Association Between Fat Mass Index, Fat Free Mass Index and Metabolic Syndrome, Cachexia, and All-Cause Mortality Among Patients with Cancer.

Background and Objective: This study examined the associations of fat mass index (FMI) and fat free mass index (FFMI) with metabolic syndrome (MetS), cachexia, and all-cause mortality in cancer patients, given the limited existing evidence on these relationships. Materials and Methods: This analysis...

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Publicado en:Nutrition & Cancer Vol. 78; no. 2; pp. 123 - 134
Autores principales: Tian, Hai-Ying, Liu, Chen-An, Shi, Han-Ping
Formato: equations & formulas research tables/charts Journal Article
Publicado: Taylor & Francis Ltd 2026
Acceso en línea:Ver este registro en EBSCOhost
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      dt: 2026
      vid: 78
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      pub: Taylor & Francis Ltd
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        10.1080/01635581.2025.2581336
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        atl: Association Between Fat Mass Index, Fat Free Mass Index and Metabolic Syndrome, Cachexia, and All-Cause Mortality Among Patients with Cancer.
      aug:
        au:
          Tian, Hai-Ying
          Liu, Chen-An
          Shi, Han-Ping
        affil: Department of oncology, Daxing Teaching Hospital, Capital Medical University, Beijing, China
      sug:
        subj:
          Body Mass Index
          Fat Free Mass
          Metabolic Syndrome X
          Cachexia
          Cause of Death
          Cancer Patients Psychosocial Factors
          Body Composition
          Human
          Male
          Female
          Middle Age
          Aged
          Logistic Regression
          Cox Proportional Hazards Model
          Confidence Intervals
          Odds Ratio
          Multicenter Studies
          China
          Wilcoxon Rank Sum Test
          Chi Square Test
          Spearman's Rank Correlation Coefficient
          Prospective Studies
          Mediation Analysis
          Funding Source
          Middle Aged: 45-64 years
          Aged: 65+ years
          Male
          Female
      ab: Background and Objective: This study examined the associations of fat mass index (FMI) and fat free mass index (FFMI) with metabolic syndrome (MetS), cachexia, and all-cause mortality in cancer patients, given the limited existing evidence on these relationships. Materials and Methods: This analysis included 3,247 subjects enrolled in a cohort study. Cox regression analyses calculated hazard ratios (HRs) with corresponding 95% confidence intervals (95% CIs). Logistic models generated odds ratios (ORs) and 95% CIs. Mediation effects of FMI and FFMI on the cachexia-mortality association were evaluated. Results: FMI and FFMI were significantly associated with MetS and cachexia, respectively. FMI (HR [95% CI] = 0.96 (0.94, 0.99), p = 0.003), FFMI (HR [95% CI] = 0.94 (0.91, 0.97), p < 0.001) were significantly associated with mortality. FMI (proportion mediated%=10.21, p = 0.03) and FFMI (proportion mediated%=13.16, p = 0.016) mediate the correlation between cachexia and mortality. Subgroup analysis showed that FMI had a significant mediating effect in gastrointestinal cancer, while FFMI had a significant mediating effect in lung cancer. Conclusion: FMI and FFMI were positively correlated with MetS, negatively correlated with cachexia and mortality. FMI and FFMI mediate the association between cachexia and mortality, with FFMI having a higher mediating effect than FMI, however, the mediating effect was differentiated by tumor types.
      pubtype: Academic Journal
      doctype:
        equations & formulas
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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