Abstract
Sufficient postoperative dietary intake is crucial for ensuring a better surgical outcome. This study aimed to investigate the postoperative dietary intake achievement and predictors of postoperative dietary intake among gynecologic cancer patients. A total of 118 participants were included in this secondary analysis. Postoperative dietary data was pooled and re-classified into early postoperative dietary intake achievement (EDIA) (daily energy intake (DEI) ≥ 75% from the estimated energy requirement (EER)) and delay dietary intake achievement (DDIA) (DEI < 75% EER) There was a significant difference in postoperative changes in weight (p = 0.002), muscle mass (p = 0.018), and handgrip strength (p = 0.010) between the groups. Postoperative daily energy and protein intake in the EDIA was significantly greater than DDIA from operation day to discharged (p = 0.000 and p = 0.036). Four significant independent postoperative dietary intake predictors were found: preoperative whey protein-infused carbohydrate loading (p = 0.000), postoperative nausea vomiting (p = 0.001), age (p = 0.010), and time to tolerate clear fluid (p = 0.016). The multilinear regression model significantly predicted postoperative dietary intake, F (4, 116) = 68.013, p = 0.000, adj. R2 = 0.698. With the four predictors’ recognition, the integration of a more specific and comprehensive dietitian-led supportive care with individualized nutrition intervention ought to be considered to promote functional recovery.
Highlights
Publisher’s Note: MDPI stays neutralPostoperative catabolic reaction succeeding post-operation may weaken immune function, reduce muscle strength, prolong wound healing, and cause body skeletal muscle tissue catabolism
Adequate dietary intake is an important key point to achieve optimum nutritional status post operation to speed up the wound healing process, enhance immunity, and assure a better postoperative outcome [3]
This is a secondary analysis of the previous RCT on the impact of Enhanced Recovery After Surgery (ERAS) with whey protein-infused carbohydrate loading and postoperative early oral feeding vs. standard care among GC patients admitted for an elective operation, which was undertaken from
Summary
Postoperative catabolic reaction succeeding post-operation may weaken immune function, reduce muscle strength, prolong wound healing, and cause body skeletal muscle tissue catabolism. Surgery-related stress and inadequate postoperative dietary intake might cause extraneous fatigue and prolong convalescence [1]. Postoperative malnutrition is a worrisome shift in delaying recovery in cancer patients and might impact the rate of survival. The postoperative nutritional requirement is higher to support anabolism and minimize nutritional depletion [2]. Adequate dietary intake is an important key point to achieve optimum nutritional status post operation to speed up the wound healing process, enhance immunity, and assure a better postoperative outcome [3].
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