SARCOPENIA, OBESITY AND SARCOPENIC OBESITY IN LIVER TRANSPLANTATION: A BODY COMPOSITION PROSPECTIVE STUDY

ABSTRACT Background: Sarcopenia is prevalent before liver transplantation, and it is considered to be a risk factor for morbidity/mortality. After liver transplantation, some authors suggest that sarcopenia remains, and as patients gain weight as fat, they reach sarcopenic obesity status. Aim: Prosp...

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Published in:Arquivos brasileiros de cirurgia digestiva : ABCD 2019-01, Vol.32 (2)
Main Authors: ANASTÁCIO, Lucilene Rezende, FERREIRA, Lívia Garcia, RIBEIRO, Helem Sena, DINIZ, Kiara Gonçalves Dias, LIMA, Agnaldo Soares, CORREIA, Maria Isabel T.D., VILELA, Eduardo Garcia
Format: Article
Language:English
Subjects:
Body composition
Body mass index
Liver transplantation
Original
Sarcopenia
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Summary:ABSTRACT Background: Sarcopenia is prevalent before liver transplantation, and it is considered to be a risk factor for morbidity/mortality. After liver transplantation, some authors suggest that sarcopenia remains, and as patients gain weight as fat, they reach sarcopenic obesity status. Aim: Prospectively to assess changes in body composition, prevalence and associated factors with respect to sarcopenia, obesity and sarcopenic obesity after transplantation. Methods: Patients were evaluated at two different times for body composition, 4.0±3.2y and 7.6±3.1y after transplantation. Body composition data were obtained using bioelectrical impedance. The fat-free mass index and fat mass index were calculated, and the patients were classified into the following categories: sarcopenic; obesity; sarcopenic obesity. Results: A total of 100 patients were evaluated (52.6±13.3years; 57.0% male). The fat-free mass index decreased (17.9±2.5 to 17.5±3.5 kg/m2), fat mass index increased (8.5±3.5 to 9.0±4.0; p
ISSN:0102-6720
2317-6326
DOI:10.1590/0102-672020190001e1434