe diagnostic value of malnutrition assessment methods. Secondly, to adapt an instrument to assess nutritional status for Dutch practice. Finally, to explore psychological mechanisms that may influence physical activity behavior in patients with head and neck cancer.
This study has led to the conclusion that it is still a challenge to find the most suitable and effective method to treat malnutrition in patients with head and neck cancer. However, the Patient-Generated Subjective Global Assessment is now available and appears to be a suitable and available instrument for screening and assessment of malnutrition (risk) and provides information for tailored interventions. Patients with head and neck cancer may not always be interested in increasing their level of physical activity, because they may overestimate their actual level of physical activity. Since malnutrition is a highly complicated problem, a multidimensional approach is needed, with attention for nutritional balance, body composition and function, possible influence of inflammatory factors, and a sufficient level of physical activity.
Original languageEnglish
QualificationDoctor of Philosophy
Awarding Institution
Supervisors/Advisors
Award date10-Apr-2019
Place of Publication[Groningen]
Print ISBNs978-94-6332-466-3
Electronic ISBNs978-94-6332-469-4
Publication statusPublished - 2019

View graph of relations

Download statistics

No data available

ID: 78250792