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Research ArticleClinical Studies

Elevated Serum AA/EPA Ratio as a Predictor of Skeletal Muscle Depletion in Cachexic Patients with Advanced Gastro-intestinal Cancers

MOEKO KITAGAWA, SEIJI HAJI and TERUYOSHI AMAGAI
In Vivo September 2017, 31 (5) 1003-1009;
MOEKO KITAGAWA
1Department of Food Sciences and Nutrition, School of Environmental Sciences, Mukogawa Women's University, Nishinomiya, Japan
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SEIJI HAJI
2Department of General Surgery, Takatsuki Hospital, Osaka, Japan
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TERUYOSHI AMAGAI
1Department of Food Sciences and Nutrition, School of Environmental Sciences, Mukogawa Women's University, Nishinomiya, Japan
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  • For correspondence: amagait{at}nutrped.com
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    Figure 1.

    Flow chart of this study. All consecutive patients with with unresectable advanced gastro-intestinal (GI) cancer (stage IV) undergoing chemotherapy on in- or outpatient basis at our Institution. Alb: Albumin; CRP: C-reactive protein; ALA: α-linolenic acid; EPA: eicosapentaenoic acid; DHA: docosahexaenoic acid; LA: linoleic acid; GLA: γ-linolenic acid; AA: arachidonic acid; Sum of n-3 FAs: ALA+EPA+DHA; Sum of n-6 FAs: LA+GLA+AA. aLiver dysfunction: AST >40 IU/L or ALT >40 IU/L, T-Bil >1.5 mg/dl. bRenal dysfunction: serum-creatinine >1.5 mg/dl.

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    Figure 2.

    Correlation between ΔPMI (%) and CRP. The blood samples were drawn one day before surgery. ΔPMI: Psoas muscle index change rate; CRP: C-reactive protein.

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    Figure 3.

    Correlation between ΔPMI (%) and serum n-6/n-3 ratio. The blood samples were drawn one day before surgery. ΔPMI: Psoas muscle index change rate; ALA: α-linolenic acid; EPA: eicosapentaenoic acid; DHA: docosahexaenoic acid; LA: linoleic acid; GLA: γ-linolenic acid; AA: arachidonic acid; Sum of n-3 FAs: ALA+EPA+DHA; Sum of n-6 FAs: LA+GLA+AA.

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Vol. 31, Issue 5
September-October 2017
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Elevated Serum AA/EPA Ratio as a Predictor of Skeletal Muscle Depletion in Cachexic Patients with Advanced Gastro-intestinal Cancers
MOEKO KITAGAWA, SEIJI HAJI, TERUYOSHI AMAGAI
In Vivo Sep 2017, 31 (5) 1003-1009;

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Elevated Serum AA/EPA Ratio as a Predictor of Skeletal Muscle Depletion in Cachexic Patients with Advanced Gastro-intestinal Cancers
MOEKO KITAGAWA, SEIJI HAJI, TERUYOSHI AMAGAI
In Vivo Sep 2017, 31 (5) 1003-1009;
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Keywords

  • cachexia
  • Sarcopenia
  • cancer
  • Fatty acids
  • n-6/n-3
  • AA/EPA ratio
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