Nutritional Status,Sarcopenia and the Importance of Prehabilitation of Gastrointestinal Tumor Patients:a Surgical Point of View

作     者：Péter Lukovich Ákos Nagy Bianka Barok Borbála Csiba Ram Rokka Balázs Pőcze Péter Lukovich;(A)kos Nagy;Bianka Barok;Borbála Csiba;Ram Rokka;Balázs P(o)cze

作者机构：Department of SurgerySt.John HospitalDiósárok 1-31125 BudapestHungary 

出 版 物：《Journal of Nutritional Oncology》 (肿瘤营养学杂志（英文）)

年 卷 期：2020年第5卷第3期

页      面：132-136页

学科分类：1002[医学-临床医学] 100214[医学-肿瘤学] 10[医学] 

主　　题：Sarcopenia Surgery Gastrointestinal tumor Prehabilitation Obesity Nutritional therapy 

摘      要：Background Surgery may be the field of healthcare where malnutrition and sarcopenia have their greatest impact on patient morbidity and ***,there are limited data on the nutritional status of surgical patients and the effects of prehabilitation on the outcomes of *** A prospective analysis was conducted on all patients surgically-treated for malignant gastrointestinal tumors at *** Hospital during a two-year *** patient’s gender,age,body weight,height,BMI and weight loss were registered,then a risk score was determined by the MUST *** of the triceps and thigh skin-fold thickness and the circumference of the upper arm and thigh were done to calculate muscle area and muscle index,*** body composition was assessed using an OMRON-BF511 *** function was evaluated based on hand clamping force measurement and activity *** who were diagnosed as being at-risk received preoperative prehabilitation,which included physiotherapy and nutritional *** A total of 231 patients(133 males/98 females)were *** had a mean age of 68.9 years(18~98).Seventy-four patients(32%)lost weight,with an average loss of 7 kilograms(3~15 kg).Anthropometric data showed an average upper-arm circumference of 27.4 cm(14.3~38.1)and thigh circumference of 44.7 cm(19.3~60.1),so the median muscle index was *** mean BMI was 26,which is above normal,and the elevated BMI was consistent documented in each patient subgroup stratified by age and tumor type.A body composition analysis was performed for 75 patients(44 male/31 female),who had a median age of 68(37~88 y).The average BMI of these patients was 25.7 y and their average MUST score was *** total body fat percentage(of the total body mass)was 29.5%,total muscle was 30.1%and visceral fat was 10%.Thirty patients(40%)had sarcopenia,with a mean BMI of 28.7,fat comprising 34.2%of the body mass,visceral-fat 11%,and muscle 27.1%,and their median MUST