Signs and symptoms in cachexia assessment including secondary nutrition impact symptoms

Symptoms related to the underlying disease

Secondary nutrition impact symptoms that may impact caloric intake

Symptoms that might be a consequence of cachexia

Other contributory factors

Appetite loss

Early satiety

Weakness or disability

Anxiety/depression

Constipation or diarrhea

Difficulty chewing/dysphagia

Dysgeusia

Dyspnea

Fatigue

Nausea/vomiting

Pain (especially epigastric or abdominal)

Stomatitis

Thick saliva/secretions

Xerostomia

Body-image dissatisfaction

Eating-related distress

Fatigue

Adrenal insufficiency

Hypogonadism (in men)

Hypothyroidism

Sarcopenia from cancer treatment (androgen deprivation therapy, sorafenib, bevacizumab)

Modified from: Strasser F. Classification of cancer cachexia and secondary nutrition impact symptoms. In: Nutrition and the Cancer Patient, Del Fabbro E, Baracos V, Denmark-Wahnefried W, et al (Eds), Oxford University Press 2010.

Graphic 90107 Version 2.0

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Signs and symptoms in cachexia assessment including secondary nutrition impact symptoms