Atenção:
O eduCAPES é um repositório de objetos educacionais, não sendo responsável por materiais de terceiros submetidos na plataforma. O usuário assume ampla e total responsabilidade quanto à originalidade, à titularidade e ao conteúdo, citações de obras consultadas, referências e outros elementos que fazem parte do material que deseja submeter. Recomendamos que se reporte diretamente ao(s) autor(es), indicando qual parte do material foi considerada imprópria (cite página e parágrafo) e justificando sua denúncia.
Caso seja o autor original de algum material publicado indevidamente ou sem autorização, será necessário que se identifique informando nome completo, CPF e data de nascimento. Caso possua uma decisão judicial para retirada do material, solicitamos que informe o link de acesso ao documento, bem como quaisquer dados necessários ao acesso, no campo abaixo.
Todas as denúncias são sigilosas e sua identidade será preservada. Os campos nome e e-mail são de preenchimento opcional. Porém, ao deixar de informar seu e-mail, um possível retorno será inviabilizado e/ou sua denúncia poderá ser desconsiderada no caso de necessitar de informações complementares.
Metadados | Descrição | Idioma |
---|---|---|
Autor(es): dc.contributor | General Hospital of Northern Theater Command (formerly General Hospital of Shenyang Military Area) | - |
Autor(es): dc.contributor | Jinzhou Medical University | - |
Autor(es): dc.contributor | China Medical University | - |
Autor(es): dc.contributor | Rajagiri Hospital | - |
Autor(es): dc.contributor | Universidade Estadual Paulista (UNESP) | - |
Autor(es): dc.creator | Zhu, Menghua | - |
Autor(es): dc.creator | Li, Hongyu | - |
Autor(es): dc.creator | Yin, Yue | - |
Autor(es): dc.creator | Ding, Min | - |
Autor(es): dc.creator | Philips, Cyriac Abby | - |
Autor(es): dc.creator | Romeiro, Fernando Gomes | - |
Autor(es): dc.creator | Qi, Xingshun | - |
Data de aceite: dc.date.accessioned | 2025-08-21T23:39:22Z | - |
Data de disponibilização: dc.date.available | 2025-08-21T23:39:22Z | - |
Data de envio: dc.date.issued | 2023-07-29 | - |
Data de envio: dc.date.issued | 2023-07-29 | - |
Data de envio: dc.date.issued | 2023-01-31 | - |
Fonte completa do material: dc.identifier | http://dx.doi.org/10.1002/jcsm.13154 | - |
Fonte completa do material: dc.identifier | http://hdl.handle.net/11449/246551 | - |
Fonte: dc.identifier.uri | http://educapes.capes.gov.br/handle/11449/246551 | - |
Descrição: dc.description | Background: Subcutaneous and visceral adipose tissues are important body components, but their effects on the mortality in patients with liver cirrhosis remain controversial based on the current evidence. Methods: We retrospectively identified 372 eligible patients in whom subcutaneous adipose tissue index (SATI) and visceral adipose tissue index (VATI) could be measured by computed tomography images at the third lumbar vertebra. The association of SATI and VATI with the risk of death was evaluated on a continuous scale with restricted cubic spline curves based on Cox proportional hazards models. Cumulative probability of mortality was estimated by Nelson–Aalen cumulative risk curve analyses. Independent predictors of death were evaluated by competing risk analyses after adjusting for age, sex, and model for end-stage liver disease score. Results: Majority of patients were male (69.4%) with a mean age of 55.40 ± 10.68 years. SATI had a U-shaped association with mortality (P for non-linearity <0.001). Cutoff values of SATI were 19.7 and 51.8 cm2/m2 at the points where hazard ratios were just <1.2. SATI was categorized as low (<19.7 cm2/m2), moderate (19.7–51.8 cm2/m2), and high (>51.8 cm2/m2) level. There was no significant difference in the cumulative probability of mortality between low versus moderate SATI groups (Gray's test, P = 0.052) and high versus moderate SATI groups (Gray's test, P = 0.054). Competing risk analyses demonstrated that low SATI could increase the mortality compared with moderate SATI (subdistribution hazard ratio [sHR] = 1.66, 95% confidence interval [CI]: 0.992–2.78, P = 0.054) and was an independent predictor of death (sHR = 1.86, 95% CI: 1.059–3.28, P = 0.031). Competing risk analyses also demonstrated that high SATI could significantly increase the mortality compared with moderate SATI (sHR = 1.6, 95% CI: 1–2.54, P = 0.049), and was an independent predictor of death (sHR = 2.007, 95% CI: 1.195–3.37, P = 0.0085). VATI had an irregularly shaped association with mortality (P for non-linearity <0.001). Cutoff values of VATI were 9.8 and 40.2 cm2/m2 at the points where hazard ratios were just <1.2. VATI was categorized as low (<9.8 cm2/m2), moderate (9.8–40.2 cm2/m2), and high (>40.2 cm2/m2) level. There was no significant difference in the cumulative probability of mortality between low versus moderate VATI groups (Gray's test, P = 0.381) and high versus moderate VATI groups (Gray's test, P = 0.787). Competing risk analyses demonstrated that neither low (sHR = 1.27, 95% CI: 0.599–2.7, P = 0.53) nor high VATI (sHR = 0.848, 95% CI: 0.539–1.34, P = 0.48) was an independent predictor of death compared with moderate VATI. Conclusions: Both excessive deficiency and accumulation of subcutaneous adipose tissues negatively influence the outcomes of cirrhotic patients. | - |
Descrição: dc.description | Department of Gastroenterology General Hospital of Northern Theater Command (formerly General Hospital of Shenyang Military Area) | - |
Descrição: dc.description | Postgraduate College Jinzhou Medical University | - |
Descrição: dc.description | Postgraduate College China Medical University | - |
Descrição: dc.description | Department of Clinical and Translational Hepatology The Liver Institute Center of Excellence in GI Sciences Rajagiri Hospital, Kerala | - |
Descrição: dc.description | Faculdade de Medicina de Botucatu UNESP, Campus de Botucatu | - |
Descrição: dc.description | Faculdade de Medicina de Botucatu UNESP, Campus de Botucatu | - |
Formato: dc.format | 508-516 | - |
Idioma: dc.language | en | - |
Relação: dc.relation | Journal of Cachexia, Sarcopenia and Muscle | - |
???dc.source???: dc.source | Scopus | - |
Palavras-chave: dc.subject | Liver cirrhosis | - |
Palavras-chave: dc.subject | Prognosis | - |
Palavras-chave: dc.subject | Subcutaneous adipose tissue | - |
Palavras-chave: dc.subject | Visceral adipose tissue | - |
Título: dc.title | U-shaped relationship between subcutaneous adipose tissue index and mortality in liver cirrhosis | - |
Tipo de arquivo: dc.type | livro digital | - |
Aparece nas coleções: | Repositório Institucional - Unesp |
O Portal eduCAPES é oferecido ao usuário, condicionado à aceitação dos termos, condições e avisos contidos aqui e sem modificações. A CAPES poderá modificar o conteúdo ou formato deste site ou acabar com a sua operação ou suas ferramentas a seu critério único e sem aviso prévio. Ao acessar este portal, você, usuário pessoa física ou jurídica, se declara compreender e aceitar as condições aqui estabelecidas, da seguinte forma: