Dietary patterns and their relationships to sarcopenia in Portuguese patients with gastrointestinal cancer: An exploratory study

Velho, S.; Moço, S.; Ferreira, Andreia; Cruz, Rita; Agostinho, Lisa; Cabral, M. Salomé; Luz, Gonçalo; Lopes, Fábio; Teixeira, José Alberto; Strecht, J.; Coelho, José Luís Passos; Maio, Rui; Cravo, Marília; Baracos, Vickie E.

doi:10.1016/j.nut.2019.01.014

Cited by 4 publications

(11 citation statements)

References 26 publications

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“…66,67 Moreover, beta-Hydroxy-beta-methylbutyrate supplements, high-intensity resistance training, and dairy protein intake could be useful therapies for improving sarcopenia, and fat and fish dietary pattern might be associated with lower risk of sarcopenia in patients with GI cancer. [68][69][70][71] Although drug therapies such as testosterone, myostatin antibodies, and activin receptor antibodies might have potential effects on sarcopenia treatment, 72 and recently a randomized controlled study reported that treatment with bimagrumab over 16 weeks increased muscle mass and strength in older adults with sarcopenia. 73 Evidences of drug therapy for sarcopenia were still limited, and more studies about this issue are required.…”

Section: Discussionmentioning

confidence: 99%

Sarcopenia and adverse health‐related outcomes: An umbrella review of meta‐analyses of observational studies

et al. 2020

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Objective The purpose of this umbrella review was to assess the associations between sarcopenia and adverse health‐related outcomes. Design An umbrella review of meta‐analyses of observational studies. Setting and Participants Patients with sarcopenia and controls without sarcopenia were included. Measures The PubMed, Web of Science and Embase were searched for relevant systematic review and meta‐analysis. AMSTAR and GRADE system were used for methodological quality and evidence quality assessments, respectively. Results Totally 54 outcomes extracted from 30 meta‐analyses were analyzed. Twenty out of 21 prognostic outcomes indicated that sarcopenia was significantly associated with poorer prognosis of gastric cancer, hepatocellular cancer, urothelial cancer, head and neck cancer, hematological malignancy, pancreatic cancer, breast cancer, colorectal cancer, lung cancer, esophageal cancer, and ovarian cancer. Besides, 10 out of 16 postoperative outcomes suggested that sarcopenia significantly increased the risk of multiple postoperative complications and prolonged the length of hospitalization of patients with digestive cancer. In age‐related outcomes, sarcopenia significantly increased the risk of dysphagia, cognitive impairment, fractures, falls, hospitalization, and all‐cause mortality of elderly populations. Moreover, sarcopenia was also associated with higher level of albuminuria, risk of depression, and several metabolic diseases. Conclusions and Implications Sarcopenia significantly affected a wide range of adverse health‐related outcomes, particularly in patients of tumor and elderly populations. Because evidences of most outcomes were rated as “low” and “very low,” more prospective cohort studies are required in the future.

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Section: Discussionmentioning

confidence: 99%

Sarcopenia and adverse health‐related outcomes: An umbrella review of meta‐analyses of observational studies

et al. 2020

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“…The seven included studies were published between 2018 and 2021. Study designs included two randomised controlled trials [33,34], three non-randomised controlled trials [35][36][37] and two observational cross-sectional studies [38,39]. The number of participants ranged from 23 to 285, including adults aged between 52 to 74 years.…”

Section: Study Characteristicsmentioning

confidence: 99%

“…People with prostate, ovarian, endometrial, bladder, breast, and upper and lower gastrointestinal cancers were included. One study included treatment naive participants [38], two studies included people undergoing radiotherapy [35,37], one study included people during rehabilitation [36] and three studies included people who were diagnosed or treated between 2 to over 5 years prior to assessment [33,34,39].…”

Section: Study Characteristicsmentioning

confidence: 99%

“…Changes in skeletal muscle mass (kg) were also estimated using measures derived from both BIA and DXA [35][36][37]. Computed tomography (CT) was used to derive a skeletal muscle index (SMI; skeletal muscle area [cm 2 ] divided by height squared [m 2 ]) at the third lumbar vertebrae (L3) [38,39]. Where CT were used, Hounsfield Unit (HU) thresholds for segmentation of skeletal muscle tissue cross-sectional area ranged from −29 to 150 HU with low muscle mass defined according to sex-specific SMI cut-offs of ≤52.4 cm 2 /m 2 for men and ≤38.5 cm 2 /m 2 for women [39] or <43 cm 2 /m 2 for men if BMI < 25 kg/m 2 or <53 cm 2 /m 2 if BMI > 25 kg/m 2 and <41 cm 2 /m 2 for women [38].…”

Section: Nutrition and Muscle-related Outcomes Measuredmentioning

confidence: 99%

“…Dietary intake was assessed via food frequency questionnaire (FFQ; Portuguesespecific semi-quantitative questionnaire and Diet History Questionnaire II) [38,39], food diaries [34][35][36][37] or one-month diet history (Wollongong Dietary Inventory) [33].…”

Section: Dietary Intake Assessmentsmentioning

confidence: 99%

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Associations between Dietary Patterns and Malnutrition, Low Muscle Mass and Sarcopenia in Adults with Cancer: A Scoping Review

Curtis

Livingstone

Daly

et al. 2022

IJERPH

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Dietary patterns examine the combinations, types and quantities of foods consumed in the diet. Compared to individual nutrients, dietary patterns may be better associated with cancer-related malnutrition, low muscle mass and sarcopenia. This scoping review identified associations between dietary patterns, assessed using data-driven methods (i.e., statistical methods used to derive existing dietary patterns) and hypothesis-orientated methods (i.e., adherence to diet quality indices), and malnutrition, low muscle (lean) mass and sarcopenia. MEDLINE, Embase and CINAHL databases were searched up to September 2021. Of the 3341 studies identified, seven studies were eligible for review. Study designs included experimental (n = 5) and observational (n = 2), and people with prostate, ovarian and endometrial, bladder, breast, and gastrointestinal cancers. One study used data-driven methods to derive dietary patterns, finding adherence to a ‘fat and fish’ diet was associated with lower odds of low muscle mass. Two studies examined adherence to hypothesis-orientated methods including the Mediterranean Diet Adherence Screener and Healthy Eating Index 2010 and four studies used ‘non-traditional’ approaches to analyse dietary patterns. Hypothesis-orientated dietary patterns, developed to improve general health and prevent chronic disease, and ‘non-traditional’ dietary patterns demonstrated inconsistent effects on muscle (lean) mass. All studies investigated muscle (lean) mass, omitting malnutrition and sarcopenia as cancer-related outcomes. This scoping review highlights the limited research examining the effect of dietary patterns on cancer-related outcomes.

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Association of major dietary patterns with muscle strength and muscle mass index in middle-aged men and women: Results from a cross-sectional study

Shahinfar

Safabakhsh

Babaei

et al. 2020

Clinical Nutrition ESPEN

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Dietary patterns and their relationships to sarcopenia in Portuguese patients with gastrointestinal cancer: An exploratory study

Cited by 4 publications

References 26 publications

Sarcopenia and adverse health‐related outcomes: An umbrella review of meta‐analyses of observational studies

Sarcopenia and adverse health‐related outcomes: An umbrella review of meta‐analyses of observational studies

Associations between Dietary Patterns and Malnutrition, Low Muscle Mass and Sarcopenia in Adults with Cancer: A Scoping Review

Association of major dietary patterns with muscle strength and muscle mass index in middle-aged men and women: Results from a cross-sectional study

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