Agreement between muscle mass assessments by computed tomography and calf circumference in patients with cancer: a cross-sectional study

Background & aims: Cancer influences body composition, including a loss of muscle mass (MM), associated with worse outcomes. The study aimed to evaluate the agreement between MM estimated by calf circumference (CC) and computed tomography (CT) image as a reference method. Methods: A cross-sectio...

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Principais autores: Fayh, Ana Paula Trussardi, Sousa, Iasmin Matias, Gonzalez, Maria Cristina, Bielemann, Renata Moraes, Rocha, Ilanna Marques Gomes, Barbalho, Erica Roberta, Carvalho, Ana Lúcia Miranda, Medeiros, Galtieri Otávio Cunha, Silva, Flávia Moraes
Formato: article
Idioma:English
Publicado em: Clinical Nutrition Espen
Assuntos:
Nutritional status
solid tumor
anthropometry
skeletal muscle index
Endereço do item:https://repositorio.ufrn.br/handle/123456789/55896
http://dx.doi.org/10.1016/j.clnesp.2021.12.018
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spelling ri-123456789-558962023-12-13T22:15:16Z Agreement between muscle mass assessments by computed tomography and calf circumference in patients with cancer: a cross-sectional study Fayh, Ana Paula Trussardi Sousa, Iasmin Matias Gonzalez, Maria Cristina Bielemann, Renata Moraes Rocha, Ilanna Marques Gomes Barbalho, Erica Roberta Carvalho, Ana Lúcia Miranda Medeiros, Galtieri Otávio Cunha Silva, Flávia Moraes Nutritional status solid tumor anthropometry skeletal muscle index Background & aims: Cancer influences body composition, including a loss of muscle mass (MM), associated with worse outcomes. The study aimed to evaluate the agreement between MM estimated by calf circumference (CC) and computed tomography (CT) image as a reference method. Methods: A cross-sectional study including patients (>20 years) diagnosed with cancer attending a reference center of oncology. Spearman's correlation was performed to verify the correlation between CC and MM by CT, including skeletal muscle area - SMA and skeletal muscle index - SMI. ROC curves, Kappa coefficient, sensitivity, specificity, positive and negative predictive values were obtained. Results: The study included 219 patients, age 62.9 ± 13.1 years (mean ± standard deviation). Low CC was observed in 43.8% of the patients, and 29.2% had low SMI. CC positively correlated with SMA (rho ¼ 0.333) and SMI (rho ¼ 0.329), and fair agreements (K ¼ 0.268) were observed between CC and SMI, with higher and significant values for males (K ¼ 0.332) and patients below 60 years (K ¼ 0.419). The area under the curve (AUC) for low CC to identifying low SMI was equal to 0.685 (CI 95% 0.606 e0.765). Low CC presented fair agreement to identify low SMI in the sample; however, the negative predictive value was almost 80% for all analyses. Conclusions: Low CC is not a surrogate for low SMI in patients with cancer, but it could be an alternative, non-invasive, easy-to-perform method to pre-screen patients with cancer with adequate SMI 2023-12-13T22:15:04Z 2023-12-13T22:15:04Z 2022-02 article SOUSA, Iasmin Matias; GONZALEZ, Maria Cristina; BIELEMANN, Renata Moraes; ROCHA, Ilanna Marques Gomes; BARBALHO, Erica Roberta; CARVALHO, Ana Lúcia Miranda; MEDEIROS, Galtieri Otávio Cunha; SILVA, Flávia Moraes; FAYH, Ana Paula Trussardi. Agreement between muscle mass assessments by computed tomography and calf circumference in patients with cancer: a cross-sectional study. Clinical Nutrition Espen, [S.l.] v. 47, p. 183-188, fev. 2022. DOI: 10.1016/j.clnesp.2021.12.018. Disponível em: https://www.sciencedirect.com/science/article/pii/S2405457721011645?via%3Dihub. Acesso em: 12 dez. 2023. https://repositorio.ufrn.br/handle/123456789/55896 http://dx.doi.org/10.1016/j.clnesp.2021.12.018 en Clinical Nutrition Espen
institution Repositório Institucional
collection RI - UFRN
language English
topic Nutritional status
solid tumor
anthropometry
skeletal muscle index
spellingShingle Nutritional status
solid tumor
anthropometry
skeletal muscle index
Fayh, Ana Paula Trussardi
Sousa, Iasmin Matias
Gonzalez, Maria Cristina
Bielemann, Renata Moraes
Rocha, Ilanna Marques Gomes
Barbalho, Erica Roberta
Carvalho, Ana Lúcia Miranda
Medeiros, Galtieri Otávio Cunha
Silva, Flávia Moraes
Agreement between muscle mass assessments by computed tomography and calf circumference in patients with cancer: a cross-sectional study
description Background & aims: Cancer influences body composition, including a loss of muscle mass (MM), associated with worse outcomes. The study aimed to evaluate the agreement between MM estimated by calf circumference (CC) and computed tomography (CT) image as a reference method. Methods: A cross-sectional study including patients (>20 years) diagnosed with cancer attending a reference center of oncology. Spearman's correlation was performed to verify the correlation between CC and MM by CT, including skeletal muscle area - SMA and skeletal muscle index - SMI. ROC curves, Kappa coefficient, sensitivity, specificity, positive and negative predictive values were obtained. Results: The study included 219 patients, age 62.9 ± 13.1 years (mean ± standard deviation). Low CC was observed in 43.8% of the patients, and 29.2% had low SMI. CC positively correlated with SMA (rho ¼ 0.333) and SMI (rho ¼ 0.329), and fair agreements (K ¼ 0.268) were observed between CC and SMI, with higher and significant values for males (K ¼ 0.332) and patients below 60 years (K ¼ 0.419). The area under the curve (AUC) for low CC to identifying low SMI was equal to 0.685 (CI 95% 0.606 e0.765). Low CC presented fair agreement to identify low SMI in the sample; however, the negative predictive value was almost 80% for all analyses. Conclusions: Low CC is not a surrogate for low SMI in patients with cancer, but it could be an alternative, non-invasive, easy-to-perform method to pre-screen patients with cancer with adequate SMI
format article
author Fayh, Ana Paula Trussardi
Sousa, Iasmin Matias
Gonzalez, Maria Cristina
Bielemann, Renata Moraes
Rocha, Ilanna Marques Gomes
Barbalho, Erica Roberta
Carvalho, Ana Lúcia Miranda
Medeiros, Galtieri Otávio Cunha
Silva, Flávia Moraes
author_facet Fayh, Ana Paula Trussardi
Sousa, Iasmin Matias
Gonzalez, Maria Cristina
Bielemann, Renata Moraes
Rocha, Ilanna Marques Gomes
Barbalho, Erica Roberta
Carvalho, Ana Lúcia Miranda
Medeiros, Galtieri Otávio Cunha
Silva, Flávia Moraes
author_sort Fayh, Ana Paula Trussardi
title Agreement between muscle mass assessments by computed tomography and calf circumference in patients with cancer: a cross-sectional study
title_short Agreement between muscle mass assessments by computed tomography and calf circumference in patients with cancer: a cross-sectional study
title_full Agreement between muscle mass assessments by computed tomography and calf circumference in patients with cancer: a cross-sectional study
title_fullStr Agreement between muscle mass assessments by computed tomography and calf circumference in patients with cancer: a cross-sectional study
title_full_unstemmed Agreement between muscle mass assessments by computed tomography and calf circumference in patients with cancer: a cross-sectional study
title_sort agreement between muscle mass assessments by computed tomography and calf circumference in patients with cancer: a cross-sectional study
publisher Clinical Nutrition Espen
publishDate 2023
url https://repositorio.ufrn.br/handle/123456789/55896
http://dx.doi.org/10.1016/j.clnesp.2021.12.018
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