Skip to main content

Thank you for visiting nature.com. You are using a browser version with limited support for CSS. To obtain the best experience, we recommend you use a more up to date browser (or turn off compatibility mode in Internet Explorer). In the meantime, to ensure continued support, we are displaying the site without styles and JavaScript.

  • Brief Communication
  • Published:

Body composition and nutritional status according to clinical stage in patients with locally advanced cervical cancer

Abstract

The objective was to evaluate body composition and nutritional status in women with locally advanced cervical cancer (LACC) before receiving oncologic treatment. Women with cervical cancer diagnoses in clinical stage IB2 to IIIB were studied. Body composition was measured with bioimpedance, sarcopenia determined according to the European Consensus, and nutritional status according to the Patient-Generated Subjective Global Assessment. A total of 155 women with age 50.4 ± 13.7, 29 clinical stage I, 82 II, and 44 III, were studied. Patients in advanced clinical stage III, compared with patients in stage II and stage I, lower phase angle (III: 5.2 ± 0.98 vs. II: 5.7 ± 1.9 and I: 5.8 ± 0.69, p = 0.007). Impedance vector distribution was different in patients in clinical stage III vs. those in clinical stage II (p = 0.014) and I (p = 0.039). LACC patients in advanced stages had worse body composition and nutritional status before treatment.

This is a preview of subscription content, access via your institution

Access options

Buy this article

Prices may be subject to local taxes which are calculated during checkout

Fig. 1: Body composition according to clinical stage in women with locally advanced cervical cancer.

Similar content being viewed by others

References

  1. Segura A, Pardo J, Jara C, Zugazabeitia L, Carulla J, de las Peñas R, et al. An epidemiological evaluation of the prevalence of malnutrition in Spanish patients with locally advanced or metastatic cancer. Clin Nutr. 2005;24:801–14.

    Article  Google Scholar 

  2. Jaffrin MY, Morel H. Body fluid volumes measurements by impedance: A review of bioimpedance spectroscopy (BIS) and bioimpedance analysis (BIA) methods. Med Eng Phys. 2008;30:1257–69.

    Article  Google Scholar 

  3. Toso S, Piccoli A, Gusella M, Menon D, Crepaldi G, Bononi A, et al. Bioimpedance vector pattern in cancer patients without disease versus locally advanced or disseminated disease. Nutrition. 2003;19:510–4.

    Article  Google Scholar 

  4. Norman K, Stoba N, Zocher D, Bosy-westphal A, Szramek A, Scheufele R, et al. Cutoff percentiles of bioelectrical phase angle predict functionality, quality of life, and mortality in patients with cancer. Am J Clin Nutr. 2010;92:612–9.

    Article  CAS  Google Scholar 

  5. Piccoli A, Pastori G. BIVA software 2002. Departmet of Medical and Surgical Sciences, University of Padova, Padova, Italy, 2002.

  6. Espinosa-Cuevas MA, Rivas-Rodríguez L, González-Medina EC, Atilano-Carsi X, Miranda-Alatriste P, Correa-Rotter R. Vectores de impedancia bioeléctrica para la composición corporal en población mexicana. Rev Invest Clin. 2007;59:15–24.

    Google Scholar 

  7. Piccoli A. Bioelectric impedance measurement for fluid status assessment. Contrib Nephrol. 2010;164:143–52.

    Article  Google Scholar 

  8. Janssen I, Heymsfield SB, Baumgartner RN, Ross R. Estimation of skeletal muscle mass by bioelectrical impedance analysis. J Appl Physiol. 2000;89:465–71.

    Article  CAS  Google Scholar 

  9. Cruz-Jentoft AJ, Baeyens JP, Bauer JM, Boirie Y, Cederholm T, Landi F, et al. Sarcopenia: European consensus on definition and diagnosis. Age Ageing. 2010;39:412–23.

    Article  Google Scholar 

  10. Schwenk A, Ward LC, Elia M, Scott GM. Bioelectrical impedance analysis predicts outcome in patients with suspected bacteremia. Infection. 1998;26:277–82.

    Article  CAS  Google Scholar 

Download references

Acknowledgements

We thank Piccoli A, Pastori G for providing BIVA software. Department of Medical and Surgical Sciences, University of Padova, Italy 2002. available at e-mail: apiccoli@unipd.it

Author information

Authors and Affiliations

Authors

Contributions

Conception and design: LFC, LCP, and LCM. Collection and assembly of data: JLM, MFL, and SAB. Data analysis and interpretation: LFC and RJL. Manuscript writing: LFC, LCM, and LCP. Final approval of manuscript: LFC, LCP, LCM, RJL, JLV, MFL, and SAB

Corresponding author

Correspondence to Lilia Castillo-Martínez.

Ethics declarations

Conflict of interest

The authors declare that they have no conflict of interest.

Additional information

Publisher’s note Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Flores-Cisneros, L., Cetina-Pérez, L., Castillo-Martínez, L. et al. Body composition and nutritional status according to clinical stage in patients with locally advanced cervical cancer. Eur J Clin Nutr 75, 852–855 (2021). https://doi.org/10.1038/s41430-020-00797-y

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1038/s41430-020-00797-y

Search

Quick links