Relationship Between Body Fat and Morbidity and Mortality in Cardiac Surgery
Introduction: There is a potentially protective effect of obesity when it coexists with cardiovascular disease, known as the“obesity paradox.” It could be explained by the fact that anthropometric measurements are not a reliable marker of bodyfat. In this study we propose to estimate body fat with a...
Gespeichert in:
| Veröffentlicht in: | Revista Argentina de Cardiología 2020, Vol.88 (2), p.133-137 |
|---|---|
| Hauptverfasser: | , , , , , , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext bestellen |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 137 |
|---|---|
| container_issue | 2 |
| container_start_page | 133 |
| container_title | Revista Argentina de Cardiología |
| container_volume | 88 |
| creator | Costa, Diego Esperón, Guillermina Saglietti, Luciano Gonzalez, Carlos Luis Muzzio, Maximiliano García Iturralde, Leonardo Córsico, Luciana Gregorietti, Vanesa Catena, Enzo Coronel, Roberto |
| description | Introduction: There is a potentially protective effect of obesity when it coexists with cardiovascular disease, known as the“obesity paradox.” It could be explained by the fact that anthropometric measurements are not a reliable marker of bodyfat. In this study we propose to estimate body fat with a non-invasive method and study its relationship with morbidity andmortality in cardiac surgery.Methods: We conducted a prospective and observational study in adult patients undergoing cardiac surgery. We analyzed demographic,anthropometric and clinical variables along with the estimation of body composition using bioelectric impedance,to study their association to hospitalization days and adverse events after cardiac surgery.Results: In the analysis of 98 patients, we found a direct relationship between the percentage of body fat and the length ofhospital stay, independent of age, sex, body mass index (BMI) and surgical risk (coefficient of 0.27, p = 0.021). In addition,patients who had mediastinitis showed a significantly higher body fat (31.55 ± 0.64% versus 27.13 ± 7.9%, p |
| format | Article |
| fullrecord | <record><control><sourceid>dialnet_FKZ</sourceid><recordid>TN_cdi_dialnet_primary_oai_dialnet_unirioja_es_ART0001400828</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>oai_dialnet_unirioja_es_ART0001400828</sourcerecordid><originalsourceid>FETCH-dialnet_primary_oai_dialnet_unirioja_es_ART00014008283</originalsourceid><addsrcrecordid>eNqlizsOwjAQBd1QIOAOewEk8ylS0JCIiAKakN5a8AKLjB2tHSHfHpDICahGM3pvrA4NOUwcfLxzByWlF5GHMtgMNSZAb-EY5MyWUx4sofsae6hQLOMFTr3cSPJUja7oIs1-nKhNvWur_fwzcp6S6YSfKNkEZDO03rNweKChaLZNq7VerLUulsXqz_sb7mJLQw</addsrcrecordid><sourcetype>Open Website</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype></control><display><type>article</type><title>Relationship Between Body Fat and Morbidity and Mortality in Cardiac Surgery</title><source>Dialnet</source><creator>Costa, Diego ; Esperón, Guillermina ; Saglietti, Luciano ; Gonzalez, Carlos Luis ; Muzzio, Maximiliano ; García Iturralde, Leonardo ; Córsico, Luciana ; Gregorietti, Vanesa ; Catena, Enzo ; Coronel, Roberto</creator><creatorcontrib>Costa, Diego ; Esperón, Guillermina ; Saglietti, Luciano ; Gonzalez, Carlos Luis ; Muzzio, Maximiliano ; García Iturralde, Leonardo ; Córsico, Luciana ; Gregorietti, Vanesa ; Catena, Enzo ; Coronel, Roberto</creatorcontrib><description>Introduction: There is a potentially protective effect of obesity when it coexists with cardiovascular disease, known as the“obesity paradox.” It could be explained by the fact that anthropometric measurements are not a reliable marker of bodyfat. In this study we propose to estimate body fat with a non-invasive method and study its relationship with morbidity andmortality in cardiac surgery.Methods: We conducted a prospective and observational study in adult patients undergoing cardiac surgery. We analyzed demographic,anthropometric and clinical variables along with the estimation of body composition using bioelectric impedance,to study their association to hospitalization days and adverse events after cardiac surgery.Results: In the analysis of 98 patients, we found a direct relationship between the percentage of body fat and the length ofhospital stay, independent of age, sex, body mass index (BMI) and surgical risk (coefficient of 0.27, p = 0.021). In addition,patients who had mediastinitis showed a significantly higher body fat (31.55 ± 0.64% versus 27.13 ± 7.9%, p <0.001), andpatients who died had a tendency to have more fat mass (36.05 ± 3.19% versus 27.20 ± 7.82%, p = 0.08).Conclusion: Increased body fat as assessed with BIA was related to morbidity in cardiac surgery. Although this is biologicallyplausible, it would be necessary to carry out larger studies in order to definitively establish the “BMI paradox”.
Introducción: Existe un efecto potencialmente protector de la obesidad cuando coexiste con la enfermedad cardiovascular, conocido como “paradoja de la obesidad”. Es posible que se deba a que las medidas antropométricas no sean un marcador fidedigno de la grasa corporal. En este estudio proponemos estimar la grasa corporal con métodos no invasivos y estudiar su relación con la morbimortalidad en cirugía cardíaca. Métodos: Llevamos a cabo un estudio prospectivo y observacional en pacientes adultos sometidos a cirugía cardíaca. Analizamos variables demográficas, antropométricas y clínicas junto con la estimación de la composición corporal a través de la impedancia bioeléctrica, para relacionarlas con los días de internación y eventos adversos luego de la cirugía cardíaca. Resultados y conclusión: En el análisis de 98 pacientes, encontramos una relación directa entre el porcentaje de grasa corporal y los días de internación, independiente de la edad, el sexo, el índice de masa corporal (IMC) y el riesgo prequirúrgico (coeficiente de Pearson de 0.27, p = 0.021). Además, los pacientes que presentaron mediastinitis tuvieron una grasa corporal significativamente mayor (31.55 ± 0.64% contra 27.13 ± 7.9%, p < 0.001), y los pacientes que fallecieron presentaron una tendencia a presentar más masa grasa (36.05 ± 3.19% contra 27.20 ± 7.82%, p = 0.08). Es biológicamente plausible que la masa grasa se relacione con la morbimortalidad cardiovascular, aunque sería necesario llevar a cabo estudios de mayor tamaño para poder establecer definitivamente la “paradoja del IMC”.</description><language>eng</language><subject>Body Composition ; Body Mass Index ; Cardiac Surgical Procedures ; ciruga cardíaca ; composición corporal ; masa grasa ; obesidad ; Obesity ; Prognosis ; pronóstico</subject><ispartof>Revista Argentina de Cardiología, 2020, Vol.88 (2), p.133-137</ispartof><rights>LICENCIA DE USO: Los documentos a texto completo incluidos en Dialnet son de acceso libre y propiedad de sus autores y/o editores. Por tanto, cualquier acto de reproducción, distribución, comunicación pública y/o transformación total o parcial requiere el consentimiento expreso y escrito de aquéllos. Cualquier enlace al texto completo de estos documentos deberá hacerse a través de la URL oficial de éstos en Dialnet. Más información: https://dialnet.unirioja.es/info/derechosOAI | INTELLECTUAL PROPERTY RIGHTS STATEMENT: Full text documents hosted by Dialnet are protected by copyright and/or related rights. This digital object is accessible without charge, but its use is subject to the licensing conditions set by its authors or editors. Unless expressly stated otherwise in the licensing conditions, you are free to linking, browsing, printing and making a copy for your own personal purposes. All other acts of reproduction and communication to the public are subject to the licensing conditions expressed by editors and authors and require consent from them. Any link to this document should be made using its official URL in Dialnet. More info: https://dialnet.unirioja.es/info/derechosOAI</rights><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,870,4010</link.rule.ids><linktorsrc>$$Uhttps://dialnet.unirioja.es/servlet/oaiart?codigo=7512148$$EView_record_in_Universidad_de_la_Rioja$$FView_record_in_$$GUniversidad_de_la_Rioja$$Hfree_for_read</linktorsrc></links><search><creatorcontrib>Costa, Diego</creatorcontrib><creatorcontrib>Esperón, Guillermina</creatorcontrib><creatorcontrib>Saglietti, Luciano</creatorcontrib><creatorcontrib>Gonzalez, Carlos Luis</creatorcontrib><creatorcontrib>Muzzio, Maximiliano</creatorcontrib><creatorcontrib>García Iturralde, Leonardo</creatorcontrib><creatorcontrib>Córsico, Luciana</creatorcontrib><creatorcontrib>Gregorietti, Vanesa</creatorcontrib><creatorcontrib>Catena, Enzo</creatorcontrib><creatorcontrib>Coronel, Roberto</creatorcontrib><title>Relationship Between Body Fat and Morbidity and Mortality in Cardiac Surgery</title><title>Revista Argentina de Cardiología</title><description>Introduction: There is a potentially protective effect of obesity when it coexists with cardiovascular disease, known as the“obesity paradox.” It could be explained by the fact that anthropometric measurements are not a reliable marker of bodyfat. In this study we propose to estimate body fat with a non-invasive method and study its relationship with morbidity andmortality in cardiac surgery.Methods: We conducted a prospective and observational study in adult patients undergoing cardiac surgery. We analyzed demographic,anthropometric and clinical variables along with the estimation of body composition using bioelectric impedance,to study their association to hospitalization days and adverse events after cardiac surgery.Results: In the analysis of 98 patients, we found a direct relationship between the percentage of body fat and the length ofhospital stay, independent of age, sex, body mass index (BMI) and surgical risk (coefficient of 0.27, p = 0.021). In addition,patients who had mediastinitis showed a significantly higher body fat (31.55 ± 0.64% versus 27.13 ± 7.9%, p <0.001), andpatients who died had a tendency to have more fat mass (36.05 ± 3.19% versus 27.20 ± 7.82%, p = 0.08).Conclusion: Increased body fat as assessed with BIA was related to morbidity in cardiac surgery. Although this is biologicallyplausible, it would be necessary to carry out larger studies in order to definitively establish the “BMI paradox”.
Introducción: Existe un efecto potencialmente protector de la obesidad cuando coexiste con la enfermedad cardiovascular, conocido como “paradoja de la obesidad”. Es posible que se deba a que las medidas antropométricas no sean un marcador fidedigno de la grasa corporal. En este estudio proponemos estimar la grasa corporal con métodos no invasivos y estudiar su relación con la morbimortalidad en cirugía cardíaca. Métodos: Llevamos a cabo un estudio prospectivo y observacional en pacientes adultos sometidos a cirugía cardíaca. Analizamos variables demográficas, antropométricas y clínicas junto con la estimación de la composición corporal a través de la impedancia bioeléctrica, para relacionarlas con los días de internación y eventos adversos luego de la cirugía cardíaca. Resultados y conclusión: En el análisis de 98 pacientes, encontramos una relación directa entre el porcentaje de grasa corporal y los días de internación, independiente de la edad, el sexo, el índice de masa corporal (IMC) y el riesgo prequirúrgico (coeficiente de Pearson de 0.27, p = 0.021). Además, los pacientes que presentaron mediastinitis tuvieron una grasa corporal significativamente mayor (31.55 ± 0.64% contra 27.13 ± 7.9%, p < 0.001), y los pacientes que fallecieron presentaron una tendencia a presentar más masa grasa (36.05 ± 3.19% contra 27.20 ± 7.82%, p = 0.08). Es biológicamente plausible que la masa grasa se relacione con la morbimortalidad cardiovascular, aunque sería necesario llevar a cabo estudios de mayor tamaño para poder establecer definitivamente la “paradoja del IMC”.</description><subject>Body Composition</subject><subject>Body Mass Index</subject><subject>Cardiac Surgical Procedures</subject><subject>ciruga cardíaca</subject><subject>composición corporal</subject><subject>masa grasa</subject><subject>obesidad</subject><subject>Obesity</subject><subject>Prognosis</subject><subject>pronóstico</subject><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>FKZ</sourceid><recordid>eNqlizsOwjAQBd1QIOAOewEk8ylS0JCIiAKakN5a8AKLjB2tHSHfHpDICahGM3pvrA4NOUwcfLxzByWlF5GHMtgMNSZAb-EY5MyWUx4sofsae6hQLOMFTr3cSPJUja7oIs1-nKhNvWur_fwzcp6S6YSfKNkEZDO03rNweKChaLZNq7VerLUulsXqz_sb7mJLQw</recordid><startdate>2020</startdate><enddate>2020</enddate><creator>Costa, Diego</creator><creator>Esperón, Guillermina</creator><creator>Saglietti, Luciano</creator><creator>Gonzalez, Carlos Luis</creator><creator>Muzzio, Maximiliano</creator><creator>García Iturralde, Leonardo</creator><creator>Córsico, Luciana</creator><creator>Gregorietti, Vanesa</creator><creator>Catena, Enzo</creator><creator>Coronel, Roberto</creator><scope>AGMXS</scope><scope>FKZ</scope></search><sort><creationdate>2020</creationdate><title>Relationship Between Body Fat and Morbidity and Mortality in Cardiac Surgery</title><author>Costa, Diego ; Esperón, Guillermina ; Saglietti, Luciano ; Gonzalez, Carlos Luis ; Muzzio, Maximiliano ; García Iturralde, Leonardo ; Córsico, Luciana ; Gregorietti, Vanesa ; Catena, Enzo ; Coronel, Roberto</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-dialnet_primary_oai_dialnet_unirioja_es_ART00014008283</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Body Composition</topic><topic>Body Mass Index</topic><topic>Cardiac Surgical Procedures</topic><topic>ciruga cardíaca</topic><topic>composición corporal</topic><topic>masa grasa</topic><topic>obesidad</topic><topic>Obesity</topic><topic>Prognosis</topic><topic>pronóstico</topic><toplevel>online_resources</toplevel><creatorcontrib>Costa, Diego</creatorcontrib><creatorcontrib>Esperón, Guillermina</creatorcontrib><creatorcontrib>Saglietti, Luciano</creatorcontrib><creatorcontrib>Gonzalez, Carlos Luis</creatorcontrib><creatorcontrib>Muzzio, Maximiliano</creatorcontrib><creatorcontrib>García Iturralde, Leonardo</creatorcontrib><creatorcontrib>Córsico, Luciana</creatorcontrib><creatorcontrib>Gregorietti, Vanesa</creatorcontrib><creatorcontrib>Catena, Enzo</creatorcontrib><creatorcontrib>Coronel, Roberto</creatorcontrib><collection>Dialnet (Open Access Full Text)</collection><collection>Dialnet</collection><jtitle>Revista Argentina de Cardiología</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext_linktorsrc</fulltext></delivery><addata><au>Costa, Diego</au><au>Esperón, Guillermina</au><au>Saglietti, Luciano</au><au>Gonzalez, Carlos Luis</au><au>Muzzio, Maximiliano</au><au>García Iturralde, Leonardo</au><au>Córsico, Luciana</au><au>Gregorietti, Vanesa</au><au>Catena, Enzo</au><au>Coronel, Roberto</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Relationship Between Body Fat and Morbidity and Mortality in Cardiac Surgery</atitle><jtitle>Revista Argentina de Cardiología</jtitle><date>2020</date><risdate>2020</risdate><volume>88</volume><issue>2</issue><spage>133</spage><epage>137</epage><pages>133-137</pages><abstract>Introduction: There is a potentially protective effect of obesity when it coexists with cardiovascular disease, known as the“obesity paradox.” It could be explained by the fact that anthropometric measurements are not a reliable marker of bodyfat. In this study we propose to estimate body fat with a non-invasive method and study its relationship with morbidity andmortality in cardiac surgery.Methods: We conducted a prospective and observational study in adult patients undergoing cardiac surgery. We analyzed demographic,anthropometric and clinical variables along with the estimation of body composition using bioelectric impedance,to study their association to hospitalization days and adverse events after cardiac surgery.Results: In the analysis of 98 patients, we found a direct relationship between the percentage of body fat and the length ofhospital stay, independent of age, sex, body mass index (BMI) and surgical risk (coefficient of 0.27, p = 0.021). In addition,patients who had mediastinitis showed a significantly higher body fat (31.55 ± 0.64% versus 27.13 ± 7.9%, p <0.001), andpatients who died had a tendency to have more fat mass (36.05 ± 3.19% versus 27.20 ± 7.82%, p = 0.08).Conclusion: Increased body fat as assessed with BIA was related to morbidity in cardiac surgery. Although this is biologicallyplausible, it would be necessary to carry out larger studies in order to definitively establish the “BMI paradox”.
Introducción: Existe un efecto potencialmente protector de la obesidad cuando coexiste con la enfermedad cardiovascular, conocido como “paradoja de la obesidad”. Es posible que se deba a que las medidas antropométricas no sean un marcador fidedigno de la grasa corporal. En este estudio proponemos estimar la grasa corporal con métodos no invasivos y estudiar su relación con la morbimortalidad en cirugía cardíaca. Métodos: Llevamos a cabo un estudio prospectivo y observacional en pacientes adultos sometidos a cirugía cardíaca. Analizamos variables demográficas, antropométricas y clínicas junto con la estimación de la composición corporal a través de la impedancia bioeléctrica, para relacionarlas con los días de internación y eventos adversos luego de la cirugía cardíaca. Resultados y conclusión: En el análisis de 98 pacientes, encontramos una relación directa entre el porcentaje de grasa corporal y los días de internación, independiente de la edad, el sexo, el índice de masa corporal (IMC) y el riesgo prequirúrgico (coeficiente de Pearson de 0.27, p = 0.021). Además, los pacientes que presentaron mediastinitis tuvieron una grasa corporal significativamente mayor (31.55 ± 0.64% contra 27.13 ± 7.9%, p < 0.001), y los pacientes que fallecieron presentaron una tendencia a presentar más masa grasa (36.05 ± 3.19% contra 27.20 ± 7.82%, p = 0.08). Es biológicamente plausible que la masa grasa se relacione con la morbimortalidad cardiovascular, aunque sería necesario llevar a cabo estudios de mayor tamaño para poder establecer definitivamente la “paradoja del IMC”.</abstract><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext_linktorsrc |
| identifier | |
| ispartof | Revista Argentina de Cardiología, 2020, Vol.88 (2), p.133-137 |
| issn | |
| language | eng |
| recordid | cdi_dialnet_primary_oai_dialnet_unirioja_es_ART0001400828 |
| source | Dialnet |
| subjects | Body Composition Body Mass Index Cardiac Surgical Procedures ciruga cardíaca composición corporal masa grasa obesidad Obesity Prognosis pronóstico |
| title | Relationship Between Body Fat and Morbidity and Mortality in Cardiac Surgery |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-02-02T23%3A19%3A14IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-dialnet_FKZ&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Relationship%20Between%20Body%20Fat%20and%20Morbidity%20and%20Mortality%20in%20Cardiac%20Surgery&rft.jtitle=Revista%20Argentina%20de%20Cardiolog%C3%ADa&rft.au=Costa,%20Diego&rft.date=2020&rft.volume=88&rft.issue=2&rft.spage=133&rft.epage=137&rft.pages=133-137&rft_id=info:doi/&rft_dat=%3Cdialnet_FKZ%3Eoai_dialnet_unirioja_es_ART0001400828%3C/dialnet_FKZ%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_id=info:pmid/&rfr_iscdi=true |