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      Estudio transversal de medición de la composición corporal en pacientes con cáncer mediante antropometría y técnicas de imagen médica Translated title: Cross-sectional study of body composition measurement in cancer patients using anthropometry and medical imaging techniques

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          Abstract

          RESUMEN Introducción Analizar la composición corporal tanto mediante técnicas antropométricas y parámetros bioquímicos clásicos, como mediante técnicas modernas utilizando tomografía computarizada (TC), en pacientes oncológicos antes de iniciar el tratamiento con radioterapia. Material y Métodos Se analizaron de forma retrospectiva 22 pacientes con diversos tumores del aparato digestivo, que fueron sometidos a TC de planificación antes de iniciar el tratamiento con radioterapia, y que disponían de un corte axial en la tercera vértebra lumbar. Para analizar la composición corporal, se determinaron tanto parámetros antropométricos y bioquímicos clásicos, como la determinación de la masa muscular mediante Unidades Hounsfield (UH). Resultados En cuanto a las características antropométricas clásicas, el peso medio fue 65,19 (±12,72) kg, IMC 23,74 (± 5,03) kg/m2, %pp 15,84 (±10,87) %, PT 9,73 (± 5,08) mm y CMB 22,81 (± 2,95) cm. En cuanto a los parámetros bioquímicos, la hipoalbuminemia estuvo presente en el 63,45% de los casos. Por otro lado, la medición de composición corporal mediante técnicas modernas, determinó un promedio de circunferencia de cintura de 99,06 (±13,38) cm, MM de 119,41 (±35,54) cm2, y la media del IME fue de 71,50 (±20.57) cm2/m2; estando por debajo de la normalidad en el 13,64% de los pacientes. Conclusiones Las nuevas técnicas por imagen basadas en cortes TC, pueden incluirse en la rutina diaria del paciente oncológico como información adicional a los parámetros antropométricos y bioquímicos más clásicos, por ser una técnica sencilla de realizar, con bajo coste, reproducible y muy fiable en cuanto a determinación de composición corporal.

          Translated abstract

          ABSTRACT Introduction The main purpose of this study was to diagnose body composition in cancer patients before starting radiotherapy treatment, by using classic techniques based on anthropometry and biochemical parameters, as well as including new techniques based on computed tomography (TC) images. Material and Methods A sample of 22 patients with cancers that affect the digestive system underwent radiotherapy computed simulation which included measurements at L3 regions. Body composition was determined by using classic anthropometry, biochemical parameters and skeletal muscle mass by using Hounsfield Units (HU). Results Mean BMI was 65,19 (±12,72) kg, mean BMI 23,74 (±5,03) kg/m2, mean average of WL 15,84 (±10,87) %, mean triceps skinfolds 9,73 (±5,08) mm and mean brachial muscle perimeter 22,81 (±2,95) cm. In terms of lab analysis, hipoalbumin was present in 63.45% of patients. On the other hand, according to body composition measured by CT scan, patients presented a mean waist circumference 99,06 (±13,38) cm, mean MM 119,41 (±35,54) cm2, and mean SMI 71,50 (±20.57) cm2/m2; being under normal cut points in 13,64% of patients. Conclusions New techniques based on CT scans could be daily incorporated into clinical practice in cancer patients as an additional information of classic anthropometry and biochemical parameters, being a simple technique to perform, with low cost, reproducible and very reliable in terms of determination of body composition.

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          Muscle loss and obesity: the health implications of sarcopenia and sarcopenic obesity

          This paper reviews the health implications of obesity, sarcopenia and sarcopenic obesity on CVD and mortality in older adults and discusses the obesity paradox seen in patients with CVD. Obesity is a major public health problem with increasing prevalence worldwide. It is an established risk factor for cardiovascular morbidity and mortality in adult populations. However, there is controversy surrounding the effects of obesity as measured by BMI in older people, and overweight and obesity (BMI ⩾ 25 kg/m 2 ) are apparently associated with increased survival in those with CVD (obesity paradox). Ageing is associated with an increase in visceral fat and a progressive loss of muscle mass which have opposing effects on mortality. Thus BMI is not a good indicator of obesity in older adults. Sarcopenia, the age-associated loss of skeletal muscle mass, is a major concern in ageing populations and has been associated with metabolic impairment, CVD risk factors, physical disability and mortality. Sarcopenia often coexists with obesity. Sarcopenic obesity is a new category of obesity in older adults who have high adiposity coupled with low muscle mass. To fully understand the effect of obesity on mortality in the elderly it is important to take muscle mass into account. The evidence suggests that sarcopenia with obesity may be associated with higher levels of metabolic disorders and an increased risk of mortality than obesity or sarcopenia alone. Efforts to promote healthy ageing should focus on both preventing obesity and maintaining or increasing muscle mass.
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            Low skeletal muscle mass is a predictive factor for chemotherapy dose-limiting toxicity in patients with locally advanced head and neck cancer

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              Association of Body Composition With Survival and Locoregional Control of Radiotherapy-Treated Head and Neck Squamous Cell Carcinoma.

              Major weight loss is common in patients with head and neck squamous cell carcinoma (HNSCC) who undergo radiotherapy (RT). How baseline and posttreatment body composition affects outcome is unknown.
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                Author and article information

                Journal
                renhyd
                Revista Española de Nutrición Humana y Dietética
                Rev Esp Nutr Hum Diet
                Academia Española de Nutrición y Dietética (Pamplona, Navarra, Spain )
                2173-1292
                2174-5145
                September 2019
                : 23
                : 3
                : 162-174
                Affiliations
                [10] Valencia orgnameFundación Investigación Hospital General Universitario de Valencia (CHGUV) España
                [5] Valencia orgnameUniversidad de Valencia-Instituto de Investigación Sanitaria La Fe orgdiv1Unidad Mixta de Investigación en Endocrinología, Nutrición y Dietética Clínica España
                [3] Valencia orgnameUniversidad de Valencia, orgdiv1Departamento de Medicina España
                [1] Valencia orgnameHospital General Universitario de Valencia (CHGUV) orgdiv1Departamento de Oncología Radioterápica ERESA España
                [8] Valencia orgnameUniversidad de Valencia orgdiv1Facultad de Farmacia orgdiv2Departamento de Salud Pública España
                [9] Valencia orgnameHospital Universitario y Politécnico La Fe orgdiv1Unidad Mixta de Nanomedicina y Sensores España
                [6] Valencia orgnameInstituto de Investigación Sanitaria La Fe orgdiv1Grupo de Investigación Biomédica en Imagen (GIBI2) España
                [2] Valencia orgnameHospital General Universitario de Valencia (CHGUV) orgdiv1Departamento de Endocrinología y Nutrición España
                [7] Valencia orgnameHospital Clínico Universitario de Valencia orgdiv1Departamento de Medicina de Familia y Comunitaria España
                [4] Valencia orgnameHospital Universitario y Politécnico La Fe orgdiv1Servicio de Protección Radiológica España
                Article
                S2174-51452019000300005 S2174-5145(19)02300300005
                10.14306/renhyd.23.3.724
                8a604600-2f94-4393-a787-511b526d5208

                This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.

                History
                : 02 December 2018
                : 27 September 2019
                Page count
                Figures: 0, Tables: 0, Equations: 0, References: 39, Pages: 13
                Product

                SciELO Spain

                Categories
                Investigaciones

                Radioterapia,Composición Corporal,Desnutrición,Tomography,Radiotherapy,Body Composition,Malnutrition,Tomografía

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