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Pagano AP, Ford KL, Porter Starr KN, Kiss N, Steed H, Kung JY, Elango R, Prado CM. Energy Metabolism in Gynecological Cancers: A Scoping Review. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph19116419. [PMID: 35682004 PMCID: PMC9180127 DOI: 10.3390/ijerph19116419] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 04/01/2022] [Revised: 05/18/2022] [Accepted: 05/23/2022] [Indexed: 01/06/2023]
Abstract
Determining energy requirements is vital for optimizing nutrition interventions in pro-catabolic conditions such as cancer. Gynecological cancer encompasses the most common malignancies in women, yet there is a paucity of research on its metabolic implications. The aim of this review was to explore the literature related to energy metabolism in gynecological cancers. We were particularly interested in exploring the prevalence of energy metabolism abnormalities, methodological approaches used to assess energy metabolism, and clinical implications of inaccurately estimating energy needs. A search strategy was conducted from inception to 27 July 2021. Studies investigating energy metabolism using accurate techniques in adults with any stage of gynecological cancer and the type of treatment were considered. Of the 874 articles screened for eligibility, five studies were included. The definition of energy metabolism abnormalities varied among studies. Considering this limitation, four of the five studies reported hypermetabolism. One of these studies found that hypermetabolism was more prevalent in ovarian compared to cervical cancer. Of the included studies, one reported normometabolism at the group level; individual-level values were not reported. One of the studies reported hypermetabolism pre- and post-treatment, but normometabolism when re-assessed two years post-treatment. No studies explored clinical implications of inaccurately estimating energy needs. Overall, commonly used equations may not accurately predict energy expenditure in gynecological cancers, which can profoundly impact nutritional assessment and intervention.
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Affiliation(s)
- Ana Paula Pagano
- Human Nutrition Research Unit, Department of Agricultural, Food & Nutritional Science, University of Alberta, Edmonton, AB T6G 2R3, Canada; (A.P.P.); (K.L.F.)
- Women and Children’s Health Research Institute, Edmonton, AB T6G 1C9, Canada
| | - Katherine L. Ford
- Human Nutrition Research Unit, Department of Agricultural, Food & Nutritional Science, University of Alberta, Edmonton, AB T6G 2R3, Canada; (A.P.P.); (K.L.F.)
| | - Kathryn N. Porter Starr
- Division of Geriatrics, Department of Medicine, Duke University School of Medicine, Durham, NC 27705, USA;
- Durham VA Health Care System, Durham, NC 27705, USA
| | - Nicole Kiss
- Institute for Physical Activity and Nutrition, Deakin University, Geelong 3217, Australia;
| | - Helen Steed
- Department of Obstetrics and Gynecology, University of Alberta, Edmonton, AB T6G 2R3, Canada;
| | - Janice Y. Kung
- John W. Scott Health Sciences Library, University of Alberta, Edmonton, AB T6G 2R7, Canada;
| | - Rajavel Elango
- Department of Pediatrics, BC Children’s Hospital Research Institute, School of Population and Public Health, University of British Columbia, Vancouver, BC V5Z 4H4, Canada;
| | - Carla M. Prado
- Human Nutrition Research Unit, Department of Agricultural, Food & Nutritional Science, University of Alberta, Edmonton, AB T6G 2R3, Canada; (A.P.P.); (K.L.F.)
- Women and Children’s Health Research Institute, Edmonton, AB T6G 1C9, Canada
- Correspondence: ; Tel.: +1-780-492-7934
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