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Cited by 40Clinical Nutrition and GastroenterologyNutrition and Health in AgingDietetics, Nutrition, and Education

Assessing dietary intake in accordance with guidelines: Useful correlations with an ingesta-Verbal/Visual Analogue Scale in medical oncology patients

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Guerdoux-Ninot, Estelle, Flori, Nicolas, Janiszewski, Chloé, Vaillé, Arnaud, de Forges, Hélène, Raynard, Bruno, Baracos, Vickie E., Thezenas, Simon +1 more·2019·Clinical Nutrition
DOI 10.1016/j.clnu.2018.06.974
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Abstract

Background & aims Energy intake and food ingesta are central in nutritional screening and assessment. Cancer patients are at nutritional risk of losing weight, and clinicians need quick and easy tools to identify patients for nutritional support. This study aimed to evaluate the feasibility and the accuracy of a Visual/Verbal Analogue Scale of food ingesta ( ingesta -VVAS) to assess energy food intake and nutritional risk in medical oncology patients. Methods Dieticians administered prospectively the ingesta -VVAS in 1762 medical oncology patients . The external validity of the ingesta- VVAS was determined against daily energy intake based on a 24-h dietary recall. Patients had to estimate how they currently ate on a scale from 0 " nothing at all " to 10 " as usual ". Area Under the Receiver-Operating Characteristics (ROC) curve served as determine the optimal cut-off and provide the discriminative power of the tool to detect patients who ingested less or more than 25 kcal kg −1 day −1 . Results The feasibility of the ingesta -VVAS was 97.7%. The scores were significantly correlated with energy intake ( ρ = .67, p < .05), whatever the specific situation ( i.e. malnutrition or not). With a cut-off of ≤7, the ingesta -VVAS exhibited a good power discrimination (AUC = .804) to detect patients who ingested less or more than 25 kcal kg −1 day −1 , with a sensitivity of 80.8%, a positive predictive value of 83.6%, a specificity of 67.5%, and a negative predictive value of 63.3%. Patients with a score ≤7 on the ingesta -VVAS score were at 12-fold higher probability of nutritional risk [OR 12.3; 95% CI (8.7–17.4); p < .001]. Sensitivity to detect patients with a significant weight loss was 71%, and a positive predictive value of 75.9%. Conclusions This easy-to-use ingesta- VVAS is well-correlated with energy intake and may be useful in clinical practice. An ingesta- VVAS score is ≤ 7 could be used to detect patients with nutritional risk of weight loss in medical oncology.

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  • The same association was found in 9,959 US patients.

    “and in 9,959 US patients [238].”

    From ESPEN guideline on hospital nutrition (2021) · cites this paper as [238]

    The Participants section identifies the study site as a cancer institute in France and says 1,762 patients were included. The Results section likewise reports 1,762 patients, not 9,959 US patients; searches for the US cohort and that number found no such finding in our copy. (LLM, conf=0.88)

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Cited by

Sorted by citations

Authors
Guerdoux-Ninot, E., Flori, N., Janiszewski, C., Vaillé, A., de Forges, H., Raynard, B., Baracos, V. E., Thezenas, S., & Senesse, P.
Affiliations
  • Université de Montpellier (FR)
  • Institut Gustave Roussy (FR)
  • University of Alberta (CA)
ORCID
Venue
Clinical Nutrition
Publisher
Elsevier BV
Published
2019-08
Volume
38
Issue
4
Pages
1927-1935
ISSN
0261-5614 (ISSN-L)
DOI
10.1016/j.clnu.2018.06.974
OpenAlex
W2810041521
Cited by
40
References
1
Citations by year
2026: 4 · 2025: 8 · 2024: 10 · 2023: 5 · 2022: 8 · 2021: 3 · 2020: 2
FWCI
1.03
Type
journal article
Language
en
Open access
Licence
Locations
  • Clinical Nutrition (acceptedVersion, other-oa)
  • PubMed (publishedVersion)
  • HAL (submittedVersion, cc-by-nc)
Topics
  • Health Sciences › Nursing › Nutrition and Dietetics › Clinical Nutrition and Gastroenterology
  • Health Sciences › Medicine › Physiology › Nutrition and Health in Aging
  • Health Sciences › Health Professions › Health Information Management › Dietetics, Nutrition, and Education
Keywords
nutritional risk screening, cancer-related weight loss, malnutrition, 24-hour dietary recall, nutritional support, generalizability
MeSH terms
Adolescent, Adult, Aged, Aged, 80 and over, Diet, Eating, Feasibility Studies, Female, Humans, Male, Medical Oncology, Middle Aged, Neoplasms, Nutritional Status, Prospective Studies, Weight Loss, Nutrition Assessment, Young Adult, Visual Analog Scale

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