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Evaluation of physical function and its association with body composition, quality of life and biomarkers in cancer cachexia patients

Clinical Nutrition Jul 17, 2020

Anderson LJ, Lee J, Mallen MC, et al. - As there are no currently approved treatments for cancer cachexia, researchers sought to assess a number of functional performance measures and verify if they correlate with body composition, energy expenditure, biomarkers, and patient-reported quality of life (QOL). For this cross-sectional study, they compared men with solid tumors with cachexia (CAC; N = 48), vs cachexia (CNC; N = 48), vs weight-stable patients without cancer (CON; N = 37) on physical function, body composition, energy expenditure, cytokines, testosterone, and patient-reported QOL. According to results, patients with CAC had lower total lean and appendicular lean mass, stair climb power, upper body strength, and bioavailable testosterone; they also had higher energy expenditure than CNC or CON. Reduced handgrip, respiratory quotient, and appetite, and higher cytokines and fatigue was seen in CAC vs CON. Findings suggested that, n patients with cancer cachexia, stair climbing power and upper body strength may be differential measurements for functional disability.

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