ESPEN expert group recommendations for action against cancer-related malnutrition
Open accessAbstract
Patients with cancer are at particularly high risk for malnutrition because both the disease and its treatments threaten their nutritional status. Yet cancer-related nutritional risk is sometimes overlooked or under-treated by clinicians, patients, and their families. The European Society for Clinical Nutrition and Metabolism (ESPEN) recently published evidence-based guidelines for nutritional care in patients with cancer. In further support of these guidelines, an ESPEN oncology expert group met for a Cancer and Nutrition Workshop in Berlin on October 24 and 25, 2016. The group examined the causes and consequences of cancer-related malnutrition, reviewed treatment approaches currently available, and built the rationale and impetus for clinicians involved with care of patients with cancer to take actions that facilitate nutrition support in practice. The content of this position paper is based on presentations and discussions at the Berlin meeting. The expert group emphasized 3 key steps to update nutritional care for people with cancer: (1) screen all patients with cancer for nutritional risk early in the course of their care, regardless of body mass index and weight history; (2) expand nutrition-related assessment practices to include measures of anorexia, body composition, inflammatory biomarkers, resting energy expenditure, and physical function; (3) use multimodal nutritional interventions with individualized plans, including care focused on increasing nutritional intake, lessening inflammation and hypermetabolic stress, and increasing physical activity.
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In 2017, the European Society of Clinical Nutrition and Metabolism published evidence-based guidelines for nutritional care and recommended that body composition measures be added to expand nutrition-related assessments, aiding clinicians in treating patients with cancer cachexia and researchers investigating the condition.
“In 2017, the European Society of Clinical Nutrition and Metabolism published evidence-based guidelines for nutritional care and recommended that body composition measures be added to expand nutrition-related assessments, aiding clinicians in treating patients with cancer cachexia and researchers investigating the condition [34].”
From The Utility of Body Composition Assessment in Nutrition and Clinical Practice: An Overview of Current Methodology (2021) · cites this paper as [34]
Split into 2 atoms — 1 confirmed, 1 partially supported, 0 disputed, 0 misattributed, 0 unverifiable. Expand the claim to see per-atom verdicts.
Experimental — accuracy not yet measuredObesity is a risk factor for multiple cancers including postmenopausal breast, renal cell, and endometrial cancer, so these survivors are more likely to be overweight or obese at diagnosis.
“obesity is a risk factor for multiple cancers, including postmenopausal breast, renal cell and endometrial cancer, thus these survivors are more likely to be overweight or obese at the time of diagnosis(100).”
From Exercise Guidelines for Cancer Survivors: Consensus Statement from International Multidisciplinary Roundtable (2019) · cites this paper as [100]
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Flagged first, then by citations
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Sorted by citations
CAMPBELL, K. L., WINTERS-STONE, K. M., WISKEMANN, J., MAY, A. M., SCHWARTZ, A. L., COURNEYA, K. S., ZUCKER, D. S., MATTHEWS, C. E., LIGIBEL, J. A., GERBER, L. H., et al. (2019) · Medicine & Science in Sports & Exercise · doi:10.1249/mss.0000000000002116 · Cited by 2,988 · see citing works
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Fasting and cancer: molecular mechanisms and clinical application
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Inflammation and Skeletal Muscle Wasting During Cachexia
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Self-citation
- Authors
- Arends, J., Baracos, V., Bertz, H., Bozzetti, F., Calder, P. C., Deutz, N. E. P., Erickson, N., Laviano, A., Lisanti, M. P., Lobo, D. N., McMillan, D. C., Muscaritoli, M., Ockenga, J., Pirlich, M., Strasser, F., de van der Schueren, M., Van Gossum, A., Vaupel, P., & Weimann, A.
- Affiliations
- University of Freiburg (DE)
- University of Alberta (CA)
- University of Milan (IT)
- University Hospital Southampton NHS Foundation Trust (GB)
- Texas A&M University (US)
- LMU Klinikum (DE)
- Sapienza University of Rome (IT)
- University of Salford (GB)
- Nottingham University Hospitals NHS Trust (GB)
- University of Glasgow (GB)
- Klinikum Bremen-Mitte (DE)
- Kantonsspital St. Gallen (CH)
- TUM Klinikum (DE)
- Klinikum St. Georg (DE)
- Corresponding author
- Arends, J.
- ORCID
- Venue
- Clinical Nutrition
- Publisher
- Elsevier BV
- Published
- 2017-10
- Volume
- 36
- Issue
- 5
- Pages
- 1187-1196
- ISSN
- 0261-5614 (ISSN-L)
- OpenAlex
- W2706197370
- Cited by
- 1,305
- References
- 91
- Citations by year
- 2026: 123 · 2025: 151 · 2024: 181 · 2023: 161 · 2022: 221 · 2021: 169 · 2020: 162 · 2019: 75 · 2018: 55 · 2017: 5
- FWCI
- 9.96
- Type
- journal article
- Language
- en
- Open access
- green
- doi.org
- Locations
- Clinical Nutrition (publishedVersion)
- PubMed (publishedVersion)
- Amsterdam UMC (VU Amsterdam) - Institutional Repository (publishedVersion)
- ENLIGHTEN (Jurnal Bimbingan dan Konseling Islam) (acceptedVersion)
- Dépôt institutionnel de l'Université libre de Bruxelles (Université Libre de Bruxelles) (submittedVersion)
- ePrints Soton (University of Southampton) (submittedVersion)
- IRIS Research product catalog (Sapienza University of Rome) (submittedVersion)
- mediaTUM – the media and publications repository of the Technical University Munich (Technical University Munich) (submittedVersion)
- Pure Amsterdam UMC (submittedVersion)
- University of Salford Institutional Repository (University of Salford) (submittedVersion, cc-by)
- Data Archiving and Networked Services (DANS) (submittedVersion)
- Funders
- Medical Research Council (MR/P021220/1)
- Topics
- Health Sciences › Medicine › Physiology › Nutrition and Health in Aging
- Health Sciences › Nursing › Nutrition and Dietetics › Clinical Nutrition and Gastroenterology
- Health Sciences › Health Professions › Health Information Management › Dietetics, Nutrition, and Education
- Keywords
- cancer-related malnutrition, nutritional risk screening, nutritional assessment, anorexia, body composition, inflammatory markers, resting energy expenditure, physical function, inflammation, nutritional support, cancer patients
- MeSH terms
- Body Composition, Diet, Humans, Neoplasms, Terminology as Topic, Nutritional Requirements, Nutritional Status, Exercise, Nutrition Assessment, Body Mass Index, Prevalence, Health Care Costs, Nutritional Support, Malnutrition
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
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