Aylin ÇERÇİ, GÜLGÜN ERSOY, Evren ÖZDEMİR

Otolog Kemik İliği Transplantasyonu Yapılan Yetişkin Hastaların Beslenme Durumları ile Biyoelektrik Empedans Analiz ve Antropometrik Ölçümlerinin Değerlendirilmesi

Amaç: Kemik İliği Transplantasyonu (KİT) katabolik bir tedavi sürecidir ve oral beslenmeyi büyük ölçüde kısıtlamaktadır. Bu çalışma, KİT sürecinde hastaların beslenme durumlarının değerlendirilmesi amacıyla yapılmıştır. Bireyler ve Yöntem: Hacettepe Üniversitesi Onkoloji Hastanesi Kemik İliği Ünitesine başvuran yaş ortalaması 31.4±5.1 yıl olan, lenfoma tanısı ardından KİT yapılan 10 hasta (5 erkek, 5 kadın) üzerinde yürütülmüştür. Hastalar KİT sonrası 3 ay süresince izlenmiş ve vücut bileşimleri biyoelektrik empedans analiz (BIA) ile alınmış, besin tüketim kaydı ile beslenme durumları değerlendirilmiştir. Enerji ve besin ögeleri analizi BeBiS, tüm veriler ise SPSS 15.0 istatistik programı ile değerlendirilmiştir. Bulgular: Yapılan tekrarlı ölçümlerde vücut ağırlığı, beden kütle indeksi (kg/m2), bazal metabolizma hızı (kkal/gün), vücut su miktarı (L) ve yağsız vücut kütlesi (kg) değerlerindeki değişiklikler istatistiksel açıdan önemli bulunmuştur (p

Evaluation of Nutritional Status, Bioelectrical Impedance Analysis, and Anthropometric Measurements in Adults During Autologous Stem Cell Transplantation Treatment

Aim: Stem cell transplantation (SCT) is a highly catabolic treatment which limits oral nutrient intake to a great extent. The aim of this study was to assess the nutritional status after SCT. Subjects and Methods: The study has been conducted on 10 lymphoma patients (5 female, 5 male) who had undergone SCT at Hacettepe University Institute of Oncology, Adult Oncology SCT Unit. Mean age was 31.4±5.1 years. Patients were observed for 3 months after SCT. Body composition was measured with Bioelectrical Impedance Analysis (BIA), nutritional status was assessed by dietary intake records filled by patients. BeBiS software was used for energy and nutrient analyses and all datas were evaluated with SPSS version 15.0. Results: Consecutive measurements of body mass index (kg/m2), basal metabolic rate (kcal/d), total body water (L), body weight (kg) and lean body mass were found statistically significant (p<0.05). Periodic energy, carbohydrate, protein, fat intake level changes were found to be significant (p<0.05).Conclusion: Malnutrition, nutrient deficiency and other complications during the treatment might be avoided by regular measurements of necessary parametres and appropriate assessment of the patients before, during and after SCT treatment with a multidisciplinary approach.

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