Chest computed tomography-derived low fat-free mass index and mortality in COPD

McDonald M-LN, Diaz AA, Rutten E, Lutz SM, Harmouche R, Estepar RSJ, Kinney G, Hokanson JE, Gower BA, Wouters EFM, et al. Chest computed tomography-derived low fat-free mass index and mortality in COPD. Eur Respir J. 2017;50(6).

Abstract

Low fat-free mass index (FFMI) is an independent risk factor for mortality in chronic obstructive pulmonary disease (COPD) not typically measured during routine care. In the present study, we aimed to derive fat-free mass from the pectoralis muscle area (FFM) and assess whether low FFMIis associated with all-cause mortality in COPD cases. We used data from two independent COPD cohorts, ECLIPSE and COPDGene.Two equal sized groups of COPD cases (n=759) from the ECLIPSE study were used to derive and validate an equation to calculate the FFMmeasured using bioelectrical impedance from PMA. We then applied the equation in COPD cases (n=3121) from the COPDGene cohort, and assessed survival. Low FFMIwas defined, using the Schols classification (FFMI
Last updated on 02/26/2023