P Cresta Morgado1, A Giorlando1, M Castro1, A Navigante2. 1. Angel H. Roffo Cancer Institute, Translational Research Unit, Universidad de Buenos Aires, Av. San Martín 5481 (1417), Buenos Aires, Argentina. 2. Angel H. Roffo Cancer Institute, Translational Research Unit, Universidad de Buenos Aires, Av. San Martín 5481 (1417), Buenos Aires, Argentina. alfredonavigante@yahoo.com.ar.
Abstract
PURPOSE: This study aims to determine the influence of significant weight loss on parameters of skeletal muscle function in a population of advanced cancer patients with fatigue. METHODS: A cross-sectional and comparative study was designed between two arms of advanced cancer patients with fatigue (fatigue numeral scale (FNS) ≥4). A arm (n = 27) with ≥5 % weight loss in the last 6 months, and B arm (n = 22) without weight loss. Muscle strength was examined by hand grip technique and measurements of body composition by bioimpedance analysis (BIA), values of hemoglobin, albumin, lactic dehydrogenase (LDH), c-reactive protein (CRP), urine creatinine, and FNS. These variables were compared between both groups and correlated within each group. RESULTS: here were no differences concerning parameters of muscle strength between both arms. A arm had values of CRP ≥10 ug/dl in 77 % compared with 38.5 % of B arm (p = 0.004). A arm showed a higher percentage of body cell mass (%BCM) than B arm (p = 0.005). The A arm also showed a lower percentage of fat mass (%FM) (p = 0.014) when compared to the B arm. FNS was higher in A arm (median 7 vs 5; p = 0.047). All the variables of muscle strength had a significant positive correlation. In A arm, BCM had a negative significant correlation with CRP (p = 0.021). CONCLUSIONS: In this study, significant weight loss and high CRP did not have influence on parameters of skeletal muscular function. We consider that further studies should be necessary, preferably with longitudinal designs to evaluate these findings.
PURPOSE: This study aims to determine the influence of significant weight loss on parameters of skeletal muscle function in a population of advanced cancerpatients with fatigue. METHODS: A cross-sectional and comparative study was designed between two arms of advanced cancerpatients with fatigue (fatigue numeral scale (FNS) ≥4). A arm (n = 27) with ≥5 % weight loss in the last 6 months, and B arm (n = 22) without weight loss. Muscle strength was examined by hand grip technique and measurements of body composition by bioimpedance analysis (BIA), values of hemoglobin, albumin, lactic dehydrogenase (LDH), c-reactive protein (CRP), urine creatinine, and FNS. These variables were compared between both groups and correlated within each group. RESULTS: here were no differences concerning parameters of muscle strength between both arms. A arm had values of CRP ≥10 ug/dl in 77 % compared with 38.5 % of B arm (p = 0.004). A arm showed a higher percentage of body cell mass (%BCM) than B arm (p = 0.005). The A arm also showed a lower percentage of fat mass (%FM) (p = 0.014) when compared to the B arm. FNS was higher in A arm (median 7 vs 5; p = 0.047). All the variables of muscle strength had a significant positive correlation. In A arm, BCM had a negative significant correlation with CRP (p = 0.021). CONCLUSIONS: In this study, significant weight loss and high CRP did not have influence on parameters of skeletal muscular function. We consider that further studies should be necessary, preferably with longitudinal designs to evaluate these findings.
Entities:
Keywords:
Cancer; Fatigue; Muscle strength; Weakness; Weight loss
Authors: A Navigante; P Cresta Morgado; O Casbarien; N López Delgado; R Giglio; M Perman Journal: Support Care Cancer Date: 2013-01-16 Impact factor: 3.603
Authors: P Cresta Morgado; M Daud; M Carballido; G Méndez; S Iseas; V Lobbe; G De Simone; A Navigante Journal: Support Care Cancer Date: 2018-08-18 Impact factor: 3.603