Early Signs of Impaired Gut Function Affect Daily Functioning in Patients With Advanced Cancer Undergoing Chemotherapy

Identification: JPEN2105
Credits (Post Test and/or Evaluation Required)
Available until 05/31/2022
  • 1.00 - Dietitian
  • 1.00 - Nurse
  • 1.00 - Pharmacist
  • 1.00 - Physician
  • 1.00 - Other

Standard: $19.00
Members: $0.00


*To take the exam click the CE Information tab*

CE Credit: CE credit available for dietitians, nurses, pharmacists and physicians

Total Credit Hours: 1.0

Release Date: May 1, 2021

Expiration Date (all CE credit must be claimed by the expiration date): May 31, 2022

Issue: 4

Volume: 45

Journal: Journal of Parenteral and Enteral Nutrition (JPEN)

Author (s):

Nicolaas E. Deutz , MD, PhD, Professor, Ponder Endowed Chair, Director of Clinical Research, Human Clinical Research Facility, Director Center for Translational Research in Aging & Longevity, Department of Health & Kinesiology, Texas A&M University, College Station, TX

Mariëlle P.K.J. Engelen, PhD, Professor, Chancellor EDGES Fellow, Co-director and head clinical research, Center for Translational Research on Aging & Longevity, Department of Health and Kinesiology, College of Education and Human Development, Texas A&M University, College Station, TX

Ramón E. Rodríguez Torres, MD, National Medical Director for Oncology, Optum Medical Benefit Management, College Station, TX

Barbara Suzanne van der Meij, PhD, Senior Researcher, HAN University of Applied Sciences, Nijmegen, the Netherlands

Link to article: Link

Journal-based CE Activity Overall Goal:

The JPEN Editor, in concurrence with ASPEN’s Education and Professional Development Committee, selected this article to be offered for CE credit to fill an observed learning need in the arena of clinical nutrition and metabolism. This CE activity serves to promote the process of life-long learning for physicians, dietitians, pharmacists, and nurses by providing peer-reviewed journal articles that fully qualify for continuing education credits.

Goal and Target Audience:

This educational activity is directed toward clinical nutrition and metabolism professionals and others who wish to update their knowledge of clinical nutrition and metabolism. By participating in this educational activity, the reader may expect to:

  • Acquire knowledge in the area of clinical nutrition and metabolism research
  • Update or confirm your understanding of appropriate clinical nutrition and metabolism practices.
  • Identify further learning needs as they relate to the subject matter.

Learning Objectives:

  1. Identify the proportion of patients with advanced cancer undergoing chemotherapy that report experiencing gastrointestinal symptoms
  2. Calculate net protein anabolic response from protein synthesis, protein breakdown and splanchnic extraction
  3. Identify functional essays that can be used to measure gut integrity in patients receiving chemotherapy for cancer
  4. Compare net protein anabolic response to feeding in patients with cancer undergoing chemotherapy to healthy controls
  5. Discuss the absorption of sugar as a test marker of small intestinal membrane integrity assessment
  6. Describe the physiology behind the types of proteins recommended to patients receiving anticancer therapies

Requirements for Successful Completion:
To obtain CE credit for this activity, attendees must read the journal article in its entirety, complete an online assessment for each article and achieve a score of 100%, and complete an online activity evaluation. All are located in ASPEN’s eLearning Center (www.nutritioncare.org/elearning). All CE credit must be claimed prior to the expiration date, no exceptions. Dietitians and other CDR credentialed practitioners must also complete and retain a copy of the CDR issued Critical Thinking Self-Study Evaluation Tool. Pharmacists must provide their birthday (MMDD) and NABP e-PID. Details are available at http://www.nutritioncare.org/Continuing_Education/Claim_CE_Credit/Continuing_Education_Credit/.

Accreditation Statement

custom image

In support of improving patient care, the American Society for Parenteral and Enteral Nutrition (ASPEN) is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.

ASPEN designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 Credits TM per article. Physicians should only claim credit commensurate with the extent of their participation in the activity.

Pharmacists: ASPEN designates this activity for a maximum of 1.0 contact hours/0.1 CEUs. ACPE UAN: JA0002345-0000-21-071-H01-P. Knowledge Activity.

Nurses: ASPEN designates this activity for a maximum of 1.0 nursing contact hours. ASPEN is approved as a provider of continuing nursing education by the California Board of Nursing, provider number CEP3970.

Dietitians: ASPEN designates this activity for a maximum of 1.0 CPEU.

custom image

custom image

This activity was planned by and for the healthcare team, and learners will receive 1 Interprofessional Continuing Education (IPCE) credit for learning and change.


Non-Commercialism: ASPEN subscribes to the ACCME Standards for Commercial Support. ASPEN does not provide programs that constitute advertisement or include promotional materials. ASPEN does not endorse any products.

Computer Requirements and Technical Support: Participants will need a computer with internet connection to access the online assessment and evaluation for each journal article. If the journal article is read electronically, then the ability to read a PDF document is also necessary. Users should enable pop-ups if attempting to read article electronically. For technical difficulties please contact Digitell Inc. Customer Support at: 1-800-679-3646

Office hours are between 8AM to 8PM ET, Monday through Friday

Privacy and Confidentiality: ASPEN respects the privacy of its members and website visitors. Companies that receive personal information from ASPEN in order to execute the business of ASPEN may use personal information only for that purpose.

Refund Policy: Refunds are not available.

Grievances: Grievances must be submitted in writing to Director of Education at ASPEN 8401 Colesville Road, Ste 510, Silver Spring, MD 20910

Commercial Support and Sponsorship:
No commercial support or sponsorship has been received for this continuing education activity.

Commercial Relationships Disclosures and Conflicts of Interest (COI) of Authors and Editor-in-Chief and Associate Editors

Among the authors, Nicolaas Deutz, Marielle Engelen, Ramon Rodriguez, and Barbara Suzanne van der Meij have nothing to disclose

Among the JPEN Associate Editors, David August, Lillian Harvey-Banchik, Ronald Koretz, Ding-You Li, Jean-Charles Preiser have nothing to disclose.

Joseph Boullata: Bbraun, honoraria, speaker and consultant; Fresenius Kabi USA, honoraria, speaker; American Regent, advisory board and speaker, honorarium

Kathleen Gura: Fresenius Kabi, consultant, membership advisory board, consultant fees, royalties; Northsea Therapeutics, consultant, researcher, advisory board member, consultant fees, research support; Otsuka Pharmaceutical Company, consultant, consultant fees; Alcresta, consultant, advisory board member, researcher, consultant fees, research support

Russell Merritt: Abbvie, J&J, equity interest as investor; Alcresta, consultant, consultant fees; Abbott labs, retiree, pension, no current role

Juan Ochoa: Nestle Health Science, Consultant/Advisor, consultant fee; Fresenius Kabi, Consultant/Advisor, consultant fee; Junum Inc (IT nutrition), medical advisor

Marion Winkler: Takeda, member of Gattex SBS Multidisciplinary Care Team Advisory Board, honorarium

JPEN Editor-in-Chief Kelly Tappenden: Biovectiv, consultant, honorarium; Abbott Nutrition, speaker, honorarium; Takeda, speaker, honorarium; Nutricia, speaker honorarium; Baxter healthcare, consultant, honorarium

ASPEN staff have no commercial relationships to disclose.

No conflicts related to disclosure information present and subsequently no need for resolution. Standard journal peer-review process also in place as another layer of review to ensure no conflicts to resolve.



  • 1.00 - Dietitian
  • 1.00 - Nurse
  • 1.00 - Pharmacist
  • 1.00 - Physician
  • 1.00 - Other