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Abstract
Acknowledgement
In the name of Allah, the Most Gracious and the Most Merciful.
All praises and thanks are to Allah and his blessing and strength that have been given to me for the completion of this thesis.
First and foremost, I would like to sincerely thank my supervisor and my instructor who was a mother above all, Prof. Dr. Hoda Salama Ibrahim, Professor of Nutrition, Faculty of Home Economics, Nutrition and Food Science Department, for her guidance, understanding, and patience and most importantly, she has provided positive encouragement and a warm spirit to finish this thesis. It has been a great pleasure and honor to be under her supervision.
I would like to express many thanks and deep appreciation to Prof. Dr. Maha Mohamed Saber, Head of Complementary Medicine Department at Nutrition Researches Center, Professor of pediatrics, Consultant of clinical nutrition, for her great role and her kind support, and many thanks for her time and great effort throughout this study. In many aspects, I am grateful to be under her supervision.
My deepest gratitude goes to all to my mother for support, love, and patience, and for my brothers and my friends for their continuously encouragement. Special thanks to all my colleagues, for supporting me all the time.
Mona Salaheddin
Abstract
Assessment of Nutritional Status of Women with Breast Cancer under Chemotherapy
Mona Salaheddin Mohamed Khalil.
Nutrition and Food Science Dept. Faculty of Home Economics,
Helwan University,
Cairo,Egypt
Abstract
Breast cancer is the most frequent malignancy in women. It is defined as a complex heterogeneous and multifactorial disease. The aim of the present study was to assess the nutritional status of women with breast cancer under chemotherapy. This study was carried out on a total sample of 57 patients receiving chemotherapy treatment. A total number of 27 patients were selected from hospitals in Cairo, represented as urban patients, and a number of 30 were selected from Al-Gharbia Governorate, represented as rural patients. Their age ranged 40-50 years. Data Collected by interviewing patients. The nutritional status was evaluated using questionnaires which are: 24 hours’ recall, diet history, food frequency questionnaire, and subjective global assessment questionnaire. Clinical assessment was evaluated by laboratory investigations. The results revealed that urban patient’s BMI was lower than BMI of rural ones. Results of socioeconomics level revealed that urban patients had 75% of total score which is significantly higher than the patients’ who live in rural area; they had 59% of total score. The mean value of hemoglobin, and total leukocyte count (TLC) concentration in the blood are within the normal range. Data
revealed that total patient’s sample were assessed by Subjective Global Assessment (SGA) were nutritionally at risk. Results illustrated that patients from urban area had lower percentage in total caloric intake (55%) compared to the patients from rural area (76%). Results showed that all tested patients had deficiency in the intake of protein, fiber, vitamin (A, C), calcium and iron compared with RDA level. In conclusion all samples had lower actual intake than the RDA, Except for fats intake and vitamin B1 by urban patients (101%, and 305%, respectively) and phosphorus intake by rural ones (104%). It is recommended that following the appropriate dietary patterns and encouraging a nutrition education program will lead to improvement in chemotherapy treatment outcomes and improve overall health status.
Keywords: Nutritional status, Breast Cancer, Subjective global assessment, urban Patients, Rural Patients.