The Utility of Skeletal Muscle Cross Sectional Area and Nutritional Risk Index in Predicting Outcomes Across Patients with Hematologic Malignancy and Acute Respiratory Failure

Author(s):  
M.D. Elfassy ◽  
D. Rozenberg ◽  
M.C. Sklar ◽  
S. Mathur ◽  
M.E. Detsky ◽  
...  
2007 ◽  
Vol 103 (4) ◽  
pp. 1121-1127 ◽  
Author(s):  
Steven J. Prior ◽  
Stephen M. Roth ◽  
Xiaojing Wang ◽  
Candace Kammerer ◽  
Iva Miljkovic-Gacic ◽  
...  

The aim of this study was to estimate the heritability of and environmental contributions to skeletal muscle phenotypes (appendicular lean mass and calf muscle cross-sectional area) in subjects of African descent and to determine whether heritability estimates are impacted by sex or age. Body composition was measured by dual-energy X-ray absorptiometry and computed tomography in 444 men and women aged 18 yr and older (mean: 43 yr) from eight large, multigenerational Afro-Caribbean families (family size range: 21–112). Using quantitative genetic methods, we estimated heritability and the association of anthropometric, lifestyle, and medical variables with skeletal muscle phenotypes. In the overall group, we estimated the heritability of lean mass and calf muscle cross-sectional area (h2 = 0.18–0.23, P < 0.01) and contribution of environmental factors to these phenotypes ( r2 = 0.27–0.55, P < 0.05). In our age-specific analysis, the heritability of leg lean mass was lower in older vs. younger individuals (h2 = 0.05 vs. 0.23, respectively, P = 0.1). Sex was a significant covariate in our models ( P < 0.001), although sex-specific differences in heritability varied depending on the lean mass phenotype analyzed. High genetic correlations (ρG = 0.69–0.81; P < 0.01) between different lean mass measures suggest these traits share a large proportion of genetic components. Our results demonstrate the heritability of skeletal muscle traits in individuals of African heritage and that heritability may differ as a function of sex and age. As the loss of skeletal muscle mass is related to metabolic abnormalities, disability, and mortality in older individuals, further research is warranted to identify specific genetic loci that contribute to these traits in general and in a sex- and age-specific manner.


2016 ◽  
Vol 48 ◽  
pp. 894
Author(s):  
Rodney C. Wade ◽  
Ashraf S. Gorgey ◽  
Jennifer Hubert ◽  
Ryan Sumrell ◽  
Justin Bengel ◽  
...  

BMC Cancer ◽  
2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Kyung Won Kim ◽  
Koeun Lee ◽  
Jung-Bok Lee ◽  
Taeyong Park ◽  
Seungwoo Khang ◽  
...  

Abstract Background Patients with gastric cancer have an increased nutritional risk and experience a significant skeletal muscle loss after surgery. We aimed to determine whether muscle loss during the first postoperative year and preoperative nutritional status are indicators for predicting prognosis. Methods From a gastric cancer registry, a total of 958 patients who received curative gastrectomy followed by chemotherapy for stage 2 and 3 gastric cancer and survived longer than 1 year were investigated. Clinical and laboratory data were collected. Skeletal muscle index (SMI) was assessed based on the muscle area at the L3 level on abdominal computed tomography. Results Preoperative nutritional risk index (NRI) and postoperative decrement of SMI (dSMI) were significantly associated with overall survival (hazards ratio: 0.976 [95% CI: 0.962–0.991] and 1.060 [95% CI: 1.035–1.085], respectively) in a multivariate Cox regression analysis. Recurrence, tumor stage, comorbidity index were also significant prognostic indicators. Kaplan-Meier analyses exhibited that patients with higher NRI had a significantly longer survival than those with lower NRI (5-year overall survival: 75.8% vs. 63.0%, P <  0.001). In addition, a significantly better prognosis was observed in a patient group with less decrease of SMI (5-year overall survival: 75.7% vs. 66.2%, P = 0.009). A logistic regression analysis demonstrated that the performance of preoperative NRI and dSMI in mortality prediction was quite significant (AUC: 0.63, P <  0.001) and the combination of clinical factors enhanced the predictive accuracy to the AUC of 0.90 (P <  0.001). This prognostic relevance of NRI and dSMI was maintained in patients experiencing tumor recurrence and highlighted in those with stage 3 gastric adenocarcinoma. Conclusions Preoperative NRI is a predictor of overall survival in stage 2 or 3 gastric cancer patients and skeletal muscle loss during the first postoperative year was significantly associated with the prognosis regardless of relapse in stage 3 tumors. These factors could be valuable adjuncts for accurate prediction of prognosis in gastric cancer patients.


2019 ◽  
Author(s):  
Kenichi KONO ◽  
Yoshihumi MORIYAMA ◽  
Ayaka HARA ◽  
Hiroki YABE ◽  
Yusuke NISHIDA ◽  
...  

Abstract Background To explore the relationship between sarcopenia and nutritional disorders, as evaluated using the Geriatric Nutritional Risk Index (GNRI) and serum phosphorus concentration (P). Methods: This cross-sectional study analyzed 909 Japanese maintenance hemodialysis patients from a multicenter hemodialysis unit. The nutritional indices (GNRI and P) and sarcopenia indices [grip strength and Short Physical Performance Battery (SPPB)] were evaluated in all patients. Multiple logistic regression analysis was performed with the sarcopenia indices as dependent variables and GNRI only, P only, and combined GNRI and P as independent variables adjusted for patient attributes. The odds ratio (OR) and 95% confidence interval (95% CI) for the reference value were calculated by setting the category reference value to GNRI ≥90 and P to 3.6-5.0 mg/dL. The main outcome measure was presence of probable sarcopenia. Results: Grip strength was associated with decreased GNRI only (OR: 2.27, 95% CI: 1.64-3.16) and decreased GNRI and P (OR: 3.77, 95% CI: 1.49-9.53). In addition, SPPB was associated with decreased GNRI only (OR: 1.78, 95% CI: 1.30-2.44) and decreased GNRI and P (OR: 8.82, 95% CI: 3.52-22.12). Conclusions: Nutritional disorders, in which both GNRI and P are decreased, are strongly related to sarcopenia compared with nutritional disorders in which only GNRI or only P is decreased.


2019 ◽  
Vol 51 (Supplement) ◽  
pp. 945
Author(s):  
Johnathon H. Moore ◽  
Cody T. Haun ◽  
Emily L. Grandprey ◽  
Katelyn P. Joubert ◽  
Christopher G. Vann ◽  
...  

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