The Role of Malnutrition and Muscle Wasting in Advanced Lung Cancer

Purpose of Review Malnutrition, cancer cachexia, and sarcopenia often co-occur in patients with advanced cancer and are associated with poorer response to chemotherapy and reduced survival. Here, we evaluate the current literature regarding the role of nutrition and these associated conditions in pa...

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Veröffentlicht in:Current oncology reports 2020-05, Vol.22 (6), p.54-54, Article 54
Hauptverfasser: Jain, Rishi, Coss, Chris, Whooley, Peter, Phelps, Mitch, Owen, Dwight H.
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container_end_page 54
container_issue 6
container_start_page 54
container_title Current oncology reports
container_volume 22
creator Jain, Rishi
Coss, Chris
Whooley, Peter
Phelps, Mitch
Owen, Dwight H.
description Purpose of Review Malnutrition, cancer cachexia, and sarcopenia often co-occur in patients with advanced cancer and are associated with poorer response to chemotherapy and reduced survival. Here, we evaluate the current literature regarding the role of nutrition and these associated conditions in patients with advanced lung cancer. Recent Findings While rates of malnutrition are high, nutritional intervention studies have generally been limited by small sample sizes. Novel strategies such as home-based meal delivery may have promise. While no therapy is approved for cancer cachexia, ghrelin agonists and other targeted therapies have yielded promising data in clinical trials. Recent data also suggest that obesity may improve immunotherapy responsiveness. Summary Malnutrition and associated muscle wasting are clearly negative prognostic markers in advanced lung cancer. Patients with malnutrition should be urgently referred for dietary counseling and guidelines for nutritional support should be followed. Optimal treatment of these syndromes will likely include nutrition and anti-cachexia interventions used in combination.
doi_str_mv 10.1007/s11912-020-00916-9
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subjects Animals
Body Mass Index
Cachexia
Cachexia - drug therapy
Cachexia - etiology
Cancer therapies
Chemotherapy
Clinical trials
Ghrelin
Ghrelin - antagonists & inhibitors
Humans
Immunotherapy
Lung cancer
Lung Cancer (H Borghaei
Lung Neoplasms - complications
Lung Neoplasms - therapy
Malnutrition
Malnutrition - epidemiology
Malnutrition - therapy
Medicine
Medicine & Public Health
Nutrition
Nutrition Assessment
Obesity - complications
Oncology
Patients
Sarcopenia
Section Editor
Topical Collection on Lung Cancer
title The Role of Malnutrition and Muscle Wasting in Advanced Lung Cancer
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