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Impact of Nutritional Status on Severe Radiation-Induced Mucositis in Oropharyngeal Cancer Patients Undergoing Chemo-Radiotherapy
by
Toledo-Serrano, María Dolores
, De la Peña-Fernández, Lourdes
, Jiménez-Rodríguez, Herminda
, García-Almeida, José Manuel
, Muñoz-Lupiáñez, Marina
, Ruiz-López, María Asunción
, Fernández-Forné, África
, Fernández-Jiménez, Rocío
, Queipo-Ortuño, María Isabel
, Gómez-Millán, Jaime
in
Aged
/ Analysis
/ Body composition
/ Cancer
/ Cancer patients
/ Cancer therapies
/ Care and treatment
/ Chemoradiotherapy - adverse effects
/ Chemotherapy
/ Cohort analysis
/ Development and progression
/ Female
/ Head & neck cancer
/ Humans
/ Male
/ Malnutrition
/ Medical prognosis
/ Middle Aged
/ Mucositis
/ Mucositis - etiology
/ Nutrition
/ Nutrition Assessment
/ Nutritional Status
/ Oncology
/ Oropharyngeal Neoplasms - radiotherapy
/ Oropharyngeal Neoplasms - therapy
/ Ostomy
/ Patients
/ Product/Service Evaluations
/ Prospective Studies
/ Quality of life
/ Radiation
/ Radiation Injuries - etiology
/ Radiation therapy
/ Radiotherapy
/ Risk Factors
/ Squamous cell carcinoma
/ Variables
2025
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Impact of Nutritional Status on Severe Radiation-Induced Mucositis in Oropharyngeal Cancer Patients Undergoing Chemo-Radiotherapy
by
Toledo-Serrano, María Dolores
, De la Peña-Fernández, Lourdes
, Jiménez-Rodríguez, Herminda
, García-Almeida, José Manuel
, Muñoz-Lupiáñez, Marina
, Ruiz-López, María Asunción
, Fernández-Forné, África
, Fernández-Jiménez, Rocío
, Queipo-Ortuño, María Isabel
, Gómez-Millán, Jaime
in
Aged
/ Analysis
/ Body composition
/ Cancer
/ Cancer patients
/ Cancer therapies
/ Care and treatment
/ Chemoradiotherapy - adverse effects
/ Chemotherapy
/ Cohort analysis
/ Development and progression
/ Female
/ Head & neck cancer
/ Humans
/ Male
/ Malnutrition
/ Medical prognosis
/ Middle Aged
/ Mucositis
/ Mucositis - etiology
/ Nutrition
/ Nutrition Assessment
/ Nutritional Status
/ Oncology
/ Oropharyngeal Neoplasms - radiotherapy
/ Oropharyngeal Neoplasms - therapy
/ Ostomy
/ Patients
/ Product/Service Evaluations
/ Prospective Studies
/ Quality of life
/ Radiation
/ Radiation Injuries - etiology
/ Radiation therapy
/ Radiotherapy
/ Risk Factors
/ Squamous cell carcinoma
/ Variables
2025
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Impact of Nutritional Status on Severe Radiation-Induced Mucositis in Oropharyngeal Cancer Patients Undergoing Chemo-Radiotherapy
by
Toledo-Serrano, María Dolores
, De la Peña-Fernández, Lourdes
, Jiménez-Rodríguez, Herminda
, García-Almeida, José Manuel
, Muñoz-Lupiáñez, Marina
, Ruiz-López, María Asunción
, Fernández-Forné, África
, Fernández-Jiménez, Rocío
, Queipo-Ortuño, María Isabel
, Gómez-Millán, Jaime
in
Aged
/ Analysis
/ Body composition
/ Cancer
/ Cancer patients
/ Cancer therapies
/ Care and treatment
/ Chemoradiotherapy - adverse effects
/ Chemotherapy
/ Cohort analysis
/ Development and progression
/ Female
/ Head & neck cancer
/ Humans
/ Male
/ Malnutrition
/ Medical prognosis
/ Middle Aged
/ Mucositis
/ Mucositis - etiology
/ Nutrition
/ Nutrition Assessment
/ Nutritional Status
/ Oncology
/ Oropharyngeal Neoplasms - radiotherapy
/ Oropharyngeal Neoplasms - therapy
/ Ostomy
/ Patients
/ Product/Service Evaluations
/ Prospective Studies
/ Quality of life
/ Radiation
/ Radiation Injuries - etiology
/ Radiation therapy
/ Radiotherapy
/ Risk Factors
/ Squamous cell carcinoma
/ Variables
2025
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Impact of Nutritional Status on Severe Radiation-Induced Mucositis in Oropharyngeal Cancer Patients Undergoing Chemo-Radiotherapy
Journal Article
Impact of Nutritional Status on Severe Radiation-Induced Mucositis in Oropharyngeal Cancer Patients Undergoing Chemo-Radiotherapy
2025
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Overview
Background/Objectives: Severe radiation-induced mucositis (RIM) is the most distressing acute side effect experienced by oropharyngeal squamous cell carcinoma (OPSCC) patients during chemo-radiotherapy (CRT), with a prevalence between 40 and 68%. RIM severity exhibits a multifactorial etiology that remains unclear. We aimed to analyze nutritional and morphofunctional predictive factors for severe RIM in OPSCC patients undergoing CRT. Methods: A prospective cohort study was conducted. Global Leadership Initiative on Malnutrition (GLIM) criteria, bioelectrical impedance vector analysis (BIVA), functional assessment and dosimetric analysis were performed prior to radiotherapy. Results: Eighty-two patients were analyzed. Severe RIM affected 46.3% of patients. Severe malnutrition according to GLIM (p = 0.011), prolonged Timed Up and Go (TUG) test (p = 0.025) and larger PTV54 volume (p = 0.049) were independent predictive factors for severe RIM, while higher fat-free mass (FFM) (p = 0.006) showed a protective effect. Conclusions: These findings highlight the importance of a comprehensive early nutritional assessment for accurately identifying patients at a higher risk of severe RIM.
Publisher
MDPI AG
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