Clinical Impact of Nutritional Status and Sarcopenia in Pediatric Patients with Bone and Soft Tissue Sarcomas: A Pilot Retrospective Study (SarcoPed)

Emanuele Rinninella, Luigi Natale, Maria Gabriella Brizi, Palma Maurizi, Stefano Mastrangelo, Antonio Gasbarrini, Maria Cristina Mele, Antonio Ruggiero, Pauline Celine Raoul, Giorgio Attina', Alberto Romano, Silvia Triarico, Marco Cintoni

Risultato della ricerca: Contributo in rivistaArticolo in rivistapeer review

Abstract

Background: We evaluated nutritional and sarcopenia status and their clinical impact in pediatric patients affected by bone and soft tissue sarcomas. Methods: Body mass index (BMI), prognostic nutritional index (PNI), and total psoas muscle area (tPMA) at diagnosis and after 12 months were analyzed. tPMA was measured from single cross-sectional computed tomography (CT) images at L4-L5. Age-specific and sex-specific tPMA Z-scores were retrieved from an online calculator. Results: A total of 21 patients were identified between February 2013 and December 2018. Twelve patients (57.1%) experienced sarcopenia at diagnosis, although not statistically associated with overall survival (OS) (p = 0.09). BMI Z-score, PNI, and tPMA Z-score significantly decreased between diagnosis and after 12 months of treatment (p < 0.05). Univariate analysis showed significant associations between poor OS and the presence of metastasis (p = 0.008), the absence of surgery (p = 0.005), PNI decrease (p = 0.027), and the reduction in tPMA > 25% (p = 0.042) over the 12 months. Conclusions: Sarcopenia affects more than half of the patients at diagnosis. Decreased PNI during 12 months of treatment has significant predictive value for OS. The role of tPMA derived from CT scan among pediatric patients with sarcoma should be investigated in further prospective and larger studies.
Lingua originaleEnglish
pagine (da-a)1-13
Numero di pagine13
RivistaNutrients
Volume14
DOI
Stato di pubblicazionePubblicato - 2022

Keywords

  • bone sarcoma
  • Pilot Projects
  • pediatric patients
  • personalized medicine
  • psoas muscle area (PMA)
  • sarcopenia
  • soft tissue sarcoma
  • Adolescent
  • Body Composition
  • Body Mass Index
  • Bone Neoplasms
  • Child
  • Female
  • Humans
  • Infections
  • Male
  • Malnutrition
  • Nutritional Status
  • Prognosis
  • Retrospective Studies
  • Rhabdomyosarcoma
  • Sarcoma
  • Sarcoma, Ewing
  • Sarcopenia
  • Survival Rate
  • Nutrition Assessment
  • chemotherapy

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