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The Relationship between Phase Angle, Nutrition Status, and Complications in Patients with Pancreatic Head Cancer
Phase angle (PhA), a bioimpedance parameter, is used to assess the nutrition status and body composition of patients. Patients with pancreatic head cancer often present with body composition changes that relate to adverse outcomes. PhA may be useful to evaluate prognosis in these patients, but data...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9180801/ https://www.ncbi.nlm.nih.gov/pubmed/35682009 http://dx.doi.org/10.3390/ijerph19116426 |
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author | Zhou, Shengnan Yu, Zhangping Shi, Xiaodong Zhao, Huaiyu Dai, Menghua Chen, Wei |
author_facet | Zhou, Shengnan Yu, Zhangping Shi, Xiaodong Zhao, Huaiyu Dai, Menghua Chen, Wei |
author_sort | Zhou, Shengnan |
collection | PubMed |
description | Phase angle (PhA), a bioimpedance parameter, is used to assess the nutrition status and body composition of patients. Patients with pancreatic head cancer often present with body composition changes that relate to adverse outcomes. PhA may be useful to evaluate prognosis in these patients, but data are deficient. We aim to explore the effects of PhA on nutrition evaluation and short-term outcome prediction in these patients. This prospective study included 49 participants with pancreatic head cancer who underwent pancreaticoduodenectomy (PD). All participants’ nutritional status and postoperative complications were assessed using nutrition assessment tools and the Clavien–Dindo classification method, respectively. Spearman correlation analyses were used to evaluate the association between PhA, nutrition status, and postoperative complications. ROC curves were generated to evaluate the ability of PhA to predict malnutrition and complications and to determine the cutoff value. The PhA values of the nutritional risk group and the malnourished group were significantly lower than those of the well-nourished group (p < 0.05). PhA positively correlated with patients’ nutrition status. Nineteen patients had postoperative complications, and the PhA value of the complication group was significantly lower than that of the non-complication group (4.94 vs. 5.47, p = 0.013). ROC curves showed that the cutoff point of PhA to predict malnutrition was 5.45 (AUC: 0.744), and the cutoff point of PhA to predict postoperative complications was 5.35 (AUC: 0.717). Our study indicates that PhA was associated with nutrition status and could be considered a nutrition assessment tool for pancreatic head cancer patients and predict the postoperative complications of these patients who have undergone PD. |
format | Online Article Text |
id | pubmed-9180801 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-91808012022-06-10 The Relationship between Phase Angle, Nutrition Status, and Complications in Patients with Pancreatic Head Cancer Zhou, Shengnan Yu, Zhangping Shi, Xiaodong Zhao, Huaiyu Dai, Menghua Chen, Wei Int J Environ Res Public Health Article Phase angle (PhA), a bioimpedance parameter, is used to assess the nutrition status and body composition of patients. Patients with pancreatic head cancer often present with body composition changes that relate to adverse outcomes. PhA may be useful to evaluate prognosis in these patients, but data are deficient. We aim to explore the effects of PhA on nutrition evaluation and short-term outcome prediction in these patients. This prospective study included 49 participants with pancreatic head cancer who underwent pancreaticoduodenectomy (PD). All participants’ nutritional status and postoperative complications were assessed using nutrition assessment tools and the Clavien–Dindo classification method, respectively. Spearman correlation analyses were used to evaluate the association between PhA, nutrition status, and postoperative complications. ROC curves were generated to evaluate the ability of PhA to predict malnutrition and complications and to determine the cutoff value. The PhA values of the nutritional risk group and the malnourished group were significantly lower than those of the well-nourished group (p < 0.05). PhA positively correlated with patients’ nutrition status. Nineteen patients had postoperative complications, and the PhA value of the complication group was significantly lower than that of the non-complication group (4.94 vs. 5.47, p = 0.013). ROC curves showed that the cutoff point of PhA to predict malnutrition was 5.45 (AUC: 0.744), and the cutoff point of PhA to predict postoperative complications was 5.35 (AUC: 0.717). Our study indicates that PhA was associated with nutrition status and could be considered a nutrition assessment tool for pancreatic head cancer patients and predict the postoperative complications of these patients who have undergone PD. MDPI 2022-05-25 /pmc/articles/PMC9180801/ /pubmed/35682009 http://dx.doi.org/10.3390/ijerph19116426 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article Zhou, Shengnan Yu, Zhangping Shi, Xiaodong Zhao, Huaiyu Dai, Menghua Chen, Wei The Relationship between Phase Angle, Nutrition Status, and Complications in Patients with Pancreatic Head Cancer |
title | The Relationship between Phase Angle, Nutrition Status, and Complications in Patients with Pancreatic Head Cancer |
title_full | The Relationship between Phase Angle, Nutrition Status, and Complications in Patients with Pancreatic Head Cancer |
title_fullStr | The Relationship between Phase Angle, Nutrition Status, and Complications in Patients with Pancreatic Head Cancer |
title_full_unstemmed | The Relationship between Phase Angle, Nutrition Status, and Complications in Patients with Pancreatic Head Cancer |
title_short | The Relationship between Phase Angle, Nutrition Status, and Complications in Patients with Pancreatic Head Cancer |
title_sort | relationship between phase angle, nutrition status, and complications in patients with pancreatic head cancer |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9180801/ https://www.ncbi.nlm.nih.gov/pubmed/35682009 http://dx.doi.org/10.3390/ijerph19116426 |
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