Intensified outpatient nutrition management improves body weight and skeletal muscle loss after esophageal cancer surgery: a single-center, retrospective, single-arm clinical study
Background The progression of malnutrition and sarcopenia after esophagectomy for esophageal cancer negatively influences long-term prognosis. To improve nutritional status after esophagectomy, we introduced an intensified nutrition management (iNM) protocol, in which nutritional counselling by diet...
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| Veröffentlicht in: | Langenbeck's archives of surgery 2024-11, Vol.409 (1), p.333, Article 333 |
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| creator | Takahashi, Naoki Okamura, Akihiko Ishii, Misuzu Moriya, Naoki Yamaguchi, Aya Inamochi, Yuka Takagi, Kumi Nakaya, Erika Kuriyama, Kengo Terayama, Masayoshi Tamura, Masahiro Kanamori, Jun Imamura, Yu Saino, Yoko Watanabe, Masayuki |
| description | Background
The progression of malnutrition and sarcopenia after esophagectomy for esophageal cancer negatively influences long-term prognosis. To improve nutritional status after esophagectomy, we introduced an intensified nutrition management (iNM) protocol, in which nutritional counselling by dietitians was provided more frequently. The aim of this study was to evaluate the efficacy of iNM compared with the conventional NM (cNM).
Methods
We included 126 patients who underwent esophagectomy before and after NM revision, and compared nutritional status and changes in body composition after esophagectomy between the cNM and iNM groups. Nutritional parameters were assessed, and we also calculated skeletal muscle index (SMI), skeletal muscle density (SMD), and visceral fat area (VFA) using computed tomography volumetry.
Results
There were no significant differences in baseline characteristics or surgical outcomes between the groups. Compared with the cNM group, nutritional counselling was provided more frequently (
P
|
| doi_str_mv | 10.1007/s00423-024-03526-2 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_11532320</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>3123802837</sourcerecordid><originalsourceid>FETCH-LOGICAL-c328t-bd4f20b48367b674594836966239236a517fa310e46d9e9fd49b78e6676af8853</originalsourceid><addsrcrecordid>eNp9kc1u1TAQhSMEoj_wAiyQlywa8F-chA1CFYVKldjA2nKcyb0ujh08zkX3vXhAfLltVTasPJpz5vNoTlW9YvQto7R9h5RKLmrKZU1Fw1XNn1SnTIqm5rJhTx_VJ9UZ4i2lVLW9fF6diF52fUfpafX7OmQI6CYHI4lrXkx2EDIJa04uuxjIbILZwHxounlJcQdIhjjuyS9wm20mJowEf4CHbDyZV7QeiI-IxEwZEgGMy7YAimhNsKWDa9pA2r8nhqALGw-1LXBIFyRBThEXsNnt4OJeNWkm1rvgbGFgXsf9i-rZZDzCy7v3vPp-9enb5Zf65uvn68uPN7UVvMv1MMqJ00F2QrWDamXTH8peKS56LpRpWDsZwShINfbQT6Psh7YDpVplpq5rxHn14chd1mGG8bBmMl4vyc0m7XU0Tv-rBLfVm7jTjDWCC04L4c0dIcWfK2DWs0ML3psAcUUtGBcd5Z1oi5UfrbbcABNMD_8wqg9562PeuuSt_-ateRl6_XjDh5H7gItBHA1YpFDurm_jmkK52v-wfwAXZbuf</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>3123802837</pqid></control><display><type>article</type><title>Intensified outpatient nutrition management improves body weight and skeletal muscle loss after esophageal cancer surgery: a single-center, retrospective, single-arm clinical study</title><source>MEDLINE</source><source>Springer Nature - Complete Springer Journals</source><creator>Takahashi, Naoki ; Okamura, Akihiko ; Ishii, Misuzu ; Moriya, Naoki ; Yamaguchi, Aya ; Inamochi, Yuka ; Takagi, Kumi ; Nakaya, Erika ; Kuriyama, Kengo ; Terayama, Masayoshi ; Tamura, Masahiro ; Kanamori, Jun ; Imamura, Yu ; Saino, Yoko ; Watanabe, Masayuki</creator><creatorcontrib>Takahashi, Naoki ; Okamura, Akihiko ; Ishii, Misuzu ; Moriya, Naoki ; Yamaguchi, Aya ; Inamochi, Yuka ; Takagi, Kumi ; Nakaya, Erika ; Kuriyama, Kengo ; Terayama, Masayoshi ; Tamura, Masahiro ; Kanamori, Jun ; Imamura, Yu ; Saino, Yoko ; Watanabe, Masayuki</creatorcontrib><description>Background
The progression of malnutrition and sarcopenia after esophagectomy for esophageal cancer negatively influences long-term prognosis. To improve nutritional status after esophagectomy, we introduced an intensified nutrition management (iNM) protocol, in which nutritional counselling by dietitians was provided more frequently. The aim of this study was to evaluate the efficacy of iNM compared with the conventional NM (cNM).
Methods
We included 126 patients who underwent esophagectomy before and after NM revision, and compared nutritional status and changes in body composition after esophagectomy between the cNM and iNM groups. Nutritional parameters were assessed, and we also calculated skeletal muscle index (SMI), skeletal muscle density (SMD), and visceral fat area (VFA) using computed tomography volumetry.
Results
There were no significant differences in baseline characteristics or surgical outcomes between the groups. Compared with the cNM group, nutritional counselling was provided more frequently (
P
< 0.001) in the iNM group, and compliance rate increased from 56.3 to 91.9% (
P
< 0.001). Body weight loss at 4 and 6 months and SMI reduction at 6 months were significantly improved in the iNM group compared with the cNM group (
P
< 0.001,
P
= 0.032, and
P
= 0.023, respectively). There were no significant differences in the changes in SMD, VFA, serum albumin level, and prealbumin level between the two groups.
Conclusions
Outpatient iNM significantly mitigated the reduction in body weight and SMI 3–6 months after esophagectomy.</description><identifier>ISSN: 1435-2451</identifier><identifier>ISSN: 1435-2443</identifier><identifier>EISSN: 1435-2451</identifier><identifier>DOI: 10.1007/s00423-024-03526-2</identifier><identifier>PMID: 39489800</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Abdominal Surgery ; Aged ; Ambulatory Care ; Body Composition ; Cardiac Surgery ; Esophageal Neoplasms - surgery ; Esophagectomy - adverse effects ; Female ; General Surgery ; Humans ; Male ; Malnutrition - etiology ; Medicine ; Medicine & Public Health ; Middle Aged ; Muscle, Skeletal ; Nutritional Status ; Postoperative Complications - etiology ; Postoperative Complications - prevention & control ; Retrospective Studies ; Sarcopenia - etiology ; Thoracic Surgery ; Traumatic Surgery ; Vascular Surgery</subject><ispartof>Langenbeck's archives of surgery, 2024-11, Vol.409 (1), p.333, Article 333</ispartof><rights>The Author(s) 2024</rights><rights>2024. The Author(s).</rights><rights>The Author(s) 2024 2024</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c328t-bd4f20b48367b674594836966239236a517fa310e46d9e9fd49b78e6676af8853</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00423-024-03526-2$$EPDF$$P50$$Gspringer$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00423-024-03526-2$$EHTML$$P50$$Gspringer$$Hfree_for_read</linktohtml><link.rule.ids>230,314,776,780,881,27902,27903,41466,42535,51296</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/39489800$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Takahashi, Naoki</creatorcontrib><creatorcontrib>Okamura, Akihiko</creatorcontrib><creatorcontrib>Ishii, Misuzu</creatorcontrib><creatorcontrib>Moriya, Naoki</creatorcontrib><creatorcontrib>Yamaguchi, Aya</creatorcontrib><creatorcontrib>Inamochi, Yuka</creatorcontrib><creatorcontrib>Takagi, Kumi</creatorcontrib><creatorcontrib>Nakaya, Erika</creatorcontrib><creatorcontrib>Kuriyama, Kengo</creatorcontrib><creatorcontrib>Terayama, Masayoshi</creatorcontrib><creatorcontrib>Tamura, Masahiro</creatorcontrib><creatorcontrib>Kanamori, Jun</creatorcontrib><creatorcontrib>Imamura, Yu</creatorcontrib><creatorcontrib>Saino, Yoko</creatorcontrib><creatorcontrib>Watanabe, Masayuki</creatorcontrib><title>Intensified outpatient nutrition management improves body weight and skeletal muscle loss after esophageal cancer surgery: a single-center, retrospective, single-arm clinical study</title><title>Langenbeck's archives of surgery</title><addtitle>Langenbecks Arch Surg</addtitle><addtitle>Langenbecks Arch Surg</addtitle><description>Background
The progression of malnutrition and sarcopenia after esophagectomy for esophageal cancer negatively influences long-term prognosis. To improve nutritional status after esophagectomy, we introduced an intensified nutrition management (iNM) protocol, in which nutritional counselling by dietitians was provided more frequently. The aim of this study was to evaluate the efficacy of iNM compared with the conventional NM (cNM).
Methods
We included 126 patients who underwent esophagectomy before and after NM revision, and compared nutritional status and changes in body composition after esophagectomy between the cNM and iNM groups. Nutritional parameters were assessed, and we also calculated skeletal muscle index (SMI), skeletal muscle density (SMD), and visceral fat area (VFA) using computed tomography volumetry.
Results
There were no significant differences in baseline characteristics or surgical outcomes between the groups. Compared with the cNM group, nutritional counselling was provided more frequently (
P
< 0.001) in the iNM group, and compliance rate increased from 56.3 to 91.9% (
P
< 0.001). Body weight loss at 4 and 6 months and SMI reduction at 6 months were significantly improved in the iNM group compared with the cNM group (
P
< 0.001,
P
= 0.032, and
P
= 0.023, respectively). There were no significant differences in the changes in SMD, VFA, serum albumin level, and prealbumin level between the two groups.
Conclusions
Outpatient iNM significantly mitigated the reduction in body weight and SMI 3–6 months after esophagectomy.</description><subject>Abdominal Surgery</subject><subject>Aged</subject><subject>Ambulatory Care</subject><subject>Body Composition</subject><subject>Cardiac Surgery</subject><subject>Esophageal Neoplasms - surgery</subject><subject>Esophagectomy - adverse effects</subject><subject>Female</subject><subject>General Surgery</subject><subject>Humans</subject><subject>Male</subject><subject>Malnutrition - etiology</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Muscle, Skeletal</subject><subject>Nutritional Status</subject><subject>Postoperative Complications - etiology</subject><subject>Postoperative Complications - prevention & control</subject><subject>Retrospective Studies</subject><subject>Sarcopenia - etiology</subject><subject>Thoracic Surgery</subject><subject>Traumatic Surgery</subject><subject>Vascular Surgery</subject><issn>1435-2451</issn><issn>1435-2443</issn><issn>1435-2451</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>C6C</sourceid><sourceid>EIF</sourceid><recordid>eNp9kc1u1TAQhSMEoj_wAiyQlywa8F-chA1CFYVKldjA2nKcyb0ujh08zkX3vXhAfLltVTasPJpz5vNoTlW9YvQto7R9h5RKLmrKZU1Fw1XNn1SnTIqm5rJhTx_VJ9UZ4i2lVLW9fF6diF52fUfpafX7OmQI6CYHI4lrXkx2EDIJa04uuxjIbILZwHxounlJcQdIhjjuyS9wm20mJowEf4CHbDyZV7QeiI-IxEwZEgGMy7YAimhNsKWDa9pA2r8nhqALGw-1LXBIFyRBThEXsNnt4OJeNWkm1rvgbGFgXsf9i-rZZDzCy7v3vPp-9enb5Zf65uvn68uPN7UVvMv1MMqJ00F2QrWDamXTH8peKS56LpRpWDsZwShINfbQT6Psh7YDpVplpq5rxHn14chd1mGG8bBmMl4vyc0m7XU0Tv-rBLfVm7jTjDWCC04L4c0dIcWfK2DWs0ML3psAcUUtGBcd5Z1oi5UfrbbcABNMD_8wqg9562PeuuSt_-ateRl6_XjDh5H7gItBHA1YpFDurm_jmkK52v-wfwAXZbuf</recordid><startdate>20241104</startdate><enddate>20241104</enddate><creator>Takahashi, Naoki</creator><creator>Okamura, Akihiko</creator><creator>Ishii, Misuzu</creator><creator>Moriya, Naoki</creator><creator>Yamaguchi, Aya</creator><creator>Inamochi, Yuka</creator><creator>Takagi, Kumi</creator><creator>Nakaya, Erika</creator><creator>Kuriyama, Kengo</creator><creator>Terayama, Masayoshi</creator><creator>Tamura, Masahiro</creator><creator>Kanamori, Jun</creator><creator>Imamura, Yu</creator><creator>Saino, Yoko</creator><creator>Watanabe, Masayuki</creator><general>Springer Berlin Heidelberg</general><scope>C6C</scope><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><scope>5PM</scope></search><sort><creationdate>20241104</creationdate><title>Intensified outpatient nutrition management improves body weight and skeletal muscle loss after esophageal cancer surgery: a single-center, retrospective, single-arm clinical study</title><author>Takahashi, Naoki ; Okamura, Akihiko ; Ishii, Misuzu ; Moriya, Naoki ; Yamaguchi, Aya ; Inamochi, Yuka ; Takagi, Kumi ; Nakaya, Erika ; Kuriyama, Kengo ; Terayama, Masayoshi ; Tamura, Masahiro ; Kanamori, Jun ; Imamura, Yu ; Saino, Yoko ; Watanabe, Masayuki</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c328t-bd4f20b48367b674594836966239236a517fa310e46d9e9fd49b78e6676af8853</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Abdominal Surgery</topic><topic>Aged</topic><topic>Ambulatory Care</topic><topic>Body Composition</topic><topic>Cardiac Surgery</topic><topic>Esophageal Neoplasms - surgery</topic><topic>Esophagectomy - adverse effects</topic><topic>Female</topic><topic>General Surgery</topic><topic>Humans</topic><topic>Male</topic><topic>Malnutrition - etiology</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Muscle, Skeletal</topic><topic>Nutritional Status</topic><topic>Postoperative Complications - etiology</topic><topic>Postoperative Complications - prevention & control</topic><topic>Retrospective Studies</topic><topic>Sarcopenia - etiology</topic><topic>Thoracic Surgery</topic><topic>Traumatic Surgery</topic><topic>Vascular Surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Takahashi, Naoki</creatorcontrib><creatorcontrib>Okamura, Akihiko</creatorcontrib><creatorcontrib>Ishii, Misuzu</creatorcontrib><creatorcontrib>Moriya, Naoki</creatorcontrib><creatorcontrib>Yamaguchi, Aya</creatorcontrib><creatorcontrib>Inamochi, Yuka</creatorcontrib><creatorcontrib>Takagi, Kumi</creatorcontrib><creatorcontrib>Nakaya, Erika</creatorcontrib><creatorcontrib>Kuriyama, Kengo</creatorcontrib><creatorcontrib>Terayama, Masayoshi</creatorcontrib><creatorcontrib>Tamura, Masahiro</creatorcontrib><creatorcontrib>Kanamori, Jun</creatorcontrib><creatorcontrib>Imamura, Yu</creatorcontrib><creatorcontrib>Saino, Yoko</creatorcontrib><creatorcontrib>Watanabe, Masayuki</creatorcontrib><collection>Springer Nature OA Free Journals</collection><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><collection>PubMed Central (Full Participant titles)</collection><jtitle>Langenbeck's archives of surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Takahashi, Naoki</au><au>Okamura, Akihiko</au><au>Ishii, Misuzu</au><au>Moriya, Naoki</au><au>Yamaguchi, Aya</au><au>Inamochi, Yuka</au><au>Takagi, Kumi</au><au>Nakaya, Erika</au><au>Kuriyama, Kengo</au><au>Terayama, Masayoshi</au><au>Tamura, Masahiro</au><au>Kanamori, Jun</au><au>Imamura, Yu</au><au>Saino, Yoko</au><au>Watanabe, Masayuki</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Intensified outpatient nutrition management improves body weight and skeletal muscle loss after esophageal cancer surgery: a single-center, retrospective, single-arm clinical study</atitle><jtitle>Langenbeck's archives of surgery</jtitle><stitle>Langenbecks Arch Surg</stitle><addtitle>Langenbecks Arch Surg</addtitle><date>2024-11-04</date><risdate>2024</risdate><volume>409</volume><issue>1</issue><spage>333</spage><pages>333-</pages><artnum>333</artnum><issn>1435-2451</issn><issn>1435-2443</issn><eissn>1435-2451</eissn><abstract>Background
The progression of malnutrition and sarcopenia after esophagectomy for esophageal cancer negatively influences long-term prognosis. To improve nutritional status after esophagectomy, we introduced an intensified nutrition management (iNM) protocol, in which nutritional counselling by dietitians was provided more frequently. The aim of this study was to evaluate the efficacy of iNM compared with the conventional NM (cNM).
Methods
We included 126 patients who underwent esophagectomy before and after NM revision, and compared nutritional status and changes in body composition after esophagectomy between the cNM and iNM groups. Nutritional parameters were assessed, and we also calculated skeletal muscle index (SMI), skeletal muscle density (SMD), and visceral fat area (VFA) using computed tomography volumetry.
Results
There were no significant differences in baseline characteristics or surgical outcomes between the groups. Compared with the cNM group, nutritional counselling was provided more frequently (
P
< 0.001) in the iNM group, and compliance rate increased from 56.3 to 91.9% (
P
< 0.001). Body weight loss at 4 and 6 months and SMI reduction at 6 months were significantly improved in the iNM group compared with the cNM group (
P
< 0.001,
P
= 0.032, and
P
= 0.023, respectively). There were no significant differences in the changes in SMD, VFA, serum albumin level, and prealbumin level between the two groups.
Conclusions
Outpatient iNM significantly mitigated the reduction in body weight and SMI 3–6 months after esophagectomy.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>39489800</pmid><doi>10.1007/s00423-024-03526-2</doi><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1435-2451 |
| ispartof | Langenbeck's archives of surgery, 2024-11, Vol.409 (1), p.333, Article 333 |
| issn | 1435-2451 1435-2443 1435-2451 |
| language | eng |
| recordid | cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_11532320 |
| source | MEDLINE; Springer Nature - Complete Springer Journals |
| subjects | Abdominal Surgery Aged Ambulatory Care Body Composition Cardiac Surgery Esophageal Neoplasms - surgery Esophagectomy - adverse effects Female General Surgery Humans Male Malnutrition - etiology Medicine Medicine & Public Health Middle Aged Muscle, Skeletal Nutritional Status Postoperative Complications - etiology Postoperative Complications - prevention & control Retrospective Studies Sarcopenia - etiology Thoracic Surgery Traumatic Surgery Vascular Surgery |
| title | Intensified outpatient nutrition management improves body weight and skeletal muscle loss after esophageal cancer surgery: a single-center, retrospective, single-arm clinical study |
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