Neuromuscular electrical stimulation in early rehabilitation of patients with postoperative complications after cardiovascular surgery

Abstract Funding Acknowledgements Type of funding sources: Public hospital(s). Main funding source(s): Federal State Budgetary Scientific Institution Research Institute for Complex Issues of Cardiovascular Diseases Introduction The purpose was to evaluate the effectiveness of NMES in patients with complications after cardiac surgery. Methods This study was 37 patients who had significant postoperative complications after cardiovascular surgery. Participants were randomly - NMES group, n = 18; control, n = 19. It was not possible to blind the investigator. Analyzed basic clinical data. The dynamometry of the muscles upper and lower extremities was carried out, as well as a 6-minute walk test (6MWT). Also, the thickness of the quadriceps was measured using ultrasound.The patients underwent NMES on the quadriceps femoris muscle, daily from the third postoperative day, until discharge. The duration session was 90 minutes. Outcomes No differences were found in the baseline characteristics of the groups, including the results of laboratory and instrumental studies. Groups were comparable in the surgery and perioperative parameteres. The initial strength indicators also had no significant differences in the groups. At discharge knee extensors strength (KES) was significantly higher in the NMES group. The knee flexor strength (KFS) and handgrip strength (HF) increased the same in both groups. The quadriceps crosssectional area (CSA) muscle increased more in the NEMS group than in the control to the time of discharge. Average KES increased to a greater extent in the NMES group. At the same time, average and maximum KFS increased equally in both groups. A 6MWT before discharge did not show a difference between groups (P=.166). The NMES course did not affect the duration of hospitalisation (P=.429). Discussion This pilot study show beneficial effects of NMES on muscle strength in patients with complications after cardiovascular surgery. Physical tests initially and in dynamics NEMS Group (n = 18) Control group (n = 19) Baseline Discharge Baseline Discharge P-level Right knee extensors strength (kg) 20,3 [17,9; 26,1] 28,05 [23,8; 36,2] * 20,1 [18,6; 25,4] 22,3 [20,1; 27,1] * 0,004 Left knee extensors strength (kg) 17,75 [15,5; 27,0] 27,45 [22,3; 33,1] * 20,8 [17,5; 24,2] 22,5 [20,1; 25,9] * 0,017 Right knee flexors strength (kg) 14,85 [11,7; 19,5] 17,5 [14,1; 23,4] * 16,9 [13,1; 23,8] 19,2 [12,5; 26,4] * 0,971 Left knee flexors strength (kg) 14,7 [12,6; 19,6] 19,75 [15,9; 24,2] * 16,2, [10,4; 25,1] 18,8 [13,1; 27,7] * 0,889 6-MWT (m) 148,5 [108,5; 174,0] 288,0 [242,0; 319,0] * 169,0 [115,0; 217,0] 315,0 [277,0; 400,0] * 0,166 Right handgrip strength (kg) 24,5 [15,0; 33,0] 25,5 [19,0; 36,0] * 27,0 [18,0; 32,0] 30,0 [20,0; 35,0] * 0,795 Left handgrip strength (kg) 17,0 [12,0; 27,0] 21,0 [15,0; 31,0] * 19,0 [14,0; 29,0] 23,0 [16,0; 30,0] * 0,541 * - p-level from baseline data < 0,05 ** - p-level from baseline data ≥ 0,05

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Effects of the use neuromuscular electrical stimulation of the lower extremities in the prehabilitation of patients in a before cardiac surgery

European Journal of Preventive Cardiology ◽

10.1093/eurjpc/zwab061.365 ◽

2021 ◽

Vol 28 (Supplement_1) ◽

Author(s):

P Oleinik ◽

AN Sumin ◽

AV Bezdenezhnykh

Keyword(s):

Cardiac Surgery ◽

Handgrip Strength ◽

Lower Extremities ◽

Left Knee ◽

Knee Extensors ◽

Control Group ◽

Elective Cardiac Surgery ◽

Antagonist Muscles ◽

Muscle Groups ◽

Knee Flexors

Abstract Funding Acknowledgements Type of funding sources: Public hospital(s). Main funding source(s): Research Institute for Complex Issues of Cardiovascular Diseases Aim To evaluate the effects of neuromuscular electrostimulation in the prehabilitation and prevention of muscle weakness in patients awaiting cardiac surgery. Materials and methods 122 patients waiting for elective cardiac surgery were included. Exclusion criteria: age less than 25 and more than 80 years; emergency and urgent surgical interventions; arthropathies; low pain threshold; rhabdomyolysis and other myopathies; cognitive dysfunction. Routine laboratory and instrumental examinations were performed in all patients upon admission to the hospital, as part of a standard examination. 62 patients were randomly selected for the preoperative NMES group, in addition to the standard preoperative preparation and treatment program. The standard program included 60 control patients. Patients of the NMES group underwent quadriceps stimulation for at least 5 sessions, lasting 90 minutes, daily before surgery. Results. The groups were comparable and did not have significant differences in gender and age characteristics, according to the main clinical and anamnestic data and types of operations. Initially, there were no differences in the state of the muscles of the lower extremities, the distance of the six-minute walking test (6MWT), and the strength of the hand grip. After NMES, there was an increase in muscle strength relative to the control group, both stimulated muscle groups and unstimulated antagonist muscles, as well as a greater 6MWT distance and hand compression force. All the differences were significant. Conclusions The course of pre-rehabilitation of NMES before surgery, allowed to maintain, and in some cases improve the condition of the muscle frame of the lower extremities. A positive effect was observed not only in stimulated muscle groups, but also in antagonist muscles Indicators of muscle status NMES (n = 62) Control group (n = 60) Baseline Discharge Baseline Discharge P-level Right knee extensors strength (kg) 24,4 [18,3; 31,4] 30,4 [23,8; 36,2]* 24,7 [20,1; 33,2] 22,25 [18,9; 30,4] <0,001 Left knee extensors strength (kg) 23,8 [19,3; 31,3] 29,2 [23,6; 35,4]* 25,75 [19,2; 31,3] 22,9 [18,9; 27,8] <0,001 Right knee flexors strength (kg) 18,9 [13,3; 24,0] 21,7 [16,6; 25,1] 19,55 [13,1; 26,0] 16,7 [12,1; 23,3] 0,006 Left knee flexors strength (kg) 19,3 [14,3; 24,5] 21,9 [17,3; 26,7] 19,5 [13,0; 24,3] 18,2 [13,4; 22,2] 0,005 6-MWT (m) 300,0 [261,0; 371,0] 331,0 [280,0; 375,0] 304,5 [253,0; 380,0] 285,5 [246,0; 342,0] 0,006 Right handgrip strength (kg) 28,5 [20,5; 34,0] 31,5 [22,0; 34,0] 29,0 [19,0; 34,0] 27,0 [19,0; 33,0] 0,054 Left handgrip strength (kg) 25,0 [18,0; 31,0] 25,0 [18,0; 32,0] 24,0 [15,0; 31,0] 22,0 [14,0; 28,0] 0,062 * - p-level from baseline data < 0,05 Abstract Figure. dynamics of stimulated muscles

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The Effects of Upper Body Resistance Training on Prepubescent Children

Pediatric Exercise Science ◽

10.1123/pes.1.2.145 ◽

1989 ◽

Vol 1 (2) ◽

pp. 145-154 ◽

Cited By ~ 24

Author(s):

Judith A. Siegel ◽

David N. Camaione ◽

Thomas G. Manfredi

Keyword(s):

Body Composition ◽

Handgrip Strength ◽

Effective Means ◽

Exercise Program ◽

Free Play ◽

Upper Body ◽

Control Group ◽

Upper Body Exercise ◽

Initial Strength ◽

Experimental Group

To assess the effects of a group resistance exercise program on prepubescent children, an experimental group of boys (n = 26) and girls (n = 24), with a mean age of 8.4 ± 0.5 years, participated in 12 weeks of school based training. The program consisted of upper body exercise using hand-held weights, stretch tubing, balls, and self-supported movements. A control group of boys (n = 30) and girls (n = 16), mean age 8.6 ± 0.5 years, had a free-play period. Boys were significantly stronger than girls on all initial strength evaluations and were taller and had lesser skinfold sums. ANCOVA was used to evaluate pre/post changes in cable tensiometer elbow flexion and extension, right and left handgrip strength, pull-ups, flexed arm hang, sit-ups, sit-and-reach flexibility, and body composition parameters. Following the training period, significantly greater gains were made by the experimental group for right handgrip, flexed arm hang, pull-ups, and flexibility. Greater decreases in sum of skinfolds were also found. Training responses of boys and girls were similar. It was concluded that a group strength training program can be an effective means of increasing fitness levels and improving body composition in both boys and girls of this age.

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The Effects of Physical Therapists’ Guidance on Improvement in a Strength-Training Program for the Frail Elderly

Journal of Aging and Physical Activity ◽

10.1123/japa.13.1.5 ◽

2005 ◽

Vol 13 (1) ◽

pp. 5-22 ◽

Cited By ~ 44

Author(s):

Hendriek C. Boshuizen ◽

Lysander Stemmerik ◽

Marja H. Westhoff ◽

Marijke Hopman-Rock

Keyword(s):

Strength Training ◽

Training Program ◽

Physical Therapists ◽

Physical Therapist ◽

Knee Extensor ◽

Knee Extensors ◽

Control Group ◽

Initial Strength ◽

Knee Strength ◽

Extensor Torque

Elderly participants experiencing difficulty in chair rising and with a maximum knee-extensor torque below 87.5 N · m were randomized to different versions of a strength-training program for the knee-extensors: to a high-guidance group (HG; two group sessions supervised by a physical therapist and one unsupervised home session per week, n = 17), a medium-guidance group (MG; one supervised group session and two unsupervised home sessions per week, n = 16), or a control group (C; no exercise, n = 16). Maximal isometric knee strength increased more in HG than in C (p = .03) and with increasing guidance (p = .03). The effect was mainly the result of participants with low initial strength. Walking speed increased more for HG than for C (p = .02) and than for MG (p = .06). No statistically significant improvements were seen on other functional tests. In summary, the study shows a trend toward better results with more supervision, but more and larger studies are needed to confirm this.

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Effects of Pre-Workout Multi-Ingredient Supplement on Anaerobic Performance: Randomized Double-Blind Crossover Study

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph17218262 ◽

2020 ◽

Vol 17 (21) ◽

pp. 8262

Author(s):

Piotr Kaczka ◽

Amit Batra ◽

Katarzyna Kubicka ◽

Marcin Maciejczyk ◽

Agata Rzeszutko-Bełzowska ◽

...

Keyword(s):

Anaerobic Power ◽

R Package ◽

Left Knee ◽

Knee Extensors ◽

Anaerobic Performance ◽

Mean Power ◽

Double Blind ◽

Body Strength ◽

Significant Difference ◽

Knee Flexors

Background: The purpose of this research was to investigate the acute effects of a pre-workout supplement on anaerobic performance in resistance-trained men. Methods: Twenty-three men underwent three randomized, double-blind testing sessions separated by a seven-day break. The participants performed three tests: isokinetic strength, three repetition maximum (3-RM) strength and Wingate. Statistical analysis was conducted in R environment. Linear mixed models were estimated via R package lme4. Results: Mean [email protected] s was significantly greater in supplemented condition for right and left knee flexors (PL: 103.2 ± 37.6 Nm; supplemented condition: 131.8 ± 29.3 Nm (p = 0.001)), and PL: 103.7 ± 39.3; supplemented condition: 129.4 ± 28.4 (p = 0.001)). [email protected] s for right and left knee extensors (PL: 202.6 ± 58.6 Nm; supplemented condition: 237.2 ± 54.7 Nm (p = 0.001); PL: 203.3 ± 63.2 Nm, supplemented condition: 229.8 ± 50.8 Nm (p = 0.002)). Significant difference was in mean anaerobic power between supplemented and PL condition for right and left knee flexors (p = 0.002, p = 0.005) and for right and left knee extensors (p = 0.001 and p = 0.002). TTP was significantly shorter in supplemented condition for both sides knee flexors (p = 0.002). There was a significant difference for mean power in the Wingate test (placebo: 8.5 ± 0.6 W/kg; supplemented condition: 8.7 ± 0.5 W/kg (p = 0.038)). Mean 3-RM was significantly greater in supplemented condition (p = 0.001). Conclusions: The supplement significantly improves upper and lower body strength and power output in resistance-trained men.

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Effects of Pre-Workout Multi-Ingredient Supplement on Anaerobic Performance: Randomized Double-Blind Crossover Study

10.21203/rs.3.rs-51708/v1 ◽

2020 ◽

Author(s):

Piotr Kaczka ◽

Amit Batra ◽

Katarzyna Kubicka ◽

Marcin Maciejczyk ◽

Agata Rzeszutko-Bełzowska ◽

...

Keyword(s):

Placebo Group ◽

Peak Torque ◽

Left Knee ◽

Strength Test ◽

Knee Extensors ◽

Anaerobic Performance ◽

Double Blind ◽

Significant Difference ◽

The Mean ◽

Knee Flexors

Abstract Background: The purpose of this study was to investigate the acute effects of commercially available pre-workout supplement on anaerobic performance in resistance trained men.Methods: Twenty-three men underwent three testing sessions administrated in a randomized and double-blind fashion separated by a seven-day break. The participants performed three exercise tests: isokinetic strength test, maximal strength test and Wingate test. Statistical analysis was conducted in R environment. Linear mixed models were estimated via R package lme4.Results: The mean knee peak torque was significantly greater in supplemented group for right and left knee flexors (placebo: 103.17 ± 37.61 Nm, and supplemented group: 131.84 ± 29.31 Nm where p=0.001, and placebo: 103.72 ± 39.35, and supplemented group: 129.38 ± 28.44, where p=0.001; respectively) as well as for right and left knee extensors (placebo: 202.65 ± 58.64 Nm, and supplemented group: 237.22 ± 54.75 Nm where p=0.001, and placebo: 203.27 ± 63.2 Nm versus supplemented group: 229.84 ± 50.8 Nm where p=0.002; respectively).The significant difference was observed in mean anaerobic power between supplemented and placebo group for right and left knee flexors (p=0.002 and p=0.005, respectively) as well as for right and left knee extensors (p=0.001 and p=0.002; respectively).There was also observed that the time to peak torque was significantly greater in supplemented group for right and left knee flexors (p=0.002 for both legs). The significant difference was also observed in mean power between supplemented and placebo group during Wingate test (placebo: 8.49 ± 0.57 W/kg, and supplemented group: 8.66 ± 0.55 W/kg where p=0.038). Moreover the mean 3-RM strength test was significantly greater in supplemented group with p=0.001.Conclusions: The results of the study indicate that the supplement significantly improves upper and lower body strength and power output in resistance trained men.

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Effects of pre-workout multi-ingredient supplement on anaerobic performance: randomized double-blind crossover study

10.21203/rs.3.rs-43662/v1 ◽

2020 ◽

Author(s):

Piotr Kaczka ◽

Amit Batra ◽

Katarzyna Kubicka ◽

Marcin Maciejczyk ◽

Agata Rzeszutko-Bełzowska ◽

...

Keyword(s):

Placebo Group ◽

Peak Torque ◽

Left Knee ◽

Strength Test ◽

Knee Extensors ◽

Anaerobic Performance ◽

Double Blind ◽

Significant Difference ◽

The Mean ◽

Knee Flexors

Abstract Background: The purpose of this study was to investigate the acute effects of commercially available pre-workout supplement Knockout 2.0 ® on anaerobic performance in resistance trained men.Methods: Twenty-three men underwent three testing sessions administrated in a randomized and double-blind fashion separated by a seven-day break. The participants performed three exercise tests: isokinetic strength test, maximal strength test and Wingate test. Statistical analysis was conducted in R environment. Linear mixed models were estimated via R package lme4.Results: The mean knee peak torque was significantly greater in supplemented group for right and left knee flexors (placebo: 103.17 ± 37.61 Nm, and supplemented group: 131.84 ± 29.31 Nm where p=0.001, and placebo: 103.72 ± 39.35, and supplemented group: 129.38 ± 28.44, where p=0.001; respectively) as well as for right and left knee extensors (placebo: 202.65 ± 58.64 Nm, and supplemented group: 237.22 ± 54.75 Nm where p=0.001, and placebo: 203.27 ± 63.2 Nm versus supplemented group: 229.84 ± 50.8 Nm where p=0.002; respectively).The significant difference was observed in mean anaerobic power between supplemented and placebo group for right and left knee flexors (p=0.002 and p=0.005, respectively) as well as for right and left knee extensors (p=0.001 and p=0.002; respectively).There was also observed that the time to peak torque was significantly greater in supplemented group for right and left knee flexors (p=0.002 for both legs). The significant difference was also observed in mean power between supplemented and placebo group during Wingate test (placebo: 8.49 ± 0.57 W/kg, and supplemented group: 8.66 ± 0.55 W/kg where p=0.038). Moreover the mean 3-RM strength test was significantly greater in supplemented group with p=0.001.Conclusions: The results of the study indicate that Knockout 2.0® significantly improves upper and lower body strength and power output in resistance trained men.

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Isokinetic Profile of Elite Serbian Female Judoists

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph18136988 ◽

2021 ◽

Vol 18 (13) ◽

pp. 6988

Author(s):

Wieslaw Blach ◽

Miodrag Drapsin ◽

Nemanja Lakicevic ◽

Antonino Bianco ◽

Tamara Gavrilovic ◽

...

Keyword(s):

Knee Extensors ◽

Training Experience ◽

Lateral Asymmetry ◽

National Team ◽

Significant Difference ◽

Judo Athletes ◽

Muscle Groups ◽

Torque Values ◽

Training Modalities ◽

Knee Flexors

Elite judo athletes undergo vigorous training to achieve outstanding results. In pursuit of achieving competitive success, the occurrence of injuries amongst judo athletes is not rare. The study aimed to perform a knee flexors and extensors isokinetic torque analysis in elite female judo athletes. Fifty-eight elite female judo athletes of the Serbian national team (21.02 ± 3.11 years; 62.36 ± 11.91 kg, 165.04 ± 10.24 cm, training experience 12.72 ± 2.98 years) volunteered to participate in this study. The range of motion (ROM) was set at 90⁰. Testing was performed in a concentric–concentric mode for the testing speed of 60 ⁰/s. Five maximal voluntary contractions of knee extensors and knee flexors muscle groups were measured for both legs. The obtained data showed a statistically significant difference in absolute torque values among different categories as heavier athletes demonstrated higher values. Post hoc analysis showed a significant difference between weight categories, as heavier athletes demonstrated higher values, while no significant differences in normalized torque values for different weight categories were observed. The implementation of new elements and training modalities may improve performance and prevent lateral asymmetry, thus reducing the risk of injury.

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Quadriceps Femoris and Hamstring Muscle Function in a Person With an Unstable Knee

Physical Therapy ◽

10.1093/ptj/79.1.66 ◽

1999 ◽

Vol 79 (1) ◽

pp. 66-75 ◽

Cited By ~ 10

Author(s):

Murray E Maitland ◽

Stanley V Ajemian ◽

Esther Suter

Keyword(s):

Gait Analysis ◽

Cruciate Ligament ◽

Specific Treatment ◽

Knee Extensor ◽

Left Knee ◽

Thigh Muscle ◽

Knee Extensors ◽

Term Outcome ◽

Electromyographic Biofeedback ◽

Muscle Inhibition

Abstract Background and Purpose. The purpose of this case report is to describe the evaluation, treatment, and short-term outcome for an individual with chronic, progressively worsening instability of the knee during gait associated with anterior cruciate ligament (ACL) insufficiency.Case Description. The patient was a 34-year-old man who sustained bilateral ACL injuries. Subsequently, an autograft reconstruction of the left knee ACL was performed. Eight months post-reconstruction, the left knee was unstable despite bracing. Gait analysis and tests to determine the presence of muscle inhibition were performed prior to and after 12 weeks of training. Isometric torque of the knee extensors and flexors was measured with the knee in 90 degrees of flexion. A training program primarily consisted of electromyographic biofeedback during thigh muscle exercises, balance exercises, and gait.Outcomes. Muscle inhibition decreased and maximal isometric knee flexion and extension torques increased during the 12-week training period. Gait analysis demonstrated a 50% decrease in the maximum knee extensor moment and an increase in walking speed.Discussion. Selected gait variables, torque production, and muscle inhibition may change in a person with an unstable knee. The measurement of variables that have previously been documented as mechanisms of knee instability during walking allows for the selection of a specific treatment approach.

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When can total knee arthroplasty be safely performed following prior arthroscopy?

BMC Musculoskeletal Disorders ◽

10.1186/s12891-020-03859-1 ◽

2021 ◽

Vol 22 (1) ◽

Author(s):

Jin-Ning Ma ◽

Xiao-Lin Li ◽

Pan Liang ◽

Sheng-Li Yu

Keyword(s):

Total Knee Arthroplasty ◽

Postoperative Complications ◽

Knee Arthroplasty ◽

Acl Injury ◽

Control Group ◽

Optimal Timing ◽

Complication Rates ◽

Increased Risk ◽

Total Knee

Abstract Background The optimal timing to perform a total knee arthroplasty (TKA) after knee arthroscopy (KA) was controversial in the literature. We aimed to 1) explore the effect of prior KA on the subsequent TKA; 2) identify who were not suitable for TKA in patients with prior KA, and 3) determine the timing of TKA following prior KA. Methods We retrospectively reviewed 87 TKAs with prior KA and 174 controls using propensity score matching in our institution. The minimum follow-up was 2 years. Postoperative clinical outcomes were compared between groups. Kaplan-Meier curves were created with reoperation as an endpoint. Multivariate Cox proportional hazards regressions were performed to identify risk factors of severe complications in the KA group. The two-piecewise linear regression analysis was performed to examine the optimal timing of TKA following prior KA. Results The all-cause reoperation, revision, and complication rates of the KA group were significantly higher than those of the control group (p < 0.05). The survivorship of the KA group and control group was 92.0 and 99.4% at the 2-year follow-up (p = 0.002), respectively. Male (Hazards ratio [HR] = 3.2) and prior KA for anterior cruciate ligament (ACL) injury (HR = 4.4) were associated with postoperative complications in the KA group. There was a non-linear relationship between time from prior KA to TKA and postoperative complications with the turning point at 9.4 months. Conclusion Prior KA is associated with worse outcomes following subsequent TKA, especially male patients and those with prior KA for ACL injury. There is an increased risk of postoperative complications when TKA is performed within nine months of KA. Surgeons should keep these findings in mind when treating patients who are scheduled to undergo TKA with prior KA.

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Prevalence of sarcopenia in patients with gastroesophageal and lung malignancies undergoing surgical resection and its impact on immediate postoperative outcomes: A prospective observational study.

Journal of Clinical Oncology ◽

10.1200/jco.2021.39.15_suppl.e18617 ◽

2021 ◽

Vol 39 (15_suppl) ◽

pp. e18617-e18617

Author(s):

Sudhakar Gunasekar ◽

SVS Deo ◽

Sunil Kumar ◽

Ekta Dhamija ◽

Sandeep Kumar Bhoriwal

Keyword(s):

Lung Cancer ◽

Weight Loss ◽

Grip Strength ◽

Handgrip Strength ◽

Ct Images ◽

Control Group ◽

Gastroesophageal Cancer ◽

Combined Method ◽

Skeletal Muscle Index ◽

Strength Based

e18617 Background: The study evaluated the prevalence & impact of sarcopenia in gastroesophageal cancer (GC) & lung cancer (LC) patients undergoing resection. Methods: An observational prospective study was conducted in department of surgical oncology, AIIMS, New Delhi. All patients aged under 65 years with resectable GC & LC were included. Skeletal muscle index (SMI) using cross-sectional CT images at the level of L3 & Hand grip strength (dynamometer) were used to assess sarcopenia. Random benign patients with CT images were used as control group. Patients were categorized into sarcopenic and non-sarcopenic and outcome parameters were compared. Results: In the study population (n = 66), GC & LC constituted 44 (66.67%) & 22(33.33%) respectively. Mean age was 53.4 years. The prevalence of sarcopenia based on the combined method (CT imaging & handgrip strength) was 57.58%, CT based sarcopenia was 33.34% & handgrip strength-based sarcopenia was 43.93%. Mild and moderate sarcopenia was seen in 37.88% (n = 25) & 19.7 % (n = 13) respectively. Among patients with GC, prevalence of sarcopenia was 59.09% by combined method, 36.36% and 43.18% by CT based method alone & handgrip strength-based method alone respectively. Among LC prevalence of sarcopenia was 54.54% by combined method, 27.27% and 45.45% by CT based & handgrip-based method. The concordance between CT muscle mass & grip strength was 62.12%. Most female patients had weak handgrip strength despite having normal SMI. In control group (n = 44) mean age was 54.5 years, the prevalence of CT based sarcopenia was 34.09%. Weight loss history & BMI correlated with the degree of sarcopenia. Out of 66 patients 13% (n = 9) patients were unresectable. Moderate sarcopenia group had more statistically significant (P -0.02) unresectable disease compared to mild and non-sarcopenic groups. In postoperative period, sarcopenic group (64.51% vs 38.36 %) had more grade 2 complications though statistically insignificant. There was no difference in hospital stay between the two groups. In patients with GC , postoperative respiratory complication occurred in 11.53% (n = 3) of sarcopenic patients and 5.5%(n = 1) of non-sarcopenic patients, anastomotic leak occurred in 7.69% (n = 2) of sarcopenic patients and 5.5% (n = 1) of nonsarcopenic patients. Conclusions: The prevalence of sarcopenia is higher in patients with gastroesophageal cancer compared to lung cancer. The important factors that affect the sarcopenia include age and body mass index and weight loss history. The study has showed a trend towards increased post-operative complications and increased unresectable cases in patients with mild to moderate sarcopenia. Further larger studies are required to validate if sarcopenia can be used as an adjunct to predict resectability and post-operative outcomes.

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