Body composition index obtained by using a bioelectrical impedance analysis device can be a predictor of prolonged operative time in patients undergoing minimally invasive colorectal surgery

Purpose Obesity has been known to contribute to technical difficulties in surgery. Until now, body mass index (BMI) has been used to measure obesity. However, there are reports that BMI does not always correspond to the visceral fat. Recently, bioelectrical impedance analysis (BIA) has been used for...

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Main Authors: Ho Seung Kim, Kwang Ho Kim, Gyoung Tae Noh, Ryung-Ah Lee, Soon Sup Chung
Format: Article
Language:English
Published: Korean Society of Coloproctology 2023-08-01
Series:Annals of Coloproctology
Subjects:
Online Access:http://coloproctol.org/upload/pdf/ac-2022-00262-0037.pdf
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author Ho Seung Kim
Kwang Ho Kim
Gyoung Tae Noh
Ryung-Ah Lee
Soon Sup Chung
author_facet Ho Seung Kim
Kwang Ho Kim
Gyoung Tae Noh
Ryung-Ah Lee
Soon Sup Chung
author_sort Ho Seung Kim
collection DOAJ
description Purpose Obesity has been known to contribute to technical difficulties in surgery. Until now, body mass index (BMI) has been used to measure obesity. However, there are reports that BMI does not always correspond to the visceral fat. Recently, bioelectrical impedance analysis (BIA) has been used for body composition analysis. This study aimed to evaluate the usefulness of the body composition index obtained using a BIA device in predicting short-term postoperative outcomes. Methods Data of patients who underwent elective major colorectal surgery using minimally invasive techniques were reviewed retrospectively. Body composition status was recorded using a commercial BIA device the day before surgery. The relationship between BMI, body composition index, and short-term postoperative outcomes, including operative time, was analyzed. Results Sixty-six patients were enrolled in this study. In the correlation analysis, positive correlation was observed between BMI and body composition index. BMI and body composition index were not associated with short-term postoperative outcomes. Percent body fat (odds ratio, 4.226; 95% confidence interval [CI], 1.064–16.780; P=0.041) was found to be a statistically significant factor of prolonged operative time in the multivariate analysis. Correlation analysis showed that body fat mass was related to prolonged operative time (correlation coefficients, 0.245; P=0.048). In the area under curve analysis, body fat mass showed a statistically significant predictive probability for prolonged operative time (body fat mass: area, 0.662; 95% CI, 0.531–0.764; P=0.024). Conclusion The body composition index can be used as a predictive marker for prolonged operative time. Further studies are needed to determine its usefulness.
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spelling doaj.art-caca25fd8e354763831ead893b8d658e2023-08-30T05:51:28ZengKorean Society of ColoproctologyAnnals of Coloproctology2287-97142287-97222023-08-0139434235010.3393/ac.2022.00262.00371936Body composition index obtained by using a bioelectrical impedance analysis device can be a predictor of prolonged operative time in patients undergoing minimally invasive colorectal surgeryHo Seung Kim0Kwang Ho KimGyoung Tae Noh1Ryung-Ah Lee2Soon Sup Chung3 Department of Surgery, Ewha Womans University College of Medicine, Seoul, Korea Department of Surgery, Ewha Womans University College of Medicine, Seoul, Korea Department of Surgery, Ewha Womans University College of Medicine, Seoul, Korea Department of Surgery, Ewha Womans University College of Medicine, Seoul, KoreaPurpose Obesity has been known to contribute to technical difficulties in surgery. Until now, body mass index (BMI) has been used to measure obesity. However, there are reports that BMI does not always correspond to the visceral fat. Recently, bioelectrical impedance analysis (BIA) has been used for body composition analysis. This study aimed to evaluate the usefulness of the body composition index obtained using a BIA device in predicting short-term postoperative outcomes. Methods Data of patients who underwent elective major colorectal surgery using minimally invasive techniques were reviewed retrospectively. Body composition status was recorded using a commercial BIA device the day before surgery. The relationship between BMI, body composition index, and short-term postoperative outcomes, including operative time, was analyzed. Results Sixty-six patients were enrolled in this study. In the correlation analysis, positive correlation was observed between BMI and body composition index. BMI and body composition index were not associated with short-term postoperative outcomes. Percent body fat (odds ratio, 4.226; 95% confidence interval [CI], 1.064–16.780; P=0.041) was found to be a statistically significant factor of prolonged operative time in the multivariate analysis. Correlation analysis showed that body fat mass was related to prolonged operative time (correlation coefficients, 0.245; P=0.048). In the area under curve analysis, body fat mass showed a statistically significant predictive probability for prolonged operative time (body fat mass: area, 0.662; 95% CI, 0.531–0.764; P=0.024). Conclusion The body composition index can be used as a predictive marker for prolonged operative time. Further studies are needed to determine its usefulness.http://coloproctol.org/upload/pdf/ac-2022-00262-0037.pdfbody mass indexbody fat distributionoperative timeminimally invasive surgical procedurescolorectal neoplasms
spellingShingle Ho Seung Kim
Kwang Ho Kim
Gyoung Tae Noh
Ryung-Ah Lee
Soon Sup Chung
Body composition index obtained by using a bioelectrical impedance analysis device can be a predictor of prolonged operative time in patients undergoing minimally invasive colorectal surgery
Annals of Coloproctology
body mass index
body fat distribution
operative time
minimally invasive surgical procedures
colorectal neoplasms
title Body composition index obtained by using a bioelectrical impedance analysis device can be a predictor of prolonged operative time in patients undergoing minimally invasive colorectal surgery
title_full Body composition index obtained by using a bioelectrical impedance analysis device can be a predictor of prolonged operative time in patients undergoing minimally invasive colorectal surgery
title_fullStr Body composition index obtained by using a bioelectrical impedance analysis device can be a predictor of prolonged operative time in patients undergoing minimally invasive colorectal surgery
title_full_unstemmed Body composition index obtained by using a bioelectrical impedance analysis device can be a predictor of prolonged operative time in patients undergoing minimally invasive colorectal surgery
title_short Body composition index obtained by using a bioelectrical impedance analysis device can be a predictor of prolonged operative time in patients undergoing minimally invasive colorectal surgery
title_sort body composition index obtained by using a bioelectrical impedance analysis device can be a predictor of prolonged operative time in patients undergoing minimally invasive colorectal surgery
topic body mass index
body fat distribution
operative time
minimally invasive surgical procedures
colorectal neoplasms
url http://coloproctol.org/upload/pdf/ac-2022-00262-0037.pdf
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