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Current Pulmonology Reports
Published in: Current Pulmonology Reports 3/2018

01-09-2018 | Lungs Transplant (R Bag, Section Editor)

It's What’s Inside that Counts: Body Composition and Lung Transplantation

Authors: Jessica Lau, Erin F. Barreto, Anupam Kumar, Cassie C. Kennedy

Published in: Current Pulmonology Reports | Issue 3/2018

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Abstract

Purpose of Review

Factors such as weight, body composition, and functional status appear to influence lung transplant outcomes. Body mass index (BMI) is incorporated into the International Society for Heart and Lung Transplantation’s (ISHLT) recipient selection guidelines. Data suggests BMI does not effectively differentiate patients with high body fat percentage or low lean muscle mass, leading to both over and under estimates of candidates’ risks.

Recent Findings

Recent research has focused on alternate measures and estimates of body composition and their associations with important lung transplant outcomes. Herein, we review the current literature on body composition in lung transplantation, including the variety of measurements used and the concepts of obesity, low muscle mass, and frailty.

Summary

The concept of body composition is evolving beyond the relationship between weight and height as represented by a calculated body mass index. Radiographic assessments and serum markers allow for a more precise and representative measurement of body composition which takes into consideration fat percentage and muscle mass.
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Metadata
Title
It's What’s Inside that Counts: Body Composition and Lung Transplantation
Authors
Jessica Lau
Erin F. Barreto
Anupam Kumar
Cassie C. Kennedy
Publication date
01-09-2018
Publisher
Springer US
Published in
Current Pulmonology Reports / Issue 3/2018
Electronic ISSN: 2199-2428
DOI
https://doi.org/10.1007/s13665-018-0206-3

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