Prevalence and related factors of sarcopenia in newly diagnosed cancer patients

Introduction Sarcopenia is defined as the loss of muscle mass and muscular functioning. Although sarcopenia prevalence is highly variable in the literature, pre-chemotherapy sarcopenia prevalence was not well studied in newly diagnosed cancer patients. In this context, the present study aims to dete...

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Veröffentlicht in:Supportive care in cancer 2020-02, Vol.28 (2), p.837-843
Hauptverfasser: Oflazoglu, Utku, Alacacioglu, Ahmet, Varol, Umut, Kucukzeybek, Yuksel, Salman, Tarik, Taskaynatan, Halil, Yildiz, Yasar, Ozdemir, Ozlem, Tarhan, MustafaOktay
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container_issue 2
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container_title Supportive care in cancer
container_volume 28
creator Oflazoglu, Utku
Alacacioglu, Ahmet
Varol, Umut
Kucukzeybek, Yuksel
Salman, Tarik
Taskaynatan, Halil
Yildiz, Yasar
Ozdemir, Ozlem
Tarhan, MustafaOktay
description Introduction Sarcopenia is defined as the loss of muscle mass and muscular functioning. Although sarcopenia prevalence is highly variable in the literature, pre-chemotherapy sarcopenia prevalence was not well studied in newly diagnosed cancer patients. In this context, the present study aims to determine the prevalence of sarcopenia and its related factors in this population. Material and methods Prospectively, newly diagnosed cancer patients were evaluated for body composition measurement and muscle strength by employing the bioelectric impedance analysis method and handgrip dynamometer tool. Results A total of 461 patients were included in the study. The median age of patients was 59 years (range 18–83) and 258 patients (56%) were women. Sarcopenia was present in 77 patients (16.7%) and was at significantly higher frequencies in men ( p  = 0.015), advanced age (≥ 65 years, p  = 0.014), lower body mass index (BMI
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Although sarcopenia prevalence is highly variable in the literature, pre-chemotherapy sarcopenia prevalence was not well studied in newly diagnosed cancer patients. In this context, the present study aims to determine the prevalence of sarcopenia and its related factors in this population. Material and methods Prospectively, newly diagnosed cancer patients were evaluated for body composition measurement and muscle strength by employing the bioelectric impedance analysis method and handgrip dynamometer tool. Results A total of 461 patients were included in the study. The median age of patients was 59 years (range 18–83) and 258 patients (56%) were women. Sarcopenia was present in 77 patients (16.7%) and was at significantly higher frequencies in men ( p  = 0.015), advanced age (≥ 65 years, p  = 0.014), lower body mass index (BMI &lt; 25, p  = &lt; 0.001), and poor performance status (ECOG status &gt; 0, p  = 0.026). In multivariate analyses, advanced age (over 65 years), gender (men), and lower body mass index (BMI &lt; 25) were significantly associated with sarcopenia ( p values 0.033, &lt; 0.001, and &lt; 0.001, respectively). Conclusions Our study is the first prevalence study conducted with bioelectric impedance analysis on Turkish cancer patients and sarcopenia was detected to be notably prevalent among our patients with newly diagnosed cancer. Given the likely negative outcomes of sarcopenia reported in the literature (treatment failure, increased complications, and impaired survival), it is important to know the presence of sarcopenia before treatment and take preventive precautions.</description><identifier>ISSN: 0941-4355</identifier><identifier>EISSN: 1433-7339</identifier><identifier>DOI: 10.1007/s00520-019-04880-4</identifier><identifier>PMID: 31161438</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Body mass index ; Cancer ; Cancer patients ; Care and treatment ; Chemotherapy ; Female ; Health risk assessment ; Humans ; Male ; Medical diagnosis ; Medical research ; Medicine ; Medicine &amp; Public Health ; Medicine, Experimental ; Middle Aged ; Neoplasms - complications ; Nursing ; Nursing Research ; Oncology ; Original Article ; Pain Medicine ; Physiological aspects ; Prevalence ; Rehabilitation Medicine ; Sarcopenia ; Sarcopenia - epidemiology ; Trends</subject><ispartof>Supportive care in cancer, 2020-02, Vol.28 (2), p.837-843</ispartof><rights>Springer-Verlag GmbH Germany, part of Springer Nature 2019</rights><rights>COPYRIGHT 2020 Springer</rights><rights>Supportive Care in Cancer is a copyright of Springer, (2019). All Rights Reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c442t-ccf6f45a2c6fb2593112fd050151e08192b81471a34c6b7d476e6789b176e77d3</citedby><cites>FETCH-LOGICAL-c442t-ccf6f45a2c6fb2593112fd050151e08192b81471a34c6b7d476e6789b176e77d3</cites><orcidid>0000-0002-6819-5831</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00520-019-04880-4$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00520-019-04880-4$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27903,27904,41467,42536,51297</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31161438$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Oflazoglu, Utku</creatorcontrib><creatorcontrib>Alacacioglu, Ahmet</creatorcontrib><creatorcontrib>Varol, Umut</creatorcontrib><creatorcontrib>Kucukzeybek, Yuksel</creatorcontrib><creatorcontrib>Salman, Tarik</creatorcontrib><creatorcontrib>Taskaynatan, Halil</creatorcontrib><creatorcontrib>Yildiz, Yasar</creatorcontrib><creatorcontrib>Ozdemir, Ozlem</creatorcontrib><creatorcontrib>Tarhan, MustafaOktay</creatorcontrib><title>Prevalence and related factors of sarcopenia in newly diagnosed cancer patients</title><title>Supportive care in cancer</title><addtitle>Support Care Cancer</addtitle><addtitle>Support Care Cancer</addtitle><description>Introduction Sarcopenia is defined as the loss of muscle mass and muscular functioning. Although sarcopenia prevalence is highly variable in the literature, pre-chemotherapy sarcopenia prevalence was not well studied in newly diagnosed cancer patients. In this context, the present study aims to determine the prevalence of sarcopenia and its related factors in this population. Material and methods Prospectively, newly diagnosed cancer patients were evaluated for body composition measurement and muscle strength by employing the bioelectric impedance analysis method and handgrip dynamometer tool. Results A total of 461 patients were included in the study. The median age of patients was 59 years (range 18–83) and 258 patients (56%) were women. Sarcopenia was present in 77 patients (16.7%) and was at significantly higher frequencies in men ( p  = 0.015), advanced age (≥ 65 years, p  = 0.014), lower body mass index (BMI &lt; 25, p  = &lt; 0.001), and poor performance status (ECOG status &gt; 0, p  = 0.026). In multivariate analyses, advanced age (over 65 years), gender (men), and lower body mass index (BMI &lt; 25) were significantly associated with sarcopenia ( p values 0.033, &lt; 0.001, and &lt; 0.001, respectively). Conclusions Our study is the first prevalence study conducted with bioelectric impedance analysis on Turkish cancer patients and sarcopenia was detected to be notably prevalent among our patients with newly diagnosed cancer. 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Although sarcopenia prevalence is highly variable in the literature, pre-chemotherapy sarcopenia prevalence was not well studied in newly diagnosed cancer patients. In this context, the present study aims to determine the prevalence of sarcopenia and its related factors in this population. Material and methods Prospectively, newly diagnosed cancer patients were evaluated for body composition measurement and muscle strength by employing the bioelectric impedance analysis method and handgrip dynamometer tool. Results A total of 461 patients were included in the study. The median age of patients was 59 years (range 18–83) and 258 patients (56%) were women. Sarcopenia was present in 77 patients (16.7%) and was at significantly higher frequencies in men ( p  = 0.015), advanced age (≥ 65 years, p  = 0.014), lower body mass index (BMI &lt; 25, p  = &lt; 0.001), and poor performance status (ECOG status &gt; 0, p  = 0.026). In multivariate analyses, advanced age (over 65 years), gender (men), and lower body mass index (BMI &lt; 25) were significantly associated with sarcopenia ( p values 0.033, &lt; 0.001, and &lt; 0.001, respectively). Conclusions Our study is the first prevalence study conducted with bioelectric impedance analysis on Turkish cancer patients and sarcopenia was detected to be notably prevalent among our patients with newly diagnosed cancer. Given the likely negative outcomes of sarcopenia reported in the literature (treatment failure, increased complications, and impaired survival), it is important to know the presence of sarcopenia before treatment and take preventive precautions.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>31161438</pmid><doi>10.1007/s00520-019-04880-4</doi><tpages>7</tpages><orcidid>https://orcid.org/0000-0002-6819-5831</orcidid></addata></record>
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subjects Body mass index
Cancer
Cancer patients
Care and treatment
Chemotherapy
Female
Health risk assessment
Humans
Male
Medical diagnosis
Medical research
Medicine
Medicine & Public Health
Medicine, Experimental
Middle Aged
Neoplasms - complications
Nursing
Nursing Research
Oncology
Original Article
Pain Medicine
Physiological aspects
Prevalence
Rehabilitation Medicine
Sarcopenia
Sarcopenia - epidemiology
Trends
title Prevalence and related factors of sarcopenia in newly diagnosed cancer patients
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