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Sarcopenia in Children with Solid Organ Tumors: An Instrumental Era
Annika Ritz1, Eberhard Lurz2, Michael Berger1,3
1Department of Pediatric Surgery, Dr. von Hauner Children's Hospital, Ludwig-Maximilians-University Munich, 80337 Munich, Germany.
Insights
Sarcopenia, or skeletal muscle loss, is a key predictor of poor outcomes in children with solid organ tumors. This research highlights its role in identifying at-risk pediatric cancer patients.
Area of Science:
- Pediatric Oncology
- Clinical Nutrition
- Biomarkers
Background:
- Sarcopenia is an emerging prognostic marker across diverse patient groups.
- Children with cancer, particularly those with solid organ tumors, are susceptible to skeletal muscle mass loss.
- Factors like metabolic changes, inflammation, and cancer therapy exacerbate muscle wasting in pediatric patients.
Purpose of the Study:
- To review the current understanding of sarcopenia in pediatric solid organ tumors.
- To detail the pathophysiological mechanisms driving sarcopenia in this population.
- To explore methods for measuring muscle mass, strength, and function, including AI-based techniques.
Main Methods:
- Review of current literature on sarcopenia in pediatric oncology.
- Analysis of pathophysiological mechanisms contributing to muscle loss.
- Evaluation of diagnostic techniques for muscle assessment, including AI applications.
Main Results:
- Sarcopenia is a relevant prognostic marker for adverse outcomes in children with solid organ tumors, especially in high-risk groups.
- It offers an objective method to quantify muscle wasting.
- The study emphasizes the need for objective tools to predict and improve outcomes.
Conclusions:
- Sarcopenia is a valuable tool for predicting outcomes in pediatric patients with solid organ tumors.
- Understanding sarcopenia's mechanisms and measurement is crucial for clinical application.
- Further research and application of AI-based techniques can enhance patient care and prognosis.
Abstract:
Sarcopenia has recently been studied in both adults and children and was found to be a prognostic marker for adverse outcome in a variety of patient groups. Our research showed that sarcopenia is a relevant marker in predicting outcome in children with solid organ tumors, such as hepatoblastoma and neuroblastoma. This was especially true in very ill, high-risk groups. Children with cancer have a higher likelihood of ongoing loss of skeletal muscle mass due to a mismatch in energy intake and expenditure. Additionally, the effects of cancer therapy, hormonal alterations, chronic inflammation, multi-organ dysfunction, and a hypermetabolic state all contribute to a loss of skeletal muscle mass. Sarcopenia seems to be able to pinpoint this waste to a high degree in a new and objective way, making it an additional tool in predicting and improving outcome in children. This article focuses on the current state of sarcopenia in children with solid organ tumors. It details the pathophysiological mechanisms behind sarcopenia, highlighting the technical features of the available methods for measuring muscle mass, strength, and function, including artificial intelligence (AI)-based techniques. It also reviews the latest research on sarcopenia in children, focusing on children with solid organ tumors.
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