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Association Between Nutritional Status and Neutrophil Lymphocyte Ratio in Patients with Lung Cancer at Persahabatan Hospital, Indonesia

Context: Systemic inflammation in patients with lung cancer can be seen by the increase of neutrophil lymphocyte ratio (NLR) where these examinations are common in hospitals. Systemic inflammation can cause anorexia resulting in decreased nutrition intake of patients with lung cancer and affecting their nutritional status. One of the diagnostics of nutritional status for patients with lung cancer is using the American Society for Parenteral and Enteral Nutrition (ASPEN) criteria that consist of decreased nutritional intake, weight loss, decreased muscle mass and subcutaneous fat mass, general or local fluid accumulation, and functional capacity. Malnutrition can be diagnosed if there are two of the six criteria. Aims: The study aims to determine the relationship between nutritional status and NLR in patients with lung cancer at Persahabatan Hospital in East Jakarta, Indonesia. Settings and Design: This cross-sectional study included 52 patients with lung cancer in oncology outpatient clinic of Persahabatan Hospital. Methods and Material: Data of characteristics subject were taken from interviews, physical examinations, laboratory analysis, and patients medical records in the oncology outpatient clinic of Persahabatan Hospital. Statistical analysis used chi-square or Fisher exact test to assess relationship between nutritional status and NLR (P < 0.05). Results: Based on nutrient intake, more than 50% of the subjects had low energy and protein intake. Based on patient generated subjective global assessment, 38.5% of subjects were at risk of malnutrition or moderate malnutrition, while 67.3% of them were malnutrition based on ASPEN. There was no statistically significant association between nutritional status and NLR (P = 0.35). Conclusions: There was no association between nutritional status and NLR, and so further research with larger samples is needed.