Current Insights in Nutrition Assessment and Intervention for Malnutrition or Muscle Loss in People with Lung Cancer: A Narrative Review
Author(s)
Kiss, N; Curtis, A;
Details
Publication Year 2022-12-22,Volume 13,Issue #6,Page 2420-2432
Journal Title
Advances in Nutrition
Publication Type
Review
Abstract
Up to 70% of people with lung cancer may be affected by cancer-related malnutrition or muscle loss, depending on treatment modality and disease stage. This narrative review explores recent studies on malnutrition and muscle loss as well as nutritional and multimodal interventions to treat these conditions in the context of the changing treatment landscape in lung cancer. Various types of interventions, including individualized counseling, protein and other specific nutrient supplementation, as well as multimodal interventions to treat malnutrition and muscle loss, have been investigated. Overall, individualized dietary counseling, increasing protein intake, and supplementation with omega-3 (n-3) fatty acids appear to be beneficial for some, albeit varying, patient outcomes. Multimodal interventions, generally including a nutrition and exercise component, show promising results; however, the impact on patient outcomes is mixed. A key finding of this review is a lack of large, randomized trials to guide nutrition intervention specifically in people with lung cancer. Despite the high prevalence of malnutrition and muscle loss in people with lung cancer and the known adverse outcomes, current evidence for nutrition intervention is limited. A targeted effort is required to improve the quality of evidence for nutrition intervention in this population to provide support for clinicians to deliver effective nutrition care.
Keywords
Humans; Nutrition Assessment; *Malnutrition/therapy; Nutritional Status; *Lung Neoplasms/complications; Muscles; lung cancer; malnutrition; multimodal; muscle loss; nutrition
Department(s)
Nutrition and Speech Pathology
PubMed ID
35731630
Open Access at Publisher's Site
https://doi.org/10.1093/advances/nmac070
Terms of Use/Rights Notice
Refer to copyright notice on published article.


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