ArticleTranslational lung cancer research2026
Bioelectrical impedance-derived body composition and systemic therapy outcomes in non-small cell lung cancer.
Article in Translational lung cancer 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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Abstract
Background: Body mass index (BMI) cannot distinguish skeletal muscle from adipose tissue or capture fat distribution in non-small cell lung cancer (NSCLC). We explored whether bioelectrical impedance analysis (BIA)-assessed body composition was associated with systemic therapy outcomes. Methods: Consecutive adults with confirmed NSCLC who underwent pretreatment multifrequency BIA between March 2023 and March 2025 were retrospectively included. Analyses were performed by treatment context, including stage I surgical patients and stage II-IV patients receiving immune checkpoint inhibitor (ICI)- or epidermal growth factor receptor tyrosine kinase inhibitor (EGFR-TKI)-based systemic therapy. Body-composition parameters were compared by clinical stage and Results: Among 473 screened patients, 369 were included, comprising 126 with stage I disease and 243 with stage II-IV disease. After predefined exclusions, outcome cohorts included 125 ICI-treated and 43 EGFR-TKI-treated patients. In cross-sectional analyses, adiposity-related parameters were nominally lower in stage II-IV disease than in stage I disease, but these differences did not remain significant after false discovery rate (FDR) correction; no body-composition parameter differed significantly by Conclusions: BIA-assessed skeletal muscle reserve and visceral adiposity were associated with outcomes during ICI-based therapy in men with NSCLC. Higher SMI and lower VFI identified a more favorable clinical profile. Prospective validation is warranted to define the role of BIA-based body-composition assessment in host-related risk stratification during systemic therapy.
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