P042 - AN INITIATIVE TRIAL OF PHYSICAL FUNCTION ASSESSMENT INCLUDING NUTRITIONAL EVALUATION FOR CANCER PATIENTS RECEIVING OUTPATIENT CHEMOTHERAPY

P042

AN INITIATIVE TRIAL OF PHYSICAL FUNCTION ASSESSMENT INCLUDING NUTRITIONAL EVALUATION FOR CANCER PATIENTS RECEIVING OUTPATIENT CHEMOTHERAPY

S. Suzuki^1,2,*, I. Tabei³, A. Mogi¹, N. Haga¹, M. Hoshikawa⁴, K. Mio¹, K. Yoshida¹, S. Kinoshita⁵, T. Uwagawa², M. Abo¹

¹Rehabilitation Medicine, ²Oncology Center , The Jikei University School of Medicine, ³Department of Surgery, The Jikei University School of Medicine Daisan Hospital, ⁴Nutrition, The Jikei University School of Medicine, ⁵Rehabilitation Medicine, The Jikei University Daisan Hospital, Tokyo, Japan

Rationale: Malnutrition and sarcopenia progression in patients undergoing cancer chemotherapy significantly affect treatment continuity and QOL. While nutritional and exercise therapies have shown benefits, treatment opportunities are often limited by staff shortages. Thus, we organized a physical fitness assessment event for patients receiving outpatient chemotherapy, including nutritional screening, muscle strength, physical function, and skeletal muscle mass measurements. Based on results, patients were referred to outpatient consultations where nutritional and rehabilitation therapy were provided.

Methods: Two pilot physical function assessment events incorporating nutritional evaluations were conducted. Cancer patients attending an outpatient chemotherapy clinic were enrolled to participate on a voluntary basis. Nutritional status was assessed using a simplified version of the PG-SGA short form, with scores ≥4 indicating risk of malnutrition. Handgrip, Sit-to-Stand five test, and SMI were measured according to the AWGS 2019 criteria. Patients showing abnormal values in two or more items were considered at risk of physical decline.

Results: Among 21 participants (7 males, 14 females), 6 had breast cancer, 6 gynecological cancers, and 7 other cancers (head and neck, lung, esophageal, liver, urological, unknown primary). 9 were identified as at risk of malnutrition, and 2 as at risk of physical decline. Outpatient consultations were recommended to 9, of whom 5 visited our department and received nutritional counseling and supervised rehabilitation.

Conclusion: It is challenging to identify patients in need of supportive nutritional/physical care in outpatient settings due to limited manpower. However, physical assessment events incorporating nutritional evaluation may offer a feasible method for screening patients requiring nutritional and rehabilitation therapy.

Disclosure of Interest: None declared