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Postoperative relative decrease in skeletal muscle mass as a predictor of quality of life in patients with gastric cancer

  • Authors:
    • Yoshinori Ueda
    • Akiyoshi Seshimo
    • Takahiro Okamoto
  • View Affiliations / Copyright

    Affiliations: Department of Surgery II, Tokyo Women's Medical University, Tokyo 162‑8666, Japan, Department of Digestive Surgery, Ushiku Aiwa General Hospital, Ushiku, Ibaraki 300‑1296, Japan
    Copyright: © Ueda et al. This is an open access article distributed under the terms of Creative Commons Attribution License.
  • Article Number: 59
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    Published online on: June 21, 2023
       https://doi.org/10.3892/mco.2023.2655
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Abstract

Low skeletal muscle mass reflects poor nutritional condition, which may impair the functional status and quality of life (QOL) of survivors of gastrectomy. The present cross‑sectional study examined the association between a relative change in skeletal muscle mass and perceived postoperative health and QOL in patients with gastric cancer. The study comprised 74 patients (48 men and 26 women; median age, 68.5 years) who underwent surgery for stage I‑III gastric cancer. Outcomes were measured using the Postgastrectomy Syndrome Assessment Scale‑45, which was specifically developed to measure post‑gastrectomy symptoms, living status, dissatisfaction with daily life and generic QOL. The skeletal muscle mass index (SMI) was estimated using computed tomography by tracing the area of the psoas major muscle to calculate the ΔSMI, defined as: (SMI before surgery‑SMI at completion of the PGSAS‑45 survey)/SMI before surgery x100. Associations between ΔSMI and health outcomes were assessed using univariate and multivariate analyses. The mean ΔSMI (SD) was 8.64% (10.6%). The effect size (Cohen's d) of ΔSMI <10% compared with ΔSMI ≥10% was 0.50 (95% CI: 0.02 to 0.97) for total symptom scores, ‑0.51 (‑0.98 to ‑0.03) for general health, and ‑0.52 (‑0.99 to ‑0.05) for the physical component summary (PCS). Multiple regression analysis showed that ΔSMI was significantly associated with PCS decline, and its standardized regression coefficient was ‑0.447 (‑0.209 to ‑0.685). Determining ΔSMI may help clinicians to facilitate the objective evaluation of low skeletal mass, which reflects poor nutritional condition that can impair functional status and QOL of postoperative patients surviving gastrectomy.
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1 

Foundation for Promotion of Cancer Research: Cancer statistics in Japan 2019. https://ganjoho.jp/data/reg_stat/statistics/brochure/2019/cancer_statistics_2019.pdf. Accessed May 29, 2020 (In Japanese).

2 

Thybusch-Bernhardt A, Schmidt C, Küchler T, Schmid A, Henne-Bruns D and Kremer B: Quality of life following radical surgical treatment of gastric carcinoma. World J Surg. 23:503–508. 1999.PubMed/NCBI View Article : Google Scholar

3 

Kobayashi D, Kodera Y, Fujiwara M, Koike M, Nakayama G and Nakao A: Assessment of quality of life after gastrectomy using EORTC QOL-C30 and STO22. World J Surg. 35:357–364. 2011.PubMed/NCBI View Article : Google Scholar

4 

Lim HS, Cho GS, Park YH and Kim SK: Comparison of quality of life and nutritional status in gastric cancer patients undergoing gastrectomies. Clin Nutr Res. 4:153–159. 2015.PubMed/NCBI View Article : Google Scholar

5 

Carey S, Storey D, Biankin AV, Martin D, Young J and Farinelli MA: Long-term nutritional status and quality of life following major upper gastrointestinal surgery-a cross-sectional study. Clin Nutr. 30:774–779. 2011.PubMed/NCBI View Article : Google Scholar

6 

Climent M, Munarriz M, Blazeby JM, Dorcaratto D, Ramon JM, Carrera MJ, Fontane L, Grande L and Pera M: Weight loss and quality of life in patients surviving 2 years after gastric cancer resection. Eur J Surg Oncol. 43:1337–1343. 2017.PubMed/NCBI View Article : Google Scholar

7 

Huang DD, Ji YB, Zhou DL, Li B, Wang SL, Chen XL, Yu Z and Zhuang CL: Effect of surgery-induced acute muscle wasting on postoperative outcomes and quality of life. J Surg Res. 218:58–66. 2017.PubMed/NCBI View Article : Google Scholar

8 

Luu C, Arrington AK, Falor A and Kim J, Lee B, Nelson R, Singh G and Kim J: Impact of gastric cancer resection on body mass index. Ann Surg. 80:1022–1025. 2014.PubMed/NCBI

9 

Yaguchi Y, Kumata Y, Horikawa M, Kiyokawa T, Iinuma H, Inaba T and Fukushima R: Clinical significance of area of psoas major muscle on computed tomography after gastrectomy in gastric cancer patients. Ann Nutr Metab. 71:145–149. 2017.PubMed/NCBI View Article : Google Scholar

10 

Guyatt GH, Feeny DH and Patrick DL: Measuring health-related quality of life. Ann Intern Med. 118:622–629. 1993.PubMed/NCBI View Article : Google Scholar

11 

Gill TM and Feinstein AR: A critical appraisal of the quality of quality-of-life measurements. JAMA. 272:619–626. 1994.PubMed/NCBI

12 

Karimi M and Brazier J: Health, health-related quality of life, and quality of life: What is the difference? Pharmacoeconomics. 34:645–649. 2016.PubMed/NCBI View Article : Google Scholar

13 

Nakada K, Ikeda M, Takahashi M, Kinami S, Yoshida M, Uenosono Y, Kawashima Y, Oshio A, Suzukamo Y, Terashima M and Kodera Y: Characteristics and clinical relevance of postgastrectomy syndrome assessment scale (PGSAS)-45: Newly developed integrated questionnaires for assessment of living status and quality of life in postgastrectomy patients. Gastric Cancer. 18:147–158. 2015.PubMed/NCBI View Article : Google Scholar

14 

Fukuhara S and Suzukamo Y: Manual of the SF-8 Japanese version. Institute for Health Outcomes and Process Evaluation Research, Kyoto, pp13-24, 46-72, 2004 (In Japanese).

15 

Svedlund J, Sjödin I and Dotevall G: GSRS-a clinical rating scale for gastrointestinal symptoms in patients with irritable bowel syndrome and peptic ulcer disease. Dig Dis Sci. 33:129–134. 1988.PubMed/NCBI View Article : Google Scholar

16 

Saito M, Seshimo A, Miyake K, Yamaguchi R and Okamoto T: Efficiency of bioelectric impedance analysis as an evaluation method of skeletal muscle mass after gastrectomy. Int Surg. 102:422–426. 2017.

17 

Hamaguchi Y, Kaido T, Okumura S, Kobayashi A, Hammad A, Tamai Y, Inagaki N and Uemoto S: Proposal for new diagnostic criteria for low skeletal muscle mass based on computed tomography imaging in Asian adults. Nutrition. 32:1200–1205. 2016.PubMed/NCBI View Article : Google Scholar

18 

Ellis PD: The essential guide to effect sizes: Statistical power, meta-analysis, and the interpretation of research results. Cambridge University Press, Cambridge, pp3-30, 2010.

19 

Kleinbaum DG: Logistic Regression: A Self-Learning Text. Springer-Verlag, New York, NY, pp161-226, 1994.

20 

Kleinbaum DG, Kupper LL and Muller KE: Applied Regression Analysis and Other Multivariable Methods. 2nd edition. Duxbury Press, Belmont, CA, pp124-143, 1988.

21 

The jamovi project, jamovi version 1.6 [Computer Software]. https://www.jamovi.org. Accessed September 26, 2021.

22 

Elkinton JR: Medicine and quality of life. Ann Intern Med. 64:711–714. 1966.PubMed/NCBI View Article : Google Scholar

23 

Haraldstad K, Wahl A, Andenaes R, Andersen JR, Andersen MH, Beisland E, Borge CR, Engebretsen E, Eisemann M, Halvorsrud L, et al: A systematic review of quality of life research in medicine and health sciences. Qual Life Res. 28:2641–2650. 2019.PubMed/NCBI View Article : Google Scholar

24 

Feinstein AR: Clinimetric perspectives. J Chronic Dis. 40:635–640. 1987.PubMed/NCBI View Article : Google Scholar

25 

Lara-Muñoz C and Feinstein AR: How should quality of life be measured? J Investig Med. 47:17–24. 1999.PubMed/NCBI

26 

Leplège A and Hunt S: The problem of quality of life in medicine. JAMA. 278:47–50. 1997.PubMed/NCBI View Article : Google Scholar

27 

Wu JT and Kral JG: Ghrelin: Integrative neuroendocrine peptide in health and disease. Ann Surg. 239:464–474. 2004.PubMed/NCBI View Article : Google Scholar

28 

De Vriese C and Delporte C: Ghrelin: A new peptide regulating growth hormone release and food intake. Int J Biochem Cell Biol. 40:1420–1424. 2008.PubMed/NCBI View Article : Google Scholar

29 

Kizaki J, Aoyagi K, Sato T, Kojima M and Shirouzu K: Production of ghrelin by the stomach of patients with gastric cancer. Kurume Med J. 60:99–104. 2013.PubMed/NCBI View Article : Google Scholar

30 

Tuero C, Valenti V, Rotellar F, Landecho MF, Cienfuegos JA and Fruhbeck G: Revisiting the ghrelin changes following bariatric and metabolic surgery. Obes Surg. 30:2763–2780. 2020.PubMed/NCBI View Article : Google Scholar

31 

Seo MH, Kim MK, Park SE, Rhee EJ, Park CY, Lee WY, Baek KH, Song KH, Kang MI and Oh KW: The association between daily calcium intake and sarcopenia in older, non-obese Korean adults: The fourth Korea National Health and Nutrition Examination Survey (KNHANES IV) 2009. Endocr J. 60:679–686. 2013.PubMed/NCBI View Article : Google Scholar

32 

Kunisaki C, Yoshida K, Yoshida M, Matsumoto S, Arigami T, Sugiyama Y, Seto Y, Akiyama Y, Oshio A and Nakada K: Effects of proximal gastrectomy and various clinical factors on postoperative quality of life for upper-third gastric cancer assessed using the Postgastrectomy Syndrome Assessment Scale-45 (PGSAS-45): A PGSAS NEXT Study. Ann Surg Oncol. 29:3899–3908. 2022.PubMed/NCBI View Article : Google Scholar

33 

Rupp SK and Stengel A: Influencing factors and effects of treatment on quality of life in patients with gastric cancer-A systematic review. Front Psychiatry. 12(656929)2021.PubMed/NCBI View Article : Google Scholar

34 

Pennacchini M, Bertolaso M, Elvira MM and De Marinis MG: A brief history of the quality of life: Its use in medicine and in philosophy. Clin Ter. 162:e99–e103. 2011.PubMed/NCBI

35 

McClimans L and Browne JP: Quality of life is a process not an outcome. Theor Med Bioeth. 33:279–292. 2012.PubMed/NCBI View Article : Google Scholar

36 

Moons P, Van Deyk K, De Bleser L, Marquet K, Raes E, De Geest S and Budts W: Quality of life and health status in adults with congenital heart disease: A direct comparison with healthy counterparts. Eur J Cardiovasc Prev Rehabil. 13:407–413. 2006.PubMed/NCBI View Article : Google Scholar

37 

Wang SL, Zhuang CL, Huang DD, Pang WY, Lou N, Chen FF, Zhou GJ, Shen X and Yu Z: Sarcopenia adversely impacts postoperative clinical outcomes following gastrectomy in patients with gastric cancer: A prospective study. Ann Surg Oncol. 23:556–564. 2016.PubMed/NCBI View Article : Google Scholar

38 

Sakurai K, Kubo N, Tamura T, Toyokawa T, Amano R, Tanaka H, Muguruma K, Yashiro M, Maeda K, Hirakawa K and Ohira M: Adverse effects of low preoperative skeletal muscle mass in patients undergoing gastrectomy for gastric cancer. Ann Surg Oncol. 24:2712–2719. 2017.PubMed/NCBI View Article : Google Scholar

39 

Yamaoka Y, Fujitani K, Tsujinaka T, Yamamoto K, Hirao M and Sekimoto M: Skeletal muscle loss after total gastrectomy, exacerbated by adjuvant chemotherapy. Gastric Cancer. 18:382–389. 2015.PubMed/NCBI View Article : Google Scholar

40 

Lis CG, Gupta D, Lammersfeld CA, Markman M and Vashi PG: Role of nutritional status in predicting quality of life outcomes in cancer: A systematic review of the epidemiological literature. Nutr J. 11(27)2012.PubMed/NCBI View Article : Google Scholar

41 

Gielen E, Beckwee D, Delaere A, De Breucker S, Vandewoude M and Bautmans I: Sarcopenia Guidelines Development Group of the Belgian Society of Gerontology and Geriatrics (BSGG). Nutritional interventions to improve muscle mass, muscle strength, and physical performance in older people: An umbrella review of systematic reviews and meta-analyses. Nutr Rev. 79:121–147. 2021.PubMed/NCBI View Article : Google Scholar

42 

Singh B, Hayes SC, Spence RR, Steele ML, Millet GY and Gergele L: Exercise and colorectal cancer: A systematic review and meta-analysis of exercise safety, feasibility and effectiveness. Int J Behav Nutr Physic Act. 17(122)2020.PubMed/NCBI View Article : Google Scholar

43 

Beckwee D, Delaere A, Aelbrecht S, Baert V, Beaudart C, Bruyere O, de Saint-Hubert M and Bautmans I: Exercise interventions for the prevention and treatment of sarcopenia. A systematic umbrella review. J Nutr Health Aging. 23:494–502. 2019.PubMed/NCBI View Article : Google Scholar

44 

Kim AR, Cho J, Hsu YJ, Choi MG, Noh JH, Sohn TS, Bae JM, Yun YH and Kim S: Changes of quality of life in gastric cancer patients after curative resection: A longitudinal cohort study in Korea. Ann Surg. 256:1008–1013. 2012.PubMed/NCBI View Article : Google Scholar

45 

Aahlin EK, Tranø G, Johns N, Horn A, Søreide JA, Fearon KC, Revhaug A and Lassen K: Health-related quality of life, cachexia and overall survival after major upper abdominal surgery: A prospective cohort study. Scand J Surg. 106:40–46. 2017.PubMed/NCBI View Article : Google Scholar

46 

Kleinbaum DG, Kupper LL and Morgenstern H: Epidemiologic Research: Principles and Quantitative Methods. Wiley, New York, NY, pp447-456, 1982.

47 

Cruz-Jentoft AJ, Bahat G, Bauer J, Boirie Y, Bruyere O, Cederholm T, Cooper C, Landi F, Rolland Y, Sayer AA, et al: Sarcopenia: Revised European consensus on definition and diagnosis. Age Ageing. 48:16–31. 2019.PubMed/NCBI View Article : Google Scholar

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Copy and paste a formatted citation
Spandidos Publications style
Ueda Y, Seshimo A and Okamoto T: Postoperative relative decrease in skeletal muscle mass as a predictor of quality of life in patients with gastric cancer. Mol Clin Oncol 19: 59, 2023.
APA
Ueda, Y., Seshimo, A., & Okamoto, T. (2023). Postoperative relative decrease in skeletal muscle mass as a predictor of quality of life in patients with gastric cancer. Molecular and Clinical Oncology, 19, 59. https://doi.org/10.3892/mco.2023.2655
MLA
Ueda, Y., Seshimo, A., Okamoto, T."Postoperative relative decrease in skeletal muscle mass as a predictor of quality of life in patients with gastric cancer". Molecular and Clinical Oncology 19.2 (2023): 59.
Chicago
Ueda, Y., Seshimo, A., Okamoto, T."Postoperative relative decrease in skeletal muscle mass as a predictor of quality of life in patients with gastric cancer". Molecular and Clinical Oncology 19, no. 2 (2023): 59. https://doi.org/10.3892/mco.2023.2655
Copy and paste a formatted citation
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Spandidos Publications style
Ueda Y, Seshimo A and Okamoto T: Postoperative relative decrease in skeletal muscle mass as a predictor of quality of life in patients with gastric cancer. Mol Clin Oncol 19: 59, 2023.
APA
Ueda, Y., Seshimo, A., & Okamoto, T. (2023). Postoperative relative decrease in skeletal muscle mass as a predictor of quality of life in patients with gastric cancer. Molecular and Clinical Oncology, 19, 59. https://doi.org/10.3892/mco.2023.2655
MLA
Ueda, Y., Seshimo, A., Okamoto, T."Postoperative relative decrease in skeletal muscle mass as a predictor of quality of life in patients with gastric cancer". Molecular and Clinical Oncology 19.2 (2023): 59.
Chicago
Ueda, Y., Seshimo, A., Okamoto, T."Postoperative relative decrease in skeletal muscle mass as a predictor of quality of life in patients with gastric cancer". Molecular and Clinical Oncology 19, no. 2 (2023): 59. https://doi.org/10.3892/mco.2023.2655
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