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Markers and associations of nutrition identified in a senior adult oncology clinic

Published:October 14, 2022DOI:https://doi.org/10.1016/j.jgo.2022.10.003
      Approximately half of all cancers occur in adults older than 65 and it is estimated that 70% of all cancers will occur among people aged 65 years or older by 2030. [
      • White M.C.
      • et al.
      Age and cancer risk: a potentially modifiable relationship.
      ] Cancer treatment decisions for older adults are complicated by the patients' comorbidities, physical and functional impairments, and poorer social support systems. [
      • Loh K.P.
      • et al.
      What every oncologist should know about geriatric assessment for older patients with Cancer: young International Society of Geriatric Oncology Position Paper.
      ] Nutrition and frailty are known to negatively impact cancer outcomes. [
      • Blasiak J.
      • et al.
      Nutrition in cancer therapy in the Elderly-An epigenetic connection?.
      ,
      • Handforth C.
      • et al.
      The prevalence and outcomes of frailty in older cancer patients: a systematic review.
      ] These factors are influenced by social determinants of health such as the inequitable distribution of both healthcare resources and access to food. [
      • Neff R.A.
      • et al.
      Food systems and public health disparities.
      ] Ideally, all older patients with cancer should have a comprehensive geriatric assessment (CGA) and appropriate interventions to improve nutrition and physical function. [
      • Loh K.P.
      • et al.
      What every oncologist should know about geriatric assessment for older patients with Cancer: young International Society of Geriatric Oncology Position Paper.
      ] As of 2018, the American Society of Clinical Oncology (ASCO) guidelines state that all older adults over the age of 65 who are being recommended treatment with chemotherapy should undergo a geriatric assessment. [
      • Mohile S.G.
      • et al.
      Practical assessment and management of vulnerabilities in older patients receiving chemotherapy: ASCO guideline for geriatric oncology.
      ] The COVID-19 global pandemic has highlighted the increasing number of people who are impacted by food insecurity and malnutrition, which is already known to be of concern in the older adult population. [
      • McLoughlin G.M.
      • et al.
      Addressing food insecurity through a health equity lens: a case study of large urban school districts during the COVID-19 pandemic.
      ]

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