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논문 기본 정보

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저자정보
Jo Hyeong Ho (Department of Internal Medicine Seoul National University Bundang Hospital Seongnam KoreaDepartment of Internal Medicine Daegu Catholic University School of Medicine Daegu Korea) Kim Nayoung (Department of Internal Medicine Seoul National University Bundang Hospital Seongnam KoreaDepartment of Internal Medicine Seoul National University College of Medicine Seoul Korea) Jang Jieun (Gyeongnam Center for Infectious Disease Control and Prevention Gyeongnam Provincial Government Changwon Korea) Choi Yonghoon (Department of Internal Medicine Seoul National University Bundang Hospital Seongnam Korea) Park Jaehyung (Department of Internal Medicine Seoul National University Bundang Hospital Seongnam Korea) Park Young Mi (Division of Statistics Medical Research Collaborating Center Seongnam Korea) Ahn Soyeon (Division of Statistics Medical Research Collaborating Center Seongnam Korea) Yoon Hyuk (Department of Internal Medicine Seoul National University Bundang Hospital Seongnam Korea) Shin Cheol Min (Department of Internal Medicine Seoul National University Bundang Hospital Seongnam Korea) Park Young Soo (Department of Internal Medicine Seoul National University Bundang Hospital Seongnam Korea) Lee Dong Ho (Department of Internal Medicine Seoul National University Bundang Hospital Seongnam KoreaDepartment of Internal Medicine Seoul National University College of Medicine Seoul Korea) Oh Hyeon Jeong (Department of Pathology Seoul National University Bundang Hospital Seongnam Korea) Lee Hye Seung (Department of Pathology Seoul National University College of Medicine Seoul Korea) Park Young Suk (Department of Surgery Seoul National University Bundang Hospital Seongnam Korea) Ahn Sang-Hoon (Department of Surgery Seoul National University Bundang Hospital Seongnam Korea) Suh Yun-Suhk (Department of Surgery Seoul National University Bundang Hospital Seongnam Korea) Park Do Joong (Department of Surgery Seoul National University Bundang Hospital Seongnam KoreaDepartment of Surgery Seoul National University College of Medicine Seoul Korea) Kim Hyung Ho (Department of Surgery Seoul National University Bundang Hospital Seongnam KoreaDepartment of Surgery Seoul National University College of Medicine Seoul Korea) Kim Ji-Won (Department of Internal Medicine Seoul National University Bundang Hospital Seongnam Korea) Kim Jin Won (Department of Internal Medicine Seoul National University Bundang Hospital Seongnam Korea) Lee Keun-Wook (Department of Internal Medicine Seoul National University Bundang Hospital Seongnam KoreaDepartment of Internal Medicine Seoul National University College of Medicine Seoul Korea) Chang Won (Department of Radiology Seoul National University Bundang Hospital Seongnam Korea.) Park Ji Hoon (Department of Radiology Seoul National University Bundang Hospital Seongnam Korea) Lee Yoon Jin (Department of Radiology Seoul National University Bundang Hospital Seongnam Korea) Lee Kyoung Ho (Department of Radiology Seoul National University Bundang Hospital Seongnam KoreaDepartment of Radiology Seoul National University College of Medicine Seoul Korea) Kim Young Hoon (Department of Radiology Seoul National University Bundang Hospital Seongnam KoreaDepartment of Radiology Seoul National University College of Medicine Seoul Korea)
저널정보
거트앤리버 발행위원회 Gut and Liver Gut and Liver 제17권 제2호
발행연도
2023.3
수록면
243 - 258 (16page)
DOI
10.5009/gnl220104

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Background/Aims: The incidence and prognosis of gastric cancer (GC) shows sex difference. This study aimed to evaluate the effect of body mass index (BMI) on GC survival depending on sex. Methods: The sex, age, location, histology, TNM stages, BMI, and survival were analyzed in GC patients from May 2003 to February 2020 at the Seoul National University Bundang Hospital. Results: Among 14,688 patients, there were twice as many males (66.6%) as females (33.4%). However, under age 40 years, females (8.6%) were more prevalent than males (3.1%). Cardia GC in males showed a U-shaped distribution for underweight (9.6%), normal (6.4%), overweight (6.1%), obesity (5.6%), and severe obesity (9.3%) but not in females (p=0.003). Females showed decreased proportion of diffuse-type GC regarding BMI (underweight [59.9%], normal [56.8%], overweight [49.5%], obesity [44.8%], and severe obesity [41.7%]), but males did not (p<0.001). Both sexes had the worst prognosis in the underweight group (p<0.001), and the higher BMI, the better prognosis in males, but not females. Sex differences in prognosis according to BMI tended to be more prominent in males than in females in subgroup analysis of TNM stages I, II, and III and the operative treatment group. Conclusions: GC-specific survival was affected by BMI in a sex-dependent manner. These differences may be related to genetic, and environmental, hormonal factors; body composition; and muscle mass (Trial registration number: NCT04973631).
#Stomach neoplasms #Body mass index #Sex #Aging #Survival

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