Lean body mass and stroke volume, a sex issue

IntroductionLarge vessel occlusions (LVO) account for over 60% of stroke-related mortality and disability. Lean body mass (LBM) represents metabolically active body tissue and has been associated with reduced mortality. This study aimed to investigate whether body composition influences LVO stroke p...

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Main Authors: Bertil Delsaut, Anissa Abderrakib, Noémie Ligot, Gilles Naeije
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-01-01
Series:Frontiers in Neurology
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Online Access:https://www.frontiersin.org/articles/10.3389/fneur.2024.1443356/full
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author Bertil Delsaut
Anissa Abderrakib
Noémie Ligot
Gilles Naeije
author_facet Bertil Delsaut
Anissa Abderrakib
Noémie Ligot
Gilles Naeije
author_sort Bertil Delsaut
collection DOAJ
description IntroductionLarge vessel occlusions (LVO) account for over 60% of stroke-related mortality and disability. Lean body mass (LBM) represents metabolically active body tissue and has been associated with reduced mortality. This study aimed to investigate whether body composition influences LVO stroke perfusion volumes and whether this effect is sex-specific.MethodsData were retrospectively collected from all patients admitted between January 2017 and January 2022 with LVO ischemic stroke at the Erasmus Hospital (Brussels), for whom anthropometric and perfusion data were available. Body mass index (BMI) and LBM were calculated using, respectively, the Quetelet’s and the James’ formula. Correlations between body composition and stroke volumes were investigated using Spearman correlations.ResultsA total of 152 patients were included in this study. Mean age 72 ± 14y, female ratio 62.5%, core volume 26 ± 38 mL, penumbra volume 104 ± 61 mL. LBM correlated significantly with stroke volumes (penumbra and core) in the entire group (core: p = 0.001; penumbra: p = 0.001). There was a significant sex-effect, with a significant correlation observed only in women (core: p = 0.008; penumbra: p = 0.007). BMI did not correlate with perfusion volumes at the group level nor at the sex-level.ConclusionLBM significantly impacts LVO stroke volumes, but this effect is observed only in women. LBM may serve as a superior indicator of body composition compared to BMI.
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spelling doaj-art-d7c87b68bfbe447e9e6f939dba4a7c352025-01-22T05:19:34ZengFrontiers Media S.A.Frontiers in Neurology1664-22952025-01-011510.3389/fneur.2024.14433561443356Lean body mass and stroke volume, a sex issueBertil Delsaut0Anissa Abderrakib1Noémie Ligot2Gilles Naeije3Department of Neurology, Tivoli Hospital, La Louvière, BelgiumDepartment of Neurology, CUB Hôpital Erasme, Université libre de Bruxelles (ULB), Brussels, BelgiumDepartment of Neurology, CUB Hôpital Erasme, Université libre de Bruxelles (ULB), Brussels, BelgiumDepartment of Neurology, CUB Hôpital Erasme, Université libre de Bruxelles (ULB), Brussels, BelgiumIntroductionLarge vessel occlusions (LVO) account for over 60% of stroke-related mortality and disability. Lean body mass (LBM) represents metabolically active body tissue and has been associated with reduced mortality. This study aimed to investigate whether body composition influences LVO stroke perfusion volumes and whether this effect is sex-specific.MethodsData were retrospectively collected from all patients admitted between January 2017 and January 2022 with LVO ischemic stroke at the Erasmus Hospital (Brussels), for whom anthropometric and perfusion data were available. Body mass index (BMI) and LBM were calculated using, respectively, the Quetelet’s and the James’ formula. Correlations between body composition and stroke volumes were investigated using Spearman correlations.ResultsA total of 152 patients were included in this study. Mean age 72 ± 14y, female ratio 62.5%, core volume 26 ± 38 mL, penumbra volume 104 ± 61 mL. LBM correlated significantly with stroke volumes (penumbra and core) in the entire group (core: p = 0.001; penumbra: p = 0.001). There was a significant sex-effect, with a significant correlation observed only in women (core: p = 0.008; penumbra: p = 0.007). BMI did not correlate with perfusion volumes at the group level nor at the sex-level.ConclusionLBM significantly impacts LVO stroke volumes, but this effect is observed only in women. LBM may serve as a superior indicator of body composition compared to BMI.https://www.frontiersin.org/articles/10.3389/fneur.2024.1443356/fullischemic strokelean body masssexcorepenumbra
spellingShingle Bertil Delsaut
Anissa Abderrakib
Noémie Ligot
Gilles Naeije
Lean body mass and stroke volume, a sex issue
Frontiers in Neurology
ischemic stroke
lean body mass
sex
core
penumbra
title Lean body mass and stroke volume, a sex issue
title_full Lean body mass and stroke volume, a sex issue
title_fullStr Lean body mass and stroke volume, a sex issue
title_full_unstemmed Lean body mass and stroke volume, a sex issue
title_short Lean body mass and stroke volume, a sex issue
title_sort lean body mass and stroke volume a sex issue
topic ischemic stroke
lean body mass
sex
core
penumbra
url https://www.frontiersin.org/articles/10.3389/fneur.2024.1443356/full
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