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  1. Article ; Online: Evaluation and management of body composition changes in cancer patients.

    Wang, Junjie / Tan, Shanjun / Gianotti, Luca / Wu, Guohao

    Nutrition (Burbank, Los Angeles County, Calif.)

    2023  Volume 114, Page(s) 112132

    Abstract: Wasting in cancer patients has long been recognized as a condition that adversely affects cancer patients' quality of life, treatment tolerance, and oncological outcomes. Historically, this condition was mainly evaluated by changes in body weight. ... ...

    Abstract Wasting in cancer patients has long been recognized as a condition that adversely affects cancer patients' quality of life, treatment tolerance, and oncological outcomes. Historically, this condition was mainly evaluated by changes in body weight. However, this approach is not quite accurate because body weight is the overall change of all body compartments. Conditions such as edema and ascites can mask the severity of muscle and adipose tissue depletion. Changes in body composition assessment in cancer patients have historically been underappreciated because of the limited availability of measurement tools. As more evidence highlighting the importance of body composition has emerged, it is imperative to apply a more precise evaluation of nutritional status and a more targeted approach to provide nutritional support for cancer patients. In this review, we will discuss the modalities for evaluating body composition and how to manage body composition changes in cancer patients.
    MeSH term(s) Humans ; Quality of Life ; Neoplasms/complications ; Neoplasms/therapy ; Neoplasms/pathology ; Cachexia/etiology ; Cachexia/therapy ; Cachexia/pathology ; Body Composition ; Body Weight ; Sarcopenia/complications ; Muscle, Skeletal/pathology
    Language English
    Publishing date 2023-06-14
    Publishing country United States
    Document type Journal Article ; Review ; Research Support, Non-U.S. Gov't
    ZDB-ID 639259-3
    ISSN 1873-1244 ; 0899-9007
    ISSN (online) 1873-1244
    ISSN 0899-9007
    DOI 10.1016/j.nut.2023.112132
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    Zs.A 2290: Show issues Location:
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  2. Article ; Online: Evaluation and management of body composition changes in cancer patients

    Wang, Junjie / Tan, Shanjun / Gianotti, Luca / Wu, Guohao

    Nutrition. 2023 Oct., v. 114 p.112132-

    2023  

    Abstract: Wasting in cancer patients has long been recognized as a condition that adversely affects cancer patients’ quality of life, treatment tolerance, and oncological outcomes. Historically, this condition was mainly evaluated by changes in body weight. ... ...

    Abstract Wasting in cancer patients has long been recognized as a condition that adversely affects cancer patients’ quality of life, treatment tolerance, and oncological outcomes. Historically, this condition was mainly evaluated by changes in body weight. However, this approach is not quite accurate because body weight is the overall change of all body compartments. Conditions such as edema and ascites can mask the severity of muscle and adipose tissue depletion. Changes in body composition assessment in cancer patients have historically been underappreciated because of the limited availability of measurement tools. As more evidence highlighting the importance of body composition has emerged, it is imperative to apply a more precise evaluation of nutritional status and a more targeted approach to provide nutritional support for cancer patients. In this review, we will discuss the modalities for evaluating body composition and how to manage body composition changes in cancer patients.
    Keywords adipose tissue ; ascites ; body composition ; body weight ; edema ; muscles ; nutritional status ; nutritional support ; quality of life ; Cancer ; Skeletal muscle ; sarcopenia ; Cachexia
    Language English
    Dates of publication 2023-10
    Publishing place Elsevier Inc.
    Document type Article ; Online
    ZDB-ID 639259-3
    ISSN 1873-1244 ; 0899-9007
    ISSN (online) 1873-1244
    ISSN 0899-9007
    DOI 10.1016/j.nut.2023.112132
    Database NAL-Catalogue (AGRICOLA)

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  3. Article ; Online: Reply Letter to the Editor: Post-operative nutritional care of patients with gastrointestinal cancer: are long-term clinical outcomes achievable?

    Tan, Shanjun / Wu, Guohao

    Clinical nutrition (Edinburgh, Scotland)

    2021  Volume 40, Issue 5, Page(s) 2555

    MeSH term(s) Gastrointestinal Neoplasms/surgery ; Humans ; Nutritional Support ; Postoperative Care
    Language English
    Publishing date 2021-04-06
    Publishing country England
    Document type Letter ; Comment
    ZDB-ID 604812-2
    ISSN 1532-1983 ; 0261-5614
    ISSN (online) 1532-1983
    ISSN 0261-5614
    DOI 10.1016/j.clnu.2021.03.035
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  4. Article ; Online: Reply letter to the editor-post-discharge oral nutritional supplements with dietary advice in patients at nutritional risk after surgery for gastric cancer: A randomized clinical trial.

    Tan, Shanjun / Wu, Guohao

    Clinical nutrition (Edinburgh, Scotland)

    2021  Volume 40, Issue 3, Page(s) 1439

    MeSH term(s) Aftercare ; Humans ; Malnutrition ; Nutrition Therapy ; Patient Discharge ; Stomach Neoplasms/surgery
    Language English
    Publishing date 2021-01-29
    Publishing country England
    Document type Letter ; Comment
    ZDB-ID 604812-2
    ISSN 1532-1983 ; 0261-5614
    ISSN (online) 1532-1983
    ISSN 0261-5614
    DOI 10.1016/j.clnu.2021.01.032
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  5. Article ; Online: Comment on "Impact of Oral Immunonutrition on Postoperative Morbidity in Digestive Oncologic Surgery: A Nation-wide Cohort Study".

    Tan, Shanjun / Wu, Guohao

    Annals of surgery

    2020  Volume 274, Issue 6, Page(s) e735–e736

    MeSH term(s) Cohort Studies ; Digestive System Surgical Procedures ; Humans ; Morbidity
    Language English
    Publishing date 2020-07-09
    Publishing country United States
    Document type Letter ; Comment
    ZDB-ID 340-2
    ISSN 1528-1140 ; 0003-4932
    ISSN (online) 1528-1140
    ISSN 0003-4932
    DOI 10.1097/SLA.0000000000004249
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: ESPEN expert statements and practical guidance on clinical nutrition in COVID-19 patients.

    Tan, Shanjun / Wu, Guohao

    Clinical nutrition (Edinburgh, Scotland)

    2020  Volume 39, Issue 7, Page(s) 2324

    MeSH term(s) Betacoronavirus ; COVID-19 ; Coronavirus Infections ; Humans ; Pandemics ; Pneumonia, Viral ; SARS-CoV-2
    Keywords covid19
    Language English
    Publishing date 2020-05-29
    Publishing country England
    Document type Letter ; Research Support, Non-U.S. Gov't ; Comment
    ZDB-ID 604812-2
    ISSN 1532-1983 ; 0261-5614
    ISSN (online) 1532-1983
    ISSN 0261-5614
    DOI 10.1016/j.clnu.2020.05.026
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    Zs.A 1774: Show issues Location:
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  7. Article ; Online: Oral nutritional supplements, physical activity, and sarcopenia in cancer.

    Wang, Junjie / Tan, Shanjun / Wu, Guohao

    Current opinion in clinical nutrition and metabolic care

    2021  Volume 24, Issue 3, Page(s) 223–228

    Abstract: Purpose of review: Sarcopenia is prevalent in cancer patients and can occur as a result of cancer as well as cancer-related therapies. It is related to high postoperative complications, long hospitalization, slow recovery as well as low tolerance to ... ...

    Abstract Purpose of review: Sarcopenia is prevalent in cancer patients and can occur as a result of cancer as well as cancer-related therapies. It is related to high postoperative complications, long hospitalization, slow recovery as well as low tolerance to chemotherapy. Patients with sarcopenia also have poor oncological outcomes. Oral nutritional supplements (ONS) and physical activity have shown great potentials in managing this debilitating condition. We summarized the recent developments in the assessment of sarcopenia and its management with ONS and physical activity.
    Recent findings: Many methods were developed to evaluate sarcopenia including muscle quality/quantity measurement and functional tests. Recent studies have shown that ONS and physical training can be used in managing sarcopenia, especially when used together as part of a multimodal intervention. However, barriers such as low awareness and lack of training and support for both patients and healthcare workers still exist and need attention.
    Summary: Recent findings highlighted the benefits of identifying sarcopenia and managing those at risk. The details of a multimodal protocol, such as components of nutritional substrates, the intensity of physical exercise, and the use of medication need to be further looked into for an optimum approach. Education and training programs need to be developed to overcome the barriers in managing sarcopenia.
    MeSH term(s) Dietary Supplements ; Exercise ; Humans ; Neoplasms/complications ; Neoplasms/therapy ; Sarcopenia/etiology ; Sarcopenia/prevention & control
    Language English
    Publishing date 2021-02-03
    Publishing country England
    Document type Journal Article ; Research Support, Non-U.S. Gov't ; Review
    ZDB-ID 1460178-3
    ISSN 1473-6519 ; 1363-1950
    ISSN (online) 1473-6519
    ISSN 1363-1950
    DOI 10.1097/MCO.0000000000000736
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    Zs.A 5586: Show issues Location:
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  8. Article ; Online: ESPEN practical guideline: Clinical nutrition in surgery.

    Zhang, Yanni / Tan, Shanjun / Wu, Guohao

    Clinical nutrition (Edinburgh, Scotland)

    2021  Volume 40, Issue 9, Page(s) 5071

    MeSH term(s) Humans ; Malnutrition ; Nutritional Support
    Language English
    Publishing date 2021-07-10
    Publishing country England
    Document type Letter ; Research Support, Non-U.S. Gov't ; Comment
    ZDB-ID 604812-2
    ISSN 1532-1983 ; 0261-5614
    ISSN (online) 1532-1983
    ISSN 0261-5614
    DOI 10.1016/j.clnu.2021.07.012
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    In stock of ZB MED Cologne/Königswinter

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  9. Article ; Online: ESPEN guideline on hospital diet nutrition.

    Zhang, Zhige / Tan, Shanjun / Wu, Guohao

    Clinical nutrition (Edinburgh, Scotland)

    2021  Volume 41, Issue 2, Page(s) 570

    MeSH term(s) Diet ; Hospitals ; Humans ; Parenteral Nutrition ; Societies, Scientific
    Language English
    Publishing date 2021-12-22
    Publishing country England
    Document type Letter ; Research Support, Non-U.S. Gov't ; Comment
    ZDB-ID 604812-2
    ISSN 1532-1983 ; 0261-5614
    ISSN (online) 1532-1983
    ISSN 0261-5614
    DOI 10.1016/j.clnu.2021.12.029
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article: Association of longitudinal changes in skeletal muscle mass with prognosis and nutritional intake in acutely hospitalized patients with abdominal trauma: a retrospective observational study.

    Xi, Fengchan / You, Yong / Ding, Weiwei / Gao, Tao / Cao, Yang / Tan, Shanjun / Yu, Wenkui

    Frontiers in nutrition

    2023  Volume 10, Page(s) 1085124

    Abstract: Background: The objective of this study was to explore whether longitudinal changes in skeletal muscle mass, from hospital admission to 3  weeks post-trauma, are associated with poor prognosis and nutritional intake in acutely hospitalized patients with ...

    Abstract Background: The objective of this study was to explore whether longitudinal changes in skeletal muscle mass, from hospital admission to 3  weeks post-trauma, are associated with poor prognosis and nutritional intake in acutely hospitalized patients with abdominal trauma.
    Methods: A single-center retrospective observational review was conducted on 103 patients with abdominal trauma admitted to the Affiliated Jinling Hospital, Medical School of Nanjing University between January 2010 and April 2020. Skeletal muscle mass was assessed by abdominal computed tomography (CT) performed within 14 days before surgery and on post-trauma days 1-3 (week 0), 7-10 (week 1), 14-17 (week 2), and 21-24 (week 3). The skeletal muscle index (SMI) at L3, change in SMI per day (ΔSMI/day), and percent change in SMI per day (ΔSMI/day [%]) were calculated. The receiver-operating characteristic (ROC) curve was used to evaluate the discriminatory performance of ΔSMI/day (%) for mortality. Linear correlation analysis was used to evaluate the associations between ΔSMI/day (%) and daily caloric or protein intake.
    Results: Among the included patients, there were 91 males and 12 females (mean age ± standard deviation 43.74 ± 15.53 years). ΔSMI
    Conclusion: Loss of skeletal muscle mass is associated with poor prognosis and nutritional intake in patients admitted to hospital with abdominal trauma.
    Language English
    Publishing date 2023-05-31
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2776676-7
    ISSN 2296-861X
    ISSN 2296-861X
    DOI 10.3389/fnut.2023.1085124
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