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The correlation between skeletal muscle index and anxiety in patients with lung cancer on the first day of chemotherapy

    Atakan Topcu

    *Author for correspondence:

    E-mail Address: atakantopcu@hotmail.com

    Department of Medical Oncology, Bezmialem Vakif University, Istanbul, 34093, Turkey

    ,
    Ismail Yurtsever

    Department of Radiology, Bezmialem Vakif University, Istanbul, 34093, Turkey

    ,
    Zehra Sucuoglu Isleyen

    Department of Medical Oncology, Bezmialem Vakif University, Istanbul, 34093, Turkey

    ,
    Mehmet Besiroglu

    Department of Medical Oncology, Bezmialem Vakif University, Istanbul, 34093, Turkey

    ,
    Ayse Irem Yasin

    Department of Medical Oncology, Bezmialem Vakif University, Istanbul, 34093, Turkey

    ,
    Zeynep Alaca Topcu

    Department of Medical Oncology, Istanbul Medeniyet University, Istanbul, 34722, Turkey

    ,
    Abdallah TM Shbair

    Department of Medical Oncology, Bezmialem Vakif University, Istanbul, 34093, Turkey

    ,
    Ozlem Toluk

    Department of Biostatistics, Bezmialem Vakif University, Istanbul, 34093, Turkey

    ,
    Melih Simsek

    Department of Medical Oncology, Bezmialem Vakif University, Istanbul, 34093, Turkey

    ,
    Mesut Seker

    Department of Medical Oncology, Bezmialem Vakif University, Istanbul, 34093, Turkey

    &
    Haci Mehmet Turk

    Department of Medical Oncology, Bezmialem Vakif University, Istanbul, 34093, Turkey

    Published Online:https://doi.org/10.2217/fon-2022-1200

    Aim: To evaluate the relationship between anxiety and skeletal muscle index (SMI) levels in lung cancer patients on the first day of chemotherapy. Materials & methods: This cross-sectional study included 108 patients. We analyzed patient characteristics, SMI levels, pain status and predicted anxiety factors. Results: Anxiety was detected in 61% of patients. SMI levels were significantly lower in the high anxiety group than the low anxiety group (p < 0.001). A significant correlation was observed between anxiety and SMI levels (r = -0.292; p = 0.002). Anxiety levels were significantly correlated with trait anxiety (r = 0.618; p < 0.001) and visual analog scale–pain (r = 0.364; p < 0.001). SMI (odds ratio: 0.94), trait anxiety (odds ratio: 1.12) and visual analog scale pain (odds ratio: 1.28) were independent risk factors for anxiety after adjusting for sex, stage and Eastern Cooperative Oncology Group performance status. Conclusion: Our study highlighted that higher anxiety scores were significantly correlated with lower SMI levels. We found that SMI, pain and trait anxiety were independent risk factors for anxiety.

    Papers of special note have been highlighted as: • of interest; •• of considerable interest

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