Agreement between muscle mass assessments by computed tomography and calf circumference in patients with cancer: a cross-sectional study

dc.contributor.authorFayh, Ana Paula Trussardi
dc.contributor.authorSousa, Iasmin Matias
dc.contributor.authorGonzalez, Maria Cristina
dc.contributor.authorBielemann, Renata Moraes
dc.contributor.authorRocha, Ilanna Marques Gomes
dc.contributor.authorBarbalho, Erica Roberta
dc.contributor.authorCarvalho, Ana Lúcia Miranda
dc.contributor.authorMedeiros, Galtieri Otávio Cunha
dc.contributor.authorSilva, Flávia Moraes
dc.date.accessioned2023-12-13T22:15:04Z
dc.date.available2023-12-13T22:15:04Z
dc.date.issued2022-02
dc.description.resumoBackground & aims: Cancer influences body composition, including a loss of muscle mass (MM), associated with worse outcomes. The study aimed to evaluate the agreement between MM estimated by calf circumference (CC) and computed tomography (CT) image as a reference method. Methods: A cross-sectional study including patients (>20 years) diagnosed with cancer attending a reference center of oncology. Spearman's correlation was performed to verify the correlation between CC and MM by CT, including skeletal muscle area - SMA and skeletal muscle index - SMI. ROC curves, Kappa coefficient, sensitivity, specificity, positive and negative predictive values were obtained. Results: The study included 219 patients, age 62.9 ± 13.1 years (mean ± standard deviation). Low CC was observed in 43.8% of the patients, and 29.2% had low SMI. CC positively correlated with SMA (rho ¼ 0.333) and SMI (rho ¼ 0.329), and fair agreements (K ¼ 0.268) were observed between CC and SMI, with higher and significant values for males (K ¼ 0.332) and patients below 60 years (K ¼ 0.419). The area under the curve (AUC) for low CC to identifying low SMI was equal to 0.685 (CI 95% 0.606 e0.765). Low CC presented fair agreement to identify low SMI in the sample; however, the negative predictive value was almost 80% for all analyses. Conclusions: Low CC is not a surrogate for low SMI in patients with cancer, but it could be an alternative, non-invasive, easy-to-perform method to pre-screen patients with cancer with adequate SMIpt_BR
dc.identifier.citationSOUSA, Iasmin Matias; GONZALEZ, Maria Cristina; BIELEMANN, Renata Moraes; ROCHA, Ilanna Marques Gomes; BARBALHO, Erica Roberta; CARVALHO, Ana Lúcia Miranda; MEDEIROS, Galtieri Otávio Cunha; SILVA, Flávia Moraes; FAYH, Ana Paula Trussardi. Agreement between muscle mass assessments by computed tomography and calf circumference in patients with cancer: a cross-sectional study. Clinical Nutrition Espen, [S.l.] v. 47, p. 183-188, fev. 2022. DOI: 10.1016/j.clnesp.2021.12.018. Disponível em: https://www.sciencedirect.com/science/article/pii/S2405457721011645?via%3Dihub. Acesso em: 12 dez. 2023.pt_BR
dc.identifier.doihttp://dx.doi.org/10.1016/j.clnesp.2021.12.018
dc.identifier.urihttps://repositorio.ufrn.br/handle/123456789/55896
dc.languageenpt_BR
dc.publisherClinical Nutrition Espenpt_BR
dc.subjectNutritional statuspt_BR
dc.subjectsolid tumorpt_BR
dc.subjectanthropometrypt_BR
dc.subjectskeletal muscle indexpt_BR
dc.titleAgreement between muscle mass assessments by computed tomography and calf circumference in patients with cancer: a cross-sectional studypt_BR
dc.typearticlept_BR

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