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Can bioelectrical impedance analysis and BMI be a prognostic tool in head and neck cancer patients? A review of the evidence
Cancers
  • Maria Mantzorou, University of the Aegean
  • Maria Tolia, Panepistimio Thesalias
  • Antigoni Poultsidi, Panepistimio Thesalias
  • Eleni Pavlidou, University of the Aegean
  • Sousana K. Papadopoulou, International Hellenic University
  • Dimitrios Papandreou, Zayed University
  • Constantinos Giaginis, University of the Aegean
Document Type
Article
Publication Date
3-1-2020
Abstract

© 2020 by the authors. Licensee MDPI, Basel, Switzerland. Background: Malnutrition can significantly affect disease progression and patient survival. The efficiency of weight loss and bioimpedance analysis (BIA)-derived measures in the evaluation of malnutrition, and disease progression and prognosis in patients with head and neck cancer (HNC) are an important area of research. Method: The PubMed database was thoroughly searched, using relative keywords in order to identify clinical trials that investigated the role of BIA-derived measures and weight loss on the disease progression and prognosis of patients with HNC. Twenty-seven studies met the criteria. More specifically, six studies examined the prognostic role of the tissue electrical properties in HNC patients; five examined the role of the tissue electrical properties on identifying malnutrition; four studies looked at the changes in the tissue electrical properties of HNC patients; and 12 examined the prognostic role of weight loss on survival and/or treatment outcomes. Results: Several studies have investigated the role of nutritional status tools on prognosis in HNC patients. Current studies investigating the potential of BIA-derived raw data have shown that phase angle (PA) and capacitance of the cell membrane may be considered prognostic factors of survival. Weight loss may be a prognostic factor for treatment toxicity and survival, despite some conflicting evidence. Conclusions: Further studies are recommended to clarify the role of BIA-derived measures on patients’ nutritional status and the impact of PA on clinical outcomes as well as the prognostic role of weight loss.

Publisher
MDPI AG
Disciplines
Keywords
  • Bioelectrical impedance analysis,
  • Body mass index,
  • Head and neck cancer,
  • Prognostic factor,
  • Weight loss
Scopus ID
85081036947
Creative Commons License
Creative Commons Attribution 4.0 International
Indexed in Scopus
Yes
Open Access
Yes
Open Access Type
Gold: This publication is openly available in an open access journal/series
Citation Information
Maria Mantzorou, Maria Tolia, Antigoni Poultsidi, Eleni Pavlidou, et al.. "Can bioelectrical impedance analysis and BMI be a prognostic tool in head and neck cancer patients? A review of the evidence" Cancers Vol. 12 Iss. 3 (2020) p. 557 ISSN: <a href="https://v2.sherpa.ac.uk/id/publication/issn/2072-6694" target="_blank">2072-6694</a>
Available at: http://works.bepress.com/dimitrios-papandreou/25/