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Barroso T, Conway F, Emel S, McMillan D, Young D, Karteszi H, Gaya DR, Gerasimidis K. Patients with inflammatory bowel disease have higher abdominal adiposity and less skeletal mass than healthy controls. Ann Gastroenterol 2018; 31:566-571. [PMID: 30174393 PMCID: PMC6102468 DOI: 10.20524/aog.2018.0280] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/14/2018] [Accepted: 04/17/2018] [Indexed: 12/11/2022] Open
Abstract
Background Abdominal fat type and distribution have been associated with complicated Crohn’s disease and adverse postoperative outcomes. Few studies have assessed the abdominal distribution of fat and lean stores in patients with inflammatory bowel disease (IBD) and compared this with healthy controls. This retrospective study aimed to compare the abdominal body composition in IBD patients who failed medical treatment and who underwent computed tomography (CT) imaging prior to gastrointestinal surgery with healthy controls. Associations between preoperative abdominal body composition and postoperative outcomes within a year of surgery were explored. Methods Abdominal body composition was evaluated in 22 presurgical patients with medically refractory IBD (18 with Crohn’s disease) and 22 healthy controls, using routinely acquired CT. Total fat, subcutaneous fat, visceral fat, and skeletal muscle cross-sectional area were measured. Results An independent disease effect was observed, explaining a fat deposition excess of 38 cm2 and a skeletal muscle deficit of 15 cm2 in IBD. Abdominal skeletal muscle correlated with visceral fat for the control (rho=0.51, P=0.015), but not for the IBD group (rho=-0.13, P=0.553). A positive correlation observed between subcutaneous fat with skeletal muscle in the controls (rho=0.47, P=0.026) was inverted in the IBD group (rho=-0.43, P=0.045). Preoperative abdominal body composition was not predictive of postoperative outcomes. Conclusions A higher degree of abdominal adiposity, a lower skeletal mass and a larger body size for the same anthropometry can be expected in IBD patients. Preoperative abdominal body composition is not associated with surgical outcomes.
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Affiliation(s)
- Teresa Barroso
- School of Medicine, College of Medical, Veterinary and Life Sciences, University of Glasgow, Glasgow Royal Infirmary (Teresa Barroso, Fiona Conway, Donald McMillan, Konstantinos Gerasimidis), Glasgow, UK
| | - Fiona Conway
- School of Medicine, College of Medical, Veterinary and Life Sciences, University of Glasgow, Glasgow Royal Infirmary (Teresa Barroso, Fiona Conway, Donald McMillan, Konstantinos Gerasimidis), Glasgow, UK
| | - Sari Emel
- Department of Radiology, Glasgow Royal Infirmary (Sari Emel, Hedvig Karteszi), Glasgow, UK
| | - Donald McMillan
- School of Medicine, College of Medical, Veterinary and Life Sciences, University of Glasgow, Glasgow Royal Infirmary (Teresa Barroso, Fiona Conway, Donald McMillan, Konstantinos Gerasimidis), Glasgow, UK
| | - David Young
- Department of Mathematics and Statistics, University of Strathclyde (David Young), Glasgow, UK
| | - Hedvig Karteszi
- Department of Radiology, Glasgow Royal Infirmary (Sari Emel, Hedvig Karteszi), Glasgow, UK
| | - Daniel R Gaya
- Gastroenterology Unit, Glasgow Royal Infirmary (Daniel R. Gaya), Glasgow, UK
| | - Konstantinos Gerasimidis
- School of Medicine, College of Medical, Veterinary and Life Sciences, University of Glasgow, Glasgow Royal Infirmary (Teresa Barroso, Fiona Conway, Donald McMillan, Konstantinos Gerasimidis), Glasgow, UK
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