Decreased Subcutaneous Adipose Tissue Correlates With Higher Portal Hypertension and Poor Survival in Patients With Cirrhosis: A Retrospective Binary-Center Study
INTRODUCTION:The aim of this study was to investigate the impact of hepatic venous portal gradient (HVPG) on body composition (BC) values and the prognostic value of BC value in cirrhotic patients.METHODS:A total of 173 cirrhotic patients with HVPG and computed tomography scan were screened retrospe...
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| Vydané v: | Clinical and translational gastroenterology Ročník 16; číslo 5; s. e00836 |
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| Jazyk: | English |
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Philadelphia, PA
Wolters Kluwer
01.05.2025
Wolters Kluwer Health Medical Research, Lippincott Williams & Wilkins |
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| Abstract | INTRODUCTION:The aim of this study was to investigate the impact of hepatic venous portal gradient (HVPG) on body composition (BC) values and the prognostic value of BC value in cirrhotic patients.METHODS:A total of 173 cirrhotic patients with HVPG and computed tomography scan were screened retrospectively from a binary-center database. Seven BC values, including skeletal muscle index, subcutaneous adipose tissue index (SATI), deep SATI (dSATI), superficial SATI (sSATI), visceral adipose tissue index, and ratio of visceral adipose tissue index and SATI along with skeletal muscle radiodensity, were analyzed. The correlation analyses and multiple linear regression were used to assess the impact of HVPG on BC values. The cumulative survival rate was assessed, and risk factors of survival were identified by competing risk analysis using Fine-Gray model.RESULTS:Among 173 patients with a mean age of 53.7 ± 10.5 years, there were 111 male patients (64.2%) and 62 female patients (35.8%). In male patients, SATI, dSATI, and sSATI inversely correlated with HVPG, respectively (SATI: rho = −0.227; dSATI: rho = −0.229; sSATI: rho = −0.219; all P < 0.05), especially in patients aged 60 years or younger or with compensated cirrhosis; male patients with clinically significant portal hypertension had a lower SATI, dSATI, sSATI, and skeletal muscle radiodensity than those without clinically significant portal hypertension. After adjusted multiple linear models, male sex, Child-Pugh class B or C, and elevated HVPG contributed to decreased SATI. Multiple competing survival analysis showed a lower SATI (male: <38 cm2/m2; female: <23 cm2/m2), and Child-Pugh B or C predict mortality.DISCUSSION:Decreased SATI, dSATI, and sSATI were more closely associated with increased HVPG. A lower SATI and Child-Pugh B or C predicted mortality. |
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| AbstractList | The aim of this study was to investigate the impact of hepatic venous portal gradient (HVPG) on body composition (BC) values and the prognostic value of BC value in cirrhotic patients.
A total of 173 cirrhotic patients with HVPG and computed tomography scan were screened retrospectively from a binary-center database. Seven BC values, including skeletal muscle index, subcutaneous adipose tissue index (SATI), deep SATI (dSATI), superficial SATI (sSATI), visceral adipose tissue index, and ratio of visceral adipose tissue index and SATI along with skeletal muscle radiodensity, were analyzed. The correlation analyses and multiple linear regression were used to assess the impact of HVPG on BC values. The cumulative survival rate was assessed, and risk factors of survival were identified by competing risk analysis using Fine-Gray model.
Among 173 patients with a mean age of 53.7 ± 10.5 years, there were 111 male patients (64.2%) and 62 female patients (35.8%). In male patients, SATI, dSATI, and sSATI inversely correlated with HVPG, respectively (SATI: rho = -0.227; dSATI: rho = -0.229; sSATI: rho = -0.219; all P < 0.05), especially in patients aged 60 years or younger or with compensated cirrhosis; male patients with clinically significant portal hypertension had a lower SATI, dSATI, sSATI, and skeletal muscle radiodensity than those without clinically significant portal hypertension. After adjusted multiple linear models, male sex, Child-Pugh class B or C, and elevated HVPG contributed to decreased SATI. Multiple competing survival analysis showed a lower SATI (male: <38 cm 2 /m 2 ; female: <23 cm 2 /m 2 ), and Child-Pugh B or C predict mortality.
Decreased SATI, dSATI, and sSATI were more closely associated with increased HVPG. A lower SATI and Child-Pugh B or C predicted mortality. This study aimed to investigate the impact of hepatic venous portal gradient (HVPG) on BC values and the prognostic value of BC value in cirrhotic patients.INTRODUCTIONThis study aimed to investigate the impact of hepatic venous portal gradient (HVPG) on BC values and the prognostic value of BC value in cirrhotic patients.A total of 173 cirrhotic patients with HVPG and Computed Tomography scan were screened retrospectively from a binary-center database. Seven BC values, including skeletal muscle index (SMI), subcutaneous adipose tissue index (SATI), deep SATI (dSATI), superficial SATI (sSATI), visceral adipose tissue index (VATI), and ratio of VATI and SATI (VSR) along with skeletal muscle radiodensity (SMRD), were analyzed. The correlation analyses and multiple linear regression were used to assess the impact of HVPG on BC values. The cumulative survival rate was assessed and risk factors of survival were identified by competing risk analysis using Fine-Gray model.METHODSA total of 173 cirrhotic patients with HVPG and Computed Tomography scan were screened retrospectively from a binary-center database. Seven BC values, including skeletal muscle index (SMI), subcutaneous adipose tissue index (SATI), deep SATI (dSATI), superficial SATI (sSATI), visceral adipose tissue index (VATI), and ratio of VATI and SATI (VSR) along with skeletal muscle radiodensity (SMRD), were analyzed. The correlation analyses and multiple linear regression were used to assess the impact of HVPG on BC values. The cumulative survival rate was assessed and risk factors of survival were identified by competing risk analysis using Fine-Gray model.Among 173 patients with a mean age 53.7±10.5 years, there were 111(64.2%) males and 62(35.8%) females. In male patients, SATI, dSATI and sSATI inversely correlated with HVPG, respectively (SATI: rho=-0.227; dSATI: rho=-0.229; sSATI: rho=-0.219; all P<0.05), especially in patients aged≤60 years or with compensated cirrhosis; Male patients with clinically significant portal hypertension (CSPH) had a lower SATI, dSATI, sSATI and SMRD than those without CSPH. After adjusted multiple linear models, male sex, Child-Pugh class B or C and elevated HVPG contributed to decreased SATI. Multiple competing survival analysis showed a lower SATI (male:<38 cm2/m2; female:<23 cm2/m2) and Child-Pugh B or C predict mortality.RESULTSAmong 173 patients with a mean age 53.7±10.5 years, there were 111(64.2%) males and 62(35.8%) females. In male patients, SATI, dSATI and sSATI inversely correlated with HVPG, respectively (SATI: rho=-0.227; dSATI: rho=-0.229; sSATI: rho=-0.219; all P<0.05), especially in patients aged≤60 years or with compensated cirrhosis; Male patients with clinically significant portal hypertension (CSPH) had a lower SATI, dSATI, sSATI and SMRD than those without CSPH. After adjusted multiple linear models, male sex, Child-Pugh class B or C and elevated HVPG contributed to decreased SATI. Multiple competing survival analysis showed a lower SATI (male:<38 cm2/m2; female:<23 cm2/m2) and Child-Pugh B or C predict mortality.Decreased SATI, dSATI and sSATI were more closely associated with increased HVPG. A lower SATI and Child-Pugh B or C predicted mortality.DISCUSSIONDecreased SATI, dSATI and sSATI were more closely associated with increased HVPG. A lower SATI and Child-Pugh B or C predicted mortality. INTRODUCTION:The aim of this study was to investigate the impact of hepatic venous portal gradient (HVPG) on body composition (BC) values and the prognostic value of BC value in cirrhotic patients.METHODS:A total of 173 cirrhotic patients with HVPG and computed tomography scan were screened retrospectively from a binary-center database. Seven BC values, including skeletal muscle index, subcutaneous adipose tissue index (SATI), deep SATI (dSATI), superficial SATI (sSATI), visceral adipose tissue index, and ratio of visceral adipose tissue index and SATI along with skeletal muscle radiodensity, were analyzed. The correlation analyses and multiple linear regression were used to assess the impact of HVPG on BC values. The cumulative survival rate was assessed, and risk factors of survival were identified by competing risk analysis using Fine-Gray model.RESULTS:Among 173 patients with a mean age of 53.7 ± 10.5 years, there were 111 male patients (64.2%) and 62 female patients (35.8%). In male patients, SATI, dSATI, and sSATI inversely correlated with HVPG, respectively (SATI: rho = −0.227; dSATI: rho = −0.229; sSATI: rho = −0.219; all P < 0.05), especially in patients aged 60 years or younger or with compensated cirrhosis; male patients with clinically significant portal hypertension had a lower SATI, dSATI, sSATI, and skeletal muscle radiodensity than those without clinically significant portal hypertension. After adjusted multiple linear models, male sex, Child-Pugh class B or C, and elevated HVPG contributed to decreased SATI. Multiple competing survival analysis showed a lower SATI (male: <38 cm2/m2; female: <23 cm2/m2), and Child-Pugh B or C predict mortality.DISCUSSION:Decreased SATI, dSATI, and sSATI were more closely associated with increased HVPG. A lower SATI and Child-Pugh B or C predicted mortality. abstract-type="graphical"> INTRODUCTION:The aim of this study was to investigate the impact of hepatic venous portal gradient (HVPG) on body composition (BC) values and the prognostic value of BC value in cirrhotic patients.METHODS:A total of 173 cirrhotic patients with HVPG and computed tomography scan were screened retrospectively from a binary-center database. Seven BC values, including skeletal muscle index, subcutaneous adipose tissue index (SATI), deep SATI (dSATI), superficial SATI (sSATI), visceral adipose tissue index, and ratio of visceral adipose tissue index and SATI along with skeletal muscle radiodensity, were analyzed. The correlation analyses and multiple linear regression were used to assess the impact of HVPG on BC values. The cumulative survival rate was assessed, and risk factors of survival were identified by competing risk analysis using Fine-Gray model.RESULTS:Among 173 patients with a mean age of 53.7 ± 10.5 years, there were 111 male patients (64.2%) and 62 female patients (35.8%). In male patients, SATI, dSATI, and sSATI inversely correlated with HVPG, respectively (SATI: rho = −0.227; dSATI: rho = −0.229; sSATI: rho = −0.219; all P < 0.05), especially in patients aged 60 years or younger or with compensated cirrhosis; male patients with clinically significant portal hypertension had a lower SATI, dSATI, sSATI, and skeletal muscle radiodensity than those without clinically significant portal hypertension. After adjusted multiple linear models, male sex, Child-Pugh class B or C, and elevated HVPG contributed to decreased SATI. Multiple competing survival analysis showed a lower SATI (male: <38 cm2/m2; female: <23 cm2/m2), and Child-Pugh B or C predict mortality.DISCUSSION:Decreased SATI, dSATI, and sSATI were more closely associated with increased HVPG. A lower SATI and Child-Pugh B or C predicted mortality. |
| Author | Niu, Lizhen Jin, Long Niu, Yao Yang, Siwei Ren, Xiuwan Zhang, Linpeng Guo, Xiaoqing Yu, Jianan |
| Author_xml | – sequence: 1 givenname: Siwei surname: Yang fullname: Yang, Siwei email: ysweiwei111@163.com organization: Department of Interventional Radiology, Beijing Friendship Hospital, Capital Medical University, Beijing – sequence: 2 givenname: Xiuwan surname: Ren fullname: Ren, Xiuwan email: 18734118176@163.com organization: Department of Interventional Radiology, Third People's Hospital of Taiyuan, Taiyuan – sequence: 3 givenname: Xiaoqing surname: Guo fullname: Guo, Xiaoqing email: 18634515117@163.com organization: Department of Hepatology, Third People's Hospital of Taiyuan, Taiyuan – sequence: 4 givenname: Jianan surname: Yu fullname: Yu, Jianan email: 673694586@qq.com organization: Department of Interventional Radiology, Beijing Friendship Hospital, Capital Medical University, Beijing – sequence: 5 givenname: Lizhen surname: Niu fullname: Niu, Lizhen email: nlz13453466155@126.com organization: Department of Imaging, Third People's Hospital of Taiyuan, Taiyuan – sequence: 6 givenname: Yao surname: Niu fullname: Niu, Yao email: yniu_edu@163.com organization: Department of Interventional Radiology, Beijing Friendship Hospital, Capital Medical University, Beijing – sequence: 7 givenname: Linpeng surname: Zhang fullname: Zhang, Linpeng organization: Department of Interventional Radiology, Third People's Hospital of Taiyuan, Taiyuan – sequence: 8 givenname: Long orcidid: 0000-0002-9758-1109 surname: Jin fullname: Jin, Long organization: Department of Interventional Radiology, Beijing Friendship Hospital, Capital Medical University, Beijing |
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| Copyright | 2025 The Author(s). Published by Wolters Kluwer Health, Inc. on behalf of The American College of Gastroenterology Copyright © 2025 The Author(s). Published by Wolters Kluwer Health, Inc. on behalf of The American College of Gastroenterology. 2025 The Author(s). Published by Wolters Kluwer Health, Inc. on behalf of The American College of Gastroenterology. This work is published under http://creativecommons.org/licenses/by-nc-nd/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License. 2025 The Author(s). Published by Wolters Kluwer Health, Inc. on behalf of The American College of Gastroenterology 2025 |
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| Issue | 5 |
| Keywords | body composition portal hypertension correlation prognosis liver cirrhosis |
| Language | English |
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| Notes | Correspondence: Linpeng Zhang, MD. E-mail: motank.zhang@outlook.com. Long Jin, MD. E-mail: jinlong@ccmu.edu.cn.SUPPLEMENTARY MATERIAL accompanies this paper at http://links.lww.com/CTG/B288, http://links.lww.com/CTG/B289*Siwei Yang, Xiuwan Ren, and Xiaoqing Guo contributed equally to this article.†Long Jin and Linpeng Zhang contributed equally to this article as co-corresponding authors. ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 14 content type line 23 |
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| Snippet | INTRODUCTION:The aim of this study was to investigate the impact of hepatic venous portal gradient (HVPG) on body composition (BC) values and the prognostic... The aim of this study was to investigate the impact of hepatic venous portal gradient (HVPG) on body composition (BC) values and the prognostic value of BC... This study aimed to investigate the impact of hepatic venous portal gradient (HVPG) on BC values and the prognostic value of BC value in cirrhotic... |
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| SubjectTerms | Adult Aged Ascites Biopsy Body Composition Body fat Catheters Chronic illnesses Correlation analysis Endoscopy Female Humans Hypertension Hypertension, Portal - diagnosis Hypertension, Portal - epidemiology Hypertension, Portal - etiology Intra-Abdominal Fat - diagnostic imaging Liver Liver cirrhosis Liver Cirrhosis - complications Liver Cirrhosis - mortality Liver Cirrhosis - physiopathology Liver diseases Male Medical imaging Middle Aged Muscle, Skeletal - diagnostic imaging Musculoskeletal system Normal distribution Patients Prognosis Retrospective Studies Risk Factors Sarcopenia Subcutaneous Fat - diagnostic imaging Subcutaneous Fat - pathology Survival Rate Tomography, X-Ray Computed Veins & arteries |
| Title | Decreased Subcutaneous Adipose Tissue Correlates With Higher Portal Hypertension and Poor Survival in Patients With Cirrhosis: A Retrospective Binary-Center Study |
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