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Nutrition in acute and chronic diseases

Associations between body composition and prognosis of patients admitted because of acute pancreatitis: a retrospective study

European Journal of Clinical Nutrition volume 75, pages 817–822 (2021)Cite this article

Subjects

Abstract

Objectives

To investigate the possible associations of muscle and visceral fat mass with the prognosis of patients hospitalized with acute pancreatitis.

Methods

Body composition analysis (Sliceomatic, TomoVision, Montreal, Canada) was performed on CT images at the L3 level in patients admitted with acute pancreatitis during 2008–2014. Regression analysis was used to examine associations of body composition with 1-year mortality and 1-year readmission rates.

Results

A total of 158 patients were included (mean age 63.7 ± 17.4 years, 91 (57.6%) were male). Fat was the most abundant tissue (408 ± 180 cm2 surface area). None of the prognostic factors examined were associated with 1-year mortality. Values below compared to above the medians for muscle mass and visceral fat were associated with higher mean 1-year readmissions: 1.7 versus 1.0, p = 0.02 and 1.6 versus 1.1, p = 0.09, respectively. Logistic regression analysis showed an association of high visceral fat with reduced 1-year readmission (OR 0.995, 95% CI 0.991–1.000, p = 0.03). Linear regression analysis showed an inverse correlation of visceral fat mass with the number of 1-year readmissions (HR −0.004, 95% CI −0.008–000, p = 0.070).

Conclusions

Higher amounts of visceral fat and muscle mass were positively associated with lower recurrent hospitalizations in patients admitted with acute pancreatitis. These results support the importance of nutritional rehabilitation in patients after admission due to acute pancreatitis.

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Authors and Affiliations

  1. Edith Wolfson Medical Center, Holon, Israel

    Mordechai Shimonov & Zhana Abtomonova

  2. Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel

    Mordechai Shimonov, Asnat Groutz, Hadar Amir & Israel Khanimov

  3. Lis Maternity and Women’s Hospital, Tel Aviv Sourasky Medical Center, Tel Aviv, Israel

    Asnat Groutz & Hadar Amir

  4. Department of Internal Medicine A, Yoseftal Hospital, Eilat, Israel

    Eyal Leibovitz

Authors
  1. Mordechai Shimonov
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  2. Zhana Abtomonova
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  5. Israel Khanimov
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Correspondence to Mordechai Shimonov.

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Shimonov, M., Abtomonova, Z., Groutz, A. et al. Associations between body composition and prognosis of patients admitted because of acute pancreatitis: a retrospective study. Eur J Clin Nutr 75, 817–822 (2021). https://doi.org/10.1038/s41430-020-00789-y

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  • DOI: https://doi.org/10.1038/s41430-020-00789-y

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