Visceral fat area is a better indicator of surgical outcomes after laparoscopic gastrectomy for cancer than the body mass index: a propensity score-matched analysis

2021 ◽  
Author(s):  
Yoshiro Imai ◽  
Sang-Woong Lee ◽  
Masaru Kawai ◽  
Keitaro Tashiro ◽  
Satoshi Kawashima ◽  
...  
Keyword(s):  
Body Mass Index ◽  
Propensity Score ◽  
Body Mass ◽  
Visceral Fat ◽  
Laparoscopic Gastrectomy ◽  
Surgical Outcomes ◽  
The Body ◽  
Visceral Fat Area

Effects of the body mass index (BMI) on the surgical outcomes of laparoscopic fundoplication for gastro-esophageal reflux disease: a propensity score-matched analysis

Surgery Today ◽  
2017 ◽  
Vol 48 (2) ◽  
pp. 236-241 ◽  
Author(s):  
Masato Hoshino ◽  
Nobuo Omura ◽  
Fumiaki Yano ◽  
Kazuto Tsuboi ◽  
Se Ryung Yamamoto ◽  
...  
Keyword(s):  
Body Mass Index ◽  
Propensity Score ◽  
Body Mass ◽  
Reflux Disease ◽  
Surgical Outcomes ◽  
Laparoscopic Fundoplication ◽  
The Body ◽  
Esophageal Reflux

scholarly journals The effect of the body mass index on the short-term surgical outcomes of laparoscopic total gastrectomy: A propensity score-matched study

2020 ◽  
Vol 16 (4) ◽  
pp. 376
Author(s):  
Yuma Ebihara ◽  
Mamoru Miyasaka ◽  
Kimitaka Tanaka ◽  
Yoshitsugu Nakanishi ◽  
Toshimichi Asano ◽  
...  
Keyword(s):  
Body Mass Index ◽  
Propensity Score ◽  
Total Gastrectomy ◽  
Body Mass ◽  
Surgical Outcomes ◽  
Laparoscopic Total Gastrectomy ◽  
The Body ◽  
Short Term ◽  
Matched Study

scholarly journals Associations of Body Mass Index, Visceral Fat Area, Waist Circumference, and Waist-To-Hip Ratio with Cognitive Function in Western China: Results from A WCHAT Study

2021 ◽  
Author(s):  
Xiaolei Liu ◽  
Xiaoyan Chen ◽  
Lisha Hou ◽  
Xin Xia ◽  
Fengjuan Hu ◽  
...  
Keyword(s):  
Body Mass Index ◽  
Waist Circumference ◽  
Cognitive Performance ◽  
Body Mass ◽  
Visceral Fat ◽  
Cognitive Abilities ◽  
Strong Association ◽  
Western China ◽  
Visceral Fat Area ◽  
Waist To Hip Ratio

Abstract ObjectivesThis study examined the relationship between cognitive performance and obesity parameters, such as body mass index (BMI), visceral fat area (VFA), waist circumference (WC), and waist-to-hip ratio (WHR) in western China.Study designA cross-sectional studyMethods3914 participants, aged >50 years, were recruited in this study. Anthropometrics measurements, life-style factors, chronic disease comorbidities, and sleep qualities were recorded for each participant. Among the anthropometrics, BMP, WC, and WHR were assessed using standard procedures, while VHA was calculated using bioelectrical impedance analysis. Cognitive performance was estimated using the Short Portable Mental Status Questionnaire (SPMSQ). Finally, relationships between cognitive abilities and BMI, VFA, WC, and WHR were evaluated using univariate and multivariate regression analyses. ResultsCognitive decline (CD) occurred at a rate of 13.29% among the 3914 participants. A strong correlation was observed between cognitive abilities and BMI of male patients aged 50-59 yrs (OR 1.116,95% CI1.002-1.242), in the adjusted model. Alternately, WHR was shown to be significantly related to CD in females aged >70 years (OR 0.041, 95% CI0.002-0.671). WC was shown to have a strong association with CD in males (OR 1.023,95% CI1.003-1.024). Lastly, WHR was closely connected to CD in participants with BMI < 25 kg/m2 (OR 0.022,95% CI0.002-0.209).Conclusions Our findings suggest that a higher middle age BMI is associated with CD, whereas, in the elderly population, a higher WHR is related to improved cognitive performance. Further investigation is warranted to elucidate a relationship between VFA and CD.

scholarly journals Visceral fat area, not body mass index, predicts postoperative 30-day morbidity in patients undergoing colon resection for cancer

2018 ◽  
Vol 33 (8) ◽  
pp. 1019-1028 ◽  
Author(s):  
Benjamin A. Kuritzkes ◽  
Emmanouil P. Pappou ◽  
Ravi P. Kiran ◽  
Onur Baser ◽  
Liqiong Fan ◽  
...  
Keyword(s):  
Body Mass Index ◽  
Body Mass ◽  
Visceral Fat ◽  
Colon Resection ◽  
Visceral Fat Area

scholarly journals Value of visceral fat area in normal body mass index (BMI) patients is a predictive factor for peritoneal metastasis in gastric cancer: A prospective study

2020 ◽  
Author(s):  
Chenchen Mao ◽  
Mingming Shi ◽  
Hui Chen ◽  
Libin Xu ◽  
He Huang ◽  
...  
Keyword(s):  
Risk Factors ◽  
Gastric Cancer ◽  
Body Mass Index ◽  
Logistic Regression ◽  
Body Mass ◽  
Peritoneal Metastasis ◽  
Visceral Fat ◽  
Visceral Fat Area ◽  
Cutoff Values ◽  
High Bmi

Abstract Background Although peritoneal metastasis (PM) is associated with poor prognosis in gastric cancer (GC) patients, it is difficult to discriminate preoperatively. Our previous study has demonstrated visceral fat area (VFA) is a better obesity index than body mass index (BMI) in predicting abdominal metastasis. Aim This study aimed to further explore the relationship between obesity and PM. Methods VFA was retrieved for 859 consecutive patients undergoing radical gastrectomy between January 1, 2009 and December 31, 2013. A receiver operating characteristic curve analysis was used to determine the BMI-specific cutoff values for VFA. Univariate and multivariate analyses evaluating the risk factors for PM at different BMI levels were performed. Results The optimal cutoff values for VFA were 67.28, 88.03, and 175.32 cm 2 for low, normal, and high BMI patients, respectively, and 18 (15.52%), 220 (40.15%), and 61 (31.28%) patients were classified as having high VFA in each group. Univariate logistic regression revealed that the association between high VFA and PM was not dependent on BMI (odds ratio [OR]=9.048, P=0.007 for low BMI, OR=3.827, P<0.001 for normal BMI, and OR=2.460, P=0.049 for high BMI). In multivariate logistic regression analysis, high VFA (OR=3.816, P<0.001) and vascular invasion (OR=1.951, P=0.039) were independent risk factors for PM only in the normal BMI group. Conclusions VFA only effectively predicted PM for GC patients with normal BMI, rather than those with low and high BMI. More attentions should be paid to those GC patients with high VFA and normal BMI.

Trunk Fat Volume Can Be a Predictor of Short-Term Surgical Outcomes After Gastrectomy: A Retrospective Cohort Study

2021 ◽  
Author(s):  
Shinichiro Shiomi ◽  
Tetsuro Toriumi ◽  
Koichi Yagi ◽  
Raito Asaoka ◽  
Yasuhiro Okumura ◽  
...  
Keyword(s):  
Body Mass Index ◽  
Postoperative Complications ◽  
Lymph Nodes ◽  
Visceral Fat ◽  
Surgical Outcomes ◽  
Operative Time ◽  
Proximal Gastrectomy ◽  
Short Term ◽  
Visceral Fat Area ◽  
Fat Volume

Abstract Background Obesity can affect postoperative outcomes of gastrectomy. Visceral fat area is superior to body mass index in predicting postoperative complications. However, visceral fat area measurement is time-consuming and is not optimum for clinical use. Meanwhile, trunk fat volume (TFV) can be easily measured via bioelectrical impedance analysis. Hence, this current study aimed to determine the association of trunk fat volume in predicting the occurrence of complications after gastrectomy. Methods We retrospectively reviewed patients who underwent curative gastrectomy for gastric cancer between November 2016 and November 2019. The trunk fat volume-to-the ideal amount (%TFV) ratio was obtained using InBody 770 before surgery. The patients were classified into the obese and nonobese groups according to %TFV (TFV-H group, ≥ 150 %; TFV-L group, < 150 %) and body mass index (BMI-H group, ≥ 25 kg/m2; BMI-L group, < 25 kg/m2). We compared the short-term postoperative outcomes (e.g., operative time, blood loss volume, number of resected lymph nodes, and duration of hospital stay) between the obese and nonobese patients. Risk factors for complications were assessed using logistic regression analysis. Results In total, 232 patients were included in this study. The TFV-H and BMI-H groups had a significantly longer operative time than the TFV-L (p = 0.022) and BMI-L groups (p = 0.006). Moreover, the TFV-H group had a significantly higher complication rate (p = 0.004) and a lower number of resected lymph nodes (p < 0.001) than the TFV-L group. In univariate analysis, %TFV ≥ 150, total or proximal gastrectomy, and open gastrectomy were found to be potentially associated with higher complication rates with p values < 0.1. Meanwhile, multivariate analysis revealed that %TFV ≥ 150 (OR: 2.73; 95%CI: 1.37–5.46; p = 0.005) and total or proximal gastrectomy (OR: 3.57; 95%CI: 1.79–7.12; p < 0.001) were independently correlated with postoperative morbidity. Conclusions %TFV independently affected postoperative complications. Hence, it may be a useful parameter for the evaluation of obesity and a predictor of short-term surgical outcomes after gastrectomy.

scholarly journals The Body Mass Index and Waist Circumference as Predictors of Body Composition in Post CSCI Wheelchair Rugby Players (Preliminary Investigations)

2014 ◽  
Vol 43 (1) ◽  
pp. 191-198 ◽  
Author(s):  
Anna Zwierzchowska ◽  
Marta Głowacz ◽  
Agnieszka Batko-Szwaczka ◽  
Joanna Dudziňska-Griszek ◽  
Aleksandra Mostowik ◽  
...  
Keyword(s):  
Body Mass Index ◽  
Body Composition ◽  
Body Mass ◽  
Visceral Fat ◽  
The Body ◽  
Lower Limbs ◽  
Obesity Risk ◽  
Wheelchair Rugby ◽  
Low Sensitivity ◽  
Rugby Players

Abstract The enforced sedentary lifestyle and muscle paresis below the level of injury are associated with adipose tissue accumulation in the trunk. The value of anthropometric indicators of obesity in patients with spinal cord injuries has also been called into question. We hypothesized that the Body Mass Index recommended by the WHO to diagnose obesity in general population has too low sensitivity in case of wheelchair rugby players. The study group comprised 14 wheelchair rugby players, aged 32.6 ± 5.1 years, who had sustained CSCI (paralysis of lower limbs and upper extremities). The research tool was the Tanita Viscan visceral and trunk fat analyzer AB140 using the abdominal bioelectrical impedance analysis (BIA) to estimate the visceral fat level (Vfat) and trunk fat percentage (Tfat). The AB140 analyzer also allowed the measurement of body composition of those individuals who could not assume an upright position. Our analyses revealed high and very high correlation coefficients between Vfat and WC (r=0.9), WHtR (r=0.7) and Tfat (r=0.9) whereas the correlation between Vfat and the BMI was weak, especially in the subgroup with Vfat < 13.5% ( r=0.2). The subgroup with Vfat>13.5 exhibited a moderate-level relationship between the BMI and visceral fat increase. It was concluded that the BMI had a low sensitivity for predicting obesity risk in wheelchair rugby players after CSCI. The sensitivity of WC measurement was higher and thus, it may be stated that it constitutes an objective tool for predicting obesity risk in post-CSCI wheelchair rugby players.

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