Muscle mass, not radiodensity, predicts physical function in cancer patients with or without cachexia.

cancer cachexia computed tomography muscle radiodensity physical function

Journal

Oncotarget
ISSN: 1949-2553
Titre abrégé: Oncotarget
Pays: United States
ID NLM: 101532965

Informations de publication

Date de publication:
19 May 2020
Historique:
received: 24 02 2020
accepted: 27 04 2020
entrez: 6 6 2020
pubmed: 6 6 2020
medline: 6 6 2020
Statut: epublish

Résumé

There is a need to better understand the relationship between functional impairment and muscle mass in cancer cachexia. This study aimed to establish the relationship between computed tomography (CT)-derived muscle cross-sectional area (CSA), radiodensity, and skeletal muscle index (SMI) and dual energy X-ray absorptiometry (DXA) parameters with functional performance in cancer patients. Handgrip strength, stair climb power (SCP), one-repetition maximum (1RM) strength, and body composition (CT and DXA) were compared across cancer patients with cachexia (CAC; CAC had lower CT muscle CSA and SMI and lower DXA appendicular lean mass (ALM) than CNC or CON ( Stair climb power was reduced in cancer cachexia; muscle radiodensity was not. Muscle mass by CT or DXA, but not radiodensity, predicted functional performance in cancer patients.

Sections du résumé

BACKGROUND BACKGROUND
There is a need to better understand the relationship between functional impairment and muscle mass in cancer cachexia. This study aimed to establish the relationship between computed tomography (CT)-derived muscle cross-sectional area (CSA), radiodensity, and skeletal muscle index (SMI) and dual energy X-ray absorptiometry (DXA) parameters with functional performance in cancer patients.
MATERIALS AND METHODS METHODS
Handgrip strength, stair climb power (SCP), one-repetition maximum (1RM) strength, and body composition (CT and DXA) were compared across cancer patients with cachexia (CAC;
RESULTS RESULTS
CAC had lower CT muscle CSA and SMI and lower DXA appendicular lean mass (ALM) than CNC or CON (
CONCLUSIONS CONCLUSIONS
Stair climb power was reduced in cancer cachexia; muscle radiodensity was not. Muscle mass by CT or DXA, but not radiodensity, predicted functional performance in cancer patients.

Identifiants

pubmed: 32499874
doi: 10.18632/oncotarget.27594
pii: 27594
pmc: PMC7244015
doi:

Types de publication

Journal Article

Langues

eng

Pagination

1911-1921

Subventions

Organisme : NIDDK NIH HHS
ID : T32 DK007247
Pays : United States
Organisme : BLRD VA
ID : I01 BX002807
Pays : United States
Organisme : NIDDK NIH HHS
ID : P30 DK035816
Pays : United States
Organisme : NIA NIH HHS
ID : R01 AG061558
Pays : United States
Organisme : NIDDK NIH HHS
ID : P30 DK017047
Pays : United States
Organisme : NCI NIH HHS
ID : R01 CA239208
Pays : United States
Organisme : NIA NIH HHS
ID : T35 AG026736
Pays : United States

Déclaration de conflit d'intérêts

CONFLICTS OF INTEREST These authors report no conflicts of interest.

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Auteurs

Lindsey J Anderson (LJ)

Geriatric Research, Education and Clinical Center, Veterans Affairs Puget Sound Health Care System, Seattle, Washington, USA.

Nicole Chong (N)

Geriatric Research, Education and Clinical Center, Veterans Affairs Puget Sound Health Care System, Seattle, Washington, USA.

Dorota Migula (D)

Geriatric Research, Education and Clinical Center, Veterans Affairs Puget Sound Health Care System, Seattle, Washington, USA.

Adam Sauer (A)

Geriatric Research, Education and Clinical Center, Veterans Affairs Puget Sound Health Care System, Seattle, Washington, USA.

Michelle Garrison (M)

Department of Health Services, University of Washington, Seattle, Washington, USA.

Peter Wu (P)

Department of Surgery, Veterans Affairs Puget Sound Health Care System, Seattle, Washington, USA.
Department of Surgery, University of Washington, Seattle, Washington, USA.

Atreya Dash (A)

Department of Urology, Veterans Affairs Puget Sound Health Care System, Seattle, Washington, USA.
Department of Urology, University of Washington, Seattle, Washington, USA.

Jose M Garcia (JM)

Geriatric Research, Education and Clinical Center, Veterans Affairs Puget Sound Health Care System, Seattle, Washington, USA.
Gerontology and Geriatric Medicine-Department of Medicine, University of Washington, Seattle, Washington, USA.

Classifications MeSH