High PUFA Oral Nutritional Supplementation’s Effect on Advanced Cervical Cancer Patients’ Nutritional Status

sri wuryanti

Abstract


While weight loss occurs in patients with cancer, PUFA may suppress cancer growth. This study aims to determine the high PUFA nutritional supplementation’s effect on the nutritional status of patients with advanced cervical cancer who received radiotherapy. This study was a double-blind Randomized Clinical Trial on patients with advanced cervical cancer. Subjects were taken consecutively, through randomization, divided into treatment and control groups. Thirty-one patients were involved as respondents, with 16 in the treatment groups and 15 in the control groups. The findings revealed that socio-demographic status, omega-6 and omega-3 fatty acid intake patterns, and nutritional and clinical status were not significantly different between groups before treatment. Nutritional supplementation was provided as ONS labeled A and B, taken three times a day. During treatment, patients were asked to record all food and beverages consumed in the intake book at least three days a week, including two working days and one day off. The treatment group’s body weight was relatively more stable, while the control group tended to decrease in weight, but the ∆ weight loss in each group was not significantly different (p = 0.149). PUFA supplementation can maintain the nutritional status of patients with cervical cancer by maintaining body weight.


Keywords


polyunsaturated fatty acids, body weight, cervical cancer, radiotherapy

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References


Setianingsih E, Astuti Y, Aisyaroh N. Literature Review : Faktor-Faktor Yang Mempengaruhi Terjadinya Kanker Serviks. J Ilm PANNMED (Pharmacist, Anal Nurse, Nutr Midwivery, Environ Dent). 2022; 17: 47–54. DOI: https://doi.org/10.25008/altifani.v3i2.362.

Fitriana NA, Ambarini TK. Kualitas Hidup pada Penderita Kanker Serviks yang Menjalani Pengobatan Radioterapi. J Psikol Klin dan Kesehat Ment. 2012; 1: 123–129. DOI: http://journal.unair.ac.id/filerPDF/110810265_11v.pdf.

Widjaya GH, Fatimah, Sudiyono. Teknik Radioterapi Radiasi External Kanker Serviks Dengan Separasi Lebih Dari 20 Centimeter Pada Pesawat Teleterapi Cobalt-60 Di Unit Radioterapi Instalasi Radiologi RSUP DR.Kariadi Semarang. JImed. 2014; 4: 16–21. DOI: https://ejournal.poltekkes-smg.ac.id/ojs/index.php/jimed/article/download/3975/1048.

Kementerian Kesehatan RI. Radioterapi pada Kanker Serviks. 2019. p. 2.

Novitasari A, Puruhita N, Noer ER, Syauqy A. Hubungan Fraksi Radioterapi dan Indeks Komposisi Tubuh Pasien Kanker Serviks di RSUP Dr. Kariadi Semarang. J Nutr Coll. 2016; 5: 28–35. DOI: https://doi.org/10.14710/jnc.v5i1.16356.

Caesandri SDP, Adiningsih S. Peranan Dukungan Pendamping Dan Kebiasaan Makan Pasien Kanker Selama Menjalani Terapi. Media Gizi Indones. 2015; 10: 157–165. DOI: https://e-journal.unair.ac.id/MGI/article/view/3376.

Marischa S, Anggraini DI, Putri GT. Malnutrisi pada Pasien Kanker. Medula. 2017; 5: 107–111. DOI: https://juke.kedokteran.unila.ac.id/index.php/medula/article/view/1698.

Darmawan ARF, Adriani M. Status Gizi, Asupan Energi dan Zat Gizi Makro Pasien Kanker yang Menjalani Kemoterapi di Rumkital Dr. Ramelan Surabaya. Amerta Nutr. 2019; 3: 149–157. DOI: https://doi.org/10.20473/amnt.v3i3.2019.149-157.

Nasution HN, Ashariati A. Kaheksia Kanker dan Tatalaksana Nutrisi pada Penderita Kanker. J Kedokt Syiah Kuala. 2021; 21: 189–196. DOI: https://doi.org/10.24815/jks.v21i2.19165.

Syahadah MM, Dewi M, Rimbawan R. Hubungan antara Asupan Asam Lemak Tidak Jenuh Ganda pada Ibu Menyusui, Kandungannya dalam ASI dan Lingkar Kepala Bayi: Studi pada Periode Awal Postpartum. Amerta Nutr. 2021; 5: 292–302. DOI: https://doi.org/10.20473/amnt.v5i3.2021.292-302.

Azrad M, Turgeon C, Demark-Wahnefried W. Current Evidence Linking Polyunsaturated Fatty Acids with Cancer Risk and Progression. Front Oncol. 2013; 3: 1–12. DOI: https://doi.org/10.3389%2Ffonc.2013.00224.

Liput KP, Lepczyński A, Ogłuszka M, Nawrocka A, Poławska E, Grzesiak A, et al. Effects of Dietary n–3 and n–6 Polyunsaturated Fatty Acids in Inflammation and Cancerogenesis. Int J Mol Sci. 2021; 22: 1–25. DOI: https://doi.org/10.3390%2Fijms22136965.

Ningsih DPS, Pramono D, Nurdianti DS. Faktor-faktor yang Berhubungan dengan Kejadian Kanker Serviks di RSUP dr. Sardjito Yogyakarta. Ber Kedokt Masy. 2017; 33: 1–7. DOI: https://dx.doi.org/10.22146/bkm.17160.

Rahmawati. Gambaran Kejadian Kanker Serviks pada Ibu di Puskesmas Batua Raya. J Kebidanan Vokasional. 2017; 2: 48–54. DOI: https://jurnal.stikesnh.ac.id/index.php/jkv/article/view/39.

Rozi AF, Susanti D, Annas JY. Karakteristik Pasien Kanker Serviks di RSUD DR. Soetomo Surabaya Periode Januari-Desember 2017. Maj Biomorfologi. 2019; 29: 126–132. DOI: https://e-journal.unair.ac.id/MBIO/article/view/16117.

Prasistyami A. Hubungan Lama Penggunaan Kontrasepsi Hormonal dengan Kejadian Kanker Serviks di RSUP Dr. Sardjito. Skripsi Sarjana Terapan Kebidanan, Poltekes Kemenkes Yogyakarta. Yogyakarta: Politeknik Kesehatan Kementerian Kesehatan; 2018. 108 p.

Dewi IGAAN, Sawitri AAS, Adiputra N. Paparan Asap Rokok dan Higiene Diri Merupakan Faktor Risiko Lesi Prakanker Leher Rahim di Kota Denpasar Tahun 2012. Public Heal Prev Med Arch. 2013; 1: 84–91. DOI: https://doi.org/10.15562/phpma.v1i1.163.

Wulandari V. Hubungan Faktor Risiko Penggunaan Kontrasepsi Oral dan Aktivitas Seksual dengan Kejadian Kanker Serviks. J Berk Epidemiol. 2016; 4: 432–442. DOI: https://media.neliti.com/media/publications/77000-ID-none.pdf.

Ananti Y, Sari F. Hubungan Sosiodemografi Wanita Usia Subur Dengan Perilaku Deteksi Dini Kanker Serviks Metode IVA. J Kesehat Samodra Ilmu. 2020; 11: 76–83. DOI: https://doi.org/10.55426/jksi.v11i1.17.

Setiawati D. Human Papilloma Virus dan Kanker Serviks. Public Heal Sci J. 2014; 6: 450–459. DOI: https://journal.uin-alauddin.ac.id/index.php/Al-Sihah/article/view/1969.

Yuviska IA, Amirus K. Analisis Faktor Risiko Terjadinya Kanker Serviks di Rumah Sakit Umum Daerah Dr. H. Abdul Moeloek Provinsi Lampung. J Kesehat Holistik. 2015; 9: 1–7. DOI: https://ejurnalmalahayati.ac.id/index.php/holistik/article/view/126.

Aredes MA, da Camara AO, de Paula NS, Fraga KYD, Carmo DM das GT, Chaves GV. Efficacy of ω-3 Supplementation On Nutritional Status, Skeletal Muscle, and Chemoradiotherapy Toxicity in Cervical Cancer Patiens: A Randomized, Triple-Blind, Clinical Trial Conducted in A Middle-Income Country. Nutrition. 2019; 67: 1–10. DOI: https://doi.org/10.1016/j.nut.2019.06.009.

Trijayanti E, Probosari E. Hubungan Asupan Makan dan Status Gizi pada Pasien Kanker Serviks Post Kemoterapi. J Kedokt Diponegoro. 2016; 5: 751-760. DOI: http://ejournal-s1.undip.ac.id/index.php/medico.

Hardianto R, Huda N, Jumaini. Gambaran Indeks Massa Tubuh pada Pasien Kanker yang Menjalani Kemoterapi. J Online Mhs. 2015; 2: 1381–1388. DOI: https://media.neliti.com/media/publications/186920-ID-gambaran-indeks-massa-tubuh-pada-pasien.pdf.

Werestandina A, Nurseta T, Nugroho FA. Hubungan Indeks Massa Tubuh (IMT) dengan Respon Klinis Kemoradiasi Pasien Kanker Serviks Stadium III di RSUD Dr. Saiful Anwar Malang. Maj Kesehat FKUB. 2017; 4: 30–34. DOI: https://doi.org/10.21776/ub.majalahkesehatan.2017.004.01.4.

Keputusan Menteri Kesehatan Republik Indonesia Nomor HK.01.07/MENKES/393/2019 tentang Pedoman Nasional Pelayanan Kedokteran Tata Laksana Malnutrisi pada Dewasa. Jakarta: Kementerian Kesehatan Republik Indonesia; 2019. 1–162 p.

Yasin YK. Perubahan Metabolik Zat Gizi pada Penderita Malnutrisi Kanker dan Upaya Perbaikan Gizi Pasien Kanker. Heal Nutr J. 2015; 1: 41–52. DOI: https://jurnal.poltekkesgorontalo.ac.id/index.php/JHN/article/download/49/33.

Aoyagi T, Terracina KP, Raza A, Matsubara H, Takabe K. Cancer Cachexia, Mechanism and Treatment. World J Gastrointest Oncol. 2015; 7: 17–29. DOI: https://doi.org/10.4251/wjgo.v7.i4.17.

Pisani DF, Ez-zoubir A, Gérard A. Disequilibrium of Polyunsaturated Fatty Acids Status and Its Dual Effect in Modulating Adipose Tissue Development and Functions. OCL - Oilseeds fats, Crop Lipids. 2015; 22: 1–7. DOI: https://doi.org/10.1051/ocl/2015003.

Ramadhani CW. Hubungan antara Asupan Polyunsaturated Fatty Acids (PUFA) dan Kejadian Endometriosis dengan Overweight (Studi Analitik Observasional di RSI Sultan Agung Semarang). Semarang: Universitas Islam Sultan Agung; 2022. 1–78 p.

Mahesty IR, Sulchan M, Kartini A. Rasio Asupan Omega-6/Omega-3 dan IMT (Indeks Massa Tubuh) pada Remaja Obesitas Usia 16-18 Tahun. Sport Nutr J. 2022; 4: 43–48. DOI: https://journal.unnes.ac.id/sju/index.php/spnj/article/view/60903.

Wang L, Manson JE, Rautiainen S, Gaziano JM, Buring JE, Tsai MY, et al. A Prospective Study of Erythrocyte Polyunsaturated Fatty Acid, Weight Gain, and Risk of Becoming Overweight or Obese in Middle-Aged and Older Women. Eur J Nutr. 2016; 55: 687–697. DOI: https://doi.org/10.1007%2Fs00394-015-0889-y.

Simopoulos AP, DiNicolantonio JJ. The Importance of a Balanced ω-6 to ω-3 Ratio in The Prevention and Management of Obesity. Open Hear. 2016; 3: 1–6. DOI: http://dx.doi.org/10.1136/openhrt-2015-000385.

Harun HM, Jannah N, Ahmad ZF. Evaluasi Pengobatan Radioterapi Pada Pasien Kanker. J Syifa Sci Clin Res. 2022; 4: 662–670. DOI: https://ejurnal.ung.ac.id/index.php/jsscr/article/view/15794.

Legianawati D, Puspitasari IM, Suwantika AA, Kusumadjati A. Profil Penatalaksanaan Kanker Serviks Stadium IIB–IIIB dengan Terapi Radiasi dan Kemoradiasi di Rumah Sakit Umum Pusat Dr. Hasan Sadikin Bandung Periode Tahun 2015–2017. Indones J Clin Pharm. 2019; 8: 205–216. DOI: http://dx.doi.org/10.15416/ijcp.2019.8.3.205.

Siregar MF, Supriana N, Nuranna L, Prihartono J. Reradiasi pada Kanker Serviks Rekuren: Respon Terapi dan Efek Samping. J Radioter dan Onkol Indones. 2014; 5: 42–50. DOI: http://www.pori.or.id/journal/index.php/JORI/article/view/26.

Nurmainah, Zulfita D. Pengolahan Diet PUFA (Polyunsaturated Fatty Acid) dari Ikan Gabus (Channa Striata) sebagai Upaya Pencegahan Penyakit Kardiovaskular Aterosklerosis. J PKM Pengabdi Kpd Masy. 2021; 4: 117–123. DOI: http://dx.doi.org/10.30998/jurnalpkm.v4i2.6319.

Ardi L. Manfaat Omega-3 Parenteral di Dunia Medis. Cermin Dunia Kedokt. 2019; 46: 12–15. DOI: https://doi.org/10.55175/cdk.v46i10.415.

Nisa AK, Juswono UP, Martono S. Efek Radioterapi terhadap Produksi Sel Darah pada Penderita Ca Mammae dan Ca Cervix. Malang: Universitas Brawijaya; 2017.

Liberman D, Mehus B, Elliott SP. Urinary Adverse Effects of Pelvic Radiotherapy. Transl Androl Urol. 2014; 3: 186–195. DOI: https://doi.org/10.3978/j.issn.2223-4683.2014.04.01.




DOI: https://doi.org/10.18196/mmjkk.v24i2.21958

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