Source:http://linkedlifedata.com/resource/pubmed/id/19135945
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
1
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pubmed:dateCreated |
2009-1-12
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pubmed:abstractText |
Both obesity and malnutrition are considered risk factors for complications after bone marrow transplantation (BMT). To elucidate the impact of pretransplantation body mass index (BMI) on clinical outcome, we performed a retrospective cohort study with registration data from the Japan Marrow Donor Program (JMDP). Between January 1998 and December 2005, a total of 3935 patients received unrelated BMT through the JMDP; of these, 3827 patients for whom pretransplantation height and weight data were available were included in the study. Patients were stratified according to pretransplantation BMI values (low BMI: BMI < 18 kg/m(2), n = 295; normal BMI: 18 < or = BMI < 25 kg/m(2), n = 2906; overweight: 25 < or = BMI <30 kg/m(2), n = 565; obese: 30 kg/m(2) < or = BMI, n = 61). In a univariate analysis, pretransplantation BMI was associated with a significantly greater risk of grade II-IV acute graft-versus-host disease (GVHD; P = .03). Multivariate analysis showed that pretransplantation BMI tended to be associated with an increased risk of grade II-IV acute GVHD (P = .07). Obesity was associated with an increased risk of infection compared with normal BMI (odds ratio = 1.9; 95% confidence interval = 1.1 to 3.2; P = .02). Our findings demonstrate a correlation between pretransplantation BMI and posttransplantation complications. Although BMI depends strongly on multiple factors, the effect of obesity on clinical outcome should be evaluated in a prospective study.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:status |
MEDLINE
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pubmed:month |
Jan
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pubmed:issn |
1523-6536
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pubmed:author |
pubmed-author:AkiyamaHidekiH,
pubmed-author:FujiShigeoS,
pubmed-author:Japan Marrow Donor Program,
pubmed-author:KimSung-WonSW,
pubmed-author:KobayashiNaokiN,
pubmed-author:MoriShin-ichiroS,
pubmed-author:OkamotoShin-ichiroS,
pubmed-author:SaoHiroshiH,
pubmed-author:TakitaJunkoJ,
pubmed-author:YoshimuraKen-ichiK
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pubmed:issnType |
Electronic
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pubmed:volume |
15
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
73-82
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pubmed:meshHeading |
pubmed-meshheading:19135945-Adolescent,
pubmed-meshheading:19135945-Adult,
pubmed-meshheading:19135945-Aged,
pubmed-meshheading:19135945-Body Mass Index,
pubmed-meshheading:19135945-Bone Marrow Transplantation,
pubmed-meshheading:19135945-Communicable Diseases,
pubmed-meshheading:19135945-Graft vs Host Disease,
pubmed-meshheading:19135945-Humans,
pubmed-meshheading:19135945-Malnutrition,
pubmed-meshheading:19135945-Middle Aged,
pubmed-meshheading:19135945-Obesity,
pubmed-meshheading:19135945-Prognosis,
pubmed-meshheading:19135945-Retrospective Studies,
pubmed-meshheading:19135945-Risk Factors
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pubmed:year |
2009
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pubmed:articleTitle |
Possible association between obesity and posttransplantation complications including infectious diseases and acute graft-versus-host disease.
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pubmed:affiliation |
Department of Hematology and Stem Cell Transplantation, National Cancer Center Hospital, Tokyo, Japan.
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pubmed:publicationType |
Journal Article,
Research Support, Non-U.S. Gov't
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