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Combined Nutritional and Exercise Interventions for Cachexia in Chronic Diseases: A Systematic Review and Meta-analysis Limited to Cancer Cachexia - PubMed

5 hours ago
  • #nutritional intervention
  • #exercise therapy
  • #cachexia
  • Combined nutritional and exercise interventions for cachexia in chronic diseases were evaluated, focusing on cancer cachexia.
  • Cachexia is characterized by weight loss and reduced muscle mass, often with inflammation, in chronic diseases like cancer and heart failure.
  • The systematic review and meta-analysis found very low certainty evidence on the effectiveness of combined interventions, with no high-quality evidence supporting their benefits.
  • Five studies involving cancer patients were included, showing uncertain impacts on mortality rates compared to control groups.
  • Meta-analyses for other outcomes were not possible due to sparse and heterogeneous data.
  • Twenty-two ongoing trials involving patients with cancer, chronic kidney disease, and AIDS were identified, with results pending.
  • The review highlights the need for more rigorous, well-designed trials and the development of core outcome sets for future meta-analyses.
  • Conflict of interest statements reveal various financial relationships between authors and pharmaceutical companies.