Association between visceral obesity, metformin use, and recurrence risk in early-stage colorectal cancer

Autor: Yeshwanth Reddy Vedire, Sarbajit Mukherjee, Sumedha Dondapati, Sai Yendamuri
Jazyk: angličtina
Rok vydání: 2023
Předmět:
Zdroj: Scientific Reports, Vol 13, Iss 1, Pp 1-9 (2023)
Druh dokumentu: article
ISSN: 2045-2322
DOI: 10.1038/s41598-023-34690-y
Popis: Abstract We sought to investigate the association between visceral obesity with disease recurrence and survival in early-stage colorectal cancer (CRC) patients. We also wanted to examine if such an association, if exists, is influenced by metformin use. Stage I/II CRC adenocarcinoma patients treated surgically were identified. L3 level CT VFI (visceral fat index) was used as a metric of visceral obesity and was calculated as the proportion of total fat area composed of visceral fat. N = 492. 53% were males, 90% were Caucasians, 35% had stage I disease, and 14% used metformin. 20.3% patients developed a recurrence over a median follow-up of 56 months. VFI was associated with both RFS and OS in a multivariate model, but not BMI. The final multivariate model for RFS included an interaction term for VFI and metformin (p = 0.04). Confirming this result, subgroup analysis showed an increasing VFI was associated with a poor RFS (p = 0.002), and OS (p
Databáze: Directory of Open Access Journals
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