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Impact of Nutrition in the Management Outcomes of Older Adults with Gastrointestinal Cancers


Malnutrition is one of the most common physical manifestations of gastrointestinal (GI) cancers and is often under-diagnosed and under-treated. Like cancers, malnutrition occurs more commonly in older adults, consequently affecting the quality of life, functional status, tolerance to treatment, and prognosis. Its assessment and management requires a proactive and systematic, multi-disciplinary approach. Early assessment/detection as well as prompt intervention of cancer–associated malnutrition and cachexia are equally essential to achieve a better quality nutritional care for older oncology patients. This article aims to provide an overview of the evidence associated with poor nutrition and outcomes in older patients with GI cancers, and recommends a management approach from a geriatric oncologist’s perspective.


Laura Biganzoli (Italy)
Federico Bozzetti (Italy)
Samantha Di Donato (Italy)
Joelen Hubbard (USA)
Lalit Krishna (Singapore)
Anna Rachelle Mislang (Australia)
Giuseppe Mottino (Italy)


Nutritional management of older adults with gastrointestinal cancers: An International Society of Geriatric Oncology (SIOG) review paper.
Mislang AR, Di Donato S, Hubbard J, Krishna L, Mottino G, Bozzetti F, Biganzoli L. J Geriatr Oncol. 2018 Jan 22. pii: S1879-4068(18)30014-6. doi: 10.1016/j.jgo.2018.01.003.