Nutritional Support in Lung Cancer Patients: The State of the Art

被引:17
|
作者
Mele, Maria Cristina [1 ,5 ]
Rinninella, Emanuele [2 ,5 ]
Cintoni, Marco [6 ]
Pulcini, Gabriele [1 ]
Di Donato, Agnese [1 ]
Grassi, Futura [2 ]
Trestini, Ilaria [7 ]
Pozzo, Carmelo [3 ,8 ]
Tortora, Giampaolo [3 ,8 ]
Gasbarrini, Antonio [4 ,5 ]
Bria, Emilio [3 ,8 ]
机构
[1] UOSD Nutr Avanzata Oncol, Dipartimento Sci Med & Chirurg, Rome, Italy
[2] UOC Nutr Clin, Dipartimento Sci Med & Chirurg, Rome, Italy
[3] Comprehensive Canc Ctr, Oncol Med, Rome, Italy
[4] Fdn Policlin Univ A Gemelli IRCCS, Dipartimento Sci Med & Chirurg, UOC Med Interna & Gastroenterol, Rome, Italy
[5] Univ Cattolica Sacro Cuore, Dipartimento Med & Chirurg Traslaz, Rome, Italy
[6] Univ Roma Tor Vergata, Scuola Specializzaz Sci Alimentaz, Via Montpellier 1, I-00133 Rome, Italy
[7] Univ Verona, Azienda Osped Univ Integrata, Oncol Med, Verona, Italy
[8] Univ Cattolica Sacro Cuore, Oncol Med, Rome, Italy
关键词
Body composition; Clinical nutrition; CT scan; Malnutrition; Muscle mass; Personalized nutrition; BIOELECTRICAL-IMPEDANCE ANALYSIS; SUBJECTIVE GLOBAL ASSESSMENT; SKELETAL-MUSCLE MASS; TOTAL PARENTERAL-NUTRITION; FATTY-ACIDS AFFECT; BODY-COMPOSITION; WEIGHT-LOSS; PROGNOSTIC-FACTOR; PHASE-ANGLE; CLINICAL-SIGNIFICANCE;
D O I
10.1016/j.cllc.2020.10.008
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Lung cancer (LC) represents the most commonly diagnosed neoplasm worldwide for both sexes and is the leading cause of cancer mortality. Malnutrition is a comorbidity frequently found in neoplastic patients, but it remains often underestimated and thus undertreated. In this review, we aimed to investigate the incidence of malnutrition among LC patients according to different screening and assessment tools, to evaluate the impact of weight loss and body composition on survival, and to analyze the efficacy of different nutritional interventions in this setting. Although malnutrition, weight loss, and body composition changes can affect survival and other clinical outcomes in LC patients, the role of nutritional interventions is not yet strongly proven, and further studies are recommended. Nevertheless, screening, assessing, and eventually treating malnutrition in LC patients are strongly recommended, according to the most recent nutritional intervention guidelines for oncology patients.
引用
收藏
页码:E584 / E594
页数:11
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