{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,22]],"date-time":"2026-09-22T15:49:36Z","timestamp":1790092176558,"version":"4.0.1"},"reference-count":148,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,3,9]],"date-time":"2026-03-09T00:00:00Z","timestamp":1773014400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Nutr."],"abstract":"<jats:p>Hematologic malignancies are frequently complicated by malnutrition, a condition that remains underrecognized yet strongly associated with impaired treatment tolerance, immune recovery, and survival. Unlike solid tumors, hematologic malignancies are characterized by diffuse marrow and immune system involvement, rendering host metabolism highly vulnerable to tumor-driven inflammation and therapy-induced immune stress. Accumulating evidence indicates that nutritional deterioration in hematologic malignancies reflects a state of integrated immunometabolic vulnerability\u2014driven by hyperinflammation, anabolic resistance, gastrointestinal injury, and psychosocial stress\u2014rather than inadequate caloric intake alone. This review synthesizes current evidence on the biological basis, clinical assessment, and management of malnutrition in hematologic malignancies, with particular emphasis on hematopoietic stem cell transplantation and cellular therapies. We propose that nutritional care in hematologic malignancies should evolve from supportive supplementation toward mechanism-informed, precision nutritional strategies aimed at modulating host metabolism and immune function to improve clinical outcomes.<\/jats:p>","DOI":"10.3389\/fnut.2026.1777896","type":"journal-article","created":{"date-parts":[[2026,3,9]],"date-time":"2026-03-09T05:30:03Z","timestamp":1773034203000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":2,"title":["Pathophysiology, evaluation, and management of malnutrition in hematologic malignancies: a comprehensive review"],"prefix":"10.3389","volume":"13","author":[{"given":"Mengting","family":"Yang","sequence":"first","affiliation":[{"name":"Department of Hematology, Institute of Hematology, and Center for High Altitude Medicine, West China Hospital, Sichuan University","place":["Chengdu, China"]},{"name":"West China Medical School, West China Hospital, 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Institute of Hematology, and Center for High Altitude Medicine, West China Hospital, Sichuan University","place":["Chengdu, China"]},{"name":"West China Medical School, West China Hospital, Sichuan University","place":["Chengdu, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhuohang","family":"Zou","sequence":"additional","affiliation":[{"name":"Department of Hematology, Institute of Hematology, and Center for High Altitude Medicine, West China Hospital, Sichuan University","place":["Chengdu, China"]},{"name":"West China Medical School, West China Hospital, Sichuan University","place":["Chengdu, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yushuang","family":"Xiao","sequence":"additional","affiliation":[{"name":"Department of Hematology, Institute of Hematology, and Center for High Altitude Medicine, West China Hospital, Sichuan University","place":["Chengdu, China"]},{"name":"West China Medical School, West China Hospital, Sichuan University","place":["Chengdu, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Luocheng","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of Hematology, Institute of Hematology, and Center for High Altitude Medicine, West China Hospital, Sichuan University","place":["Chengdu, China"]},{"name":"West China Medical School, West China Hospital, Sichuan University","place":["Chengdu, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"He","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Hematology, Institute of Hematology, and Center for High Altitude Medicine, West China Hospital, Sichuan University","place":["Chengdu, China"]},{"name":"State Key Laboratory of Biotherapy, Collaborative Innovation Center of Biotherapy, West China Hospital, Sichuan University","place":["Chengdu, China"]},{"name":"National Facility for Translational Medicine (Sichuan), West China Hospital, Sichuan University","place":["Chengdu, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ailin","family":"Zhao","sequence":"additional","affiliation":[{"name":"Department of Hematology, Institute of Hematology, and Center for High Altitude Medicine, West China Hospital, Sichuan University","place":["Chengdu, China"]},{"name":"State Key Laboratory of Biotherapy, Collaborative Innovation Center of Biotherapy, West China Hospital, Sichuan University","place":["Chengdu, China"]},{"name":"National Facility for Translational Medicine (Sichuan), West China Hospital, Sichuan University","place":["Chengdu, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ting","family":"Niu","sequence":"additional","affiliation":[{"name":"Department of Hematology, Institute of Hematology, and Center for High Altitude Medicine, West China Hospital, Sichuan University","place":["Chengdu, China"]},{"name":"State Key Laboratory of Biotherapy, Collaborative Innovation Center of 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