Requirements adjusted to the Malnutrition of the Oncological Patient

Abstract

Purpose of the Review: This article explains the causes of malnutrition in the cancer patient and the specific energy and nutrient requirements for this population.

Recent Findings: In the cancerous cachexia of the tumor patient there is an increased lipolysis, favored by a decrease in the activity of the White Adipose Tissue Lipoprotein (LPL) and that promotes an increase in circulating Triacylglycerols (TAG) levels. There is no evidence that nutritional support increases tumor growth.

Excerpt: Malnutrition in cancer patients is due to three large groups, the first related to nutrients (their deficit, metabolism, absorption disorders), the second group due to the presence of Cancerous Cachexia and the third group related to the tumor, the patient and the treatments received. According to the Guidelines of the European Nutrition Society for cancer patients, it is recommended that if the energy expenditure in cancer patients is not measured specifically for each patient an estimate of 25 - 30 Kcal / Kg of weight / day.