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vol.37 número especial 1Repercusión de los fármacos antineoplásicos sobre la situación nutricional del paciente oncogeriátrico. ¿Puede el oncólogo médico minimizar el impacto de estos fármacos sobre el estado nutricional del enfermo mayor? índice de autoresíndice de assuntospesquisa de artigos
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Nutrición Hospitalaria

versão On-line ISSN 1699-5198versão impressa ISSN 0212-1611


MATIA MARTIN, Pilar et al. Assessment and nutritional treatment in the oncogeriatric patient. Differential aspects. Nutr. Hosp. [online]. 2020, vol.37, n.spe1, pp.1-21.  Epub 06-Jul-2020. ISSN 1699-5198.

The incidence of cancer increases as age progresses. With aging, and with a chronic disease such as cancer, the prevalence of disease-related malnutrition (DRE), sarcopenia, cachexia and frailty increases. These are associated with mortality, toxicity due to antineoplastic treatment and post-surgical complications. In this article, the prevalence of DRE, sarcopenia and cachexia, the way to diagnose these situations in the daily clinic, their pathophysiology, their relationship with clinical prognosis, and the evidence on the effectiveness of medical nutrition treatment and multimodal therapy, with physical exercise as the main ally, are reviewed differentially in older patients. At the moment, there are few guidelines that refer only to the elderly patient, and until more studies are generated in this group of patients, the actions, in matters of nutrition, should be based on those already published in general oncology. If the elderly patient has malnutrition, and this can condition quality of life or clinical prognosis, medical nutrition therapy should progress, individually, from dietary advice to more complex forms of treatment such as oral supplementation, enteral nutrition or parenteral nutrition.

Palavras-chave : Neoplasms; Malnutrition; Aged; Diet; Enteral nutrition; Parenteral nutrition.

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