{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,6]],"date-time":"2026-07-06T05:14:01Z","timestamp":1783314841983,"version":"3.54.6"},"reference-count":34,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2026,1,7]],"date-time":"2026-01-07T00:00:00Z","timestamp":1767744000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,1,7]],"date-time":"2026-01-07T00:00:00Z","timestamp":1767744000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["aspenjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Parenter Enteral Nutr"],"published-print":{"date-parts":[[2026,4]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Body size may influence anthropometric measurements' performance in survival prediction. Our study aimed to develop standardized calf and mid\u2010arm circumferences and compare their prognostic value with that of unstandardized forms in patients with cancer.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      This multicenter retrospective cohort study included 15,826 patients. Malnutrition was assessed using the Patient\u2010Generated Subjective Global Assessment with a score \u22654. The concordance index (\n                      <jats:italic>C<\/jats:italic>\n                      \u2010index) and receiver operating characteristic (ROC) curves were used to compare predictive power. Cox and logistic regression analyses were performed to identify the independent factors associated with survival and malnutrition, respectively.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The highest\n                      <jats:italic>C<\/jats:italic>\n                      \u2010index and the area under the ROC curve (AUC) values were observed for height\u2010standardized calf and mid\u2010arm circumferences (\n                      <jats:italic>C<\/jats:italic>\n                      \u2010index: 0.584 and 0.585; 1\u2010year AUC values: 0.600 and 0.600; and 3\u2010year AUC values: 0.597and 0.594, respectively). Compared with unstandardized calf circumference, the height\u2010standardized measure improved the predictive power for survival (difference\u2009=\u20090.020;\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&lt;\u20090.001). Similarly, height\u2010standardized mid\u2010arm circumference showed superior predictive ability (difference\u2009=\u20090.015;\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&lt;\u20090.001). Additionally, height standardization enhanced the predictive accuracy of calf and mid\u2010arm circumferences for malnutrition (calf circumferences: difference\u2009=\u20090.014,\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&lt;\u20090.001; mid\u2010arm circumferences: difference\u2009=\u20090.008,\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&lt;\u20090.001). Height\u2010standardized calf and mid\u2010arm circumferences were independent prognostic factors of survival and risk factors for malnutrition.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Height\u2010standardized calf and mid\u2010arm circumferences were independently associated with survival and malnutrition in patients with cancer. Although the improvements in predictive performance were modest, height standardization may improve the clinical utility of anthropometric assessments by accounting for differences in body size.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/jpen.70048","type":"journal-article","created":{"date-parts":[[2026,1,7]],"date-time":"2026-01-07T12:21:48Z","timestamp":1767788508000},"page":"402-411","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Associations of height\u2010standardized calf circumference and mid\u2010arm circumference with overall survival in adults with cancer: A retrospective cohort study"],"prefix":"10.1002","volume":"50","author":[{"given":"Jia\u2010Xin","family":"Huang","sequence":"first","affiliation":[{"name":"Department of Comprehensive Oncology National Cancer Center\/National Clinical Research Center for Cancer\/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union 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