Cachexia

Cachexia
Other namesWasting syndrome
Person with cancer-associated cachexia
SpecialtyOncology, internal medicine, physical medicine and rehabilitation
SymptomsSudden weight loss, altered eating signals
PrognosisVery poor
Frequency1%
Deaths1.5 to 2 million people a year

Cachexia (/kəˈkɛksiə/ ) is a syndrome that happens when people have certain illnesses, causing muscle loss that cannot be fully reversed with improved nutrition. It is most common in diseases like cancer, congestive heart failure, chronic obstructive pulmonary disease, chronic kidney disease, and AIDS. These conditions change how the body handles inflammation, metabolism, and brain signaling, leading to muscle loss and other harmful changes to body composition over time. Unlike weight loss from not eating enough, cachexia mainly affects muscle and can happen with or without fat loss. Diagnosis of cachexia is difficult because there are no clear guidelines, and its occurrence varies from one affected person to the next.

Like malnutrition, cachexia can lead to worse health outcomes and lower quality of life.