Characteristics of sarcopenia after distal gastrectomy in elderly patients
Presence of preoperative sarcopenia is a risk factor for postoperative complications. However, there are few reports on the presence of sarcopenia and its characteristics following gastrectomy. Sarcopenia is closely related to quality of life in elderly people. To date, the main purpose of follow-up...
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| Veröffentlicht in: | PloS one 2019-09, Vol.14 (9), p.e0222412-e0222412 |
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| creator | Takahashi, Sadamu Shimizu, Shota Nagai, Satoshi Watanabe, Hiroshi Nishitani, Yuuko Kurisu, Yasuro |
| description | Presence of preoperative sarcopenia is a risk factor for postoperative complications. However, there are few reports on the presence of sarcopenia and its characteristics following gastrectomy. Sarcopenia is closely related to quality of life in elderly people. To date, the main purpose of follow-up after gastrectomy is surveillance for early detection of recurrence and secondary cancer. However, henceforth, quality of life in elderly gastric cancer patients after gastrectomy must also be evaluated. The present study aimed to investigate sarcopenia during a 1-year postoperative course in elderly gastric cancer patients and examine their characteristics. The subjects were 50 patients aged ≥70 years who underwent laparoscopy-assisted distal gastrectomy for gastric cancer and who experienced no recurrence 1 year postoperatively. Height, weight, serum albumin levels, food intake amount, grip strength, gait speed, visceral fat area, and appendicular skeletal muscle mass index were measured preoperatively and 6 months and 1 year postoperatively. Sarcopenia, obesity, and visceral obesity were diagnosed. Compared with preoperatively, indicators other than height decreased 6 months postoperatively. Compared with 6 months postoperatively, body weight, amount of food intake, and visceral fat area increased by 1 year postoperatively, unlike appendicular skeletal muscle mass index. The frequency of sarcopenia increased 6 months postoperatively compared with preoperatively; this frequency remained almost unchanged 1 year postoperatively compared with 6 months postoperatively. Further, the frequency of visceral obesity increased 1 year postoperatively compared with 6 months postoperatively. Weight increased after > 6 months postoperatively; however, most of the weight increase was in terms of fat and not muscle. We emphasize the importance of considering postoperative sarcopenia and visceral obesity. In particular, sarcopenia and visceral obesity should be carefully monitored after increases in body mass index and food consumption. |
| doi_str_mv | 10.1371/journal.pone.0222412 |
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However, there are few reports on the presence of sarcopenia and its characteristics following gastrectomy. Sarcopenia is closely related to quality of life in elderly people. To date, the main purpose of follow-up after gastrectomy is surveillance for early detection of recurrence and secondary cancer. However, henceforth, quality of life in elderly gastric cancer patients after gastrectomy must also be evaluated. The present study aimed to investigate sarcopenia during a 1-year postoperative course in elderly gastric cancer patients and examine their characteristics. The subjects were 50 patients aged ≥70 years who underwent laparoscopy-assisted distal gastrectomy for gastric cancer and who experienced no recurrence 1 year postoperatively. Height, weight, serum albumin levels, food intake amount, grip strength, gait speed, visceral fat area, and appendicular skeletal muscle mass index were measured preoperatively and 6 months and 1 year postoperatively. Sarcopenia, obesity, and visceral obesity were diagnosed. Compared with preoperatively, indicators other than height decreased 6 months postoperatively. Compared with 6 months postoperatively, body weight, amount of food intake, and visceral fat area increased by 1 year postoperatively, unlike appendicular skeletal muscle mass index. The frequency of sarcopenia increased 6 months postoperatively compared with preoperatively; this frequency remained almost unchanged 1 year postoperatively compared with 6 months postoperatively. Further, the frequency of visceral obesity increased 1 year postoperatively compared with 6 months postoperatively. Weight increased after > 6 months postoperatively; however, most of the weight increase was in terms of fat and not muscle. We emphasize the importance of considering postoperative sarcopenia and visceral obesity. In particular, sarcopenia and visceral obesity should be carefully monitored after increases in body mass index and food consumption.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0222412</identifier><identifier>PMID: 31509590</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Adipose tissue ; Aged ; Aged, 80 and over ; Albumin ; Albumins ; Biology and Life Sciences ; Body mass ; Body Mass Index ; Body size ; Body Weight ; Cancer ; Cancer patients ; Cancer research ; Cancer surgery ; Causes of ; Clinical trials ; Complications ; Complications and side effects ; Demographic aspects ; Dietary supplements ; Elderly patients ; Female ; Food ; Food consumption ; Food intake ; Gait ; Gastrectomy ; Gastrectomy - adverse effects ; Gastrectomy - methods ; Gastric cancer ; Geriatrics ; Grip strength ; Health aspects ; Hospitals ; Humans ; Intelligence gathering ; Intra-Abdominal Fat ; Laparoscopy ; Male ; Medical prognosis ; Medicine and Health Sciences ; Mortality ; Muscle, Skeletal - pathology ; Muscles ; Musculoskeletal system ; Neoplasm Recurrence, Local - pathology ; Nutrition ; Obesity ; Obesity - complications ; Older people ; People and Places ; Postoperative complications ; Postoperative Complications - etiology ; Postoperative Period ; Quality of Life ; Recurrence (Disease) ; Risk analysis ; Risk Factors ; Sarcopenia ; Sarcopenia - epidemiology ; Sarcopenia - physiopathology ; Serum albumin ; Skeletal muscle ; Stomach cancer ; Stomach Neoplasms - pathology ; Studies ; Surgery ; Systematic review ; Tomography</subject><ispartof>PloS one, 2019-09, Vol.14 (9), p.e0222412-e0222412</ispartof><rights>COPYRIGHT 2019 Public Library of Science</rights><rights>2019 Takahashi et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2019 Takahashi et al 2019 Takahashi et al</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c758t-747d9d7651ffcd1905a4c1cd394498803e83e81086bc61a0a0c5c8fcdde1941c3</citedby><cites>FETCH-LOGICAL-c758t-747d9d7651ffcd1905a4c1cd394498803e83e81086bc61a0a0c5c8fcdde1941c3</cites><orcidid>0000-0002-0241-9978</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6738640/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6738640/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,864,885,2102,2928,23866,27924,27925,53791,53793,79600,79601</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31509590$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><contributor>Mogi, Masaki</contributor><creatorcontrib>Takahashi, Sadamu</creatorcontrib><creatorcontrib>Shimizu, Shota</creatorcontrib><creatorcontrib>Nagai, Satoshi</creatorcontrib><creatorcontrib>Watanabe, Hiroshi</creatorcontrib><creatorcontrib>Nishitani, Yuuko</creatorcontrib><creatorcontrib>Kurisu, Yasuro</creatorcontrib><title>Characteristics of sarcopenia after distal gastrectomy in elderly patients</title><title>PloS one</title><addtitle>PLoS One</addtitle><description>Presence of preoperative sarcopenia is a risk factor for postoperative complications. However, there are few reports on the presence of sarcopenia and its characteristics following gastrectomy. Sarcopenia is closely related to quality of life in elderly people. To date, the main purpose of follow-up after gastrectomy is surveillance for early detection of recurrence and secondary cancer. However, henceforth, quality of life in elderly gastric cancer patients after gastrectomy must also be evaluated. The present study aimed to investigate sarcopenia during a 1-year postoperative course in elderly gastric cancer patients and examine their characteristics. The subjects were 50 patients aged ≥70 years who underwent laparoscopy-assisted distal gastrectomy for gastric cancer and who experienced no recurrence 1 year postoperatively. Height, weight, serum albumin levels, food intake amount, grip strength, gait speed, visceral fat area, and appendicular skeletal muscle mass index were measured preoperatively and 6 months and 1 year postoperatively. Sarcopenia, obesity, and visceral obesity were diagnosed. Compared with preoperatively, indicators other than height decreased 6 months postoperatively. Compared with 6 months postoperatively, body weight, amount of food intake, and visceral fat area increased by 1 year postoperatively, unlike appendicular skeletal muscle mass index. The frequency of sarcopenia increased 6 months postoperatively compared with preoperatively; this frequency remained almost unchanged 1 year postoperatively compared with 6 months postoperatively. Further, the frequency of visceral obesity increased 1 year postoperatively compared with 6 months postoperatively. Weight increased after > 6 months postoperatively; however, most of the weight increase was in terms of fat and not muscle. We emphasize the importance of considering postoperative sarcopenia and visceral obesity. In particular, sarcopenia and visceral obesity should be carefully monitored after increases in body mass index and food consumption.</description><subject>Adipose tissue</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Albumin</subject><subject>Albumins</subject><subject>Biology and Life Sciences</subject><subject>Body mass</subject><subject>Body Mass Index</subject><subject>Body size</subject><subject>Body Weight</subject><subject>Cancer</subject><subject>Cancer patients</subject><subject>Cancer research</subject><subject>Cancer surgery</subject><subject>Causes of</subject><subject>Clinical trials</subject><subject>Complications</subject><subject>Complications and side effects</subject><subject>Demographic aspects</subject><subject>Dietary supplements</subject><subject>Elderly patients</subject><subject>Female</subject><subject>Food</subject><subject>Food consumption</subject><subject>Food intake</subject><subject>Gait</subject><subject>Gastrectomy</subject><subject>Gastrectomy - adverse effects</subject><subject>Gastrectomy - methods</subject><subject>Gastric cancer</subject><subject>Geriatrics</subject><subject>Grip strength</subject><subject>Health aspects</subject><subject>Hospitals</subject><subject>Humans</subject><subject>Intelligence gathering</subject><subject>Intra-Abdominal Fat</subject><subject>Laparoscopy</subject><subject>Male</subject><subject>Medical prognosis</subject><subject>Medicine and Health Sciences</subject><subject>Mortality</subject><subject>Muscle, Skeletal - pathology</subject><subject>Muscles</subject><subject>Musculoskeletal system</subject><subject>Neoplasm Recurrence, Local - pathology</subject><subject>Nutrition</subject><subject>Obesity</subject><subject>Obesity - complications</subject><subject>Older people</subject><subject>People and Places</subject><subject>Postoperative complications</subject><subject>Postoperative Complications - etiology</subject><subject>Postoperative Period</subject><subject>Quality of Life</subject><subject>Recurrence (Disease)</subject><subject>Risk analysis</subject><subject>Risk Factors</subject><subject>Sarcopenia</subject><subject>Sarcopenia - 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Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>PloS one</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Takahashi, Sadamu</au><au>Shimizu, Shota</au><au>Nagai, Satoshi</au><au>Watanabe, Hiroshi</au><au>Nishitani, Yuuko</au><au>Kurisu, Yasuro</au><au>Mogi, Masaki</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Characteristics of sarcopenia after distal gastrectomy in elderly patients</atitle><jtitle>PloS one</jtitle><addtitle>PLoS One</addtitle><date>2019-09-11</date><risdate>2019</risdate><volume>14</volume><issue>9</issue><spage>e0222412</spage><epage>e0222412</epage><pages>e0222412-e0222412</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract>Presence of preoperative sarcopenia is a risk factor for postoperative complications. However, there are few reports on the presence of sarcopenia and its characteristics following gastrectomy. Sarcopenia is closely related to quality of life in elderly people. To date, the main purpose of follow-up after gastrectomy is surveillance for early detection of recurrence and secondary cancer. However, henceforth, quality of life in elderly gastric cancer patients after gastrectomy must also be evaluated. The present study aimed to investigate sarcopenia during a 1-year postoperative course in elderly gastric cancer patients and examine their characteristics. The subjects were 50 patients aged ≥70 years who underwent laparoscopy-assisted distal gastrectomy for gastric cancer and who experienced no recurrence 1 year postoperatively. Height, weight, serum albumin levels, food intake amount, grip strength, gait speed, visceral fat area, and appendicular skeletal muscle mass index were measured preoperatively and 6 months and 1 year postoperatively. Sarcopenia, obesity, and visceral obesity were diagnosed. Compared with preoperatively, indicators other than height decreased 6 months postoperatively. Compared with 6 months postoperatively, body weight, amount of food intake, and visceral fat area increased by 1 year postoperatively, unlike appendicular skeletal muscle mass index. The frequency of sarcopenia increased 6 months postoperatively compared with preoperatively; this frequency remained almost unchanged 1 year postoperatively compared with 6 months postoperatively. Further, the frequency of visceral obesity increased 1 year postoperatively compared with 6 months postoperatively. Weight increased after > 6 months postoperatively; however, most of the weight increase was in terms of fat and not muscle. We emphasize the importance of considering postoperative sarcopenia and visceral obesity. In particular, sarcopenia and visceral obesity should be carefully monitored after increases in body mass index and food consumption.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>31509590</pmid><doi>10.1371/journal.pone.0222412</doi><tpages>e0222412</tpages><orcidid>https://orcid.org/0000-0002-0241-9978</orcidid><oa>free_for_read</oa></addata></record> |
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| recordid | cdi_plos_journals_2289026299 |
| source | MEDLINE; DOAJ Directory of Open Access Journals; Public Library of Science (PLoS); EZB-FREE-00999 freely available EZB journals; PubMed Central; Free Full-Text Journals in Chemistry |
| subjects | Adipose tissue Aged Aged, 80 and over Albumin Albumins Biology and Life Sciences Body mass Body Mass Index Body size Body Weight Cancer Cancer patients Cancer research Cancer surgery Causes of Clinical trials Complications Complications and side effects Demographic aspects Dietary supplements Elderly patients Female Food Food consumption Food intake Gait Gastrectomy Gastrectomy - adverse effects Gastrectomy - methods Gastric cancer Geriatrics Grip strength Health aspects Hospitals Humans Intelligence gathering Intra-Abdominal Fat Laparoscopy Male Medical prognosis Medicine and Health Sciences Mortality Muscle, Skeletal - pathology Muscles Musculoskeletal system Neoplasm Recurrence, Local - pathology Nutrition Obesity Obesity - complications Older people People and Places Postoperative complications Postoperative Complications - etiology Postoperative Period Quality of Life Recurrence (Disease) Risk analysis Risk Factors Sarcopenia Sarcopenia - epidemiology Sarcopenia - physiopathology Serum albumin Skeletal muscle Stomach cancer Stomach Neoplasms - pathology Studies Surgery Systematic review Tomography |
| title | Characteristics of sarcopenia after distal gastrectomy in elderly patients |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-06T10%3A47%3A17IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-gale_plos_&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Characteristics%20of%20sarcopenia%20after%20distal%20gastrectomy%20in%20elderly%20patients&rft.jtitle=PloS%20one&rft.au=Takahashi,%20Sadamu&rft.date=2019-09-11&rft.volume=14&rft.issue=9&rft.spage=e0222412&rft.epage=e0222412&rft.pages=e0222412-e0222412&rft.issn=1932-6203&rft.eissn=1932-6203&rft_id=info:doi/10.1371/journal.pone.0222412&rft_dat=%3Cgale_plos_%3EA599140444%3C/gale_plos_%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2289026299&rft_id=info:pmid/31509590&rft_galeid=A599140444&rft_doaj_id=oai_doaj_org_article_caa8396d6764477bac5bb06cea7c882c&rfr_iscdi=true |