Zusammenfassung
Hintergrund
Gewichts- und Muskelverlust bedrohen häufig Lebensqualität, Abwehrkraft und Prognose onkologischer Patienten. Die Entwicklung und Vergleichbarkeit diagnostischer und therapeutischer Ansätze wurden bisher durch eine Vielzahl unterschiedlicher Einteilungen und Definitionen behindert.
Ziel
In der vorliegenden Arbeit werden typische tumorassoziierte Stoffwechsel- und Ernährungsprobleme strukturiert dargestellt, um so eine Basis für die klinische Diagnostik und Therapie anzubieten.
Ergebnisse
Die Begriffe Mangelernährung, Sarkopenie und Kachexie werden sinnvoll einem generellen Gewichtsverlust, einem spezifischen Muskelmangel und einer erkrankungsassoziierten Mangelernährung zugeordnet. Aktuelle Definitionen internationaler Fachgesellschaften bieten Hoffnung auf bessere Vergleichbarkeit in der klinischen Praxis und bei klinischen Studien.
Schlussfolgerung
Für die tägliche Praxis werden einfache Screening- und differenzierende Diagnoseverfahren empfohlen sowie gezielte Komponenten eines multimodalen Therapiekonzepts aufgeführt.
Abstract
Background
Loss of body weight and of muscle mass endanger quality of life, resilience, and prognosis of cancer patients. The development and comparability of diagnostic and therapeutic approaches up to now have been handicapped by a large number of different and heterogeneous definitions.
Aim
In this article, typical cancer-associated metabolic and nutritional problems are presented in a structured manner to provide a basis for clinical diagnosis and treatment.
Results
The terms malnutrition, sarcopenia, and cachexia are best used to designate unintentional weight loss in general, low muscle mass and function, and disease-associated malnutrition, respectively. Up-to-date definitions of international professional societies offer hope for better comparability in the context of future clinical practice and clinical trials.
Conclusions
Simple screening tools and helpful diagnostic procedures are recommended for daily practice, and components of a targeted multimodal treatment concept are presented.
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J. Arends und A. Weimann geben an, dass kein Interessenkonflikt besteht.
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Arends, J., Weimann, A. Bedeutung des Ernährungsstatus beim Tumorpatienten. Onkologe 27, 120–128 (2021). https://doi.org/10.1007/s00761-020-00859-7
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DOI: https://doi.org/10.1007/s00761-020-00859-7