International Journal of General Medicine (Feb 2022)

Evaluating Sarcopenia by Using the Bioelectrical Impedance Analysis in Patients with Acute Myeloid Leukemia After Chemotherapy

  • Qin Z,
  • Lu K,
  • Jiang T,
  • Wang M,
  • Weng Y,
  • Tang X,
  • Zhao Y

Journal volume & issue
Vol. Volume 15
pp. 1261 – 1269

Abstract

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Zheng Qin,1 Kai Lu,2 Tiantian Jiang,3 Mei Wang,3 Yue Weng,3 Xiaoqiong Tang,3 Yu Zhao1 1Department of Vascular Surgery, The First Affiliated Hospital of Chongqing Medical University, Chongqing, 400016, People’s Republic of China; 2Department of Cardiology, The First Affiliated Hospital of Chongqing Medical University, Chongqing, 400016, People’s Republic of China; 3Department of hematopathology, The First Affiliated Hospital of Chongqing Medical University, Chongqing, 400016, People’s Republic of ChinaCorrespondence: Xiaoqiong TangDepartment of Hematopathology, The First Affiliated Hospital of Chongqing Medical University, 1 Youyi Road, Yuzhong, Chongqing, 400016, People’s Republic of China, Email [email protected] ZhaoDepartment of Vascular Surgery, The First Affiliated Hospital of Chongqing Medical University, 1 Youyi Road, Yuzhong, Chongqing, 400016, People’s Republic of China, Email [email protected]: We aimed to explore the potential association of body composition parameters measured by bioelectrical impedance analysis (BIA) with the incidence of sarcopenia in patients with acute myeloid leukemia (AML) (non-M3) after chemotherapy.Patients and Methods: This was a single-center observational study. Sixty-nine patients with newly diagnosed AML underwent BIA at the time of initial diagnosis and after completion of three chemotherapy sessions. Pre- and post-chemotherapy BIA parameters were compared. Sarcopenia was defined as low skeletal muscle mass plus low muscle strength according to the Asian Working Group for Sarcopenia (AWGS). Association of sarcopenia with mid-arm muscle circumference (MAMC) and intracellular water (ICW) was assessed by multivariate logistic regression.Results: There was a significant increase in the prevalence of sarcopenia after chemotherapy (39.1% vs 14.5%, P< 0.001). Skeletal muscle mass (SMM), fat-free mass (FFM), and soft lean mass (SLM) showed a significant decrease after chemotherapy (P< 0.05). MAMC, ICW, and total body water (TBW) significantly decreased after chemotherapy (P< 0.05). BIA indices including appendicular skeletal muscle mass (ASM) (r=0.889, P< 0.001), ICW (r=0.869, P< 0.001), MAMC (r=0.849, P< 0.001) showed a positive correlation with SMI. Moreover, ASM (r=− 0.453 P=0.001), ICW (r=− 0.322, P< 0.05), and MAMC (r=− 0.352, P< 0.05) showed a negative correlation with sarcopenia. On multivariate logistic regression analysis, increased ICW was associated with decreased risk of sarcopenia [odds ratio (OR): 0.50; 95% confidence interval (CI) 0.30– 0.82]. Each additional unit of MAMC after chemotherapy was associated with 71% lower risk of sarcopenia (OR: 0.29; 95% CI 0.13– 0.66).Conclusion: The incidence of sarcopenia was associated with chemotherapy of patients with AML (non-M3) as reflected by body composition changes.Keywords: acute myeloid leukemia, sarcopenia, bioelectrical impedance analysis, mid-arm muscle circumference

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