PMID: 3102036Apr 15, 1987

Body composition changes in marrow transplant recipients receiving total parenteral nutrition

Cancer
C L CheneyE D Thomas

Abstract

Nine patients with acute lymphocytic leukemia in remission, aged 12-35 years, undergoing allogeneic bone marrow transplantation (BMT) were studied for changes in body fluid balance and body composition. Body composition and fluids were assessed the first 4 weeks following BMT, using isotope dilution and anthropometry. Oral and parenteral nutrient intakes were recorded daily. Tracer dilution techniques were used to assess body fluid volumes and estimate body cell, lean body, and body fat masses. Body cell mass was lost (mean -1.62 kg, P less than 0.05) without significant changes in body fat or lean body masses. There was an expansion of the extracellular fluid compartment (mean +0.8 l, P less than 0.05) and a loss in the intracellular fluid compartment (mean -1.3 l, P less than 0.05) with little change in total body water volume. Changes in body weight correlated poorly with body cell mass or fluid volume changes. Change in arm muscle area correlated well with changes in body cell mass (r = 0.61, P less than 0.05) and lean body mass (r = 0.68, P less than 0.05), while that of arm fat area did not reflect its isotope dilution-derived counterpart. Instead, the change in arm fat area was related to shifts in fluid compartments. Pr...Continue Reading

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Citations

Jun 6, 2000·Critical Reviews in Oncology/hematology·G Nitenberg, B Raynard
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Related Concepts

Anthropometry
Body Fluids
Extracellular Space
Lymphoid Leukemia
Nitrogen
Parenteral Nutrition, Total
Postoperative Procedures
Radioisotope Dilution Technique
Bone Marrow Cell Transplantation

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