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The association between preoperative body composition and aerobic fitness in patients scheduled for colorectal surgery

AIM: Although cardiopulmonary exercise testing (CPET) is considered the gold standard, a preoperative abdominal CT scan might also provide information concerning preoperative aerobic fitness for risk assessment. This study aimed to investigate the association between preoperative CT‐scan‐derived bod...

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Autores principales: Berkel, Annefleur E. M., van Wijk, Laura, van Dijk, David P. J., Prins, Sanne N., van der Palen, Job, van Meeteren, Nico L. U., Olde Damink, Steven W. M., Klaase, Joost M., Bongers, Bart C.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9298406/
https://www.ncbi.nlm.nih.gov/pubmed/34612581
http://dx.doi.org/10.1111/codi.15941
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author Berkel, Annefleur E. M.
van Wijk, Laura
van Dijk, David P. J.
Prins, Sanne N.
van der Palen, Job
van Meeteren, Nico L. U.
Olde Damink, Steven W. M.
Klaase, Joost M.
Bongers, Bart C.
author_facet Berkel, Annefleur E. M.
van Wijk, Laura
van Dijk, David P. J.
Prins, Sanne N.
van der Palen, Job
van Meeteren, Nico L. U.
Olde Damink, Steven W. M.
Klaase, Joost M.
Bongers, Bart C.
author_sort Berkel, Annefleur E. M.
collection PubMed
description AIM: Although cardiopulmonary exercise testing (CPET) is considered the gold standard, a preoperative abdominal CT scan might also provide information concerning preoperative aerobic fitness for risk assessment. This study aimed to investigate the association between preoperative CT‐scan‐derived body composition variables and preoperative CPET variables of aerobic fitness in colorectal surgery. METHOD: In this retrospective cohort study, CT images at level L3 were analysed for skeletal muscle mass, skeletal muscle radiation attenuation, visceral adipose tissue (VAT) mass and subcutaneous adipose tissue mass. Regression analyses were performed to investigate the relation between CT‐scan‐derived body composition variables, CPET‐derived aerobic fitness and other preoperative patient‐related variables. Logistic regression analysis was performed to predict a preoperative anaerobic threshold (AT) ≤ 11.1 ml/kg/min as cut‐off for having a high risk for postoperative complications. RESULTS: Data from 78 patients (45 men; mean [SD] age 74.5 [6.4 years]) were analysed. A correlation coefficient of 0.55 was observed between absolute AT and skeletal muscle mass index. Absolute AT (R (2) of 51.1%) was lower in patients with a lower skeletal muscle mass index, together with higher age, lower body mass and higher American Society of Anesthesiologists (ASA) score. Higher ASA score (odds ratio 5.64; P = 0.033) and higher VAT mass (odds ratio 1.02; P = 0.036) were associated with an increased risk of an AT ≤ 11.1 ml/kg/min. CONCLUSION: Body composition variables from the preoperative CT scan were moderately associated with preoperative CPET‐derived aerobic fitness. Higher ASA score and higher VAT mass were associated with an increased risk of an AT ≤ 11.1 ml/kg/min.
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spelling pubmed-92984062022-07-21 The association between preoperative body composition and aerobic fitness in patients scheduled for colorectal surgery Berkel, Annefleur E. M. van Wijk, Laura van Dijk, David P. J. Prins, Sanne N. van der Palen, Job van Meeteren, Nico L. U. Olde Damink, Steven W. M. Klaase, Joost M. Bongers, Bart C. Colorectal Dis Original Articles AIM: Although cardiopulmonary exercise testing (CPET) is considered the gold standard, a preoperative abdominal CT scan might also provide information concerning preoperative aerobic fitness for risk assessment. This study aimed to investigate the association between preoperative CT‐scan‐derived body composition variables and preoperative CPET variables of aerobic fitness in colorectal surgery. METHOD: In this retrospective cohort study, CT images at level L3 were analysed for skeletal muscle mass, skeletal muscle radiation attenuation, visceral adipose tissue (VAT) mass and subcutaneous adipose tissue mass. Regression analyses were performed to investigate the relation between CT‐scan‐derived body composition variables, CPET‐derived aerobic fitness and other preoperative patient‐related variables. Logistic regression analysis was performed to predict a preoperative anaerobic threshold (AT) ≤ 11.1 ml/kg/min as cut‐off for having a high risk for postoperative complications. RESULTS: Data from 78 patients (45 men; mean [SD] age 74.5 [6.4 years]) were analysed. A correlation coefficient of 0.55 was observed between absolute AT and skeletal muscle mass index. Absolute AT (R (2) of 51.1%) was lower in patients with a lower skeletal muscle mass index, together with higher age, lower body mass and higher American Society of Anesthesiologists (ASA) score. Higher ASA score (odds ratio 5.64; P = 0.033) and higher VAT mass (odds ratio 1.02; P = 0.036) were associated with an increased risk of an AT ≤ 11.1 ml/kg/min. CONCLUSION: Body composition variables from the preoperative CT scan were moderately associated with preoperative CPET‐derived aerobic fitness. Higher ASA score and higher VAT mass were associated with an increased risk of an AT ≤ 11.1 ml/kg/min. John Wiley and Sons Inc. 2021-10-20 2022-01 /pmc/articles/PMC9298406/ /pubmed/34612581 http://dx.doi.org/10.1111/codi.15941 Text en © 2021 The Authors. Colorectal Disease published by John Wiley & Sons Ltd on behalf of Association of Coloproctology of Great Britain and Ireland. https://creativecommons.org/licenses/by/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Articles
Berkel, Annefleur E. M.
van Wijk, Laura
van Dijk, David P. J.
Prins, Sanne N.
van der Palen, Job
van Meeteren, Nico L. U.
Olde Damink, Steven W. M.
Klaase, Joost M.
Bongers, Bart C.
The association between preoperative body composition and aerobic fitness in patients scheduled for colorectal surgery
title The association between preoperative body composition and aerobic fitness in patients scheduled for colorectal surgery
title_full The association between preoperative body composition and aerobic fitness in patients scheduled for colorectal surgery
title_fullStr The association between preoperative body composition and aerobic fitness in patients scheduled for colorectal surgery
title_full_unstemmed The association between preoperative body composition and aerobic fitness in patients scheduled for colorectal surgery
title_short The association between preoperative body composition and aerobic fitness in patients scheduled for colorectal surgery
title_sort association between preoperative body composition and aerobic fitness in patients scheduled for colorectal surgery
topic Original Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9298406/
https://www.ncbi.nlm.nih.gov/pubmed/34612581
http://dx.doi.org/10.1111/codi.15941
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