{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,15]],"date-time":"2026-05-15T15:26:07Z","timestamp":1778858767950,"version":"3.51.4"},"reference-count":17,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2025,5,9]],"date-time":"2025-05-09T00:00:00Z","timestamp":1746748800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Nutr."],"abstract":"<jats:sec><jats:title>Background and objectives<\/jats:title><jats:p>Malnutrition is a common problem among cancer patients, significantly impacting clinical outcomes and quality of life. This study aimed to evaluate the prevalence of malnutrition and its associated factors in geriatric cancer patients undergoing chemotherapy.<\/jats:p><\/jats:sec><jats:sec><jats:title>Materials and methods<\/jats:title><jats:p>This prospective study included 471 patients aged 65\u202fyears and older, conducted at Ankara Etlik City Hospital between January and December 2023. Patients\u2019 demographic, clinical, and nutritional statuses were assessed using the Mini Nutritional Assessment (MNA). Nutritional status was classified as normal (MNA\u202f\u2265\u202f24), at risk of malnutrition (MNA 17\u201323.5), and malnourished (MNA\u202f&amp;lt;\u202f17). Depression and insomnia were evaluated using the Geriatric Depression Scale (GDS) and the Insomnia Severity Index (ISI), respectively. Factors associated with malnutrition were analyzed statistically.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Malnutrition was identified in 20.5% of the patients. Malnutrition was significantly associated with radiotherapy (<jats:italic>p<\/jats:italic>\u202f=\u202f0.001), surgical history (<jats:italic>p<\/jats:italic>\u202f=\u202f0.001), adjuvant therapy (<jats:italic>p<\/jats:italic>\u202f=\u202f0.002), metastatic disease (<jats:italic>p<\/jats:italic>\u202f=\u202f0.011), low BMI (<jats:italic>p<\/jats:italic>\u202f&amp;lt;\u202f0.001), high depression scores (<jats:italic>p<\/jats:italic> &amp;lt;\u202f0.001), moderate-to-severe insomnia (<jats:italic>p<\/jats:italic>\u202f&amp;lt;\u202f0.001), and the presence of comorbidities (<jats:italic>p<\/jats:italic>\u202f=\u202f0.022). However, no significant association was found between pain and malnutrition (<jats:italic>p<\/jats:italic>\u202f=\u202f0.07).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>This study highlights the multifactorial nature of malnutrition in geriatric cancer patients and emphasizes the importance of regular nutritional assessments using validated tools like MNA. Early detection and intervention can improve clinical outcomes and quality of life. However, the study has certain limitations, including being single-center, the use of self-reported measures, and the exclusion of palliative patients, which may affect the generalizability of the results.<\/jats:p><\/jats:sec>","DOI":"10.3389\/fnut.2025.1590137","type":"journal-article","created":{"date-parts":[[2025,5,9]],"date-time":"2025-05-09T14:59:07Z","timestamp":1746802747000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":4,"title":["Assessment of malnutrition in cancer patients: a geriatric approach with the mini nutritional assessment"],"prefix":"10.3389","volume":"12","author":[{"given":"Ozlem","family":"Dogan","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hayriye","family":"Sahinli","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dogan","family":"Yazilitas","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1965","published-online":{"date-parts":[[2025,5,9]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"1187","DOI":"10.1016\/j.clnu.2017.06.017","article-title":"ESPEN expert group recommendations for action against cancer-related malnutrition","volume":"36","author":"Arends","year":"2017","journal-title":"Clin Nutr"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"61","DOI":"10.1080\/01635581.2022.2104877","article-title":"Mini nutritional assessment for adult cancer patients: a systematic review and meta-analysis","volume":"75","author":"Wang","year":"2022","journal-title":"Nutr Cancer"},{"key":"ref3","doi-asserted-by":"publisher","first-page":"279","DOI":"10.1007\/s00520-008-0476-3","article-title":"Screening the nutritional status in oncology: a preliminary report on 1,000 outpatients","volume":"17","author":"Bozzetti","year":"2009","journal-title":"Support Care Cancer"},{"key":"ref4","doi-asserted-by":"publisher","first-page":"196","DOI":"10.1177\/0148607113502674","article-title":"Prevalence of malnutrition and current use of nutrition support in patients with cancer","volume":"38","author":"H\u00e9buterne","year":"2014","journal-title":"J Parenter Enter Nutr"},{"key":"ref5","doi-asserted-by":"publisher","first-page":"e100044","DOI":"10.1200\/EDBK_100044","article-title":"Geriatric oncology: a 5-year strategic plan","volume":"44","author":"Diaz","year":"2024","journal-title":"Am Soc Clin Oncol Educ Book"},{"key":"ref6","doi-asserted-by":"publisher","first-page":"11","DOI":"10.1016\/j.clnu.2016.07.015","article-title":"ESPEN guidelines on nutrition in cancer patients","volume":"36","author":"Arends","year":"2017","journal-title":"Clin Nutr"},{"key":"ref7","doi-asserted-by":"publisher","first-page":"S59","DOI":"10.1111\/j.1753-4887.1996.tb03793.x","article-title":"Assessing the nutritional status of the elderly: the Mini nutritional assessment as part of the geriatric evaluation","volume":"54","author":"Guigoz","year":"1996","journal-title":"Nutr Rev"},{"key":"ref8","doi-asserted-by":"crossref","DOI":"10.1093\/oso\/9780195171693.001.0001","volume-title":"Principles of nutritional assessment","author":"Gibson","year":"2005"},{"key":"ref9","doi-asserted-by":"publisher","first-page":"173","DOI":"10.1177\/089198879100400310","article-title":"The short form of the geriatric depression scale: a comparison with the 30-item form","volume":"4","author":"Burke","year":"1991","journal-title":"J Geriatr Psychiatry Neurol"},{"key":"ref10","doi-asserted-by":"publisher","first-page":"707","DOI":"10.1016\/j.ajem.2018.01.008","article-title":"A systematic review of the pain scales in adults: which to use?","volume":"36","author":"Karcioglu","year":"2018","journal-title":"Am J Emerg Med"},{"key":"ref11","doi-asserted-by":"publisher","first-page":"1980","DOI":"10.3390\/nu13061980","article-title":"The spectrum of malnutrition\/cachexia\/sarcopenia in oncology according to different cancer types and settings: a narrative review","volume":"13","author":"Bossi","year":"2021","journal-title":"Nutrients"},{"key":"ref12","doi-asserted-by":"publisher","first-page":"100638","DOI":"10.1016\/j.currproblcancer.2020.100638","article-title":"Nutritional assessment and risk factors associated to malnutrition in patients with esophageal cancer","volume":"45","author":"Cao","year":"2021","journal-title":"Curr Probl Cancer"},{"key":"ref13","doi-asserted-by":"publisher","first-page":"870","DOI":"10.1080\/01635581.2024.2381271","article-title":"Cancer-related malnutrition and the role of parenteral nutrition in Cancer; A narrative review","volume":"76","author":"Firouzabadi","year":"2024","journal-title":"Nutr Cancer"},{"key":"ref14","doi-asserted-by":"publisher","first-page":"183","DOI":"10.5152\/alphapsychiatry.2024.231336","article-title":"Systematic review and Meta-analysis of the association between malnutrition and risk of depression in the elderly","volume":"25","author":"Hu","year":"2024","journal-title":"Alpha Psychiatry"},{"key":"ref15","doi-asserted-by":"publisher","first-page":"2477","DOI":"10.1016\/j.clnu.2018.12.007","article-title":"Potentially modifiable determinants of malnutrition in older adults: a systematic review","volume":"38","author":"O'Keeffe","year":"2019","journal-title":"Clin Nutr"},{"key":"ref16","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1038\/nrdp.2017.105","article-title":"Cancer-associated cachexia","volume":"4","author":"Baracos","year":"2018","journal-title":"Nat Rev Dis Prim"},{"key":"ref17","doi-asserted-by":"publisher","first-page":"207","DOI":"10.1002\/jcsm.12383","article-title":"GLIM criteria for the diagnosis of malnutrition\u2013a consensus report from the global clinical nutrition community","volume":"10","author":"Cederholm","year":"2019","journal-title":"J Cachexia Sarcopenia Muscle"}],"container-title":["Frontiers in Nutrition"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fnut.2025.1590137\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,5,9]],"date-time":"2025-05-09T14:59:08Z","timestamp":1746802748000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fnut.2025.1590137\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,5,9]]},"references-count":17,"alternative-id":["10.3389\/fnut.2025.1590137"],"URL":"https:\/\/doi.org\/10.3389\/fnut.2025.1590137","relation":{},"ISSN":["2296-861X"],"issn-type":[{"value":"2296-861X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,5,9]]},"article-number":"1590137"}}