Syndrome causing muscle loss not entirely reversible
"Wasting syndrome" redirects here. For the process by which a debilitating disease causes muscle and fat tissue to "waste" away, see
wasting .
Medical condition
Cachexia ([ 1] ) is a complex syndrome linked to underlying illness, causing ongoing muscle loss that cannot be fully reversed with nutritional supplementation .[ 2] It is most commonly seen in diseases like cancer , congestive heart failure , chronic obstructive pulmonary disease , chronic kidney disease , and AIDS .[ 3] [ 4] These conditions are believed to disrupt inflammatory, metabolic, and neuro-modulatory processes, which are believed to cause harmful changes in metabolism and body composition over time.[ 5] Unlike weight loss caused by not eating enough, cachexia primarily involves muscle loss, with or without fat loss.[ 6] Diagnosing cachexia is challenging due to the lack of clear criteria, and treatments beyond addressing the underlying illness have had limited success. Similarly to malnutrition , which is believed to increase morbidity and mortality and decrease quality of life, cachexia is associated with increased morbidity and mortality.[ 7] [ 8] [ 9] However, the specific impact of cachexia on quality of life is not well studied.[ 10]
^ "Cachexia | Definition of Cachexia by Lexico" . Lexico Dictionaries | English . Archived from the original on November 8, 2019.
^ Cite error: The named reference :10
was invoked but never defined (see the help page ).
^ Cederholm, T.; Barazzoni, R.; Austin, P.; Ballmer, P.; Biolo, G.; Bischoff, S.C.; Compher, C.; Correia, I.; Higashiguchi, T.; Holst, M.; Jensen, G.L.; Malone, A.; Muscaritoli, M.; Nyulasi, I.; Pirlich, M. (2017). "ESPEN guidelines on definitions and terminology of clinical nutrition" . Clinical Nutrition . 36 (1): 49– 64. doi :10.1016/j.clnu.2016.09.004 . hdl :11368/2883964 . PMID 27642056 .
^ Muscaritoli, M.; Anker, S.D.; Argilés, J.; Aversa, Z.; Bauer, J.M.; Biolo, G.; Boirie, Y.; Bosaeus, I.; Cederholm, T.; Costelli, P.; Fearon, K.C.; Laviano, A.; Maggio, M.; Fanelli, F. Rossi; Schneider, S.M. (2009). "Consensus definition of sarcopenia, cachexia and pre-cachexia: Joint document elaborated by Special Interest Groups (SIG) "cachexia-anorexia in chronic wasting diseases" and "nutrition in geriatrics" " . Clinical Nutrition . 29 (2): 154– 159. doi :10.1016/j.clnu.2009.12.004 . PMID 20060626 .
^ Ferrer, Miriam; Anthony, Tracy G.; Ayres, Janelle S.; Biffi, Giulia; Brown, Justin C.; Caan, Bette J.; Cespedes Feliciano, Elizabeth M.; Coll, Anthony P.; Dunne, Richard F.; Goncalves, Marcus D.; Grethlein, Jonas; Heymsfield, Steven B.; Hui, Sheng; Jamal-Hanjani, Mariam; Lam, Jie Min (2023). "Cachexia: A systemic consequence of progressive, unresolved disease" . Cell . 186 (9): 1824– 1845. doi :10.1016/j.cell.2023.03.028 . PMC 11059056 . PMID 37116469 .
^ Fearon, Kenneth C.H.; Glass, David J.; Guttridge, Denis C. (August 2012). "Cancer Cachexia: Mediators, Signaling, and Metabolic Pathways" . Cell Metabolism . 16 (2): 153– 166. doi :10.1016/j.cmet.2012.06.011 . PMID 22795476 .
^ Norman, Kristina; Pichard, Claude; Lochs, Herbert; Pirlich, Matthias (2008). "Prognostic impact of disease-related malnutrition" . Clinical Nutrition . 27 (1): 5– 15. doi :10.1016/j.clnu.2007.10.007 . PMID 18061312 .
^ Evans WJ, Morley JE, Argilés J, Bales C, Baracos V, Guttridge D, et al. (December 2008). "Cachexia: a new definition". Clinical Nutrition . 27 (6): 793– 9. doi :10.1016/j.clnu.2008.06.013 . PMID 18718696 . S2CID 206821612 .
^ Bossi, Paolo; Delrio, Paolo; Mascheroni, Annalisa; Zanetti, Michela (2021-06-09). "The Spectrum of Malnutrition/Cachexia/Sarcopenia in Oncology According to Different Cancer Types and Settings: A Narrative Review" . Nutrients . 13 (6): 1980. doi :10.3390/nu13061980 . ISSN 2072-6643 . PMC 8226689 . PMID 34207529 .
^ Hjermstad, Marianne J.; Jakobsen, Gunnhild; Arends, Jann; Balstad, Trude R.; Brown, Leo R.; Bye, Asta; Coats, Andrew J.S.; Dajani, Olav F.; Dolan, Ross D.; Fallon, Marie T.; Greil, Christine; Grzyb, Alexandra; Kaasa, Stein; Koteng, Lisa H.; May, Anne M. (2024). "Quality of life endpoints in cancer cachexia clinical trials: Systematic review 3 of the cachexia endpoints series" . Journal of Cachexia, Sarcopenia and Muscle . 15 (3): 794– 815. doi :10.1002/jcsm.13453 . ISSN 2190-5991 . PMC 11154790 . PMID 38553255 .