Assessment of knowledge, attitude and practice regarding nutritional care and sarcopenia in oncology: a cross-sectional pilot survey
DOI:
https://doi.org/10.18203/2320-6012.ijrms20262620Keywords:
Cancer nutrition, KAP study, Malnutrition, Oncology, Screening tools, SarcopeniaAbstract
Background: Malnutrition and sarcopenia are highly prevalent in cancer patients and are associated with poor clinical outcomes. Despite increasing awareness, their assessment and management remain inconsistent in routine oncology practice. To assess the knowledge, attitude and practice (KAP) of healthcare professionals regarding nutritional care and sarcopenia in oncology settings.
Methods: A cross-sectional survey was conducted among 18 clinicians using a structured questionnaire covering knowledge, attitude and practice domains. Responses were analyzed using descriptive statistics and domain-wise scores were calculated.
Results: The findings demonstrated moderate knowledge levels, with variability in understanding of sarcopenia definitions, diagnostic tools and biomarkers. Attitude toward nutrition was highly positive, with most participants acknowledging the importance of early nutritional intervention and routine screening. However, clinical practice lagged behind, with low adoption of structured screening tools such as SARC-F and handgrip strength, limited routine nutritional assessment and inconsistent tracking of body composition.
Conclusions: Despite favorable attitudes, a significant gap exists between knowledge and implementation of nutritional care in oncology. Targeted education and integration of structured screening tools are essential to improve clinical outcomes.
Metrics
References
Arends J, Bachmann P, Baracos V. ESPEN guidelines on nutrition in cancer patients. Clin Nutr. 2017;36(1):11–48. DOI: https://doi.org/10.1016/j.clnu.2016.07.015
Hébuterne X, Lemarié E, Michallet M. Prevalence of malnutrition and current use of nutrition support in patients with cancer. JPEN J Parenter Enteral Nutr. 2014;38(2):196–204. DOI: https://doi.org/10.1177/0148607113502674
Cruz-Jentoft AJ, Bahat G, Bauer J. Sarcopenia: revised European consensus on definition and diagnosis. Age Ageing. 2019;48(1):16–31. DOI: https://doi.org/10.1093/ageing/afy169
Prado CM, Purcell SA, Laviano A. Nutrition interventions to treat low muscle mass in cancer. J Cachexia Sarcopenia Muscle. 2020;11(2):366–80. DOI: https://doi.org/10.1002/jcsm.12525
Shachar SS, Williams GR, Muss HB, Nishijima TF. Prognostic value of sarcopenia in adults with solid tumours: a meta-analysis. Eur J Cancer. 2016;57:58–67. DOI: https://doi.org/10.1016/j.ejca.2015.12.030
Liang B, Wang B, Liang J, Sun X. Knowledge, attitude and practice of healthcare professionals toward sarcopenia. Sci Rep. 2025;15(1):19826. DOI: https://doi.org/10.1038/s41598-025-04358-w
Anjanappa M, Corden M, Green A. Sarcopenia in cancer: Risking more than muscle loss. Tech Innov Patient Supp Rad Oncol. 2020;16:50-7. DOI: https://doi.org/10.1016/j.tipsro.2020.10.001
Xiaoxu Zhi, Jie Chen, Liu Yang, Sheng Li, Liuliu Zhang, Yun Zhao, et al. Knowledge, attitudes and practices toward nutritional management among patients with gastrointestinal cancer: A cross-sectional study. Asia-Pacific J Oncol Nurs. 2025;12:2347-625. DOI: https://doi.org/10.1016/j.apjon.2025.100688
Singer P, Reintam Blaser A, Berger MM, Alhazzani W, Calder PC, Casaer MP, et al. ESPEN guideline on clinical nutrition in the intensive care unit. Clin Nutrition. 2019;38(1):48–79. DOI: https://doi.org/10.1016/j.clnu.2018.08.037
Cederholm T, Jensen GL, Correia MITD. GLIM criteria for the diagnosis of malnutrition. Clin Nutr. 2019;38(1):1–9. DOI: https://doi.org/10.1016/j.clnu.2019.02.033
Muscaritoli M, Arends J, Bachmann P. ESPEN practical guideline: Clinical nutrition in cancer. Clin Nutr. 2021;40(5):2898–913. DOI: https://doi.org/10.1016/j.clnu.2021.02.005
Chen LK, Woo J, Assantachai P. Asian Working Group for Sarcopenia: 2019 consensus update. J Am Med Dir Assoc. 2020;21(3):300–7. DOI: https://doi.org/10.1016/j.jamda.2019.12.012