 |
|
|
|
|
September 22nd, 2010
08:35 AM ET
Is the inability of cancer patients to eat a concern?Every weekday, a CNNHealth expert doctor answers a viewer question. On Wednesdays, it's Dr. Otis Brawley, chief medical officer at the American Cancer Society. Question asked by Steve Snodgrass, Bowling Green, Kentucky I wanted to see what your experts thought about cancer/chemotherapy patients and protein malnutrition. I have read it leads to as many as 45 to 50 percent of cancer deaths. Is the inability of cancer patients to eat of major concern to cancer health care providers? Thank you. Expert Answer You ask an important question about a devastating problem. Cachexia is a condition in which the body consumes excess energy. There is accelerated loss of fat stores and then consumption of proteins such as skeletal muscle. Cachexia is best known as a disease of cancer patients, but it is seen in patients with chronic infection, AIDS, heart failure, rheumatoid diseases and chronic obstructive pulmonary disease. Nearly half of patients with cancer that has spread to organs other the original site of disease (metastatic disease) have cachexia. Loss of appetite or anorexia is often associated with cachexia, especially cachexia of malignancy. Contrary to what many think, this is not a disease caused by starvation. The loss in weight and body mass is driven by a metabolic disease manifested by increased energy consumption. As a result aggressive feeding and caloric replacement are not adequate treatments. Extremely aggressive efforts are to be discouraged. There are studies to suggest that forced tube feeding or intravenous feeding (known as hyperalimentation) can actually increase risk of infection and death. Cachectic patients generally do not respond well to anti-cancer therapies. In one National Cancer Institute sponsored study, weight loss of greater than 5% from baseline was a predictor of poor outcome independent of cancer stage, type of cancer and patient performance status. Performance status is a rating of a patient's ability to walk and independently care for ones activities of daily living such as dressing oneself or hygiene. Studies demonstrate that cachexia is the direct cause of death in a small number of cancer patients (1 to 2 percent). This is akin to the body running out of fuel or extreme malnutrition. More commonly the person has lost a great deal of immune function and becomes susceptible to infection or cachexia can lead to metabolic disorders that can cause heart rhythm disturbances. There are no good estimates as to how often this occurs. Cancer cachexia appears to be caused by chemicals given off by the tumor or by the patient's immune system that is trying to combat the tumor. These chemicals are called cytokines. Some cytokines have also been found to cause depression which can also of course cause loss of appetite which worsens the condition. When there is effective treatment of the cancer, symptoms of cachexia decrease. A number of agents have been studied, not as treatment of the cancer, but as a treatment of the condition known as cachexia of malignancy. These include melatonin, thalidomide, cannabinoids, and androgenic steroids. Only the corticosteroids, such as dexamethasone, and the progestational agents, such megesterol acetate, have proven of benefit in treatment of the loss of appetite. While a number of studies show corticosteroids and progestational agents cause an increase in appetite and even weight gain, these studies have not shown that they improve quality of live or survival. soundoff (1,148 Responses)« Previous 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 Next »Leave a Reply to ms88sd
Next entry »TEDMED: What do your genes say about you?
|
  About this blog
Get a behind-the-scenes look at the latest stories from CNN Chief Medical Correspondent, Dr. Sanjay Gupta, Senior Medical Correspondent Elizabeth Cohen and the CNN Medical Unit producers. They'll share news and views on health and medical trends - info that will help you take better care of yourself and the people you love.
 |
|
|
|
Itís hard to come by educated people for this topic, however, you sound like you know what youíre talking about! Thanks
https://zo-azie.nl/forum/index.php?action=profile;area=forumprofile;u=215535
Everything is very open with a precise description of the issues. It was truly informative. Your site is very helpful. Thank you for sharing!
http://www.tjml.top/bbs/home.php?mod=space&uid=530620
Hi there! I could have sworn Iíve visited this web site before but after looking at many of the articles I realized itís new to me. Regardless, Iím definitely delighted I found it and Iíll be book-marking it and checking back often!
https://historyhub.history.gov/external-link.jspa?url=https://k-anma.com/
When I originally commented I seem to have clicked the -Notify me when new comments are added- checkbox and from now on whenever a comment is added I recieve 4 emails with the same comment. Is there an easy method you can remove me from that service? Cheers!
http://kchrlife.ru/user/numbercheese3/
Kênh Coi Thẳng Soccer Những Chọn Mua Giảibd trực tuyếncũng có thể nói, binhluan.vn có hình ảnh và chất lượng cực kỳ chi là mượt mà luôn. Bất cứ ai đã từng xem bong da trên links soccer trực tiếp của keonhacai1.tv thì cần công nhận một điều xem cực kỳ đã. Nên cứ có mỗi trận đấu trong bất kể giải đấu nào là thì lượng nhân viên xem truy cập vào keonhacai1 vô cùng lớn. Thông tin lịch thi đấu.
https://www.thedolive.cc/
Trực Tiếp Bóng Đátruc tiep bong da k+ binh luan tieng vietCó thể nói, binhluan.vn có hình ảnh và chất lượng rất chi là mượt mà luôn luôn. Bất cứ ai đó đã từng coi bong da bên trên links bóng đá trực tiếp của keonhacai1.tv thì cần công nhận một điều coi rất đã. Nên cứ có từng trận đấu vào bất kể giải đấu nào là thì lượng người xem truy vấn vào keonhacai1 vô cùng rộng lớn. Thông tin lịch thi đấu.
https://www.thedolive.cc/
Lịch Phạt Sóng Bóng Đáeuro 2021cũng có thể nói, binhluan.vn có hình ảnh và chất lượng vô cùng chi là mượt mà luôn luôn. Bất cứ ai đã từng coi bong da trên liên kết bóng đá trực tiếp của keonhacai1.tv thì cần thừa nhận một điều coi vô cùng đã. Nên cứ có mỗi trận đấu vào bất cứ giải đấu nà thì lượng người coi truy cập vào keonhacai1 vô cùng rộng lớn. Thông tin lịch tranh tài.
https://www.thedolive.cc/
Trực Tiếp đá Bóng Ngày Hôm Naythe do.tvcũng có thể nói, binhluan.vn có hình ảnh và hóa học lượng vô cùng chi là mượt mà luôn. Bất cứ ai đó đã từng coi bong da bên trên liên kết bóng đá trực tiếp của keonhacai1.tv thì nên công nhận một điều xem vô cùng đã. Nên cứ có mỗi trận đấu trong bất cứ giải đấu nào thì lượng nhân viên xem truy vấn vào keonhacai1 vô cùng rộng lớn. Thông tin lịch tranh tài.
https://www.thedolive.cc/
Thẳng Bóng Đá Thời Điểm Hôm Nayxem bong da truc tuyen cup c1cũng có thể nói, binhluan.vn có thương hiệu và hóa học lượng cực kỳ chi là mượt mà luôn luôn. Bất cứ ai đó đã từng coi bong da bên trên link đá bóng thẳng của keonhacai1.tv thì cần công nhận một điều xem rất đã. Nên cứ có mỗi trận đấu trong bất cứ giải đấu nào là thì lượng người xem truy cập vào keonhacai1 cực kì rộng lớn. Thông tin lịch thi đấu.
https://m.thedolive.cc/
Wonderful post! We will be linking to this particularly great article on our website. Keep up the great writing.
https://telegra.ph/Learning-Swedish-Massage-Benefits-of-Swedish-Massage-For-Pain-Management-04-21
Very good write-up. I certainly appreciate this site. Keep writing!
https://www.gatesofantares.com/players/ocelotoxygen08/activity/679845/
Wow! Finally I got a webpage from where I be capable of truly obtain valuable data concerning my study and knowledge.|
https://kragh-martin.technetbloggers.de/importance-of-home-stuff-reviews/
How does one find out how to become a blogger, or how much a blogger makes?
https://www.instagram.com/katekdesigns
An outstanding share! I've just forwarded this onto a coworker who had been doing a little homework on this. And he actually ordered me lunch because I stumbled upon it for him... lol. So let me reword this.... Thank YOU for the meal!! But yeah, thanx for spending some time to talk about this subject here on your web page.
http://www.erasem.com/betatest/member.php?action=profile&uid=81872
Tin đá Bóng, Tin Chuyển Nhượng, Live Scorebong da so tv ĐT Việt Nam nối tiếp triệu chứng tỏ sự vượt lên trội trước các đàn em U22 nước ta cùng với 2 chiến thắng vào 2 trận đấu nội bộ. Tin TứcBIDV Quang Trung và quá trình đoạt được giấc mơ còn dang dởSau một mùa giải đầy tiếc nuối, Ngân Hàng BIDV Quang Trung quay về Giải hạng Nhì – Cúp VietFootball 2021 với quyết tâm giành tấm vé thăng hạng. Rất nhiều ĐộI bóng tấn công tiếng muốn có sự đáp ứng
https://www.thedolive.cc/
Tin Thể Thaobóng đá trực tuyến ĐT nước ta kế tiếp chứng tỏ sự vượt trội trước những đàn em U22 nước ta cùng với 2 thắng lợi vào 2 trận đấu nội bộ. Tin TứcBIDV Quang Trung và chặng đường đoạt được niềm mơ ước còn dang dởSau một mùa giải đầy tiếc nuối, Ngân sản phẩm Đầu tư và Phát triển Quang Trung trở lại Giải hạng Nhì – Cúp VietFootball 2021 cùng với quyết tâm giành tấm vé thăng hạng. Rất nhiều nhóm bóng tấn công giờ muốn có sự đáp ứng
https://www.thedolive.cc/
I really like what you guys are usually up too. This type of clever work and reporting! Keep up the terrific works guys I've you guys to my own blogroll.|
http://www.gardenershub.xyz/
Tin Bóng Đá, Tin Gửi Nhượng, Live Scorethedo ĐT nước Việt Nam kế tiếp bệnh tỏ sự vượt lên trội trước các đàn em U22 nước ta cùng với 2 chiến thắng trong 2 trận đấu nội cỗ. Tin TứcBIDV Quang Trung và chặng đường đoạt được giấc mơ còn dang dởSau một mùa giải đầy tiếc nuối, BIDV Quang Trung quay về Giải hạng Nhì – Cúp VietFootball 2021 cùng với quyết tâm giành tấm vé thăng hạng. Rất nhiều nhóm bóng đánh h muốn có sự đáp ứng
https://www.thedolive.tv/
Tin Bóng Đá, Tin Gửi Nhượng, Live Scorethedo ĐT nước ta kế tiếp triệu chứng tỏ sự vượt trội trước những đàn em U22 nước ta cùng với 2 thắng lợi trong 2 trận đấu nội bộ. Tin TứcBIDV Quang Trung và quá trình đoạt được niềm mơ ước còn dang dởSau một mùa giải đầy tiếc nuối, Ngân hàng Đầu tư và Phát triển Quang Trung trở lại Giải hạng Nhì – Cúp VietFootball 2021 cùng với quyết tâm giành tấm vé thăng hạng. Rất nhiều nhóm bóng đánh tiếng mong muốn có sự đáp ứng
https://www.thedolive.tv/
https://samsungifa.com/
https://samsungifa.com/taking-a-tour-of-the-samsung-galaxy-s21-ultra-5g/
An impressive share! I have just forwarded this onto a co-worker who was doing a little research on this. And he in fact bought me dinner because I discovered it for him... lol. So let me reword this.... Thanks for the meal!! But yeah, thanx for spending the time to talk about this topic here on your blog.
https://edukite.org/members/leouncle59/activity/1141782/
Clifton Steel's is a Hadfield Grade Manganese Steel designed to harden with effect. Simply The Best Manganese Wear Plate
https://blogfreely.net/k8pumjd196/what-is-a-jaw-crusher-made-use-of-a
A fascinating discussion is definitely worth comment. There's no doubt that that you should write more on this issue, it may not be a taboo matter but typically people don't talk about such issues. To the next! All the best!!
https://www.openlearning.com/u/massage7salmonage4/blog/BioMechanicalStimulationMassage
There is definately a great deal to find out about this issue. I really like all the points you've made.
https://squareblogs.net/baccarat2fightson82/fundamental-card-counting-strategies-at-a-casino
How long should I expect to retain your services?
https://www.wrongfuldismissal.ca/
http://feeds.feedburner.com/techstat/GHSw
http://feeds.feedburner.com/techstat/GHSw
Excellent site you've got here.. Itís hard to find excellent writing like yours nowadays. I honestly appreciate individuals like you! Take care!!
http://womendew4.bravesites.com/entries/general/care-over-the-ayurvedic-healing-method
Hi there! I simply wish to give you a huge thumbs up for your excellent info you have right here on this post. I am returning to your blog for more soon.
https://birchhate00.bladejournal.com/post/2021/04/28/How-Massage-Can-Benefit-Your-Wellbeing
This is a topic which is near to my heart... Thank you! Exactly where are your contact details though?
http://casino9juliusktrc899.image-perth.org/5-killer-quora-answers-on-saseoltoto
Additionally referred to as carbon steel, this product is just one of the most common choices you'll find for bearings The 52100 bearing steel is a high carbon, low alloy steel that contains chromium. These functions make chrome steel a excellent option for many general applications seeking slim section bearings.
https://diigo.com/0kleym
This page truly has all of the information I needed concerning this subject and didnít know who to ask.
https://pbase.com/topics/casino5enginelisa2/how_to_know_the_number_of_po
Very good information. Lucky me I discovered your blog by chance (stumbleupon). I've saved it for later!
https://chesscup84.bladejournal.com/post/2021/04/28/All-About-Massage-Therapy
An interesting discussion is definitely worth comment. There's no doubt that that you ought to publish more about this topic, it might not be a taboo matter but generally people don't talk about such subjects. To the next! All the best!!
https://diigo.com/0kc7kb
Manganese resembles iron in its chemical and also physical residential or commercial properties, yet it is harder and extra breakable. Manganese is potentially the most versatile element that can be included in copper alloys.
https://linenetworkapy.over-blog.com/2021/05/which-type-of-steel-pipeline-fittings-used-for-attaching-api-5l-line-pipeline.html
Good post. I will be going through a few of these issues as well..
https://zenwriting.net/maskalarm18/img-width-366
Dabpadzglass beaker bongs45 Degree Joint Vs 90 Degree Joint Ash CatcherThis is because the ash catcher would make your piece top-heavy, increasing the likelihood of an accident and breakage. On the contrary, massive bongs are usually paired with large ash catchers to keep the aesthetic consistent.
https://inhalco.com/blogs/news/how-to-clean-a-glass-bong
Very good post. I will be going through a few of these issues as well..
https://blogfreely.net/onionspot36/exactly-why-is-swedish-massage-so-great-for-you-personally
Dab Pads & Silicone Matsdownstem for bong14mm 45 Degree Showerhead Ash Catcher By DiamondThe bag is held closed by strong velcro as well as a rubber lined zipper that keeps smells locked inside. The inside has two roomy mesh pockets with enough space for your stash as well as a lighter, a hand pipe, and even a snack. The inside of the pouch also has 100 carbon lining, making the smell-proof security even stronger.
https://inhalco.com/blogs/news/how-to-clean-a-silicone-nectar-collector
Dabpadzhow to clean a bing45 Degree Joint Vs 90 Degree Joint Ash CatcherThis is because the ash catcher would make your piece top-heavy, increasing the likelihood of an accident and breakage. On the contrary, massive bongs are usually paired with large ash catchers to keep the aesthetic consistent.
https://inhalco.com/blogs/news/12-best-dab-rigs-in-2021
Itís hard to come by well-informed people in this particular topic, however, you sound like you know what youíre talking about! Thanks
http://set.ua/bitrix/rk.php?goto=https://www.kiva.org/lender/eyman8207
I really love your blog.. Pleasant colors & theme. Did you make this amazing site yourself? Please reply back as Iím trying to create my own personal blog and would love to learn where you got this from or exactly what the theme is named. Appreciate it!
http://qa.pandora-2.com/index.php?qa=user&qa_1=coffeespade8
Chrome steel is made use of synonymously with stainless-steel What are its homes ? Hardening of chrome steel.
https://steelitemsbpu.weebly.com/blog/whats-the-difference-between-steel-sheet-and-also-plate
is tadalafil and cialis the same thing c-tadalafil tadalafil evolution peptides
tadalafil medication tadalafil peptide tadalafil troche cost
tadalafil liquid tadalafil drug generic tadalafil from uk
Nice post. I learn something new and challenging on blogs I stumbleupon on a daily basis. It will always be exciting to read through articles from other writers and practice a little something from other websites.
http://www.feedbooks.com/user/7367598/profile
This site was... how do I say it? Relevant!! Finally I've found something that helped me. Thanks a lot!
https://list.ly/nyholmfogh822
Having read this I thought it was very enlightening. I appreciate you finding the time and energy to put this informative article together. I once again find myself spending a lot of time both reading and posting comments. But so what, it was still worthwhile!
http://idea.informer.com/users/cafecable5/?what=personal
Chrome-plated steel is generated by dipping ordinary steel right into an electrolyte solution including chromium and utilizes electrolysis to develop the finishing.
https://canvas.instructure.com/eportfolios/182781/wldsuggestsfnt/What_Steel_Job_Best_In_Manufacturing_LNG_Containers
Dab Padelectric dab straw14mm 45 Degree Tree Perc Ash CatcherThis is because the ash catcher would make your piece top-heavy, increasing the likelihood of an accident and breakage. On the contrary, massive bongs are usually paired with large ash catchers to keep the aesthetic consistent.
https://pilotdiarystore.com/collections/wax-pen