LB115 - ANALYSIS OF NUTRITIONAL STATUS IN PATIENTS WITH ESOPHAGEAL CANCER USING SGA, BMI, PNI, AGE, AND SEX

LB115

ANALYSIS OF NUTRITIONAL STATUS IN PATIENTS WITH ESOPHAGEAL CANCER USING SGA, BMI, PNI, AGE, AND SEX

S. Timmanpyati^1,*, S. Singh¹, P. Mahajan¹, P. Arolkar¹, S. Khan¹, A. Bhillare¹, B. Parab¹

¹Department of Digestive Diseases and Clinical Nutrition, Tata Memorial Hospital, Mumbai, India

Rationale: Malnutrition is common in patients with Esophageal cancer and impacts clinical outcomes. This study analyzes subgroup differences in nutritional status using the Subjective Global Assessment (SGA), Body Mass Index (BMI), Prognostic Nutritional Index (PNI), age, and sex.

Methods: A five-year retrospective analysis was conducted using data extracted from a hospital nutrition clinic software system, spanning from January 1, 2020, to December 31, 2024.

Results: A retrospective review of 1922 patients (706 females, 1216 males) from 2020 to 2024 was conducted using hospital nutrition data. Females were younger (mean 57.8 vs. 60.9 years, p < 0.001) and more often economically disadvantaged (69.8% vs. 63.7%, p = 0.007). Smoking, alcohol, and tobacco use were significantly higher in males (p < 0.001). Severe malnutrition by SGA was seen in 42.6%, with females showing a higher, though not statistically significant, rate (43.9% vs. 41.8%). Underweight BMI was more common in females (40.9% vs. 32.9%, p < 0.001). Grade IV dysphagia was more frequent in females (35.8% vs. 25.2%, p < 0.001) and strongly linked to malnutrition. Low PNI (<39.66) affected 47.8%, correlating with poor nutritional status. Older patients (>60 years) had higher malnutrition risk. These results highlight critical nutritional vulnerabilities related to sex and age, emphasizing the need for early nutritional screening and personalized interventions to improve outcomes in esophageal cancer.

Conclusion: Malnutrition is highly prevalent in esophageal cancer and adversely impacts outcomes. This study identifies significant nutritional vulnerabilities linked to sex, age, and clinical factors, underscoring the importance of early screening and tailored nutritional support.

Disclosure of Interest: None declared