Lean body mass gain in patients with head and neck squamous cell cancer treated perioperatively with a protein- and energy-dense nutritional supplement containing eicosapentaenoic acid

Background Cancer‐associated weight loss may be mediated by an inflammatory response to cancer. Eicosapentaenoic acid (EPA) may suppress this response. Methods Beginning no later than 2 weeks before surgery, patients with head and neck cancer and with weight loss, who were undergoing major resection...

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Veröffentlicht in:Head & neck 2011-07, Vol.33 (7), p.1027-1033
Hauptverfasser: Weed, Harrison G., Ferguson, Maree L., Gaff, Robin L, Hustead, Deborah S., Nelson, Jeffrey L., Voss, Anne C.
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container_end_page 1033
container_issue 7
container_start_page 1027
container_title Head & neck
container_volume 33
creator Weed, Harrison G.
Ferguson, Maree L.
Gaff, Robin L
Hustead, Deborah S.
Nelson, Jeffrey L.
Voss, Anne C.
description Background Cancer‐associated weight loss may be mediated by an inflammatory response to cancer. Eicosapentaenoic acid (EPA) may suppress this response. Methods Beginning no later than 2 weeks before surgery, patients with head and neck cancer and with weight loss, who were undergoing major resection with curative intent consumed a protein‐ and energy‐dense nutritional supplement containing EPA from fish oil, in addition to usual diet or tube feed. Results Thirty‐one subjects consumed an average of 1.8 containers/day before surgery and 1.5/day during hospitalization (per container: 300 kilocalories, 16 grams (g) protein, 1.08 g EPA). Seventy percent of subjects maintained or gained weight before hospital admission. Mean weight gain was 0.71 kg at admission and 0.66 kg at discharge. At discharge lean body mass increased by 3.20 kg (p < .001) and fat decreased by 3.19 kg (p < .001). Conclusions An EPA‐containing protein‐ and energy‐dense nutritional supplement may help increase perioperative lean body mass in patients with head and neck cancer–related weight loss. © 2010 Wiley Periodicals, Inc. Head Neck, 2011
doi_str_mv 10.1002/hed.21580
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Eicosapentaenoic acid (EPA) may suppress this response. Methods Beginning no later than 2 weeks before surgery, patients with head and neck cancer and with weight loss, who were undergoing major resection with curative intent consumed a protein‐ and energy‐dense nutritional supplement containing EPA from fish oil, in addition to usual diet or tube feed. Results Thirty‐one subjects consumed an average of 1.8 containers/day before surgery and 1.5/day during hospitalization (per container: 300 kilocalories, 16 grams (g) protein, 1.08 g EPA). Seventy percent of subjects maintained or gained weight before hospital admission. Mean weight gain was 0.71 kg at admission and 0.66 kg at discharge. At discharge lean body mass increased by 3.20 kg (p &lt; .001) and fat decreased by 3.19 kg (p &lt; .001). Conclusions An EPA‐containing protein‐ and energy‐dense nutritional supplement may help increase perioperative lean body mass in patients with head and neck cancer–related weight loss. © 2010 Wiley Periodicals, Inc. Head Neck, 2011</description><identifier>ISSN: 1043-3074</identifier><identifier>EISSN: 1097-0347</identifier><identifier>DOI: 10.1002/hed.21580</identifier><identifier>PMID: 20967868</identifier><language>eng</language><publisher>Hoboken: Wiley Subscription Services, Inc., A Wiley Company</publisher><subject>Adult ; Aged ; Biological and medical sciences ; Body Composition ; cachexia ; Cachexia - diet therapy ; Carcinoma, Squamous Cell - diet therapy ; Carcinoma, Squamous Cell - surgery ; Combined Modality Therapy ; Dietary Proteins - administration &amp; dosage ; Dietary Supplements ; eicosanoids ; Eicosapentaenoic Acid - pharmacology ; Eicosapentaenoic Acid - therapeutic use ; Female ; fish oils ; head and neck neoplasms ; Head and Neck Neoplasms - diet therapy ; Head and Neck Neoplasms - surgery ; Humans ; Male ; Medical sciences ; Middle Aged ; Otorhinolaryngology. Stomatology ; Prospective Studies ; squamous cell cancer ; Squamous Cell Carcinoma of Head and Neck ; Weight Loss - drug effects</subject><ispartof>Head &amp; neck, 2011-07, Vol.33 (7), p.1027-1033</ispartof><rights>Copyright © 2010 Wiley Periodicals, Inc.</rights><rights>2015 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3920-346bd8c91bbed7574ffaefa55c3945f7aeff5003ab3d4dde9f49157d0d33ab0a3</citedby><cites>FETCH-LOGICAL-c3920-346bd8c91bbed7574ffaefa55c3945f7aeff5003ab3d4dde9f49157d0d33ab0a3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Fhed.21580$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Fhed.21580$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&amp;idt=24280698$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/20967868$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Weed, Harrison G.</creatorcontrib><creatorcontrib>Ferguson, Maree L.</creatorcontrib><creatorcontrib>Gaff, Robin L</creatorcontrib><creatorcontrib>Hustead, Deborah S.</creatorcontrib><creatorcontrib>Nelson, Jeffrey L.</creatorcontrib><creatorcontrib>Voss, Anne C.</creatorcontrib><title>Lean body mass gain in patients with head and neck squamous cell cancer treated perioperatively with a protein- and energy-dense nutritional supplement containing eicosapentaenoic acid</title><title>Head &amp; neck</title><addtitle>Head Neck</addtitle><description>Background Cancer‐associated weight loss may be mediated by an inflammatory response to cancer. Eicosapentaenoic acid (EPA) may suppress this response. Methods Beginning no later than 2 weeks before surgery, patients with head and neck cancer and with weight loss, who were undergoing major resection with curative intent consumed a protein‐ and energy‐dense nutritional supplement containing EPA from fish oil, in addition to usual diet or tube feed. Results Thirty‐one subjects consumed an average of 1.8 containers/day before surgery and 1.5/day during hospitalization (per container: 300 kilocalories, 16 grams (g) protein, 1.08 g EPA). Seventy percent of subjects maintained or gained weight before hospital admission. Mean weight gain was 0.71 kg at admission and 0.66 kg at discharge. At discharge lean body mass increased by 3.20 kg (p &lt; .001) and fat decreased by 3.19 kg (p &lt; .001). Conclusions An EPA‐containing protein‐ and energy‐dense nutritional supplement may help increase perioperative lean body mass in patients with head and neck cancer–related weight loss. © 2010 Wiley Periodicals, Inc. Head Neck, 2011</description><subject>Adult</subject><subject>Aged</subject><subject>Biological and medical sciences</subject><subject>Body Composition</subject><subject>cachexia</subject><subject>Cachexia - diet therapy</subject><subject>Carcinoma, Squamous Cell - diet therapy</subject><subject>Carcinoma, Squamous Cell - surgery</subject><subject>Combined Modality Therapy</subject><subject>Dietary Proteins - administration &amp; dosage</subject><subject>Dietary Supplements</subject><subject>eicosanoids</subject><subject>Eicosapentaenoic Acid - pharmacology</subject><subject>Eicosapentaenoic Acid - therapeutic use</subject><subject>Female</subject><subject>fish oils</subject><subject>head and neck neoplasms</subject><subject>Head and Neck Neoplasms - diet therapy</subject><subject>Head and Neck Neoplasms - surgery</subject><subject>Humans</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Otorhinolaryngology. Stomatology</subject><subject>Prospective Studies</subject><subject>squamous cell cancer</subject><subject>Squamous Cell Carcinoma of Head and Neck</subject><subject>Weight Loss - drug effects</subject><issn>1043-3074</issn><issn>1097-0347</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2011</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kU1v1DAQhiMEoqVw4A8gXxDikNaJnTg50m-kFUgIVImLNbEnu6aJk9oObf5Zfx7eZhdOSJY_xs87Y8-bJG8zepxRmp9sUB_nWVHRZ8lhRmuRUsbF8-2es5RRwQ-SV97_opSykucvk4Oc1qWoyuoweVwhWNIMeiY9eE_WYCyJY4Rg0AZP7k3YkA2CJmA1sahuib-boB8mTxR2HVFgFToSHEJATUZ0ZohT1P_Gbl70QEY3BDQ2fcqCFt16TjVaj8ROwZlgBgsd8dM4dtjHwkQNNsS3GLsmaNTgYYxRQDsYRUAZ_Tp50ULn8c1uPUp-XF58P7tOV1-vPp99WqWK1TlNGS8bXak6axrUohC8bQFbKIp4zYtWxENbxL5AwzTXGuuW11khNNUsxiiwo-TDkjf-4G5CH2Rv_PbjYDH2QFYiz3Je1SKSHxdSucF7h60cnenBzTKjcuuTjD7JJ58i-26XdWr6GN2Te2Mi8H4HgFfQtS522fh_HM8rWtZb7mTh7k2H8_8ryuuL833pdFEYH_DhrwLcrSwFE4W8-XIlz1eXp6tvpz_lDfsDd1--kg</recordid><startdate>201107</startdate><enddate>201107</enddate><creator>Weed, Harrison G.</creator><creator>Ferguson, Maree L.</creator><creator>Gaff, Robin L</creator><creator>Hustead, Deborah S.</creator><creator>Nelson, Jeffrey L.</creator><creator>Voss, Anne C.</creator><general>Wiley Subscription Services, Inc., A Wiley Company</general><general>Wiley</general><scope>BSCLL</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>201107</creationdate><title>Lean body mass gain in patients with head and neck squamous cell cancer treated perioperatively with a protein- and energy-dense nutritional supplement containing eicosapentaenoic acid</title><author>Weed, Harrison G. ; Ferguson, Maree L. ; Gaff, Robin L ; Hustead, Deborah S. ; Nelson, Jeffrey L. ; Voss, Anne C.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3920-346bd8c91bbed7574ffaefa55c3945f7aeff5003ab3d4dde9f49157d0d33ab0a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2011</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Biological and medical sciences</topic><topic>Body Composition</topic><topic>cachexia</topic><topic>Cachexia - diet therapy</topic><topic>Carcinoma, Squamous Cell - diet therapy</topic><topic>Carcinoma, Squamous Cell - surgery</topic><topic>Combined Modality Therapy</topic><topic>Dietary Proteins - administration &amp; dosage</topic><topic>Dietary Supplements</topic><topic>eicosanoids</topic><topic>Eicosapentaenoic Acid - pharmacology</topic><topic>Eicosapentaenoic Acid - therapeutic use</topic><topic>Female</topic><topic>fish oils</topic><topic>head and neck neoplasms</topic><topic>Head and Neck Neoplasms - diet therapy</topic><topic>Head and Neck Neoplasms - surgery</topic><topic>Humans</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Otorhinolaryngology. Stomatology</topic><topic>Prospective Studies</topic><topic>squamous cell cancer</topic><topic>Squamous Cell Carcinoma of Head and Neck</topic><topic>Weight Loss - drug effects</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Weed, Harrison G.</creatorcontrib><creatorcontrib>Ferguson, Maree L.</creatorcontrib><creatorcontrib>Gaff, Robin L</creatorcontrib><creatorcontrib>Hustead, Deborah S.</creatorcontrib><creatorcontrib>Nelson, Jeffrey L.</creatorcontrib><creatorcontrib>Voss, Anne C.</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Head &amp; neck</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Weed, Harrison G.</au><au>Ferguson, Maree L.</au><au>Gaff, Robin L</au><au>Hustead, Deborah S.</au><au>Nelson, Jeffrey L.</au><au>Voss, Anne C.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Lean body mass gain in patients with head and neck squamous cell cancer treated perioperatively with a protein- and energy-dense nutritional supplement containing eicosapentaenoic acid</atitle><jtitle>Head &amp; neck</jtitle><addtitle>Head Neck</addtitle><date>2011-07</date><risdate>2011</risdate><volume>33</volume><issue>7</issue><spage>1027</spage><epage>1033</epage><pages>1027-1033</pages><issn>1043-3074</issn><eissn>1097-0347</eissn><abstract>Background Cancer‐associated weight loss may be mediated by an inflammatory response to cancer. Eicosapentaenoic acid (EPA) may suppress this response. Methods Beginning no later than 2 weeks before surgery, patients with head and neck cancer and with weight loss, who were undergoing major resection with curative intent consumed a protein‐ and energy‐dense nutritional supplement containing EPA from fish oil, in addition to usual diet or tube feed. Results Thirty‐one subjects consumed an average of 1.8 containers/day before surgery and 1.5/day during hospitalization (per container: 300 kilocalories, 16 grams (g) protein, 1.08 g EPA). Seventy percent of subjects maintained or gained weight before hospital admission. Mean weight gain was 0.71 kg at admission and 0.66 kg at discharge. At discharge lean body mass increased by 3.20 kg (p &lt; .001) and fat decreased by 3.19 kg (p &lt; .001). Conclusions An EPA‐containing protein‐ and energy‐dense nutritional supplement may help increase perioperative lean body mass in patients with head and neck cancer–related weight loss. © 2010 Wiley Periodicals, Inc. Head Neck, 2011</abstract><cop>Hoboken</cop><pub>Wiley Subscription Services, Inc., A Wiley Company</pub><pmid>20967868</pmid><doi>10.1002/hed.21580</doi><tpages>7</tpages></addata></record>
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subjects Adult
Aged
Biological and medical sciences
Body Composition
cachexia
Cachexia - diet therapy
Carcinoma, Squamous Cell - diet therapy
Carcinoma, Squamous Cell - surgery
Combined Modality Therapy
Dietary Proteins - administration & dosage
Dietary Supplements
eicosanoids
Eicosapentaenoic Acid - pharmacology
Eicosapentaenoic Acid - therapeutic use
Female
fish oils
head and neck neoplasms
Head and Neck Neoplasms - diet therapy
Head and Neck Neoplasms - surgery
Humans
Male
Medical sciences
Middle Aged
Otorhinolaryngology. Stomatology
Prospective Studies
squamous cell cancer
Squamous Cell Carcinoma of Head and Neck
Weight Loss - drug effects
title Lean body mass gain in patients with head and neck squamous cell cancer treated perioperatively with a protein- and energy-dense nutritional supplement containing eicosapentaenoic acid
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