Mixed
Concurrent chemoradiation (CCR) in head and neck cancer patients induces rapid lean body mass (LBM) loss and physical functional decline, driven by an inflammatory state rather than caloric deficit.
For patients undergoing head and neck cancer treatment, standard high-calorie nutritional supplements may not prevent muscle loss because the treatment triggers an inflammatory metabolic shift. Focus on preserving muscle through targeted anti-inflammatory strategies and physical activity support, rather than just increasing caloric intake, as the body is actively catabolizing lean tissue despite adequate food consumption.
Weight loss began 1 week after CCR. Lean body mass (LBM) accounted for 71.7% 6 21% of body mass loss... LBM loss was significantly associated with physical performance decline... Cytokine levels were strongly associated with physical and functional decline.
Why this rating
Small sample size (n=17), observational design, no control group, but rigorous metabolic measurements.
Source
Changes in body mass, energy balance, physical function, and inflammatory state in patients with locally advanced head and neck cancer treated with concurrent chemoradiation after low‐dose induction chemotherapy
Heidi J. Silver et al. · Head & Neck · 2007
DOI 10.1002/hed.20607
Related findings · Mixed
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