Evidence map›Paper›PMID 40410541›Full record

SynthesisAging clinical and experimental research2025

The bidirectional association of malnutrition with depression and anxiety in patients with cancer: a systematic review and meta-analysis of evidence.

Agnieszka Micek, Ewa Błaszczyk-Bębenek, Aneta Cebula, Justyna Godos, Kamil Konopka, Anna Wąż, Giuseppe Grosso

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in Aging clinical and experimental research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Machine Learning Models for Predicting Pain, Fatigue, Depression, Anxiety, and Malnutrition in Cancer Patients: A Systematic Review and Meta-Analysis.Journal of nursing scholarship : an official publication of Sigma Theta Tau International Honor Society of Nursing · 2026
    Pooled it
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Agnieszka MicekStatistical Laboratory, Faculty of Health Sciences, Jagiellonian University Medical College, 31-501, Cracow, Poland. agnieszka.micek@uj.edu.pl.
Ewa Błaszczyk-BębenekDepartment of Nutrition and Drug Research, Faculty of Health Sciences, Jagiellonian University Medical College, 31-066, Cracow, Poland.
Aneta CebulaDoctoral School of Medical and Health Sciences, Jagiellonian University Medical College, 31-121, Kraków, Poland.
Justyna GodosDepartment of Biomedical and Biotechnological Sciences, University of Catania, Catania, Italy.
Kamil KonopkaDepartment of Oncology, Jagiellonian University Medical College, 31-007, Cracow, Poland.
Anna WążClinical Nutrition Team, University Hospital in Cracow, 30-688, Cracow, Poland.
Giuseppe GrossoDepartment of Biomedical and Biotechnological Sciences, University of Catania, Catania, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAnxiety and depression are common mental health problems in cancer patients. At the same time, cancer patients often suffer from disease-related catabolic dysregulation and malnutrition. Emerging evidence has suggested the potential link between mental disorders and nutritional status.

aimsThis study summarised the evidence for the association of malnutrition with anxiety and depression in cancer patients.

methodsA systematic search of PubMed and EMBASE databases was performed for observational studies published up to December 2024.

resultsForty-one articles were found eligible for inclusion in the systematic review, and twenty-nine in the meta-analysis. Compared with the normally nourished cancer patients, malnourished patients had a more than threefold (relative risk (RR) = 3.23, 95% CI 2.39, 4.38) and nearly twofold (RR = 1.87, 95% CI 1.48, 2.37) increased risk of depression and anxiety, respectively. Considering the studies that identified lower emotional status as a cause rather than an effect of malnutrition, the inverse association was confirmed only for depression (RR = 2.01, 95% CI 1.62, 2.49), but not for anxiety (RR = 1.38, 95% CI 0.68, 2.80). Finally, the standardised mean differences of the psychological scores showed significantly higher values in individuals with nutritional impairment compared to those with normal nutritional status (SMD = 0.69, 95% CI 0.50, 0.88 for depression and SMD = 0.54, 95% CI 0.26, 0.82 for anxiety).

conclusionsMental health problems such as anxiety and depression are associated with malnutrition in cancer patients.

Indexed as

AnxietyDepressionMalnutritionNeoplasmsHumansNutritional StatusAnxietyCancer patientsDepressionEmotional distressMalnutritionNutritional status

Identifiers

PMID40410541
PMCPMC12102140

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.