Evidence map›Paper›PMID 41998633›Full record

ArticleRespiratory research2026

Quantitative computed tomography body composition analysis for risk stratification in bronchiectasis.

Umberto Semenzato, Virginia Santello, Giulia Fichera, Daniele Previtero, Chiara Contin, Andrea Rastelli, Rossella Valvason, Marta Zuffellato, Anna Ferrari, Alessandro Micelli and 5 more

Abstract read
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Article in Respiratory research, 2026. 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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1 · What the graph read from it

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4 · The record

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5 · Who and what money

Authors and funding

15 authors.

Umberto Semenzato *Respiratory Medicine, Department of Cardiac, Thoracic, Vascular Sciences and Public Health, University of Padova, Padua, Italy. umberto.semenzato@aopd.veneto.it.
Virginia Santello *Respiratory Medicine, Department of Cardiac, Thoracic, Vascular Sciences and Public Health, University of Padova, Padua, Italy.
Giulia Fichera *Unit of Advanced Clinical and Translational Imaging, Department of Cardiac, Vascular Sciences and Public Health, Padova University, Thoracic, Padova, Italy.
Daniele Previtero *Respiratory Medicine, Department of Cardiac, Thoracic, Vascular Sciences and Public Health, University of Padova, Padua, Italy.
Chiara ContinRespiratory Disease Unit, Ospedale dell'Angelo, Mestre, Venice, Italy.
Andrea RastelliDepartment of Pneumology, Cittadella Hospital (PD), ULSS6 Euganea, Cittadella, Italy.
Rossella ValvasonPulmonology Unit, Dolo-Mirano Hospital, Serenissima, Venice, AULSS3, Italy.
Marta ZuffellatoPulmonology Unit, San Bassiano Hospital, Bassano Del Grappa, Italy.
Anna FerrariInfectious and Tropical Diseases Unit, Padova University Hospital, Padua, Italy.
Alessandro MicelliUnit of Advanced Clinical and Translational Imaging, Department of Cardiac, Vascular Sciences and Public Health, Padova University, Thoracic, Padova, Italy.
Chiara GiraudoUnit of Advanced Clinical and Translational Imaging, Department of Cardiac, Vascular Sciences and Public Health, Padova University, Thoracic, Padova, Italy.
Andrea SattinInfectious and Tropical Diseases Unit, Padova University Hospital, Padua, Italy.
Annamaria CattelanInfectious and Tropical Diseases Unit, Padova University Hospital, Padua, Italy.
Paolo SpagnoloRespiratory Medicine, Department of Cardiac, Thoracic, Vascular Sciences and Public Health, University of Padova, Padua, Italy.
Mariaenrica TinèRespiratory Medicine, Department of Cardiac, Thoracic, Vascular Sciences and Public Health, University of Padova, Padua, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundNutritional status and sarcopenia are established contributors to morbidity and mortality in chronic respiratory diseases. This study aimed to assess the prevalence and impact of body composition features extracted from computed tomography (CT) in patients with non-CF bronchiectasis.

methodsWe analysed data from 112 patients. Muscle and subcutaneous fat area and density were assessed by semi-automatic segmentation at the level of the 12th thoracic vertebra using the mediastinal window of routine chest CT scans. Clinical and functional features were compared between patients with and without body composition abnormalities. Associations between CT-derived body composition parameters and clinical outcomes were explored.

resultsThe majority of patients were female (86/112, 77%) and the median age was 66 years (56–74). Myosteatosis (low muscle density) affected 75 of 112 (66%) patients. Patients with myosteatosis (MSp) were older than those without (wMSp), median age 70 (61–77) vs. 58 (45–69) years (p < 0.001), and had lower FEV1, 81 (69–95) vs. 89 (78–101) % pred. (p = 0.038) and MEF50, 48 (25–66) vs. 61 (44–74) % pred. (p = 0.043). The incidence of non-tuberculous mycobacteria (NTM) pulmonary disease was higher in MSp compared to wMSp (19% vs. 3%; p = 0.043). Muscular density negatively correlated with the Bronchiectasis Severity Index (r = − 0.32; p = 0.012), FACED (r = − 0.38; p = 0.03) and E-FACED (r = − 0.35; p = 0.007) scores. Myosteatosis was not related to gender, radiological extension of bronchiectasis, bacterial colonization or laboratory data.

conclusionsMyosteatosis is highly prevalent in patients with bronchiectasis and is associated with worse airflow obstruction, higher disease severity, and increased frequency of NTM pulmonary disease, independently from BMI. Abnormal body composition as defined by CT assessment may provide clinically relevant information beyond traditional anthropometrics and complement existing severity scores for risk stratification in patients with bronchiectasis.

Indexed as

Body CompositionBronchiectasisTomography, X-Ray ComputedAgedFemaleHumansMaleMiddle AgedRetrospective StudiesRisk AssessmentRisk FactorsSarcopeniaBronchiectasisComorbiditiesComputed tomographyMyosteatosisNontuberculous mycobacteriaNutritional statusPersonalized medicineSarcopenia

Identifiers

PMID41998633
PMCPMC13262219

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.