Clinical Oncology Society of Australia: Position statement on cancer-related malnutrition and sarcopenia

Nicole Kiss^{1

2}, Jenelle Loeliger², Merran Findlay³, Elizabeth Isenring⁴, Brenton J Baguley¹, Anna Boltong⁵, Alexis Butler⁶, Irene Deftereos^{7

8}, Michelle Eisenhuth⁹, Steve F Fraser¹, Rebecca Fichera¹⁰, Hayley Griffin¹¹, Sandi Hayes¹², Emily Jeffery¹³, Catherine Johnson¹⁴, Chris Lomma¹⁵, Barbara van der Meij^{4

16}, Carolyn McIntyre¹⁷, Tracey Nicholls¹⁸, Lina Pugliano¹⁹, Tina Skinner²⁰, Jane Stewart², Judy Bauer²⁰

Affiliations

¹ Institute for Physical Activity and Nutrition, Deakin University, Geelong, Victoria, Australia.
² Allied Health, Peter MacCallum Cancer Centre, Melbourne, Victoria, Australia.
³ Cancer Services, Royal Prince Alfred Hospital, Sydney, New South Wales, Australia.
⁴ Faculty of Health Sciences and Medicine, Bond University, Gold Coast, Queensland, Australia.
⁵ Melbourne School of Population and Global Health, University of Melbourne, Melbourne, Victoria, Australia.
⁶ GP Liaison, Peter MacCallum Cancer Centre, Melbourne, Victoria, Australia.
⁷ Department of Surgery Western Health, University of Melbourne, Melbourne, Victoria, Australia.
⁸ Department of Nutrition and Dietetics, Western Health, Melbourne, Victoria, Australia.
⁹ Nutrition and Dietetics Department, Nepean Hospital, Sydney, New South Wales, Australia.
¹⁰ Nutrition and Dietetics Departments, Royal Brisbane and Women's Hospital, Brisbane, Queensland, Australia.
¹¹ Clinical Oncology Society of Australia, Sydney, New South Wales, Australia.
¹² Menzies Health Institute Queensland, Griffith University, Brisbane, Queensland, Australia.
¹³ School of Public Health, Curtin University, Perth, Western Australia, Australia.
¹⁴ Gastrointestinal Cancer Service, Calvary Mater Newcastle, Newcastle, New South Wales, Australia.
¹⁵ Medical Oncology Department, Fiona Stanley Hospital, Perth, Western Australia, Australia.
¹⁶ Dietetics and Food Services, Mater Health, Brisbane, Queensland, Australia.
¹⁷ School of Medical and Health Science, Exercise Medicine Research Institute, Edith Cowan University, Perth, Western Australia, Australia.
¹⁸ Department of ENT Otolaryngology Head and Neck Surgery, Flinders Medical Centre, Adelaide, South Australia, Australia.
¹⁹ Medical Oncology, Northern Cancer Institute, Sydney, New South Wales, Australia.
²⁰ School of Human Movement and Nutrition Sciences, University of Queensland, Brisbane, Queensland, Australia.

PMID: 32803904
PMCID: PMC7540290
DOI: 10.1111/1747-0080.12631

Review

Clinical Oncology Society of Australia: Position statement on cancer-related malnutrition and sarcopenia

Nicole Kiss et al. Nutr Diet. 2020 Sep.

. 2020 Sep;77(4):416-425.

doi: 10.1111/1747-0080.12631. Epub 2020 Aug 17.

Authors

Affiliations

¹ Institute for Physical Activity and Nutrition, Deakin University, Geelong, Victoria, Australia.
² Allied Health, Peter MacCallum Cancer Centre, Melbourne, Victoria, Australia.
³ Cancer Services, Royal Prince Alfred Hospital, Sydney, New South Wales, Australia.
⁴ Faculty of Health Sciences and Medicine, Bond University, Gold Coast, Queensland, Australia.
⁵ Melbourne School of Population and Global Health, University of Melbourne, Melbourne, Victoria, Australia.
⁶ GP Liaison, Peter MacCallum Cancer Centre, Melbourne, Victoria, Australia.
⁷ Department of Surgery Western Health, University of Melbourne, Melbourne, Victoria, Australia.
⁸ Department of Nutrition and Dietetics, Western Health, Melbourne, Victoria, Australia.
⁹ Nutrition and Dietetics Department, Nepean Hospital, Sydney, New South Wales, Australia.
¹⁰ Nutrition and Dietetics Departments, Royal Brisbane and Women's Hospital, Brisbane, Queensland, Australia.
¹¹ Clinical Oncology Society of Australia, Sydney, New South Wales, Australia.
¹² Menzies Health Institute Queensland, Griffith University, Brisbane, Queensland, Australia.
¹³ School of Public Health, Curtin University, Perth, Western Australia, Australia.
¹⁴ Gastrointestinal Cancer Service, Calvary Mater Newcastle, Newcastle, New South Wales, Australia.
¹⁵ Medical Oncology Department, Fiona Stanley Hospital, Perth, Western Australia, Australia.
¹⁶ Dietetics and Food Services, Mater Health, Brisbane, Queensland, Australia.
¹⁷ School of Medical and Health Science, Exercise Medicine Research Institute, Edith Cowan University, Perth, Western Australia, Australia.
¹⁸ Department of ENT Otolaryngology Head and Neck Surgery, Flinders Medical Centre, Adelaide, South Australia, Australia.
¹⁹ Medical Oncology, Northern Cancer Institute, Sydney, New South Wales, Australia.
²⁰ School of Human Movement and Nutrition Sciences, University of Queensland, Brisbane, Queensland, Australia.

PMID: 32803904
PMCID: PMC7540290
DOI: 10.1111/1747-0080.12631

Abstract

This position statement describes the recommendations of the Clinical Oncology Society of Australia (COSA) regarding management of cancer-related malnutrition and sarcopenia. A multidisciplinary working group completed a review of the literature, focused on evidence-based guidelines, systematic reviews and meta-analyses, to develop recommendations for the position statement. National consultation of the position statement content was undertaken through COSA members. All people with cancer should be screened for malnutrition and sarcopenia in all health settings at diagnosis and as the clinical situation changes throughout treatment and recovery. People identified as "at risk" of malnutrition or with a high-risk cancer diagnosis or treatment plan should have a comprehensive nutrition assessment; people identified as "at risk" of sarcopenia should have a comprehensive evaluation of muscle status using a combination of assessments for muscle mass, muscle strength and function. All people with cancer-related malnutrition and sarcopenia should have access to the core components of treatment, including medical nutrition therapy, targeted exercise prescription and physical and psychological symptom management. Treatment for cancer-related malnutrition and sarcopenia should be individualised, in collaboration with the multidisciplinary team (MDT), and tailored to meet needs at each stage of cancer treatment. Health services should ensure a broad range of health care professionals across the MDT have the skills and confidence to recognise malnutrition and sarcopenia to facilitate timely referrals and treatment. The position statement is expected to provide guidance at a national level to improve the multidisciplinary management of cancer-related malnutrition and sarcopenia.

Keywords: cancer; exercise; malnutrition; nutrition; sarcopenia.

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Conflict of interest statement

The authors declare no potential conflict of interest.

Figures

**FIGURE 1**
Pathway for the management of cancer‐related malnutrition and sarcopenia within acute, community and primary care health services

See this image and copyright information in PMC

References

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Clinical Oncology Society of Australia: Position statement on cancer-related malnutrition and sarcopenia

Affiliations

Clinical Oncology Society of Australia: Position statement on cancer-related malnutrition and sarcopenia

Authors

Affiliations

Abstract

Conflict of interest statement

Figures

References

Publication types

MeSH terms

LinkOut - more resources

Full Text Sources

Medical