This paper reviews various parameters that are used to assess the nutritional and functional status of cancer patients. Available information shows that the nutritional status of cancer patients is correlated with their overall prognosis and outcome. However, little information exists concerning the use of nutritional indexes to evaluate the effectiveness of nutritional rehabilitation of cancer patients. It is emphasized that we should concentrate on developing nutritional parameters to assess the functional improvement of patients rather than their body structure and composition. (Journal of Parenteral and Enteral Nutrition11:13S-137S, 1987)
Get full access to this article
View all access options for this article.
References
1.
Mullen JL, Buzby GP, Matthews DC, et al: Reduction of operative morbidity and mortality by combined preoperative and postoperative nutritional support. Ann Surg192:604-613, 1980
2.
Faintuch J., Waitzberg DL, Azevedo A., et al: Influence of malnutrition on the length of hospitalization after moderate and severe surgical injury. Nutr Support Services1:29-44, 1981
3.
Smale, BF, Mullen JL, Buzby CP, et al: The efficacy of nutritional assessment and support in cancer surgery. Cancer47:2375-2381, 1981
4.
Müller JM, Dienst C., Brenner U., et al: Preoperative parenteral feeding in patients with gastrointestinal carcinoma. Lancet1:68-71, 1982
5.
Yamada N., Koyama YH, Hioki L., et al: Effect of postoperative total parenteral nutrition (TPN) as an adjunct to gastrectomy for advanced gastric carcinoma. Br J Surg70:267-274, 1983
6.
Alexander JW , MacMillan BG, Stinnett JD, et al: Beneficial effects of aggressive protein feeding in severely burned children. Ann Surg192:505-517, 1980
7.
Lindmark L., Benneghrd K., Edén E., et al: Resting energy expenditure in malnourished patients with and without cancer. Gastroenterology87:402-408, 1984
8.
Russel McR D. , Shike M., Marliss EB, et al: Effects of total parenteral nutrition and chemotherapy on the metabolic derangements in small cell lung cancer. Cancer Res44:1706-1711, 1984
9.
Shike M., Russell McR D., Detsky AS, et al: Changes in body composition in patients with small-cell lung cancer. Ann Intern Med101:303-309, 1984
10.
Mullen JL: Consequences of malnutrition in the surgical patient. IN The Surgical Clinics of North America, vol 61, no 3. W.B. Saunders , Philadelphia, PA, 1981 , pp 465-487
11.
Bennegard K. , Edén E., Ekman L., et al: Metabolic response of whole body and peripheral tissues to enteral nutrition in weight-losing cancer and non-cancer patients. Gastroenterology85:92-99, 1983
12.
Nixon DW, Lawson DH, Kutner M., et al: Hyperalimentation of the cancer patient with protein calorie undernutrition. Cancer Res41:2038-2045, 1981
13.
Edén E., Bennegård K., Bylund-Fellenius A-C., et al: Whole-body energy metabolism and metabolic capacity of skeletal muscles in malnourished patients before and after total parenteral nutrition . Human Nutr Clin Nutr37C:185-196, 1983
14.
Persson H., Bennegård K.Lundberg P-A. et al: Thyroid hormones in conditions of chronic malnutrition. A study with special reference to cancer cachexia. Ann Surg201:45-53, 1985
15.
Schlager SI , Ohanian SH: Role of membrane in the immunological killing of tumor cells: I. Target cell lipids. Lipids18:475-482, 1983
16.
Lopes J.Russel McR D.Whitwell J., et al: Skeletal muscle function in malnutrition. Am J Clin Nutr36:602-610, 1982
17.
Edén E. , Ekman L., Bennegard K., et al: Whole-body tyrosine flux in relation to energy expenditure in weight-losing cancer patients. Metabolism33:1020-1027, 1984
18.
Bennegård K. , Lindmark L., Edén E. et al: Flux of amino acids across the leg in weight-losing cancer patients. Cancer Res44:386-393, 1984
