P036 - EATING BEHAVIOR AND MALNUTRITION IN WOMEN UNDERGOING CHEMO-RADIATION AND BRACHYTHERAPY FOR CERVICAL CANCER: A CROSS-SECTIONAL STUDY

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P036

EATING BEHAVIOR AND MALNUTRITION IN WOMEN UNDERGOING CHEMO-RADIATION AND BRACHYTHERAPY FOR CERVICAL CANCER: A CROSS-SECTIONAL STUDY

S. Ichou1,2,*, I. Lahdiri1,2, I. Skitioui1,2, K. Nouni1,2, A. Lachgar1,2, H. Elkacemi1,2, T. Kebdani1,2, K. Hassouni1,2

1Radiation therapy, National Institut of Oncology, 2Medicine, Faculty of Medicine and Pharmacy, Rabat, Morocco

 

Rationale: Concurrent chemo-radiation and brachytherapy is standard treatment for locally advance cervical cancer. However, malnutrition remains a frequent and under-recognized complication.

The aim of our study is to identify the patterns of disordered eating and the factors that are responsible for it.

Methods: This is a cross-sectional study conducted at the Brachytherapy Department of the National Institute of Oncology of Rabat, Morocco. Nutritional status was assessed using the Mini Nutritional Assessment (MNA), alongside a questionnaire exploring dietary changes and the role of nutrition in care. Statistical analysis was performed using JAMOVI

Results: Fifty women were included (median age: 57.3 ± 12.2 years).

51,9% of patients have a low socio-economic level.

The most frequent FIGO stage is IIIC1 with 40,7%. All patients received radiation therapy and 85,2% received concomitant chemotherapy and brachytherapy.

According to the MNA score, 3,7% of our patients were malnourished and 59,3% of patients at risk of malnutrition and 37% have a normal nutritional status.

A significant proportion of patients reported dietary restrictions: 63% avoided dairy, poultry, red meat, and fried foods; 83% eliminated sugar. Logistic regression analysis showed that patients receiving chemotherapy had significantly poorer nutritional status (p = 0.03), while socio-economic status, marital status, and FIGO stage had no significant impact.

Conclusion: Malnutrition is common in patients undergoing treatment for cervical cancer and is associated with poor tolerance and reduced quality of life. Early identification and systematic nutritional support should be integrated at each consultation and during the treatment.

Disclosure of Interest: None declared