The relation between preoperative radiological sarcopenia and postoperative recovery of physical activity in older surgical cancer patients; an explorative study - 24/08/24
, M.G. Huisman b, L. Weerink a, L.T. Jonker a, B.C. van Munster b, J.J. de Haan c, G.H. de Bock d, B.L. van Leeuwen a
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Graphical abstract |
Highlights |
• | 41% of older oncological surgical patients showed RS preoperatively. |
• | 39% of the patients recovered to ≥90% of preoperative physical activity. |
• | 47% of the patients with RS recovered to ≥90% of preoperative physical activity. |
• | RS is not associated with postoperative recovery of physical activity. |
Abstract |
To identify older surgical cancer patients at risk of decreased postoperative recovery of physical activity (PA), this study assesses whether preoperative radiological sarcopenia (RS) is associated with a decreased ability to return to baseline PA. RS was defined as decreased psoas muscle mass or -density by gender-specific cut-offs on CT-scans at level of vertebra L3. PA was assessed as steps/day measured with PA tracker and recovery of PA was defined as >90% of preoperative steps/day at 3 months postoperatively. Of 44 included patients aged 65 and over undergoing oncologic surgery, 18 patients (41%) showed RS. Seventeen patients (39%) returned to baseline PA, of which eight patients had RS (47%). RS was not associated with a return to baseline PA (OR: 1.38, 95%CI 0.39–4.92, p = 0.61). In this exploratory study, no association was found between preoperative RS and recovery of PA postoperatively.
Le texte complet de cet article est disponible en PDF.Keywords : Older adults, Surgical oncology, Radiological sarcopenia, Physical activity, Independent living
Plan
Vol 28 - N° 10
Article 100345- octobre 2024 Retour au numéro
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