The impact of abdominal aortic aneurysm on muscle mass and energy expenditure: A novel preliminary investigation
Objective Vascular surgical patients, including those with abdominal aortic aneurysm (AAA), are nutritionally vulnerable. The aim of this study was to compare resting energy expenditure (REE) of patients with AAA relative to age- and gender-matched controls and explore relationships between aneurysm...
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| Veröffentlicht in: | Vascular 2015-12, Vol.23 (6), p.602-606 |
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| creator | Delaney, CL Miller, MD Allan, RB Spark, JI |
| description | Objective
Vascular surgical patients, including those with abdominal aortic aneurysm (AAA), are nutritionally vulnerable. The aim of this study was to compare resting energy expenditure (REE) of patients with AAA relative to age- and gender-matched controls and explore relationships between aneurysm size and muscle mass.
Methods
Twenty patients with AAA underwent assessment of REE using indirect calorimetry. Mid-arm circumference and triceps skinfold thickness were measured and corrected arm muscle area calculated. Twenty gender- and age-matched controls were assessed using the same procedures.
Results
Mean (SD) age of participants with AAA was 74.7 (7.7) years, size of AAA ranged from 45 to 70 mm. Median (IQR) REE was significantly higher than controls [5990 (5469, 7017) kJ/day versus 5086 (4536, 5886) kJ/day, p = .011; or 69 (64, 80) kJ/kg/day versus 66 (61, 69) kJ/kg/day, p = .046]. While weight-adjusted REE was independent of aneurysm size (r = .200; p = .397), as aneurysm size increased, weight-adjusted corrected arm muscle area decreased (r = −.576; p = .008).
Conclusion
The raised REE and decline in muscle mass associated with larger AAA suggest that early detection and attention to nutritional requirements of patients with AAA may be warranted. |
| doi_str_mv | 10.1177/1708538114566849 |
| format | Article |
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Vascular surgical patients, including those with abdominal aortic aneurysm (AAA), are nutritionally vulnerable. The aim of this study was to compare resting energy expenditure (REE) of patients with AAA relative to age- and gender-matched controls and explore relationships between aneurysm size and muscle mass.
Methods
Twenty patients with AAA underwent assessment of REE using indirect calorimetry. Mid-arm circumference and triceps skinfold thickness were measured and corrected arm muscle area calculated. Twenty gender- and age-matched controls were assessed using the same procedures.
Results
Mean (SD) age of participants with AAA was 74.7 (7.7) years, size of AAA ranged from 45 to 70 mm. Median (IQR) REE was significantly higher than controls [5990 (5469, 7017) kJ/day versus 5086 (4536, 5886) kJ/day, p = .011; or 69 (64, 80) kJ/kg/day versus 66 (61, 69) kJ/kg/day, p = .046]. While weight-adjusted REE was independent of aneurysm size (r = .200; p = .397), as aneurysm size increased, weight-adjusted corrected arm muscle area decreased (r = −.576; p = .008).
Conclusion
The raised REE and decline in muscle mass associated with larger AAA suggest that early detection and attention to nutritional requirements of patients with AAA may be warranted.</description><identifier>ISSN: 1708-5381</identifier><identifier>EISSN: 1708-539X</identifier><identifier>DOI: 10.1177/1708538114566849</identifier><identifier>PMID: 25575973</identifier><language>eng</language><publisher>London, England: SAGE Publications</publisher><subject>Aged ; Aged, 80 and over ; Aortic Aneurysm, Abdominal - complications ; Aortic Aneurysm, Abdominal - metabolism ; Aortic Aneurysm, Abdominal - pathology ; Aortic Aneurysm, Abdominal - physiopathology ; Calorimetry, Indirect ; Case-Control Studies ; Energy Metabolism ; Female ; Humans ; Male ; Malnutrition - etiology ; Malnutrition - metabolism ; Malnutrition - pathology ; Malnutrition - physiopathology ; Muscle, Skeletal - metabolism ; Muscle, Skeletal - pathology ; Muscle, Skeletal - physiopathology ; Nutritional Status ; Organ Size ; Risk Factors ; Skinfold Thickness</subject><ispartof>Vascular, 2015-12, Vol.23 (6), p.602-606</ispartof><rights>The Author(s) 2015</rights><rights>The Author(s) 2015.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c337t-56b1b55be9b1061497351deff3e934eaf41b17cd20debbd4bd5ec21be3e66ebb3</citedby><cites>FETCH-LOGICAL-c337t-56b1b55be9b1061497351deff3e934eaf41b17cd20debbd4bd5ec21be3e66ebb3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://journals.sagepub.com/doi/pdf/10.1177/1708538114566849$$EPDF$$P50$$Gsage$$H</linktopdf><linktohtml>$$Uhttps://journals.sagepub.com/doi/10.1177/1708538114566849$$EHTML$$P50$$Gsage$$H</linktohtml><link.rule.ids>314,776,780,21798,27901,27902,43597,43598</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25575973$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Delaney, CL</creatorcontrib><creatorcontrib>Miller, MD</creatorcontrib><creatorcontrib>Allan, RB</creatorcontrib><creatorcontrib>Spark, JI</creatorcontrib><title>The impact of abdominal aortic aneurysm on muscle mass and energy expenditure: A novel preliminary investigation</title><title>Vascular</title><addtitle>Vascular</addtitle><description>Objective
Vascular surgical patients, including those with abdominal aortic aneurysm (AAA), are nutritionally vulnerable. The aim of this study was to compare resting energy expenditure (REE) of patients with AAA relative to age- and gender-matched controls and explore relationships between aneurysm size and muscle mass.
Methods
Twenty patients with AAA underwent assessment of REE using indirect calorimetry. Mid-arm circumference and triceps skinfold thickness were measured and corrected arm muscle area calculated. Twenty gender- and age-matched controls were assessed using the same procedures.
Results
Mean (SD) age of participants with AAA was 74.7 (7.7) years, size of AAA ranged from 45 to 70 mm. Median (IQR) REE was significantly higher than controls [5990 (5469, 7017) kJ/day versus 5086 (4536, 5886) kJ/day, p = .011; or 69 (64, 80) kJ/kg/day versus 66 (61, 69) kJ/kg/day, p = .046]. While weight-adjusted REE was independent of aneurysm size (r = .200; p = .397), as aneurysm size increased, weight-adjusted corrected arm muscle area decreased (r = −.576; p = .008).
Conclusion
The raised REE and decline in muscle mass associated with larger AAA suggest that early detection and attention to nutritional requirements of patients with AAA may be warranted.</description><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Aortic Aneurysm, Abdominal - complications</subject><subject>Aortic Aneurysm, Abdominal - metabolism</subject><subject>Aortic Aneurysm, Abdominal - pathology</subject><subject>Aortic Aneurysm, Abdominal - physiopathology</subject><subject>Calorimetry, Indirect</subject><subject>Case-Control Studies</subject><subject>Energy Metabolism</subject><subject>Female</subject><subject>Humans</subject><subject>Male</subject><subject>Malnutrition - etiology</subject><subject>Malnutrition - metabolism</subject><subject>Malnutrition - pathology</subject><subject>Malnutrition - physiopathology</subject><subject>Muscle, Skeletal - metabolism</subject><subject>Muscle, Skeletal - pathology</subject><subject>Muscle, Skeletal - physiopathology</subject><subject>Nutritional Status</subject><subject>Organ Size</subject><subject>Risk Factors</subject><subject>Skinfold Thickness</subject><issn>1708-5381</issn><issn>1708-539X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1UMtOwzAQtBCIR-HOCfnIJeCN47jhViFeEhKXInGL7HhTXCVxsJOK_j2uWnpA4rSr0czs7BByCewGQMpbkGwq-BQgE3k-zYoDcrqBEsGLj8P9PoUTchbCkjHOUsiPyUkqhBSF5Kekn38itW2vqoG6miptXGs71VDl_GArqjoc_Tq01HW0HUPVIG1VCBE3FDv0izXF7x47Y4fR4x2d0c6tsKG9x8ZunPya2m6FYbALNVjXnZOjWjUBL3ZzQt4fH-b3z8nr29PL_ew1qTiXQyJyDVoIjYUGlkMWwwowWNccC56hqjPQICuTMoNam0wbgVUKGjnmeUT4hFxvfXvvvsZ4v2xtqLBp4kduDCVIDrJI0wIilW2plXcheKzL3ts2Ji-BlZuey789R8nVzn3ULZq94LfYSEi2hKAWWC7d6GOp4X_DH_P9h_w</recordid><startdate>201512</startdate><enddate>201512</enddate><creator>Delaney, CL</creator><creator>Miller, MD</creator><creator>Allan, RB</creator><creator>Spark, JI</creator><general>SAGE Publications</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>201512</creationdate><title>The impact of abdominal aortic aneurysm on muscle mass and energy expenditure: A novel preliminary investigation</title><author>Delaney, CL ; Miller, MD ; Allan, RB ; Spark, JI</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c337t-56b1b55be9b1061497351deff3e934eaf41b17cd20debbd4bd5ec21be3e66ebb3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Aortic Aneurysm, Abdominal - complications</topic><topic>Aortic Aneurysm, Abdominal - metabolism</topic><topic>Aortic Aneurysm, Abdominal - pathology</topic><topic>Aortic Aneurysm, Abdominal - physiopathology</topic><topic>Calorimetry, Indirect</topic><topic>Case-Control Studies</topic><topic>Energy Metabolism</topic><topic>Female</topic><topic>Humans</topic><topic>Male</topic><topic>Malnutrition - etiology</topic><topic>Malnutrition - metabolism</topic><topic>Malnutrition - pathology</topic><topic>Malnutrition - physiopathology</topic><topic>Muscle, Skeletal - metabolism</topic><topic>Muscle, Skeletal - pathology</topic><topic>Muscle, Skeletal - physiopathology</topic><topic>Nutritional Status</topic><topic>Organ Size</topic><topic>Risk Factors</topic><topic>Skinfold Thickness</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Delaney, CL</creatorcontrib><creatorcontrib>Miller, MD</creatorcontrib><creatorcontrib>Allan, RB</creatorcontrib><creatorcontrib>Spark, JI</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Vascular</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Delaney, CL</au><au>Miller, MD</au><au>Allan, RB</au><au>Spark, JI</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The impact of abdominal aortic aneurysm on muscle mass and energy expenditure: A novel preliminary investigation</atitle><jtitle>Vascular</jtitle><addtitle>Vascular</addtitle><date>2015-12</date><risdate>2015</risdate><volume>23</volume><issue>6</issue><spage>602</spage><epage>606</epage><pages>602-606</pages><issn>1708-5381</issn><eissn>1708-539X</eissn><abstract>Objective
Vascular surgical patients, including those with abdominal aortic aneurysm (AAA), are nutritionally vulnerable. The aim of this study was to compare resting energy expenditure (REE) of patients with AAA relative to age- and gender-matched controls and explore relationships between aneurysm size and muscle mass.
Methods
Twenty patients with AAA underwent assessment of REE using indirect calorimetry. Mid-arm circumference and triceps skinfold thickness were measured and corrected arm muscle area calculated. Twenty gender- and age-matched controls were assessed using the same procedures.
Results
Mean (SD) age of participants with AAA was 74.7 (7.7) years, size of AAA ranged from 45 to 70 mm. Median (IQR) REE was significantly higher than controls [5990 (5469, 7017) kJ/day versus 5086 (4536, 5886) kJ/day, p = .011; or 69 (64, 80) kJ/kg/day versus 66 (61, 69) kJ/kg/day, p = .046]. While weight-adjusted REE was independent of aneurysm size (r = .200; p = .397), as aneurysm size increased, weight-adjusted corrected arm muscle area decreased (r = −.576; p = .008).
Conclusion
The raised REE and decline in muscle mass associated with larger AAA suggest that early detection and attention to nutritional requirements of patients with AAA may be warranted.</abstract><cop>London, England</cop><pub>SAGE Publications</pub><pmid>25575973</pmid><doi>10.1177/1708538114566849</doi><tpages>5</tpages></addata></record> |
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| ispartof | Vascular, 2015-12, Vol.23 (6), p.602-606 |
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| source | MEDLINE; SAGE Journals Online |
| subjects | Aged Aged, 80 and over Aortic Aneurysm, Abdominal - complications Aortic Aneurysm, Abdominal - metabolism Aortic Aneurysm, Abdominal - pathology Aortic Aneurysm, Abdominal - physiopathology Calorimetry, Indirect Case-Control Studies Energy Metabolism Female Humans Male Malnutrition - etiology Malnutrition - metabolism Malnutrition - pathology Malnutrition - physiopathology Muscle, Skeletal - metabolism Muscle, Skeletal - pathology Muscle, Skeletal - physiopathology Nutritional Status Organ Size Risk Factors Skinfold Thickness |
| title | The impact of abdominal aortic aneurysm on muscle mass and energy expenditure: A novel preliminary investigation |
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