Relationship between the preoperative nutritional index and skeletal muscle mass index in patients with colorectal cancer stage III
We investigated the relationship between preoperative nutritional index and skeletal muscle mass index (SMI) using the bioelectrical impedance analysis (BIA) , and evaluated the preoperative nutritional status in patients diagnosed for the first time with colorectal cancer stage III. The subjects we...
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| Published in | Journal of the Japan Dietetic Association Vol. 68; no. 1; pp. 27 - 35 |
|---|---|
| Main Author | |
| Format | Journal Article |
| Language | Japanese |
| Published |
The Japan Dietetic Association
2025
公益社団法人 日本栄養士会 |
| Subjects | |
| Online Access | Get full text |
| ISSN | 0013-6492 2185-6877 |
| DOI | 10.11379/jjda.68.27 |
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| Abstract | We investigated the relationship between preoperative nutritional index and skeletal muscle mass index (SMI) using the bioelectrical impedance analysis (BIA) , and evaluated the preoperative nutritional status in patients diagnosed for the first time with colorectal cancer stage III. The subjects were 41 cases (17 women, median age 62, 24 men, median age 66). The anthropometric values using the adipometer and inserter tape were equivalent to the new Japanese anthropometric reference values disclosed in the Japanese Anthropometric Reference Data (JARD 2001). The nutritional index [physical measurement, grip strength and geriatric nutritional risk index (GNRI)] were correlated with SMI and are highly sensitive to the sarcopenia reference cutoff values (SMI) indicated by the Asian Working Group for Sarcopenia 2019 (AWGS2019) (ROC curve). Preoperative nutritional index for colorectal cancer stage III have been supported by SMI and are considered to be clinically significant. |
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| AbstractList | We investigated the relationship between preoperative nutritional index and skeletal muscle mass index (SMI) using the bioelectrical impedance analysis (BIA) , and evaluated the preoperative nutritional status in patients diagnosed for the first time with colorectal cancer stage III. The subjects were 41 cases (17 women, median age 62, 24 men, median age 66). The anthropometric values using the adipometer and inserter tape were equivalent to the new Japanese anthropometric reference values disclosed in the Japanese Anthropometric Reference Data (JARD 2001). The nutritional index [physical measurement, grip strength and geriatric nutritional risk index (GNRI)] were correlated with SMI and are highly sensitive to the sarcopenia reference cutoff values (SMI) indicated by the Asian Working Group for Sarcopenia 2019 (AWGS2019) (ROC curve). Preoperative nutritional index for colorectal cancer stage III have been supported by SMI and are considered to be clinically significant. We investigated the relationship between preoperative nutritional index and skeletal muscle mass index (SMI) using the bioelectrical impedance analysis (BIA) , and evaluated the preoperative nutritional status in patients diagnosed for the first time with colorectal cancer stage III. The subjects were 41 cases (17 women, median age 62, 24 men, median age 66). The anthropometric values using the adipometer and inserter tape were equivalent to the new Japanese anthropometric reference values disclosed in the Japanese Anthropometric Reference Data (JARD 2001). The nutritional index [physical measurement, grip strength and geriatric nutritional risk index (GNRI)] were correlated with SMI and are highly sensitive to the sarcopenia reference cutoff values (SMI) indicated by the Asian Working Group for Sarcopenia 2019 (AWGS2019) (ROC curve). Preoperative nutritional index for colorectal cancer stage III have been supported by SMI and are considered to be clinically significant. 初めてStageⅢ大腸がんと診断された患者の術前における栄養指標と骨格筋量指数（Skeletal Muscle Mass Index；SMI）の関連を評価した。対象は41例（女性17例：62歳、男性24例：66歳）であった。アディポメーターとインサーテープを用いた身体計測値は日本人の新身体計測基準値JARD2001と同等であった。栄養指標〔身体計測値、握力、Geriatric Nutritional Risk Index（GNRI）〕はSMIと関連しており、Asian Working Group for Sarcopenia 2019（AWGS2019）が示すサルコペニアの基準値（SMI）のカットオフ値との間に高い感度が認められた〔ROC（Receiver Operating Characteristic）曲線〕。StageⅢ大腸がんの術前における栄養指標はSMIと関連しており臨床的に意義があると考えられた。 |
| Author | Aoyama, Takashi |
| Author_FL | 青山 高 |
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| DocumentTitleAlternate | Stage Ⅲ大腸がん患者の術前における栄養指標と骨格筋量指数の関連性 |
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| References | 16) Cereda E, Vanotti A：The new Geriatric Nutritional Risk Index is a good predictor of muscle dysfunction in institutionalized older patients, Clin Nutr, 26, 78-83（2007） 9) Shafer KJ, Siders WA, Johnson LK, et al. : Validity of segmental multiple-frequency bioelectrical impedance analysis to estimate body composition of adults across a range of body mass indexes, Nutrition, 25, 25-32（2009） 8) Cunningham JJ : Body composition as a determinant of energy expenditure : a synthetic review and a proposed general prediction equation, Am J Clin Nutr, 54, 963-969（1991） 10) Bouillanne O, Morineau G, Dupont C, et al. : Geriatric Nutritional Risk Index : a new index for evaluating at-risk elderly medical patients, Am J Clin Nutr, 82, 777-783（2005） 5) Hosoya N : Japanese anthropometric reference data 2001（JARD 2001）, Jpn J Nutr Assess, 19, 1-81（2002） 12) Ignacio de Ulíbarri J, González-Madroño A, de Villar NGP, et al. : CONUT : a tool for controlling nutritional status. First validation in a hospital population, Nutr Hosp, 20, 38-45（2005） 17) Cereda E, Zagami A, Vanotti A, et al.：Geriatric Nutritional Risk Index and overall-cause mortality prediction in institutionalized elderly：a 3-year survival analysis, Clin Nutr, 27, 717-723（2008） 18) 大腸癌研究会：大腸癌治療ガイドライン医師用2019 年版 CQ 15：Stage Ⅲ結腸癌に術後補助化学療法は推奨されるか？, https://www.jsccr.jp/guideline/2019/cq.html#cq15（2023年12月18日） 19) Morita T, Tsunoda J, Inoue S, et al. : The Palliative Prognostic Index : a scoring system for survival prediction of terminally ill cancer patients, Support Care Cancer, 7, 128-133（1999） 20) 青山高, 親川拓也, 村岡直穂, 他：1日推定食塩摂取量と食事習慣上の課題を用いたがん患者における虚血性心疾患の栄養指導の効果判定,日本栄養士会雑誌, 63, 135-142（2020） 14) 安井博史編著：静がんメソッド, 消化器癌・頭頚部癌編第3版, pp.447-452（2022）日本医事新報社, 東京 2) Hashiguchi Y, Muro K, Saito Y, et al. : Japanese Society for Cancer of the Colon and Rectum（JSCCR）guidelines 2019 for the treatment of colorectal cancer, Int J Clin Oncol, 25, 1-42（2020） 7) Chen LK, Woo J, Assantachai P, et al. : Asian Working Group for Sarcopenia : 2019 Consensus Update on Sarcopenia Diagnosis and Treatment, J Am Med Dir Assoc, 21, 300-307（2020） 15) Sasazuki S, Inoue M, Tsuji I, et al. : Body mass index and mortality from all causes and major causes in Japanese : results of a pooled analysis of 7 large-scale cohort studies, J Epidemiol, 21, 417-430（2011） 6) 厚生労働省：令和6年度診療報酬改定について, https://www.mhlw.go.jp/stf/seisakunitsuite/bunya/0000188411_00045.html（2024年10月3日） 3) 青山高, 石井正之, 齊藤修治, 他：大腸癌周術期における早期経口摂取を取り入れたクリニカルパスの有用性, 栄養評価と治療, 29, 272 -277（2012） 4) 青山高：腹腔鏡下結腸がんクリニカルパスにおける術前経口補水療法および早期経口摂取療法の有用性, 日本静脈経腸栄養学会誌, 33, 633-640（2018） 11) Guigoz Y : The Mini Nutritional Assessment（MNA®）review of the literature—what does it tell us?, J Nutr Health Aging, 10, 466-485（2006） 1) Livesey G, Elia M : Short-chain fatty acids as an energy source in the colon: metabolism and clinical implications, Physiological and clinical aspects of short-chain fatty acids / Cummings JH, Rombeau JL, Sakata T, eds., pp.427-482（1995）Cambridge University Press, Cambridge 13) Buzby GP, Mullen JL, Matthews DC, et al. : Prognostic nutritional index in gastrointestinal surgery, Am J Surg, 139, 160-167（1980） |
| References_xml | – reference: 15) Sasazuki S, Inoue M, Tsuji I, et al. : Body mass index and mortality from all causes and major causes in Japanese : results of a pooled analysis of 7 large-scale cohort studies, J Epidemiol, 21, 417-430（2011） – reference: 9) Shafer KJ, Siders WA, Johnson LK, et al. : Validity of segmental multiple-frequency bioelectrical impedance analysis to estimate body composition of adults across a range of body mass indexes, Nutrition, 25, 25-32（2009） – reference: 14) 安井博史編著：静がんメソッド, 消化器癌・頭頚部癌編第3版, pp.447-452（2022）日本医事新報社, 東京 – reference: 1) Livesey G, Elia M : Short-chain fatty acids as an energy source in the colon: metabolism and clinical implications, Physiological and clinical aspects of short-chain fatty acids / Cummings JH, Rombeau JL, Sakata T, eds., pp.427-482（1995）Cambridge University Press, Cambridge – reference: 8) Cunningham JJ : Body composition as a determinant of energy expenditure : a synthetic review and a proposed general prediction equation, Am J Clin Nutr, 54, 963-969（1991） – reference: 12) Ignacio de Ulíbarri J, González-Madroño A, de Villar NGP, et al. : CONUT : a tool for controlling nutritional status. First validation in a hospital population, Nutr Hosp, 20, 38-45（2005） – reference: 2) Hashiguchi Y, Muro K, Saito Y, et al. : Japanese Society for Cancer of the Colon and Rectum（JSCCR）guidelines 2019 for the treatment of colorectal cancer, Int J Clin Oncol, 25, 1-42（2020） – reference: 11) Guigoz Y : The Mini Nutritional Assessment（MNA®）review of the literature—what does it tell us?, J Nutr Health Aging, 10, 466-485（2006） – reference: 7) Chen LK, Woo J, Assantachai P, et al. : Asian Working Group for Sarcopenia : 2019 Consensus Update on Sarcopenia Diagnosis and Treatment, J Am Med Dir Assoc, 21, 300-307（2020） – reference: 3) 青山高, 石井正之, 齊藤修治, 他：大腸癌周術期における早期経口摂取を取り入れたクリニカルパスの有用性, 栄養評価と治療, 29, 272 -277（2012） – reference: 10) Bouillanne O, Morineau G, Dupont C, et al. : Geriatric Nutritional Risk Index : a new index for evaluating at-risk elderly medical patients, Am J Clin Nutr, 82, 777-783（2005） – reference: 17) Cereda E, Zagami A, Vanotti A, et al.：Geriatric Nutritional Risk Index and overall-cause mortality prediction in institutionalized elderly：a 3-year survival analysis, Clin Nutr, 27, 717-723（2008） – reference: 5) Hosoya N : Japanese anthropometric reference data 2001（JARD 2001）, Jpn J Nutr Assess, 19, 1-81（2002） – reference: 18) 大腸癌研究会：大腸癌治療ガイドライン医師用2019 年版 CQ 15：Stage Ⅲ結腸癌に術後補助化学療法は推奨されるか？, https://www.jsccr.jp/guideline/2019/cq.html#cq15（2023年12月18日） – reference: 20) 青山高, 親川拓也, 村岡直穂, 他：1日推定食塩摂取量と食事習慣上の課題を用いたがん患者における虚血性心疾患の栄養指導の効果判定,日本栄養士会雑誌, 63, 135-142（2020） – reference: 16) Cereda E, Vanotti A：The new Geriatric Nutritional Risk Index is a good predictor of muscle dysfunction in institutionalized older patients, Clin Nutr, 26, 78-83（2007） – reference: 19) Morita T, Tsunoda J, Inoue S, et al. : The Palliative Prognostic Index : a scoring system for survival prediction of terminally ill cancer patients, Support Care Cancer, 7, 128-133（1999） – reference: 4) 青山高：腹腔鏡下結腸がんクリニカルパスにおける術前経口補水療法および早期経口摂取療法の有用性, 日本静脈経腸栄養学会誌, 33, 633-640（2018） – reference: 13) Buzby GP, Mullen JL, Matthews DC, et al. : Prognostic nutritional index in gastrointestinal surgery, Am J Surg, 139, 160-167（1980） – reference: 6) 厚生労働省：令和6年度診療報酬改定について, https://www.mhlw.go.jp/stf/seisakunitsuite/bunya/0000188411_00045.html（2024年10月3日） |
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| SubjectTerms | adipometer colorectal cancer stage III GNRI inserter tape SMI StageⅢ大腸がん アディポメーター インサーテープ |
| Title | Relationship between the preoperative nutritional index and skeletal muscle mass index in patients with colorectal cancer stage III |
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