Expert consensus on appetite assessment and regulation in cancer patients
Li Zengning， Li Xiaoling， Chen Wei， Qi Yumei， Hu Wen， Ge Sheng， Zhou Chunling， Yang Xuefeng， Zhang Pianhong， Lai Jianqiang， Jiao Guangyu， Hu Huaidong， Gao Shuqing， Wang Xiaolin， Zhang Yongsheng， Hu Xiaocui， Zhou Li， Zhou Lan， Liu Xiaojun， Li Li， Shi Wanying， Yang Qinbing， Zheng Jinfeng， Han Lei， Xia Yuhan， Liu Qingchun， Fang Yu， Li Suyi， Li Wei， Xu Hongxia， Li Yong， Wang Kunhua， Luo Bin， Xie Ying， Du Hongzhen， Hu Huanyu， Miao Mingyong， Li Tao， Chen Junqiang， Liu Ming， Chen Liyong， Liu Lan， Jia Shanshan， Feng Ling， Shi Hanping
Chinese Society for Oncological Nutrition and Supportive Care， Chinese Clinical Nutritionist Center， Speciality Committee of Nutrition and Metabolism Management of China International Exchange and Promotion Association for Medical and Healthcare
Abstract：Loss of appetite is a common symptom in cancer patients， and the incidence of cancer anorexia cachexia syndrome is higher in advanced cancer patients. Due to insufficient nutrition intake， cancer patients will suffer from pancytopenia， weight loss， loss of fat tissue and skeletal muscle， resulting in decreased immunity， decreased treatment tolerance， reduced treatment opportunities， and increased complications. These problems are not conducive to the implementation of anti-cancer treatment measures. Accurate assessment of the process of cancer anorexia is of great importance for both research and clinical treatment. Scientific methods and techniques of appetite assessment are not only tools for nutritionists to evaluate appetite objectively， but also the basis for further understanding and prediction of malnutrition， which have positive significance for improving malnutrition in cancer patients. According to the existing research evidence， this consensus systematically summarized the research results in this field. Starting from the relationship between tumor， nutrition and appetite， this paper analyzed the mechanism of the occurrence and development of cancer anorexia. We summarized the evaluation methods of appetite in tumor patients under different conditions and gave expert recommendations. Combined with the status and characteristics of diet in China， this paper proposed the methods of improving appetite from the perspectives of clinical practice， nutrition， nursing and traditional Chinese medicine. We scientifically standardized the management strategy of cancer anorexia， so as to facilitate the application of clinicians， clinical nutrition professionals， nurses and other medical care personnel to better serve the cancer patients.
李增宁，李晓玲，陈伟，齐玉梅，胡雯，葛声，周春凌，杨雪锋，张片红，赖建强，焦广宇，胡怀东，高淑清，王晓琳，张勇胜，胡小翠，周莉，周岚，刘晓军，李莉，施万英，杨勤. 肿瘤患者食欲评价和调节的专家共识[J]. 肿瘤代谢与营养电子杂志, 2020, 7(2): 169-177.
Li Zengning， Li Xiaoling， Chen Wei， Qi Yumei， Hu Wen， Ge Sheng， Zhou Chunling， Yang Xuefeng， Zhang Pianhong， Lai Jianqiang， Jiao Guangyu， Hu Huaidong， Gao Shuqing， Wang Xiaolin， Zhang Yongsheng， Hu Xi. Expert consensus on appetite assessment and regulation in cancer patients. Electron J Metab Nutr Cancer, 2020, 7(2): 169-177.
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