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All Journal Majalah Kedokteran Bandung Althea Medical Journal Jurnal Sistem Kesehatan Journal of Medicine and Health IJCNP (INDONESIAN JOURNAL OF CLINICAL NUTRITION PHYSICIAN)
Yenni Zuhairini
Department Of Medical Nutrition Faculty Of Medicine Universitas Padjadjaran
Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience Public Health

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Journal : IJCNP (INDONESIAN JOURNAL OF CLINICAL NUTRITION PHYSICIAN)

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REDUCED BODY MASS INDEX BUT NOT FAT MASS IN ANTHRACYCLINE-BASED CHEMOTHERAPY OF LOCALLY ADVANCED BREAST CANCER PATIENTS Isma Rachmawati; Raden Yohana; Bambang Amam; Yenni Zuhairini
IJCNP : INDONESIAN JOURNAL OF CLINICAL NUTRITION PHYSICIAN Vol 6 No 1 (2023): IJCNP (INDONESIAN JOURNAL OF CLINICAL NUTRITION PHYSICIAN)
Publisher : Perhimpunan Dokter Gizi Klinik Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54773/ijcnp.v6i1.174

Abstract

Background: Breast cancer is a cancer disease with the highest proportion of new cases and the proportion of deaths it causes is quite high at 6.9%. Cancer patients who use anthracycline-based chemotherapy experience loss of body weight, muscle, body cell mass, distribution of extracellular fluid expansion and reduced intracellular air. This study was to determine the change of the Body Mass index (BMI) and body composition of patients with locally advanced breast cancer (stage IIIA, IIIB and IIIC) who had undergone anthracycline-based chemotherapy.Methods: This anthracycline-based observational analytical study of pre and post chemotherapy was conducted with a cross-sectional approach. Subjects were measured height by microtoise; weight, body composition, daily calorie intake (DCI) and basal metabolic rate (BMR) as measured by Bioelectrical Impendance Analysis (BIA).Results: 47 locally advanced breast cancer patients underwent anthracycline-based chemotherapy. Based on the Wilcoxon statistical test, 6 variables with a 95% confidence level (p<0.05) showed a decrease in the value 5 variables, namely BMI, total body water (TBW), visceral fat, skeletal muscle mass and skeletal bone mass. Meanwhile, body fat showed a p value=0.224. The changes of variable confounding, DCI decrease (p=0.004), but BMR increase not significantly (p=0.795).Conclusion: There is an effect of chemotherapy on nutritional status of BMI, TBW, visceral fat, skeletal muscle mass and bone mass in patients with locally advanced breast cancer who underwent anthracycline-based chemotherapy, which may the result of the calorie intake decreased, but not on body fat
Co-Authors Akbar, Gemuruh Putra Ambrosius Purba Ambrosius Purba Amillia Siddiq, Amillia Andri Rezano Angela Ferdina Claresta Bambang Amam Gaga Irawan Nugraha Gemuruh Putra Akbar Isma Rachmawati Julistio Djais Julistio Djais, Julistio Kasmanto, Hendro Kiki A. Rizki Laurensia Imelda Liza Karina Hauteas Moniq W. Aryantie Muhammad Ilman Muhammad Ilman, Muhammad Raden Yohana Rizqy D. Monica Rudi Supritadi Rudi Supriyadi Subandra, Yogi Sudigdo Adi Yogi Subandra