ArticleFrontiers in nutrition2025
Nutritional factors and survival in a cohort of patients with myelofibrosis.
Article in Frontiers in nutrition, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Introduction: Myelofibrosis (MF) is classified among the chronic myeloproliferative neoplasms and presents unique nutritional challenges. Inflammation can trigger metabolic changes that lead to malnutrition and, ultimately, cachexia. Splenomegaly, which may occupy much of the abdomen and compress the stomach, can cause early satiety and further contribute to malnutrition. We investigated associations between nutritional parameters, clinical features, and survival in individuals with MF. Methods: Forty-five individuals with MF (21 males, 24 females) were included and compared with a healthy control group of 351 individuals (157 males, 194 females). Body composition (bioelectrical impedance analysis), resting metabolic rate (RMR), and substrate oxidation (indirect calorimetry) were assessed. Results: The mean follow-up was 31 ± 8 months, during which seven deaths occurred. MF was associated with malnutrition; patients exhibited lower bioelectrical phase angle values and higher RMR (32.4 ± 4.2 vs. 28.5 ± 3.6 kcal/kg-fat-free mass/24 h; Discussion: Nutritional factors may serve as important predictors of survival in individuals with MF and should be considered in future supportive interventions aimed at improving both survival and quality of life.
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