Postoperative Dietary Intake Achievement: A Secondary Analysis of a Randomized Controlled Trial

Chiou Yi Ho, Zuriati Ibrahim, Zalina Abu Zaid, Zulfitri Azuan Mat Daud, Nor Baizura Mohd Yusop, Mohd Norazam Mohd Abas, Jamil Omar, Chiou Yi Ho, Zuriati Ibrahim, Zalina Abu Zaid, Zulfitri Azuan Mat Daud, Nor Baizura Mohd Yusop, Mohd Norazam Mohd Abas, Jamil Omar

Abstract

Sufficient postoperative dietary intake is crucial for ensuring a better surgical outcome. This study aimed to investigate the postoperative dietary intake achievement and predictors of postoperative dietary intake among gynecologic cancer patients. A total of 118 participants were included in this secondary analysis. Postoperative dietary data was pooled and re-classified into early postoperative dietary intake achievement (EDIA) (daily energy intake (DEI) ≥ 75% from the estimated energy requirement (EER)) and delay dietary intake achievement (DDIA) (DEI < 75% EER) There was a significant difference in postoperative changes in weight (p = 0.002), muscle mass (p = 0.018), and handgrip strength (p = 0.010) between the groups. Postoperative daily energy and protein intake in the EDIA was significantly greater than DDIA from operation day to discharged (p = 0.000 and p = 0.036). Four significant independent postoperative dietary intake predictors were found: preoperative whey protein-infused carbohydrate loading (p = 0.000), postoperative nausea vomiting (p = 0.001), age (p = 0.010), and time to tolerate clear fluid (p = 0.016). The multilinear regression model significantly predicted postoperative dietary intake, F (4, 116) = 68.013, p = 0.000, adj. R2 = 0.698. With the four predictors' recognition, the integration of a more specific and comprehensive dietitian-led supportive care with individualized nutrition intervention ought to be considered to promote functional recovery.

Keywords: dietary intake; postoperative recovery; predictors.

Conflict of interest statement

The authors declare no conflict of interest.

Figures

Figure 1
Figure 1
Flow Diagram of the Subjects’ Selection Process and Specific Reasons for Exclusion.
Figure 2
Figure 2
Postoperative total daily energy intake trend.
Figure 3
Figure 3
Postoperative total daily protein intake trend.

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