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Nutrition and physical activity: French intergroup clinical practice guidelines for diagnosis, treatment and follow-up (SNFGE, FFCD, GERCOR, UNICANCER, SFCD, SFED, SFRO, ACHBT, AFC, SFP-APA, SFNCM, AFSOS)

Cindy Neuzillet 1, 2, 3, * Amélie Anota 4, 5 A.-M. Foucaut 6 Anne-Laure Védie 7 Sami Antoun 8 Didier Barnoud 9 Carole Bouleuc 1 Frédéric Chorin 10, 11 Vanessa Cottet 12 Eric Fontaine 13 Valérie Garabige 1 Xavier Hebuterne 10 Florence Huguet 14 Astrid Lièvre 15, 16 Timothée Marchal 1 Thomas Mouillot 17 Frédérique Peschaud 18 Didier Quilliot 19, 20 Bruno Raynard 8 Stéphane Schneider 10, 11 Florian Scotté 21 Damien Vansteene 22 Pascale Mariani 1 Olivier Bouché 23 Francisca Joly 7
* Corresponding author
1 Institut Curie [Paris]
2 Université Paris-Saclay
3 UVSQ - Université de Versailles Saint-Quentin-en-Yvelines
4 RIGHT - Interactions hôte-greffon-tumeur, ingénierie cellulaire et génique - UFC (UMR INSERM 1098)
5 UBET - Unité de Biostatistique et d'Evaluation des Thérapeutiques
6 LEPS - Laboratoire Educations et Pratiques de Santé
7 Service de Gastroentérologie [Hôpital Beaujon]
8 IGR - Institut Gustave Roussy
9 Hôpital Edouard Herriot [CHU - HCL]
10 CHU - Hôpital Pasteur [Nice]
11 LAMHESS - Laboratoire Motricité Humaine Expertise Sport Santé
12 LNC - Lipides - Nutrition - Cancer [Dijon - U1231]
13 LBFA - Laboratory of Fundamental and Applied Bioenergetics = Laboratoire de bioénergétique fondamentale et appliquée
14 CHU Tenon [APHP]
15 COSS - Chemistry, Oncogenesis, Stress and Signaling
16 CHU Pontchaillou [Rennes]
17 CHU Dijon - Centre Hospitalier Universitaire de Dijon - Hôpital François Mitterrand
18 Service de chirurgie générale, digestive et oncologique [CHU Ambroise-Paré]
19 NGERE - Nutrition-Génétique et Exposition aux Risques Environnementaux
20 Service d'Endocrinologie - Diabète - Nutrition [CHRU Nancy]
21 DIOPP - Département interdisciplinaire d’organisation des parcours patients
22 UNICANCER/ICO - Institut de Cancérologie de l'Ouest [Angers/Nantes]
23 CHU Reims - Centre Hospitalier Universitaire de Reims
Abstract : This document is a summary of the French intergroup guidelines regarding the nutrition and physical activity (PA) management in digestive oncology. This collaborative work was produced under the auspices of all French medical and surgical societies involved in digestive oncology, nutrition and supportive care. It is based on published guidelines, recent literature review and expert opinions. Recommendations are graded according to the level of evidence. Malnutrition affects more than half of patients with digestive cancers and is often underdiagnosed. It has multiple negative consequences on survival, quality of life and risk of treatment complications. Consequently, in addition to anticancer treatments, supportive care including nutritional support and PA plays a central role in the management of digestive cancers. It is crucial to detect malnutrition (diagnostic criteria updated in 2019) early, to prevent it and to act against it at all stages of the cancer and at all times of the care pathway. In this context, we proposed recommendations for the evaluation and management in nutrition and PA in digestive oncology for each stage of the disease (perioperative setting, during radiation therapy, during systemic treatments, at the palliative phase, after cancer). Guidelines for nutrition and PA management aim at increasing awareness about malnutrition in oncology. They are continuously evolving and need to be regularly updated.
Keywords : education and training gastrointestinal (lower) gastrointestinal (upper) pancreatic supportive care symptoms and symptom management
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Journal articles
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https://hal.archives-ouvertes.fr/hal-03038521
Contributor : Laurent Jonchère <>
Submitted on : Friday, December 18, 2020 - 12:52:51 PM
Last modification on : Thursday, January 21, 2021 - 2:10:03 PM

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UNIV-RENNES1 | ICO | PSL | LNC-UMR866 | UNIV-PARIS13 | BMS-UL | LBFA | UGA | USPC | SORBONNE-UNIVERSITE | MARQUIS | HEH | UNIV-FCOMTE | UNIV-RENNES | UNIV-LORRAINE | UMR645 | FNCLCC | UR1-UFR-SVE | UVSQ | BIOSIT | HCL | UNIV-BOURGOGNE | NGERE-UL | CURIE | OSS | IGR | SU-TI | INSERM | UNICE | LAMHESS | UNIV-COTEDAZUR | UNIV-TLN | LEPS | CAMPUS-CONDORCET

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Cindy Neuzillet, Amélie Anota, A.-M. Foucaut, Anne-Laure Védie, Sami Antoun, et al.. Nutrition and physical activity: French intergroup clinical practice guidelines for diagnosis, treatment and follow-up (SNFGE, FFCD, GERCOR, UNICANCER, SFCD, SFED, SFRO, ACHBT, AFC, SFP-APA, SFNCM, AFSOS). BMJ Palliative and supportive care, BMJ Publishing Group 2020, bmjspcare-2020-002751. ⟨10.1136/bmjspcare-2020-002751⟩. ⟨hal-03038521⟩

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