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CACHEXIA AND MALNUTRITION IN CANCER PATIENTS: INFLAMMATION INDEXES EVALUATION AND NUTRITIONAL INTERVENTION

Authors :
F. Valoriani
M. Favarato
F. Brescia
L. Bortot
M. Borghi
Michele Bartoletti
C. Corvaja
S. Bodecchi
Giacomo Pelizzari
C. Lisanti
Fabio Puglisi
C.A. Bertuzzi
Silvio Ken Garattini
Lorenzo Gerratana
Valentina Fanotto
V. Solfrini
F. Fabiani
Debora Basile
Source :
Nutrition. 65:2-3
Publication Year :
2019
Publisher :
Elsevier BV, 2019.

Abstract

Cancer patients (CP) typically experiment cachexia and malnutrition due to cancer type and systemic inflammation, that may cause greater treatment toxicities, impacting on prognosis, response to treatment, hospitalization and quality of life. We retrospectively analyzed consecutive data of 190 CP treated from February 2017 to July 2018 at the Anesthesia and Intensive Care Unit of National Cancer Institute, Aviano. At nutritional assessment we evaluated the rate of weight loss (WL) compared to self-reported usual weight (UW) and at 6 and 1 months before the visit, performed by an expert physician and a certified dietitian. We explored the association of WL≥10% with inflammation biomarkers, total protein, albumin, diagnosis and nutritional intervention through chi-squared or Kruskal-Wallis test, as statistically appropriate (Tab.2). Patients’ characteristics were summarized through descriptive analysis (Tab.1). Noteworthy 48% of CP was ≥65 years old, 20% had BMI Prevention and treatment of cachexia still remain a critical need in CP. Therefore, integrating nutritional supportive care to oncologic treatments is crucial.

Details

ISSN :
08999007
Volume :
65
Database :
OpenAIRE
Journal :
Nutrition
Accession number :
edsair.doi...........d09537af1be215bfd262ac7b1f05017c
Full Text :
https://doi.org/10.1016/j.nut.2019.08.007