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Intervention strategies for cancer-related sarcopenia: a scoping review
Lei Li1, Haiyan Zhu2, Jiangxia Chen3
1Department of Gastrointestinal Surgery, Shaoxing People's Hospital, The First Hospital of Shaoxing University, Shaoxing, Zhejiang, China.
Objective:
This article systematically reviewed intervention strategies for cancer-related sarcopenia (CRS), providing evidence for researchers to develop targeted treatments.
Methods:
PubMed, Embase, Web of Science, and the Cochrane Library were searched for studies between 2015 and 2025, followed by literature screening and content analysis.
Results:
A total of 3,566 articles were initially identified, and 18 randomized controlled trials (published between 2016 and 2025; sample sizes ranging from 15 to 232) were ultimately included. CRS interventions were categorized into four types: nutritional, exercise, pharmacological, and multidisciplinary.
Conclusion:
A CRS intervention needs an integrated approach that combines nutrition, exercise, pharmacology, and a multidisciplinary team (MDT) to improve patients' functional outcomes and quality of life. Future research should focus on precision approaches and translational medicine.
Insights
Effective cancer-related sarcopenia (CRS) treatment requires integrated strategies combining nutrition, exercise, and medical interventions. Multidisciplinary teams are key for improving patient outcomes and quality of life.
Area of Science:
- Oncology
- Gerontology
- Rehabilitation Medicine
Background:
- Cancer-related sarcopenia (CRS) significantly impacts patient prognosis and quality of life.
- Current intervention strategies for CRS lack a unified, evidence-based approach.
- There is a need to synthesize existing research on CRS interventions to guide clinical practice and future research.
Purpose of the Study:
- To systematically review and categorize intervention strategies for cancer-related sarcopenia (CRS).
- To provide evidence-based insights for developing targeted and effective treatments for CRS.
- To identify gaps and future directions in CRS research.
Main Methods:
- Systematic literature search of major databases (PubMed, Embase, Web of Science, Cochrane Library) from 2015 to 2025.
- Inclusion of 18 randomized controlled trials (RCTs) published between 2016 and 2025.
- Content analysis and categorization of CRS interventions into nutritional, exercise, pharmacological, and multidisciplinary approaches.
Main Results:
- A total of 3,566 articles were initially screened.
- Eighteen RCTs met the inclusion criteria, with sample sizes ranging from 15 to 232 participants.
- Interventions were classified into four main categories: nutritional, exercise, pharmacological, and multidisciplinary.
Conclusions:
- An integrated approach combining nutrition, exercise, pharmacology, and a multidisciplinary team (MDT) is essential for managing CRS.
- This integrated strategy aims to enhance patients' functional outcomes and overall quality of life.
- Future research should prioritize precision medicine and translational approaches for CRS treatment.
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