Integrating Muscle Measures in Practice to Improve Patient-Centred Outcomes

Programme Date: 22 November 2022
Publication Date: 13 April 2023

Course Description:

In this course, you’ll identify the multifactorial aetiology of frailty, including malnutrition and sarcopenia as major risk factors; describe the factors that contribute to malnutrition in oncology and the impact of muscle loss in treatment and recovery; explain the importance of functional parameters and introduce practical tools for screening and diagnosing muscle loss; and describe interventions to support and improve muscle health in clinical practice. Originally presented live on November 22, 2022.

Course Objectives:

• Identify the multifactorial aetiology of frailty, including malnutrition and sarcopenia as major risk factors. 
• Describe the factors that contribute to malnutrition in oncology and the impact of muscle loss in treatment and recovery. 
• Explain the importance of functional parameters and introduce practical tools for screening and diagnosing muscle loss. 
• Describe interventions to support and improve muscle health in clinical practice.

Course Instructor Bio(s)

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Anne Holdoway, DHealth, BSc, RD, FBDA

Consultant Dietitian, Education Officer BAPEN 
Chair ‘Managing Adult Malnutrition in the Community’ National Panel 
Bath, England, United Kingdom

Anne’s 35-year career as a dietitian includes senior positions in the medical nutrition industry and clinical dietetics. Combining teaching and consultancy work with clinical practice, Anne currently utilises her skillset to provide direct care, education and resources on the management of long-term conditions, drawing on expertise gained in gastroenterology, oncology, palliative care, nutrition support, intensive care, neurorehabilitation, and surgery. Over the past 15 years, Anne has dedicated considerable personal time to support national organisations including the National Institute for Health and Care Excellence (NICE), the Royal College of Physicians and the Royal College of GPs and has held numerous positions in the British Dietetic Association (BDA) including several terms as Chair of the Parenteral and Enteral Nutrition Group and a term Chair Elect for the British Dietetic Association in which she drove the outcome agenda and campaigned for the recognition of the value of dietitians in primary care. 

As Chair of the UK multi-professional ‘Managing Adult Malnutrition in the Community’ advisory board, Anne has led on the development of free to access resources to support health and care professionals, patients, and carers in identifying, treating, and preventing disease-related malnutrition in the community. 

Anne’s doctorate focused on the role of nutrition in palliative care (as perceived by patients, carers, and healthcare professionals), and working part-time in the hospice and community settings. Anne, along with colleagues, introduced a new approach to integrating nutrition into palliative care management, working closely with the Physiotherapy team to achieve a dual approach to nutrition and activity. Anne regularly presents at national and international events.

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Sanjay Suman, MD, FRCP

Consultant Geriatrician and Clinical Director 
Medway NHS Foundation Trust 
Kent, England, United Kingdom
Sanjay Suman is the Clinical Director of the Therapies and Older Persons Programme at Medway NHS Foundation Trust in Kent. He was appointed as Consultant Geriatrician in 2007 and is a Fellow of Royal College of Physicians, London. Sanjay has special interest in frailty, sarcopenia, falls and syncope in elderly patients and runs an orthogeriatric service for fracture neck of femur pathway at Medway NHS Foundation Trust. In his clinical director role he has developed a number of bespoke frailty focused assessment pathways such as the acute frailty unit and falls and syncope clinic for elderly. In the community, he has supported the development of a number of services such as care home support services, geriatric led MDT meetings in the community to name a few. He has been a recipient of Academic Health Sciences Network (Kent, Sussex and Surrey) Leadership and Innovation award for excellence in out of hospital care category 2017. As a subject matter expert, Sanjay has delivered a number of keynote lectures on frailty, sarcopenia, polypharmacy reduction and falls at national and international conferences. He is passionate about improving the reversible components of frailty, such as nutritional status and polypharmacy reduction, contributing to improving clinical outcomes for frail individuals, both in primary and secondary care.
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Ione de Brito-Ashurst, RD, PhD

Head of Therapies and Rehabilitation 
The Royal Marsden Hospital 
London, United Kingdom

Most of Ione’s clinical work has been in critical care and chronic illness malnutrition, which has led to her active research interest in the prevention and management of muscle mass decline. Her PhD was aimed at bridging the gap between the acute and community sector in chronic illness management. 

Ione has always been involved in voluntary work. She led the nutrition group of the European Dialysis and Transplant Association for six years. She is also art of the London Clinical Senate – one of the few allied health professionals (ANP) in the Group – representing AHPs and Cancer. Ione won the ‘Florence Nightingale Leadership’ scholarship award and is one of the few AHP Florence Alumni.

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