The associations between nutritional status, physical function and skeletal muscle mass of geriatric patients with colorectal cancer

Tanaka, Kohei; Taoda, Ayano; Kashiwagi, Hirohiko

doi:10.1016/j.clnesp.2020.11.009

Cited by 6 publications

(4 citation statements)

References 29 publications

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“…A study among 234 elderly (≥60 years old) outpatients with type 2 diabetes mellitus showed that the GNRI scores were positively correlated with the skeletal muscle index and handgrip strength. 31 Tanaka et al 32 also demonstrated that handgrip strength was correlated with GNRI and CONUT scores and that the five-times sit-to-stand test and SPPB were correlated with CONUT score. Inose et al 33 investigated 225 patients with acute OVCF, followed up for 1 year, and found that the use of rigid braces can reduce the risk of SVF by 67%.…”

Section: Discussionmentioning

confidence: 95%

Association Between Poor Nutritional Status and Increased Risk for Subsequent Vertebral Fracture in Elderly People with Percutaneous Vertebroplasty

Fang¹,

Xu²,

Chen³

et al. 2022

CIA

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Background The relationship between a poor nutritional state and the risk of fractures has not been investigated. This study aimed to investigate the ability of the Controlling Nutritional Status (CONUT) and Geriatric Nutritional Risk Index (GNRI) to predict the incidence of subsequent vertebral fracture (SVF) after percutaneous vertebroplasty (PVP). Methods A total of 307 women and 138 men over 50 years old who underwent PVP for osteoporotic vertebral compression fracture (OVCF) were included. Blood biochemical indexes, body mass index (BMI), bone mineral density (BMD), physical function, and muscle strength were measured at baseline. Cox regression analysis was used to determine whether nutritional state was an independent predictor for SVF. Results During follow-up, 35 (25.4%) men and 85 (27.7%) women suffered SVF. Patients with SVF had lower BMI, serum albumin levels, GNRI scores, grip strength, lumbar BMD, and Short-Physical Performance Battery (SPPB) scores and higher fall rates and CONUT scores (P < 0.05). Compared with normal nutrition, mild malnutrition was associated with higher risk for SVF (women: HR 2.37, p=0.001, men: HR 2.97, p=0.021 by GNRI; women: HR 2.36, p=0.005, men: HR 3.62, p=0.002 by CONUT) after adjusting for confounding factors. Those with moderate–severe malnutrition also had a higher risk of SVF. Kaplan–Meier analysis showed that poor nutrition state was significantly associated with lower SVF-free survival (P<0.05). The area under curve (AUC) for predicting SVF was 0.65 and 0.73 for the GNRI and 0.67 and 0.66 for the CONUT in men and women, respectively. Conclusion GNRI and CONUT are simple and effective tools for predicting SVF in patients undergoing PVP. Health management and nutrition supplement after PVP is a potentially effective prevention strategy against SVF.

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Section: Discussionmentioning

confidence: 95%

Association Between Poor Nutritional Status and Increased Risk for Subsequent Vertebral Fracture in Elderly People with Percutaneous Vertebroplasty

Fang¹,

Xu²,

Chen³

et al. 2022

CIA

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“…In addition to the postoperative course of exercise capacity, our study showed a non-significant decrease in muscle strength at six months after surgery and conflicting results for physical activity and ADL. Muscle strength, and especially hand grip strength, is shown to be related to the nutritional status in patients with cancer [57]. Six months after esophagectomy, a significant weight loss and reduced nutritional intake were frequently described in patients with esophageal cancer [58], and therefore, the postoperative decrease in muscle strength may be explained by a diminished nutritional status.…”

Section: Discussionmentioning

confidence: 99%

Impact of curative treatment on the physical fitness of patients with esophageal cancer: A systematic review and meta-analysis

Reijneveld

Bor

Dronkers

et al. 2022

European Journal of Surgical Oncology

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Background: Esophageal cancer and curative treatment have a significant impact on the physical fitness of patients. Knowledge about the course of physical fitness during neoadjuvant therapy and esophagectomy is helpful to determine the needs for interventions during and after curative treatment. This study aims to review the current evidence on the impact of curative treatment on the physical fitness of patients with esophageal cancer. Methods: A systematic literature search of PubMed, Embase, Cinahl and the Cochrane Library was conducted up to March 29, 2021. We included observational studies investigating the change of physical fitness (including exercise capacity, muscle strength, physical activity and activities of daily living) from pre-to post-neoadjuvant therapy and/or from pre-to post-esophagectomy. Quality of the studies was assessed and a meta-analysis was performed using standardized mean differences. Results: Twenty-seven articles were included. After neoadjuvant therapy, physical fitness decreased significantly. In the first three months after surgery, physical fitness was also significantly decreased compared to preoperative values. Subgroup analysis showed a restore in exercise capacity three months after surgery in patients who followed an exercise program. Six months after surgery, there was limited evidence that exercise capacity restored to preoperative values. Conclusion: Curative treatment seems to result in a decrease of physical fitness in patients with esophageal cancer, up to three months postoperatively. Six months postoperatively, results were conflicting. In patients who followed a pre-or postoperative exercise program, the postoperative impact of curative treatment seems to be less.

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“…We excluded articles that have relevant titles but did not provide relationship measurement from the variable needed. [25][26][27][28][29][30][31][32][33][34] The study selection process is shown in Figure 1. Cross-sectional design was used in eighteen studies, while cohort baseline data was used in four studies and RCT baseline data was used in one study.…”

Section: Study Selection and Characteristicsmentioning

confidence: 99%

Relationship between muscle mass and muscle strength with physical performance in older adults: A systematic review

Riviati,

Indra

2023

SAGE Open Medicine

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Background: Declining muscle mass is not always accompanied by declining muscle strength in older adults, challenging the notion that low muscle mass is the sole criterion for diagnosing sarcopenia. Objective: This review aims to find out the relationships between muscle mass and muscle strength with physical performance in older adults. Design: This article was a systematic review using Preferred Reporting Items for Systematic Reviews and Meta-Analysis guidelines. Data Sources and Methods: We do a systematic search of observational studies that are published between 2013 and August 2023 in PubMed, ScienceDirect, Sage journal, Tripdatabase, Cochrane Library, Embase, and CINAHL. Two reviewers selected and extracted data independently and an association measure was recorded from included studies. Results: The review analyzed 17 observational studies conducted between 2013 and September 2023. The findings suggest that while declining muscle mass is often associated with sarcopenia, it may not always correspond to declining muscle strength in older individuals. The most common method used to measure muscle mass was bioelectrical impedance analysis, while handgrip strength was the predominant measure of muscle strength. Tests such as timed up and go and gait speed were used to assess physical performance. Conclusions: Physical performance in older adults is significantly related to muscle strength, whereas the relationship between muscle mass and physical performance is either weak or negligible. Therefore, when evaluating physical performance in older individuals, focusing on muscle strength is more important than muscle mass alone.

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The associations between nutritional status, physical function and skeletal muscle mass of geriatric patients with colorectal cancer

Cited by 6 publications

References 29 publications

Association Between Poor Nutritional Status and Increased Risk for Subsequent Vertebral Fracture in Elderly People with Percutaneous Vertebroplasty

Association Between Poor Nutritional Status and Increased Risk for Subsequent Vertebral Fracture in Elderly People with Percutaneous Vertebroplasty

Impact of curative treatment on the physical fitness of patients with esophageal cancer: A systematic review and meta-analysis

Relationship between muscle mass and muscle strength with physical performance in older adults: A systematic review

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