{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,24]],"date-time":"2026-08-24T20:14:22Z","timestamp":1787602462113,"version":"build-2736575974"},"reference-count":54,"publisher":"MDPI AG","issue":"9","license":[{"start":{"date-parts":[[2022,4,28]],"date-time":"2022-04-28T00:00:00Z","timestamp":1651104000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Nutrients"],"abstract":"<jats:p>Sarcopenia is a common finding in patients with cancer and potentially influences the patient\u2019s outcome. The aim of this study was to evaluate the prevalence of sarcopenia, according to the European Working Group on Sarcopenia in Older People, in a sample of women with breast cancer (BC) and a BMI lower than 30 kg\/m2. This cross-sectional study was conducted in patients with BC, stage 0-III, and receiving therapy for BC; the women were recruited at the Department of Clinical Medicine and Surgery, Federico II University, Naples, Italy. A control group with similar age and BMI was selected from the internal database. Anthropometry, bioimpedance analysis (BIA) and hand grip strength (HGS) were measured to detect sarcopenia. A total of 122 patients (mean age 49.3 \u00b1 11.0 years, BMI 24.6 \u00b1 3.0 kg\/m2) and 80 healthy controls were analyzed. Sarcopenia was found in 13.9% patients with BC, while none of the subjects in the control group was sarcopenic. By comparing BC patients with and without sarcopenia and the control group, the fat-free mass of sarcopenic BC patients were significantly lower than those of both non-sarcopenic BC patients and the control (p &lt; 0.05). The phase angle was also significantly lower in sarcopenic patients (\u22120.5 degrees, p = 0.048) than in the control group. Considering the prevalence of sarcopenia in patients with BC, our findings suggest the usefulness of body composition and HGS evaluation for early screening of sarcopenia to reduce the risk of associated complications.<\/jats:p>","DOI":"10.3390\/nu14091839","type":"journal-article","created":{"date-parts":[[2022,4,28]],"date-time":"2022-04-28T22:20:06Z","timestamp":1651184406000},"page":"1839","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":36,"title":["Prevalence of Sarcopenia in Women with Breast Cancer"],"prefix":"10.3390","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3158-450X","authenticated-orcid":false,"given":"Delia","family":"Morlino","sequence":"first","affiliation":[{"name":"Internal Medicine and Clinical Nutrition Unit, Department of Clinical Medicine and Surgery, Federico II University Hospital, 80131 Naples, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3258-7374","authenticated-orcid":false,"given":"Maurizio","family":"Marra","sequence":"additional","affiliation":[{"name":"Internal Medicine and Clinical Nutrition Unit, Department of Clinical Medicine and Surgery, Federico II University Hospital, 80131 Naples, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1408-209X","authenticated-orcid":false,"given":"Iolanda","family":"Cioffi","sequence":"additional","affiliation":[{"name":"Internal Medicine and Clinical Nutrition Unit, Department of Clinical Medicine and Surgery, Federico II University Hospital, 80131 Naples, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2332-4836","authenticated-orcid":false,"given":"Lidia","family":"Santarpia","sequence":"additional","affiliation":[{"name":"Internal Medicine and Clinical Nutrition Unit, Department of Clinical Medicine and Surgery, Federico II University Hospital, 80131 Naples, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pietro","family":"De Placido","sequence":"additional","affiliation":[{"name":"Oncology Unit, Department of Clinical Medicine and Surgery, Federico II University Hospital, 80131 Naples, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mario","family":"Giuliano","sequence":"additional","affiliation":[{"name":"Oncology Unit, Department of Clinical Medicine and Surgery, Federico II University Hospital, 80131 Naples, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carmine","family":"De Angelis","sequence":"additional","affiliation":[{"name":"Oncology Unit, Department of Clinical Medicine and Surgery, Federico II University Hospital, 80131 Naples, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Simone","family":"Carrano","sequence":"additional","affiliation":[{"name":"Oncology Unit, Department of Clinical Medicine and Surgery, Federico II University Hospital, 80131 Naples, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Annarita","family":"Verrazzo","sequence":"additional","affiliation":[{"name":"Oncology Unit, Department of Clinical Medicine and Surgery, Federico II University Hospital, 80131 Naples, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giuseppe","family":"Buono","sequence":"additional","affiliation":[{"name":"Oncology Unit, Department of Clinical Medicine and Surgery, Federico II University Hospital, 80131 Naples, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marianna","family":"Naccarato","sequence":"additional","affiliation":[{"name":"Internal Medicine and Clinical Nutrition Unit, Department of Clinical Medicine and Surgery, Federico II University Hospital, 80131 Naples, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3152-3130","authenticated-orcid":false,"given":"Olivia","family":"Di Vincenzo","sequence":"additional","affiliation":[{"name":"Internal Medicine and Clinical Nutrition Unit, Department of Clinical Medicine and Surgery, Federico II University Hospital, 80131 Naples, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3241-1897","authenticated-orcid":false,"given":"Enza","family":"Speranza","sequence":"additional","affiliation":[{"name":"Internal Medicine and Clinical Nutrition Unit, Department of Clinical Medicine and Surgery, Federico II University Hospital, 80131 Naples, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sabino","family":"De Placido","sequence":"additional","affiliation":[{"name":"Oncology Unit, Department of Clinical Medicine and Surgery, Federico II University Hospital, 80131 Naples, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Grazia","family":"Arpino","sequence":"additional","affiliation":[{"name":"Oncology Unit, Department of Clinical Medicine and Surgery, Federico II University Hospital, 80131 Naples, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4224-7821","authenticated-orcid":false,"given":"Fabrizio","family":"Pasanisi","sequence":"additional","affiliation":[{"name":"Internal Medicine and Clinical Nutrition Unit, Department of Clinical Medicine and Surgery, Federico II University Hospital, 80131 Naples, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2022,4,28]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"87","DOI":"10.3322\/caac.21262","article-title":"Global cancer statistics, 2012","volume":"65","author":"Torre","year":"2015","journal-title":"CA Cancer J. Clin."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"438","DOI":"10.3322\/caac.21583","article-title":"Breast cancer statistics, 2019","volume":"69","author":"DeSantis","year":"2019","journal-title":"CA Cancer J. Clin."},{"key":"ref_3","unstructured":"(2022, March 01). AIOM-Associazione Italiana di Oncologia Medica. Available online: https:\/\/snlg.iss.it\/wp-content\/uploads\/2021\/11\/LG_260_mammella_agg2021.pdf."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"3699","DOI":"10.1200\/JCO.2007.10.9710","article-title":"Cancer and Leukemia Group B Experience. Toxicity of older and younger patients treated with adjuvant chemotherapy for node-positive breast cancer: The Cancer and Leukemia Group B Experience","volume":"25","author":"Muss","year":"2007","journal-title":"J. Clin. Oncol."},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"105","DOI":"10.1016\/j.clnesp.2021.02.007","article-title":"Performance of functionality measures and phase angle in women exposed to chemotherapy for early breast cancer","volume":"42","author":"Mialich","year":"2021","journal-title":"Clin. Nutr. ESPEN"},{"key":"ref_6","doi-asserted-by":"crossref","unstructured":"Hirose, S., Nakajima, T., Nozawa, N., Katayanagi, S., Ishizaka, H., Mizushima, Y., Matsumoto, K., Nishikawa, K., Toyama, Y., and Takahashi, R. (2020). Phase Angle as an Indicator of Sarcopenia, Malnutrition, and Cachexia in Inpatients with Cardiovascular Diseases. J. Clin. Med., 9.","DOI":"10.3390\/jcm9082554"},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"1059","DOI":"10.1093\/gerona\/61.10.1059","article-title":"The loss of skeletal muscle strength, mass, and quality in older adults: The health, aging and body composition study","volume":"61","author":"Goodpaster","year":"2006","journal-title":"J. Gerontol. A Biol. Sci. Med. Sci."},{"key":"ref_8","first-page":"16","article-title":"Writing Group for the European Working Group on Sarcopenia in Older People 2 (EWGSOP2), and the Extended Group for EWGSOP2. Sarcopenia: Revised European consensus on definition and diagnosis","volume":"48","author":"Bahat","year":"2019","journal-title":"Age Ageing"},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"160","DOI":"10.1159\/000468153","article-title":"Evaluation of Hypocaloric Diet with Protein Supplementation in Middle-Aged Sarcopenic Obese Women: A Pilot Study","volume":"10","author":"Sammarco","year":"2017","journal-title":"Obes. Facts"},{"key":"ref_10","first-page":"412","article-title":"European Working Group on Sarcopenia in Older People. Sarcopenia: European consensus on definition and diagnosis: Report of the European Working Group on Sarcopenia in Older People","volume":"39","author":"Baeyens","year":"2010","journal-title":"Age Ageing"},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"27","DOI":"10.1186\/s40814-016-0067-x","article-title":"A feasibility study of implementing grip strength measurement into routine hospital practice (GRImP): Study protocol","volume":"2","author":"Ibrahim","year":"2016","journal-title":"Pilot Feasibility Stud."},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"559","DOI":"10.1093\/gerona\/glu011","article-title":"Grip strength cutpoints for the identification of clinically relevant weakness","volume":"69","author":"Alley","year":"2014","journal-title":"J. Gerontol. Ser. A"},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"1199","DOI":"10.1093\/gerona\/glx245","article-title":"Associations of Sarcopenia Definitions, and Their Components, With the Incidence of Recurrent Falling and Fractures: The Longitudinal Aging Study Amsterdam","volume":"73","author":"Schaap","year":"2018","journal-title":"J. Gerontol. Ser. A"},{"key":"ref_14","doi-asserted-by":"crossref","unstructured":"Beaudart, C., McCloskey, E., Bruy\u00e8re, O., Cesari, M., Rolland, Y., Rizzoli, R., Araujo De Carvalho, I., Amuthavalli Thiyagarajan, J., Bautmans, I., and Berti\u00e8re, M.-C. (2016). Sarcopenia in daily practice: Assessment and management. BMC Geriatr., 16.","DOI":"10.1186\/s12877-016-0349-4"},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"170","DOI":"10.1634\/theoncologist.2019-0600","article-title":"Bioelectrical Impedance Analysis for the Assessment of Sarcopenia in Patients with Cancer: A Systematic Review","volume":"25","author":"Aleixo","year":"2019","journal-title":"Oncologist"},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"3548284","DOI":"10.1155\/2019\/3548284","article-title":"Assessment of Body Composition in Health and Disease Using Bioelectrical Impedance Analysis (BIA) and Dual Energy X-Ray Absorptiometry (DXA): A Critical Overview","volume":"2019","author":"Marra","year":"2019","journal-title":"Contrast Media Mol. Imaging"},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"1670","DOI":"10.1016\/j.clnu.2017.07.016","article-title":"Prediction of body composition in anorexia nervosa: Results from a retrospective study","volume":"37","author":"Marra","year":"2018","journal-title":"Clin. Nutr."},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"79","DOI":"10.1016\/j.nut.2014.04.025","article-title":"Preliminary evaluation of the prevalence of sarcopenia in obese patients from Southern Italy","volume":"31","author":"Santarpia","year":"2015","journal-title":"Nutrition"},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"3052","DOI":"10.1016\/j.clnu.2020.10.048","article-title":"Bioelectrical impedance analysis (BIA) -derived phase angle in sarcopenia: A systematic review","volume":"40","author":"Marra","year":"2021","journal-title":"Clin. Nutr."},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"1227","DOI":"10.1080\/01635581.2017.1367939","article-title":"Assessment and Impact of Phase Angle and Sarcopenia in Palliative Cancer Patients","volume":"69","year":"2017","journal-title":"Nutr. Cancer"},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"398","DOI":"10.1007\/s11764-012-0234-x","article-title":"Prevalence and prognostic effect of sarcopenia in breast cancer survivors: The HEAL Study","volume":"6","author":"Baumgartner","year":"2012","journal-title":"J. Cancer Surviv."},{"key":"ref_22","doi-asserted-by":"crossref","unstructured":"Zhang, X.-M., Dou, Q.-L., Zeng, Y., Yang, Y., Cheng, A.S.K., and Zhang, W.-W. (2020). Sarcopenia as a predictor of mortality in women with breast cancer: A meta-analysis and systematic review. BMC Cancer, 20.","DOI":"10.1186\/s12885-020-6645-6"},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"1101","DOI":"10.1016\/j.clnu.2017.07.010","article-title":"Prevalence and predictive value of pre-therapeutic sarcopenia in cancer patients: A systematic review","volume":"37","author":"Pamoukdjian","year":"2018","journal-title":"Clin. Nutr."},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"58","DOI":"10.1016\/j.ejca.2015.12.030","article-title":"Prognostic value of sarcopenia in adults with solid tumours: A meta-analysis and systematic review","volume":"57","author":"Shachar","year":"2016","journal-title":"Eur. J. Cancer"},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"74","DOI":"10.1093\/ajcn\/81.1.74","article-title":"Comparison of multifrequency bioelectrical impedance analysis with dual-energy X-ray absorptiometry for assessment of percentage body fat in a large, healthy population","volume":"81","author":"Sun","year":"2005","journal-title":"Am. J. Clin. Nutr."},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"667","DOI":"10.1016\/j.clnu.2014.07.010","article-title":"Assessing appendicular skeletal muscle mass with bioelectrical impedance analysis in free-living Caucasian older adults","volume":"34","author":"Sergi","year":"2015","journal-title":"Clin. Nutr."},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"1031","DOI":"10.1007\/s12603-020-1515-0","article-title":"Grip Strength Criterion Matters: Impact of Average Versus Maximum Handgrip Strength on Sarcopenia Prevalence and Predictive Validity for Low Physical Performance","volume":"24","author":"Lim","year":"2020","journal-title":"J. Nutr. Health Aging"},{"key":"ref_28","doi-asserted-by":"crossref","unstructured":"Dodds, R.M., Syddall, H.E., Cooper, R., Benzeval, M., Deary, I.J., Dennison, E.M., Der, G., Gale, C.R., Inskip, H.M., and Jagger, C. (2014). Grip strength across the life course: Normative data from twelve british studies. PLoS ONE, 9.","DOI":"10.1371\/journal.pone.0113637"},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"547","DOI":"10.1093\/gerona\/glu010","article-title":"The FNIH sarcopenia project: Rationale, study description, conference recommendations, and final estimates","volume":"69","author":"Studenski","year":"2014","journal-title":"J. Gerontol. A Biol. Sci. Med. Sci."},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"289","DOI":"10.1111\/j.2517-6161.1995.tb02031.x","article-title":"Controlling the false discovery rate: A practical and powerful approach to multiple testing","volume":"57","author":"Benjamini","year":"1995","journal-title":"J. R. Stat. Soc. Ser. B"},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"330.e9","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":"173.e17","DOI":"10.1016\/j.jamda.2014.10.024","article-title":"The bioimpedance phase angle predicts low muscle strength, impaired quality of life, and increased mortality in old patients with cancer","volume":"16","author":"Norman","year":"2015","journal-title":"J. Am. Med. Dir. Assoc."},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"697","DOI":"10.1038\/ijo.2017.34","article-title":"Prediction and evaluation of resting energy expenditure in a large group of obese outpatients","volume":"41","author":"Marra","year":"2017","journal-title":"Int. J. Obes."},{"key":"ref_34","doi-asserted-by":"crossref","first-page":"930","DOI":"10.1016\/j.nut.2009.01.015","article-title":"Prognostic significance of bioelectrical impedance phase angle in advanced cancer: Preliminary observations","volume":"25","author":"Santarpia","year":"2009","journal-title":"Nutrition"},{"key":"ref_35","doi-asserted-by":"crossref","first-page":"1564","DOI":"10.1016\/j.clnu.2019.06.023","article-title":"Assessment of bioelectrical phase angle as a predictor of nutritional status in patients with Crohn\u2019s disease: A cross sectional study","volume":"39","author":"Cioffi","year":"2020","journal-title":"Clin. Nutr."},{"key":"ref_36","doi-asserted-by":"crossref","unstructured":"Morlino, D., Cioffi, I., Marra, M., Di Vincenzo, O., Scalfi, L., and Pasanisi, F. (2022). Bioelectrical Phase Angle in Patients with Breast Cancer: A Systematic Review. Cancers, 14.","DOI":"10.3390\/cancers14082002"},{"key":"ref_37","doi-asserted-by":"crossref","unstructured":"Cioffi, I., Imperatore, N., Di Vincenzo, O., Santarpia, L., Rispo, A., Marra, M., Testa, A., Contaldo, F., Castiglione, F., and Pasanisi, F. (2020). Association between Health-Related Quality of Life and Nutritional Status in Adult Patients with Crohn\u2019s Disease. Nutrients, 12.","DOI":"10.3390\/nu12030746"},{"key":"ref_38","doi-asserted-by":"crossref","first-page":"111199","DOI":"10.1016\/j.nut.2021.111199","article-title":"A proposal for reference values of hand grip strength in women with different body mass indexes","volume":"87\u201388","author":"Morlino","year":"2021","journal-title":"Nutrition"},{"key":"ref_39","doi-asserted-by":"crossref","unstructured":"Gupta, D., Lammersfeld, C.A., Vashi, P.G., King, J., Dahlk, S.L., Grutsch, J.F., and Lis, C.G. (2008). Bioelectrical impedance phase angle as a prognostic indicator in breast cancer. BMC Cancer, 8.","DOI":"10.1186\/1471-2407-8-249"},{"key":"ref_40","doi-asserted-by":"crossref","first-page":"452","DOI":"10.6004\/jnccn.2020.0016","article-title":"Breast Cancer, Version 3. 2020, NCCN Clinical Practice Guidelines in Oncology","volume":"18","author":"Gradishar","year":"2020","journal-title":"J. Natl. Compr. Cancer Netw."},{"key":"ref_41","doi-asserted-by":"crossref","unstructured":"Fukui, J., White, K., Frankland, T.B., Oshiro, C., and Wilkens, L. (2021). Weight changes according to treatment in a diverse cohort of breast cancer patients. BMC Cancer, 21.","DOI":"10.1186\/s12885-021-08740-5"},{"key":"ref_42","doi-asserted-by":"crossref","first-page":"69","DOI":"10.1053\/meta.2002.28960","article-title":"Appendicular lean tissue mass and the prevalence of sarcopenia among healthy women","volume":"51","author":"Movsesyan","year":"2002","journal-title":"Metabolism"},{"key":"ref_43","doi-asserted-by":"crossref","first-page":"986","DOI":"10.1007\/s10120-015-0546-4","article-title":"Sarcopenia is associated with severe postoperative complications in elderly gastric cancer patients undergoing gastrectomy","volume":"19","author":"Fukuda","year":"2016","journal-title":"Gastric Cancer"},{"key":"ref_44","doi-asserted-by":"crossref","first-page":"O256","DOI":"10.1111\/codi.13067","article-title":"Sarcopenia, as defined by low muscle mass, strength and physical performance, predicts complications after surgery for colorectal cancer","volume":"17","author":"Huang","year":"2015","journal-title":"Color. Dis."},{"key":"ref_45","doi-asserted-by":"crossref","first-page":"556","DOI":"10.1245\/s10434-015-4887-3","article-title":"Sarcopenia Adversely Impacts Postoperative Clinical Outcomes Following Gastrectomy in Patients with Gastric Cancer: A Prospective Study","volume":"23","author":"Wang","year":"2015","journal-title":"Ann. Surg. Oncol."},{"key":"ref_46","doi-asserted-by":"crossref","unstructured":"Bellieni, A., Fusco, D., Sanchez, A., Franceschini, G., Di Capua, B., Allocca, E., Di Stasio, E., Marazzi, F., Tagliaferri, L., and Masetti, R. (2021). Different Impact of Definitions of Sarcopenia in Defining Frailty Status in a Population of Older Women with Early Breast Cancer. J. Pers. Med., 11.","DOI":"10.3390\/jpm11040243"},{"key":"ref_47","doi-asserted-by":"crossref","first-page":"837","DOI":"10.1007\/s00520-019-04880-4","article-title":"Prevalence and related factors of sarcopenia in newly diagnosed cancer patients","volume":"28","author":"Oflazoglu","year":"2019","journal-title":"Support. Care Cancer"},{"key":"ref_48","doi-asserted-by":"crossref","unstructured":"Benavides-Rodr\u00edguez, L., Garc\u00eda-Hermoso, A., Rodrigues-Bezerra, D., Izquierdo, M., Correa-Bautista, J.E., and Ram\u00edrez-V\u00e9lez, R. (2017). Relationship between Handgrip Strength and Muscle Mass in Female Survivors of Breast Cancer: A Mediation Analysis. Nutrients, 9.","DOI":"10.3390\/nu9070695"},{"key":"ref_49","doi-asserted-by":"crossref","first-page":"2525","DOI":"10.1007\/s00520-017-3661-4","article-title":"Nutritional and functional factors as prognostic of surgical cancer patients","volume":"25","author":"Orlandi","year":"2017","journal-title":"Support. Care Cancer"},{"key":"ref_50","doi-asserted-by":"crossref","first-page":"4249","DOI":"10.1007\/s00520-019-05279-x","article-title":"Sarcopenia as a risk factor of severe laboratory adverse events in breast cancer patients receiving perioperative epirubicin plus cyclophosphamide therapy","volume":"28","author":"Ueno","year":"2020","journal-title":"Support. Care Cancer"},{"key":"ref_51","doi-asserted-by":"crossref","first-page":"278","DOI":"10.1111\/tbj.12952","article-title":"Beyond sarcopenia: Characterization and integration of skeletal muscle quantity and radiodensity in a curable breast cancer population","volume":"24","author":"Weinberg","year":"2018","journal-title":"Breast J."},{"key":"ref_52","doi-asserted-by":"crossref","first-page":"305","DOI":"10.1002\/jcsm.12165","article-title":"Muscle strength in breast cancer patients receiving different treatment regimes","volume":"8","author":"Klassen","year":"2016","journal-title":"J. Cachex-Sarcopenia Muscle"},{"key":"ref_53","doi-asserted-by":"crossref","first-page":"126","DOI":"10.1016\/j.puhe.2016.03.028","article-title":"Effects of concurrent aerobic and strength training on breast cancer survivors: A pilot study","volume":"136","author":"Minganti","year":"2016","journal-title":"Public Health"},{"key":"ref_54","doi-asserted-by":"crossref","first-page":"1009","DOI":"10.1158\/1055-9965.EPI-15-1061","article-title":"The Effect of Exercise Training on Mediators of Inflammation in Breast Cancer Survivors: A Systematic Review with Meta-analysis","volume":"25","author":"Elkins","year":"2016","journal-title":"Cancer Epidemiol. Biomark. Prev."}],"container-title":["Nutrients"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2072-6643\/14\/9\/1839\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T23:02:40Z","timestamp":1760137360000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2072-6643\/14\/9\/1839"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,4,28]]},"references-count":54,"journal-issue":{"issue":"9","published-online":{"date-parts":[[2022,5]]}},"alternative-id":["nu14091839"],"URL":"https:\/\/doi.org\/10.3390\/nu14091839","relation":{},"ISSN":["2072-6643"],"issn-type":[{"value":"2072-6643","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,4,28]]}}}