Romano Alberto, Sollazzo Fabrizio, Corbo Fabio, Attinà Giorgio, Mastrangelo Stefano, Cordaro Simona, Modica Gloria, Zovatto Isabella Carlotta, Monti Riccardo, Bianco Massimiliano, Maurizi Palma, Palmieri Vincenzo, Ruggiero Antonio
Pediatric Oncology Unit, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, 00168 Rome, Italy.
Sports Medicine Unit, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, 00168 Rome, Italy.
Diseases. 2024 Nov 28;12(12):306. doi: 10.3390/diseases12120306.
. Childhood brain tumor survivors (CCSs) are at high risk of developing metabolic syndrome (MetS) and sarcopenia. To date, a tool able to predict any body composition changes or detect them early and increased adiposity (and, therefore, increased likelihood of MetS onset) is still lacking in this population. . The objective was to analyze differences in a bioelectrical impedance analysis (BIA) of body composition between male childhood brain tumor cancer survivors and healthy controls. . In this pilot, prospective, observational study, 14 male CCSs were compared to 14 healthy controls matched for sex and age. . CCSs showed statistically significant lower mean values in terms of their body metabolic rate (BMR), body cell mass index (BCMI), fat-free mass (FFM), skeleton muscle mass (SM), skeletal muscle mass index (SMI), and appendicular skeletal muscular mass (ASMM). CCSs also showed a statistically significantly higher mean value of resistance when compared with controls. The BMR, BCM, FFM, and ASMM were significantly correlated with total doses of carboplatin (Tau = -0.601; = 0.018; Tau = -0.599, = 0.025; Tau = -0.601, = 0.018; Tau = -0.509, = 0.045, respectively). . A BIA allows for the detection of changes in body composition in survivors of childhood brain tumors, revealing either the presence of central obesity correlated with the risk of MetS or signs of sarcopenia that deserve early treatment.
儿童脑肿瘤幸存者(CCSs)患代谢综合征(MetS)和肌肉减少症的风险很高。迄今为止,该人群仍缺乏一种能够预测身体成分变化、早期发现这些变化以及检测肥胖增加(从而增加患MetS可能性)的工具。
目的是分析男性儿童脑肿瘤癌症幸存者与健康对照者在身体成分生物电阻抗分析(BIA)方面的差异。
在这项前瞻性观察性试点研究中,将14名男性CCSs与14名年龄和性别匹配的健康对照者进行了比较。
CCSs在身体代谢率(BMR)、身体细胞质量指数(BCMI)、去脂体重(FFM)、骨骼肌质量(SM)、骨骼肌质量指数(SMI)和附属骨骼肌质量(ASMM)方面的平均数值在统计学上显著较低。与对照组相比,CCSs的电阻平均值在统计学上也显著更高。BMR、BCM、FFM和ASMM与卡铂总剂量显著相关(分别为Tau = -0.601,P = 0.018;Tau = -0.599,P = 0.025;Tau = -0.601,P = 0.018;Tau = -0.509,P = 0.045)。
BIA能够检测儿童脑肿瘤幸存者的身体成分变化,揭示与MetS风险相关的中心性肥胖的存在或值得早期治疗的肌肉减少症迹象。