SEOM clinical guidelines on nutrition in cancer patients (2018)

Peñas, R. de las; Majem, Margarita; Perez-Altozano, J.; Virizuela, J. A.; Cáncer, Emilia; Díz, Pilar; Donnay, O.; Hurtado, Alicia; Jiménez‐Fonseca, Paula; Ocón, María J.

doi:10.1007/s12094-018-02009-3

Cited by 83 publications

(93 citation statements)

References 26 publications

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“…Muscle mass loss and fatty muscle infiltration are frequently used to assess malnutrition, sarcopenia, and cachexia and to monitor the side effects of cancer therapy [42]. Cancer-independent, significant muscle mass loss in older adults is an important factor that should be considered in such assessments.…”

Section: Nutrition and Cancer Therapy In The Elderlymentioning

confidence: 99%

Nutrition in Cancer Therapy in the Elderly—An Epigenetic Connection?

et al. 2020

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The continuous increase in life expectancy results in a steady increase of cancer risk, which consequently increases the population of older adults with cancer. Older adults have their age-related nutritional needs and often suffer from comorbidities that may affect cancer therapy. They frequently are malnourished and present advanced-stage cancer. Therefore, this group of patients requires a special multidisciplinary approach to optimize their therapy and increase quality of life impaired by aging, cancer, and the side effects of therapy. Evaluation strategies, taking advantage of comprehensive geriatric assessment tools, including the comprehensive geriatric assessment (CGA), can help individualize treatment. As epigenetics, an emerging element of the regulation of gene expression, is involved in both aging and cancer and the epigenetic profile can be modulated by the diet, it seems to be a candidate to assist with planning a nutritional intervention in elderly populations with cancer. In this review, we present problems associated with the diet and nutrition in the elderly undergoing active cancer therapy and provide some information on epigenetic aspects of aging and cancer transformation. Nutritional interventions modulating the epigenetic profile, including caloric restriction and basal diet with modifications (elimination diet, supplementary diet) are discussed as the ways to improve the efficacy of cancer therapy and maintain the quality of life of older adults with cancer.

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Section: Nutrition and Cancer Therapy In The Elderlymentioning

confidence: 99%

Nutrition in Cancer Therapy in the Elderly—An Epigenetic Connection?

et al. 2020

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“…Two Category B guidelines advise referral for nutrition counseling for individuals at risk for malnutrition. 132,133 Palliative Care Guidelines…”

Section: Nutrition Guidelinesmentioning

confidence: 99%

A systematic review of rehabilitation and exercise recommendations in oncology guidelines

Stout

Mina

Lyons

et al. 2020

CA A Cancer J Clinicians

171

140

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Guidelines promote high quality cancer care. Rehabilitation recommendations in oncology guidelines have not been characterized and may provide insight to improve integration of rehabilitation into oncology care. This report was developed as a part of the World Health Organization (WHO) Rehabilitation 2030 initiative to identify rehabilitation-specific recommendations in guidelines for oncology care. A systematic review of guidelines was conducted. Only guidelines published in English, for adults with cancer, providing recommendations for rehabilitation referral and assessment or interventions between 2009 and 2019 were included. 13840 articles were identified. After duplicates and applied filters, 4897 articles were screened. 69 guidelines were identified with rehabilitation-specific recommendations. Thirtyseven of the 69 guidelines endorsed referral to rehabilitation services but provided no specific recommendations regarding assessment or interventions. Thirty-two of the 69 guidelines met the full inclusion criteria and were assessed using the AGREE II tool. Twenty-one of these guidelines achieved an AGREE II quality score of ≥ 45 and were fully extracted. Guidelines exclusive to pharmacologic interventions and complementary and alternative interventions were excluded. Findings identify guidelines that recommend rehabilitation services across many cancer types and for various consequences of cancer treatment signifying that rehabilitation is a recognized component of oncology care. However, these findings are at odds with clinical reports of low rehabilitation utilization rates suggesting that guideline recommendations may be overlooked. Considering that functional morbidity negatively affects a majority of cancer survivors, improving guideline concordant rehabilitative care could have substantial impact on function and quality of life among cancer survivors. CA Cancer

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“…Although the results from animal studies are promising and human trials have begun, clinical oncologists to date only provide universal and generic dietary guidelines to all cancer patients [19]. For example, in the latest nutrition guide published by the American Institute for Cancer Research, Livestrong Foundation, and Savor Health [20], the main nutrition recommendation for all cancer patients under treatment is to eat a healthy and clean diet.…”

Section: Introductionmentioning

confidence: 99%

“…The European Society for Clinical Nutrition and Metabolism (ESPEN) guideline for patients undergoing drug treatment is to "ensure adequate nutritional intake" [21]. Several experts have pointed out that the level of evidence for these recommendations is low [19,21]. In fact, to our knowledge, no nutrition guidelines or recommendations have ever mentioned any form of SCR.…”

Section: Introductionmentioning

confidence: 99%

Feasibility, Process, and Effects of Short-Term Calorie Reduction in Cancer Patients Receiving Chemotherapy: An Integrative Review

Tang¹,

Chen²,

Huang³

et al. 2020

Preprint

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Recent preclinical studies have shown the potential benefits of short-term calorie reduction (SCR) on cancer treatment. In this integrative review, we aimed to identify and synthesize current evidence regarding the feasibility, process, and effects of SCR in cancer patients receiving chemotherapy. PubMed, Cumulative Index to Nursing and Allied Health Literature, Ovid Medline, PsychINFO, and Embase were searched for original research articles using various combinations of Medical Subject Heading terms. Among the 311 articles identified, seven studies met the inclusion criteria. The majority of the reviewed studies was small randomized controlled trials or cohort study with fair quality. The results suggest that SCR is safe and feasible. SCR is typically arranged around the chemotherapy with the duration ranging from 24 to 96 hours. Most studies examined the protective effects of SCR on normal cells during chemotherapy. The evidence supports that SCR had the potential to enhance both physical and psychological wellbeing of patients during chemotherapy. SCR is a cost-effective intervention with great potential. Future well-controlled studies with sufficient sample sizes are needed to examine the full and long-term effects of SCR and its mechanism of action.

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SEOM clinical guidelines on nutrition in cancer patients (2018)

Cited by 83 publications

References 26 publications

Nutrition in Cancer Therapy in the Elderly—An Epigenetic Connection?

Nutrition in Cancer Therapy in the Elderly—An Epigenetic Connection?

A systematic review of rehabilitation and exercise recommendations in oncology guidelines

Feasibility, Process, and Effects of Short-Term Calorie Reduction in Cancer Patients Receiving Chemotherapy: An Integrative Review

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