Human Nutrition and Dietetics

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Author: search.filters.author.Folasire, A. M.Subject: search.filters.subject.SGA

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    Measures of nutritional status and quality of life in adult people living with HIV/AIDS at a tertiary hospital in Nigeria.
    (Scientific Research Publishing, 2015) Folasire, O. F.; Folasire, A. M.; Sanusi, R. A.
    Background & Aims: The study investigated the relationship between objective and subjective nutritional status parameters and quality of life in HIV seropositive patients. Methods: Retrospective review of clinic records of 150 HIV seropositive patients at a teaching hospital in Nigeria. Nutritional status was evaluated objectively with anthropometry including body mass index (BMI), subjectively with malnutrition universal screening tool (MUST) and subjective global assessment (SGA) tool. Data on quality of life (QOL) assessed with WHOQOL (Bref), and CD4 count were extracted. Correlation analysis and linear regression were done to investigate the relationship be- tween variables, level of significance set at p < 0.05. Results: Only BMI has weak positive correlation with the psychological domain (r = 0.231, p < 0.05). MUST and SGA have significant negative correlations with most of the quality of life domains. MUST correlated with the following domains: physical; (r = -0.207), psychological; (r = -0.193) and environmental; (r = -0.132). While SGA correlated with the physical domain; (r = -0.2470) and psychological domain; (r = -0.337), p < 0.05 respectively. The CD4 count correlated with percentage body fat (r = 0.224), MUST (r = -0.186) and SGA (r = -0.192), p < 0.05 respectively, but not with any of the QOL domains. Weight, MUST, SGA, percentage body fat were significant predictors of the percentage weight change in 6 months. Conclusions: BMI has significant positive association with psychological domain of QOL. MUST and SGA have significant negative association with certain domains. QOL did not predict short-term weight changes, as did the current weight, MUST, and SGA.
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    Prevalence of malnutrition among cancer patients in a Nigerian institution
    (Lifescience Global, 2017) Ntekim, A.; Folasire, O. F.; Folasire, A. M.
    Abstract: Background: Cancer is a major health problem. Successful management includes adequate supportive care. Nutritional problems are common among cancer patients and these are not routinely addressed by oncologists during oncology care leading to suboptimal outcome even in developed countries. In Nigeria and other low and medium income countries, the situation is worse as nutritional screening and assessment of cancer patients are not routinely carried out. Objectives: To determine the proportion of cancer patients at risk of malnutrition and compare convergence of risk assessment using SGA and MUST tools. Methods: This was a prospective study carried out among cancer patients who presented for cancer care in the Department of Radiation Oncology, University College Hospital Ibadan, Nigeria. Nutritional assessment tools which included Malnutrition Universal Scoring Tool (MUST) and Subjective Global Assessment (SGA) were used to assess the nutritional status of the participants. Results: A total of 89 patients aged between 18 and 85 years participated in the study. The number of males were 13 (15%) while females were 76(85%). In our study 54 (60.8%) of our patients were at risk of malnutrition using the malnutrition universal scoring tool (MUST) scale while 53(60%) were malnourished using the subjective global assessment (SGA) scale. The reliability for the classifications using the MUST and SGA scales was positive (moderate) [Kappa = 0.584 (p <0.0005), 95% CI (0.410, 0.758)]. Conclusion: There is a high proportion of clinical malnutrition among cancer patients in the study population. According to this study, there was similarity between the classifications of nutritional risk, using the MUST and SGA tools.