Agreement between muscle mass assessments by computed tomography and calf circumference in patients with cancer: a cross-sectional study
dc.contributor.author | Fayh, Ana Paula Trussardi | |
dc.contributor.author | Sousa, Iasmin Matias | |
dc.contributor.author | Gonzalez, Maria Cristina | |
dc.contributor.author | Bielemann, Renata Moraes | |
dc.contributor.author | Rocha, Ilanna Marques Gomes | |
dc.contributor.author | Barbalho, Erica Roberta | |
dc.contributor.author | Carvalho, Ana Lúcia Miranda | |
dc.contributor.author | Medeiros, Galtieri Otávio Cunha | |
dc.contributor.author | Silva, Flávia Moraes | |
dc.date.accessioned | 2023-12-13T22:15:04Z | |
dc.date.available | 2023-12-13T22:15:04Z | |
dc.date.issued | 2022-02 | |
dc.description.resumo | Background & 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 SMI | pt_BR |
dc.identifier.citation | SOUSA, 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.doi | http://dx.doi.org/10.1016/j.clnesp.2021.12.018 | |
dc.identifier.uri | https://repositorio.ufrn.br/handle/123456789/55896 | |
dc.language | en | pt_BR |
dc.publisher | Clinical Nutrition Espen | pt_BR |
dc.subject | Nutritional status | pt_BR |
dc.subject | solid tumor | pt_BR |
dc.subject | anthropometry | pt_BR |
dc.subject | skeletal muscle index | pt_BR |
dc.title | Agreement between muscle mass assessments by computed tomography and calf circumference in patients with cancer: a cross-sectional study | pt_BR |
dc.type | article | pt_BR |
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