Nutrition support for sarcopenia in cancer patients

Nutrition support for sarcopenia in cancer patients Kalliopi Anna Poulia, RD, MMedSci, PhD Clinical Nutritionist-Dietitian, Laiko General Hospital of

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Nutrition support for sarcopenia in cancer patients Kalliopi Anna Poulia, RD, MMedSci, PhD Clinical Nutritionist-Dietitian, Laiko General Hospital of Athens Vice President of the Hellenic Dietetic Association Member of the Board of GrESPEN

Multiple factors contribute to nutritional status

Medical conditions Physiological changes

Genetic predisposition

Nutritional Status

Physical disability and mental disorders

Socioeconomic status

Malnutrition – ESPEN Terminology Guidelines 2016 • Malnutrition: “a state resulting from lack of intake or uptake of nutrition that leads to altered body composition (decreased fat free mass) and body cell mass leading to diminished physical and mental function and impaired clinical outcome from disease”. Can be a result of: • Starvation • Disease • Advanced ageing (e.g. >80 years), alone or in combination

Fig. 1

Clinical Nutrition DOI: (10.1016/j.clnu.2018.08.002)

Diagnostic algorithm for malnutrition

Clin Nutr, 2016, 15th September.

Cachexia – a combination of metabolic changes and energy intake –

Normal

Pro-cachexia • •

Anorexia and metabolic changes Body weight loss ≤5%

Refractory cachexia

Cachexia •



Weight loss >5% or ΒΜΙ G2 > G3 (p = .005) και §G1 > G2 > G3 (p = .001) Protein : **G2 > G1 > G3 (p = .006) and §§G1> G2 > G3 (p = .001).

Head & Neck 27: 659– 668, 2005

Nutrition Intervention is beneficial in oncology outpatients receiving radiotherapy to the gastrointestinal or head and neck area Isering EA, Capra S, Bauer LD, British Journal of Cancer, 2004

ΝΙ = Nutrition intervention UC = Usual care

Enteral (oral or tube administration) nutritional support and eicosapentaenoic acid in patients with cancer: A systematic review M. ELIA, M.A.E. VAN BOKHORST-DE VAN DER SCHUEREN, J. GARVEY, A. GOEDHART, K. LUNDHOLM, G. NITENBERG and R.J. STRATTON

INTERNATIONAL JOURNAL OF ONCOLOGY 28: 5-23, 2006

Enteral (oral or tube administration) nutritional support and eicosapentaenoic acid in patients with cancer: A systematic review M. ELIA, M.A.E. VAN BOKHORST-DE VAN DER SCHUEREN, J. GARVEY, A. GOEDHART,K. LUNDHOLM, G. NITENBERG and R.J. STRATTON

INTERNATIONAL JOURNAL OF ONCOLOGY 28: 5-23, 2006

References •

T. Cederholm, R. Barazzoni, P. Austin, P. Ballmer, G. Biolo, S.C. Bischoff, C. Compher, I. Correia, and others. ESPEN guidelines on definitions and terminology of clinical nutrition. Clinical Nutrition 36 (2017) 149-64



Jann Arends, Patrick Bachmann, Vickie Baracos, Nicole Barthelemy, Hartmut Bertz, Federico Bozzetti, Ken Fearon, Elisabeth Hütterer, Elizabeth Isenring, Stein Kaasa, Zeljko Krznaric, Barry Laird, Maria Larsson, Alessandro Laviano, Stefan Mühlebach, Maurizio Muscaritoli, Line Oldervoll, Paula Ravasco, Tora Solheim, Florian Strasser, Marian de van der Schueren, Jean-Charles Preise. ESPEN guidelines on nutrition in cancer patients Clinical Nutrition 36 (2017) 11–48



Cederholm, T.Jensen, Gordon L.Baptista, G. et al. GLIM criteria for the diagnosis of malnutrition – A consensus report from the global clinical nutrition community Clinical Nutrition , in press



M. ELIA, M.A.E. VAN BOKHORST-DE VAN DER SCHUEREN, J. GARVEY, A. GOEDHART,K. LUNDHOLM, G. NITENBERG and R.J. STRATTONEnteral (oral or tube administration) nutritional support and eicosapentaenoic acid in patients with cancer: A systematic review INTERNATIONAL JOURNAL OF ONCOLOGY 28: 5-23, 2006



Paula Ravasco, Isabel Monteiro-Grillo,Pedro Marques Vidal, Maria Ermelinda Camilo. IMPACT OF NUTRITION ON OUTCOME: A PROSPECTIVE RANDOMIZED CONTROLLED TRIAL IN PATIENTS WITH HEAD AND NECK CANCER UNDERGOING RADIOTHERAPY Head & Neck 27: 659– 668, 2005



Evans et al, 2008. Cachexia: a new definition. Clinical Nutrition 27, 793-799.



Biolo G et al. Clin Nutr 2014 Oct;33737-48.



Russell C & Elia M. Redditch, BAPEN. 2012.



Meijers JM et al. Br J Nutr 2009; 101(3):417-423.



M. Muscaritoli et al. / Clinical Nutrition 29 (2010) 154–159



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