{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,24]],"date-time":"2026-10-24T14:08:26Z","timestamp":1792850906611,"version":"4.5.0"},"reference-count":41,"publisher":"MDPI AG","issue":"20","license":[{"start":{"date-parts":[[2024,10,15]],"date-time":"2024-10-15T00:00:00Z","timestamp":1728950400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Cancers"],"abstract":"<jats:p>(1) Background: Accurate body composition assessment in CCR patients is crucial due to the high prevalence of malnutrition, sarcopenia, and cachexia affecting survival. This study evaluates the correlation between body composition assessed by CT imaging as a reference technique, BIVA, nutritional ultrasound, and handgrip strength in CCR patients. (2) Methods: This retrospective study included CCR patients assessed by the Endocrinology and Nutrition Services of Virgen de la Victoria in Malaga and Vall d\u2019Hebron in Barcelona from October 2018 to July 2023. Assessments included anthropometry, BIVA, NU, HGS, and AI-assisted CT analysis at the L3 level for body composition. Pearson\u2019s analysis determined the correlation of CT-derived variables with BIVA, NU, and HGS. (3) Results: A total of 267 CCR patients (mean age 68.2 \u00b1 10.9 years, 61.8% men) were studied. Significant gender differences were found in body composition and strength. CT-SMI showed strong correlations with body cell mass (r = 0.65), rectus femoris cross-sectional area (r = 0.56), and handgrip strength (r = 0.55), with a Cronbach\u2019s alpha of 0.789. CT-based adipose tissue measurements showed significant correlations with fat mass (r = 0.56), BMI (r = 0.78), A-SAT (r = 0.49), and L-SAT (r = 0.66). Regression analysis indicated a high predictive power for CT-SMI, explaining approximately 80% of its variance (R2 = 0.796). (4) Conclusions: Comprehensive screening of colorectal cancer patients through BIVA, NU, HGS, and CT optimizes the results of the evaluation. These methods complement each other in assessing muscle mass, fat distribution, and nutritional status in CCR. When CT is unavailable or bedside assessment is needed, HGS, BIVA, and NU provide an accurate assessment of body composition.<\/jats:p>","DOI":"10.3390\/cancers16203493","type":"journal-article","created":{"date-parts":[[2024,10,21]],"date-time":"2024-10-21T04:45:35Z","timestamp":1729485935000},"page":"3493","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Multiparametric Approach to the Colorectal Cancer Phenotypes Integrating Morphofunctional Assessment and Computer Tomography"],"prefix":"10.3390","volume":"16","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8473-4279","authenticated-orcid":false,"given":"Patricia","family":"Guirado-Pel\u00e1ez","sequence":"first","affiliation":[{"name":"Department of Endocrinology and Nutrition, Virgen de la Victoria University Hospital, 29010 M\u00e1laga, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7469-5488","authenticated-orcid":false,"given":"Roc\u00edo","family":"Fern\u00e1ndez-Jim\u00e9nez","sequence":"additional","affiliation":[{"name":"Department of Endocrinology and Nutrition, Virgen de la Victoria University Hospital, 29010 M\u00e1laga, Spain"},{"name":"Instituto de Investigaci\u00f3n Biom\u00e9dica de M\u00e1laga y Plataforma en Nanomedicina-IBIMA Plataforma BIONAND, 29010 M\u00e1laga, Spain"},{"name":"Department of Medicine and Dermatology, M\u00e1laga University, 29016 Malaga, Spain"},{"name":"Department of Endocrinology and Nutrition, Quironsalud M\u00e1laga Hospital, Av. Imperio Argentina, 29004 Malaga, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0739-2567","authenticated-orcid":false,"given":"Francisco Jos\u00e9","family":"S\u00e1nchez-Torralvo","sequence":"additional","affiliation":[{"name":"Instituto de Investigaci\u00f3n Biom\u00e9dica de M\u00e1laga y Plataforma en Nanomedicina-IBIMA Plataforma BIONAND, 29010 M\u00e1laga, Spain"},{"name":"Department of Medicine and Dermatology, M\u00e1laga University, 29016 Malaga, Spain"},{"name":"Unidad de Gesti\u00f3n Cl\u00ednica de Endocrinolog\u00eda y Nutrici\u00f3n, Hospital Regional Universitario de M\u00e1laga, 29007 M\u00e1laga, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fernanda","family":"Mucarzel Su\u00e1rez-Arana","sequence":"additional","affiliation":[{"name":"Endocrinology and Nutrition Department, Hospital Universitari Vall D\u2019Hebron, 08035 Barcelona, Spain"},{"name":"Diabetes and Metabolism Research Unit, Vall d\u2019Hebron Institut De Recerca (VHIR), 08035 Barcelona, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9941-1816","authenticated-orcid":false,"given":"Fiorella Ximena","family":"Palmas-Candia","sequence":"additional","affiliation":[{"name":"Endocrinology and Nutrition Department, Hospital Universitari Vall D\u2019Hebron, 08035 Barcelona, Spain"},{"name":"Diabetes and Metabolism Research Unit, Vall d\u2019Hebron Institut De Recerca (VHIR), 08035 Barcelona, Spain"},{"name":"Department of Medicine, Universitat Aut\u00f2noma de Barcelona, 08193 Barcelona, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Isabel","family":"Vegas-Aguilar","sequence":"additional","affiliation":[{"name":"Department of Endocrinology and Nutrition, Virgen de la Victoria University Hospital, 29010 M\u00e1laga, Spain"},{"name":"Instituto de Investigaci\u00f3n Biom\u00e9dica de M\u00e1laga y Plataforma en Nanomedicina-IBIMA Plataforma BIONAND, 29010 M\u00e1laga, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mar\u00eda del Mar","family":"Amaya-Campos","sequence":"additional","affiliation":[{"name":"Department of Endocrinology and Nutrition, Virgen de la Victoria University Hospital, 29010 M\u00e1laga, Spain"},{"name":"Instituto de Investigaci\u00f3n Biom\u00e9dica de M\u00e1laga y Plataforma en Nanomedicina-IBIMA Plataforma BIONAND, 29010 M\u00e1laga, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gema","family":"Mart\u00ednez Tam\u00e9s","sequence":"additional","affiliation":[{"name":"Department of Endocrinology and Nutrition, Valle del Nalon Hospital, 33920 Asturias, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3285-7194","authenticated-orcid":false,"given":"Virginia","family":"Soria-Utrilla","sequence":"additional","affiliation":[{"name":"Instituto de Investigaci\u00f3n Biom\u00e9dica de M\u00e1laga y Plataforma en Nanomedicina-IBIMA Plataforma BIONAND, 29010 M\u00e1laga, Spain"},{"name":"Department of Medicine and Dermatology, M\u00e1laga University, 29016 Malaga, Spain"},{"name":"Unidad de Gesti\u00f3n Cl\u00ednica de Endocrinolog\u00eda y Nutrici\u00f3n, Hospital Regional Universitario de M\u00e1laga, 29007 M\u00e1laga, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Francisco","family":"Tinahones-Madue\u00f1o","sequence":"additional","affiliation":[{"name":"Department of Endocrinology and Nutrition, Virgen de la Victoria University Hospital, 29010 M\u00e1laga, Spain"},{"name":"Instituto de Investigaci\u00f3n Biom\u00e9dica de M\u00e1laga y Plataforma en Nanomedicina-IBIMA Plataforma BIONAND, 29010 M\u00e1laga, Spain"},{"name":"Department of Endocrinology and Nutrition, Hospital Universitario Virgen de la Victoria, CIBEROBN, Carlos III Health Institute (ISCIII), University of M\u00e1laga, 29016 Malaga, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8570-184X","authenticated-orcid":false,"given":"Jos\u00e9 Manuel","family":"Garc\u00eda-Almeida","sequence":"additional","affiliation":[{"name":"Department of Endocrinology and Nutrition, Virgen de la Victoria University Hospital, 29010 M\u00e1laga, Spain"},{"name":"Instituto de Investigaci\u00f3n Biom\u00e9dica de M\u00e1laga y Plataforma en Nanomedicina-IBIMA Plataforma BIONAND, 29010 M\u00e1laga, Spain"},{"name":"Department of Medicine and Dermatology, M\u00e1laga University, 29016 Malaga, Spain"},{"name":"Department of Endocrinology and Nutrition, Quironsalud M\u00e1laga Hospital, Av. Imperio Argentina, 29004 Malaga, Spain"},{"name":"Department of Endocrinology and Nutrition, Hospital Universitario Virgen de la Victoria, CIBEROBN, Carlos III Health Institute (ISCIII), University of M\u00e1laga, 29016 Malaga, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rosa","family":"Burgos-Pel\u00e1ez","sequence":"additional","affiliation":[{"name":"Endocrinology and Nutrition Department, Hospital Universitari Vall D\u2019Hebron, 08035 Barcelona, Spain"},{"name":"Diabetes and Metabolism Research Unit, Vall d\u2019Hebron Institut De Recerca (VHIR), 08035 Barcelona, Spain"},{"name":"Department of Medicine, Universitat Aut\u00f2noma de Barcelona, 08193 Barcelona, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7646-2899","authenticated-orcid":false,"given":"Gabriel","family":"Olveira","sequence":"additional","affiliation":[{"name":"Instituto de Investigaci\u00f3n Biom\u00e9dica de M\u00e1laga y Plataforma en Nanomedicina-IBIMA Plataforma BIONAND, 29010 M\u00e1laga, Spain"},{"name":"Department of Medicine and Dermatology, M\u00e1laga University, 29016 Malaga, Spain"},{"name":"Unidad de Gesti\u00f3n Cl\u00ednica de Endocrinolog\u00eda y Nutrici\u00f3n, Hospital Regional Universitario de M\u00e1laga, 29007 M\u00e1laga, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2024,10,15]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"195","DOI":"10.1016\/j.clcc.2016.02.008","article-title":"Colorectal Cancer: Epidemiology, Disease Mechanisms and Interventions to Reduce Onset and Mortality","volume":"15","author":"Aran","year":"2016","journal-title":"Clin. Color. Cancer"},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"4701","DOI":"10.1002\/cncr.30932","article-title":"Long-term weight loss after colorectal cancer diagnosis is associated with lower survival: The Colon Cancer Family Registry","volume":"123","author":"Kocarnik","year":"2017","journal-title":"Cancer"},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"11","DOI":"10.1016\/j.clnu.2016.07.015","article-title":"ESPEN guidelines on nutrition in cancer patients","volume":"36","author":"Arends","year":"2017","journal-title":"Clin. Nutr."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"207","DOI":"10.1002\/jcsm.12383","article-title":"GLIM criteria for the diagnosis of malnutrition\u2014A consensus report from the global clinical nutrition community","volume":"10","author":"Cederholm","year":"2019","journal-title":"J. Cachexia Sarcopenia Muscle"},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"1196","DOI":"10.1093\/ajcn\/nqy244","article-title":"Validated screening tools for the assessment of cachexia, sarcopenia, and malnutrition: A systematic review","volume":"108","author":"Miller","year":"2018","journal-title":"Am. J. Clin. Nutr."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"269","DOI":"10.1093\/ajcn\/61.2.269","article-title":"Bivariate normal values of the bioelectrical impedance vector in adult and elderly populations","volume":"61","author":"Piccoli","year":"1995","journal-title":"Am. J. Clin. Nutr."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"495","DOI":"10.1038\/s41430-018-0159-1","article-title":"Phase angle and mortality: A systematic review","volume":"73","author":"Garlini","year":"2019","journal-title":"Eur. J. Clin. Nutr."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"3106","DOI":"10.1016\/j.clnu.2021.02.017","article-title":"Phase angle and standardized phase angle from bioelectrical impedance measurements as a prognostic factor for mortality at 90 days in patients with COVID-19: A longitudinal cohort study","volume":"41","author":"Talluri","year":"2022","journal-title":"Clin. Nutr."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"1290","DOI":"10.1038\/ejcn.2015.126","article-title":"The value of bioelectrical impedance analysis and phase angle in the evaluation of malnutrition and quality of life in cancer patients\u2014A comprehensive review","volume":"69","author":"Grundmann","year":"2015","journal-title":"Eur. J. Clin. Nutr."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"187","DOI":"10.1007\/s00520-009-0798-9","article-title":"Standardized phase angle from bioelectrical impedance analysis as prognostic factor for survival in patients with cancer","volume":"19","author":"Paiva","year":"2011","journal-title":"Support. Care Cancer"},{"key":"ref_11","doi-asserted-by":"crossref","unstructured":"S\u00e1nchez-Torralvo, F.J., Gonz\u00e1lez-Poveda, I., Garc\u00eda-Olivares, M., Porras, N., Gonzalo-Mar\u00edn, M., Tapia, M.J., Mera-Velasco, S., Toval-Mata, J.A., Ruiz-L\u00f3pez, M., and Carrasco-Campos, J. (2022). Poor Physical Performance Is Associated with Postoperative Complications and Mortality in Preoperative Patients with Colorectal Cancer. Nutrients, 14.","DOI":"10.3390\/nu14071484"},{"key":"ref_12","doi-asserted-by":"crossref","unstructured":"Vegas-Aguilar, I.M., Guirado-Pel\u00e1ez, P., Fern\u00e1ndez-Jim\u00e9nez, R., Boughanem, H., Tinahones, F.J., and Garcia-Almeida, J.M. (2023). Exploratory Assessment of Nutritional Evaluation Tools as Predictors of Complications and Sarcopenia in Patients with Colorectal Cancer. Cancers, 15.","DOI":"10.3390\/cancers15030847"},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"2863","DOI":"10.1002\/jcsm.13097","article-title":"The relationship between the mode of presentation, CT-derived body composition, systemic inflammatory grade and survival in colon cancer","volume":"13","author":"Golder","year":"2022","journal-title":"J. Cachexia Sarcopenia Muscle"},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"74","DOI":"10.1016\/j.endinu.2022.03.008","article-title":"Nutritional ultrasound\u00ae: Conceptualisation, technical considerations and standardisation","volume":"70","year":"2023","journal-title":"Endocrinol. Diabetes Nutr."},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"2801","DOI":"10.2147\/COPD.S386278","article-title":"Ultrasound Assessment of the Rectus Femoris in Patients with Chronic Obstructive Pulmonary Disease Predicts Sarcopenia","volume":"17","author":"Deng","year":"2022","journal-title":"Int. J. Chron. Obstruct. Pulmon. Dis."},{"key":"ref_16","doi-asserted-by":"crossref","unstructured":"S\u00e1nchez-Torralvo, F.J., Porras, N., Ruiz-Garc\u00eda, I., Maldonado-Araque, C., Garc\u00eda-Olivares, M., Gir\u00f3n, M.V., Gonzalo-Mar\u00edn, M., Olveira, C., and Olveira, G. (2022). Usefulness of Muscle Ultrasonography in the Nutritional Assessment of Adult Patients with Cystic Fibrosis. Nutrients, 14.","DOI":"10.3390\/nu14163377"},{"key":"ref_17","doi-asserted-by":"crossref","unstructured":"Fern\u00e1ndez-Jim\u00e9nez, R., Cabrera Cesar, E., S\u00e1nchez Garc\u00eda, A., Esp\u00edldora Hern\u00e1ndez, F., Vegas-Aguilar, I.M., Amaya-Campos, M.D.M., Cornejo-Pareja, I., Guirado-Pel\u00e1ez, P., Sim\u00f3n-Frapolli, V., and Murri, M. (2023). Rectus Femoris Cross-Sectional Area and Phase Angle asPredictors of 12-Month Mortality in Idiopathic Pulmonary Fibrosis Patients. Nutrients, 15.","DOI":"10.3390\/nu15204473"},{"key":"ref_18","doi-asserted-by":"crossref","unstructured":"Sim\u00f3n-Frapolli, V.J., Vegas-Aguilar, I.M., Fern\u00e1ndez-Jim\u00e9nez, R., Cornejo-Pareja, I.M., S\u00e1nchez-Garc\u00eda, A.M., Mart\u00ednez-L\u00f3pez, P., Nuevo-Ortega, P., Reina-Artacho, C., Estecha-Foncea, M.A., and G\u00f3mez-Gonz\u00e1lez, A.M. (2023). Phase angle and rectus femoris cross-sectional area as predictors of severe malnutrition and their relationship with complications in outpatients with post-critical SARS-CoV2 disease. Front. Nutr., 10.","DOI":"10.3389\/fnut.2023.1218266"},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"151","DOI":"10.1007\/s00595-017-1564-0","article-title":"Sarcopenia is an independent predictor of complications after colorectal cancer surgery","volume":"48","author":"Nakanishi","year":"2018","journal-title":"Surg. Today"},{"key":"ref_20","doi-asserted-by":"crossref","unstructured":"Cornejo-Pareja, I., Soler-Beunza, A.G., Vegas-Aguilar, I.M., Fern\u00e1ndez-Jim\u00e9nez, R., Tinahones, F.J., and Garc\u00eda-Almeida, J.M. (2022). Predictors of Sarcopenia in Outpatients with Post-Critical SARS-CoV2 Disease. Nutritional Ultrasound of Rectus Femoris Muscle, a Potential Tool. Nutrients, 14.","DOI":"10.3390\/nu14234988"},{"key":"ref_21","unstructured":"Piccoli, A., and Pastori, G. (2002). BIVA software, Department of Medical and Surgical Sciences, University of Padova."},{"key":"ref_22","doi-asserted-by":"crossref","unstructured":"de Luis Roman, D., Garc\u00eda Almeida, J.M., Bellido Guerrero, D., Guzm\u00e1n Rolo, G., Mart\u00edn, A., Primo Mart\u00edn, D., Garc\u00eda-Delgado, Y., Guirado-Pel\u00e1ez, P., Palmas, F., and Tejera P\u00e9rez, C. (2024). Ultrasound Cut-Off Values for Rectus Femoris for Detecting Sarcopenia in Patients with Nutritional Risk. Nutrients, 16.","DOI":"10.3390\/nu16111552"},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"1749","DOI":"10.1016\/j.clnu.2023.07.025","article-title":"New bioelectrical impedance vector references and phase angle centile curves in 4367 adults: The need for an urgent update after 30 years","volume":"42","author":"Campa","year":"2023","journal-title":"Clin. Nutr."},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"489","DOI":"10.1111\/apha.12224","article-title":"Measurement of skeletal muscle radiation attenuation and basis of its biological variation","volume":"210","author":"Aubrey","year":"2014","journal-title":"Acta Physiol."},{"key":"ref_25","doi-asserted-by":"crossref","unstructured":"Palmas, F., Ciudin, A., Guerra, R., Eiroa, D., Espinet, C., Roson, N., Burgos, R., and Sim\u00f3, R. (2023). Comparison of computed tomography and dual-energy X-ray absorptiometry in the evaluation of body composition in patients with obesity. Front. Endocrinol., 14.","DOI":"10.3389\/fendo.2023.1161116"},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"2333","DOI":"10.1152\/japplphysiol.00744.2004","article-title":"Total body skeletal muscle and adipose tissue volumes: Estimation from a single abdominal cross-sectional image","volume":"97","author":"Shen","year":"2004","journal-title":"J. Appl. Physiol."},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"629","DOI":"10.1016\/S1470-2045(08)70153-0","article-title":"Prevalence and clinical implications of sarcopenic obesity in patients with solid tumours of the respiratory and gastrointestinal tracts: A population-based study","volume":"9","author":"Prado","year":"2008","journal-title":"Lancet Oncol."},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"1008","DOI":"10.1158\/1055-9965.EPI-17-0200","article-title":"Explaining the Obesity Paradox: The Association between Body Composition and Colorectal Cancer Survival (C-SCANS Study)","volume":"26","author":"Caan","year":"2017","journal-title":"Cancer Epidemiol. Biomarkers Prev."},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"111","DOI":"10.1002\/jcsm.12357","article-title":"The relationship between computed tomography-derived body composition, systemic inflammatory response, and survival in patients undergoing surgery for colorectal cancer","volume":"10","author":"Dolan","year":"2019","journal-title":"J. Cachexia Sarcopenia Muscle"},{"key":"ref_30","doi-asserted-by":"crossref","unstructured":"Martin, D., Maeder, Y., Kobayashi, K., Schneider, M., Koerfer, J., Melloul, E., Halkic, N., H\u00fcbner, M., Demartines, N., and Becce, F. (2022). Association between CT-Based Preoperative Sarcopenia and Outcomes in Patients That Underwent Liver Resections. Cancers, 14.","DOI":"10.3390\/cancers14010261"},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"330","DOI":"10.1097\/MCO.0000000000000387","article-title":"Assessment of adult malnutrition and prognosis with bioelectrical impedance analysis: Phase angle and impedance ratio","volume":"20","author":"Lukaski","year":"2017","journal-title":"Curr. Opin. Clin. Nutr. Metab. Care"},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1016\/j.nut.2017.09.005","article-title":"A comparison of three methods to assess body composition","volume":"47","author":"Tewari","year":"2018","journal-title":"Nutrition"},{"key":"ref_33","first-page":"543","article-title":"Phase angle and cellular health: Inflammation and oxidative damage","volume":"24","author":"Orsso","year":"2022","journal-title":"Rev. Endocr. Metab. Disord."},{"key":"ref_34","doi-asserted-by":"crossref","unstructured":"Prior-S\u00e1nchez, I., Herrera-Mart\u00ednez, A.D., Zarco-Mart\u00edn, M.T., Fern\u00e1ndez-Jim\u00e9nez, R., Gonzalo-Mar\u00edn, M., Mu\u00f1oz-Garach, A., Vilchez-L\u00f3pez, F.J., Cay\u00f3n-Blanco, M., Villarrubia-Pozo, A., and Mu\u00f1oz-Jim\u00e9nez, C. (2024). Prognostic value of bioelectrical impedance analysis in head and neck cancer patients undergoing radiotherapy: A VALOR\u00ae study. Front. Nutr., 11.","DOI":"10.3389\/fnut.2024.1335052"},{"key":"ref_35","doi-asserted-by":"crossref","first-page":"171","DOI":"10.1590\/2175-8239-jbn-2021-0099","article-title":"Comparison of Bioelectrical Impedance Vector Analysis (BIVA) to 7-point Subjective Global Assessment for the diagnosis of malnutrition","volume":"44","author":"Sugizaki","year":"2022","journal-title":"J. Bras. Nefrol."},{"key":"ref_36","doi-asserted-by":"crossref","first-page":"886","DOI":"10.1016\/j.nut.2011.11.024","article-title":"Cachexia assessed by bioimpedance vector analysis as a prognostic indicator in chronic stable heart failure patients","volume":"28","year":"2012","journal-title":"Nutrition"},{"key":"ref_37","first-page":"1047","article-title":"Agreement between vector analysis and body composition measurements by four types of bioelectrical impedance technology in hemodialysis patients","volume":"39","author":"Carsi","year":"2022","journal-title":"Nutr. Hosp."},{"key":"ref_38","doi-asserted-by":"crossref","first-page":"1270","DOI":"10.1002\/jcsm.12575","article-title":"Prognostic impact of myosteatosis in patients with colorectal cancer: A systematic review and meta-analysis","volume":"11","author":"Lee","year":"2020","journal-title":"J. Cachexia Sarcopenia Muscle"},{"key":"ref_39","doi-asserted-by":"crossref","unstructured":"Mortellaro, S., Triggiani, S., Mascaretti, F., Galloni, M., Garrone, O., Carrafiello, G., and Ghidini, M. (2024). Quantitative and Qualitative Radiological Assessment of Sarcopenia and Cachexia in Cancer Patients: A Systematic Review. J. Pers. Med., 14.","DOI":"10.3390\/jpm14030243"},{"key":"ref_40","doi-asserted-by":"crossref","unstructured":"Ji, W., Liu, X., Zhang, Y., Zhao, Y., He, Y., Cui, J., and Li, W. (2022). Development of Formulas for Calculating L3 Skeletal Muscle Mass Index and Visceral Fat Area Based on Anthropometric Parameters. Front. Nutr., 9.","DOI":"10.3389\/fnut.2022.910771"},{"key":"ref_41","doi-asserted-by":"crossref","first-page":"109943","DOI":"10.1016\/j.ejrad.2021.109943","article-title":"Methodology, clinical applications, and future directions of body composition analysis using computed tomography (CT) images: A review","volume":"145","author":"Tolonen","year":"2021","journal-title":"Eur. J. Radiol."}],"container-title":["Cancers"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2072-6694\/16\/20\/3493\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T16:13:53Z","timestamp":1760112833000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2072-6694\/16\/20\/3493"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,10,15]]},"references-count":41,"journal-issue":{"issue":"20","published-online":{"date-parts":[[2024,10]]}},"alternative-id":["cancers16203493"],"URL":"https:\/\/doi.org\/10.3390\/cancers16203493","relation":{},"ISSN":["2072-6694"],"issn-type":[{"value":"2072-6694","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,10,15]]}}}