Body Composition and White Adipose Tissue Inflammation
The investigators want to find a better way to predict the risk of having fatty tissue inflammation by using a different approach to finding out body fat composition. In this study, the investigators want to estimate the body fat composition using a DEXA scan. DEXA stands for dual energy X-ray absorptiometry. It is the standard and established test to determine bone mineral density (how strong the bones are) to diagnose osteoporosis. This test can also be used to determine the body composition including percent body fat and lean mass. The investigators will compare the participants DEXA scan results for body fat composition to the inflammation found in the breast tissue from the mastectomy to see if there is a relationship. If successful, this may help us predict which patients may be at risk for breast cancer in the future. In addition, the investigators will compare the participants DEXA scan results for body fat composition and inflammation found in the fat tissue from the mastectomy or prostatectomy to the level of exercise activity as measured by a short questionnaire to see if there is a relationship. The investigators will also measure the participants waist to hip ratio.
Finally, at the time the participant has blood drawn for their standard presurgical testing, the investigators will also test the blood for prediabetes using a blood test called hemoglocin A1c. The investigators will also measure for the participants waist to hip ratio, and a Hgb A1c blood drawn will be take at the time of presurgical testing. If not feasible, Hgb A1c can be drawn at a separate visit prior to the DEXA scan. If successful, this may help us predict which patients may be at risk for breast cancer in the future.
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Contacts and Locations
Study Locations
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Massachusetts
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Milford, Massachusetts, United States, 01757
- Waters Corporation (Data Analysis Only)
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New Jersey
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Basking Ridge, New Jersey, United States
- Memorial Sloan Kettering Cancer Center (Consent Only)
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Middletown, New Jersey, United States, 07748
- Memorial Sloan Kettering Monmouth (Consent only)
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Montvale, New Jersey, United States, 07645
- Memorial Sloan Kettering Bergen (Consent only)
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New York
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Commack, New York, United States, 11725
- Memorial Sloan Kettering Cancer Center @ Commack (Consent Only)
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Harrison, New York, United States, 10604
- Memorial Sloan Kettering Westchester (Consent only)
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New York, New York, United States, 10065
- Memorial Sloan Kettering Cancer Center
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New York, New York, United States, 10021
- Weill Medical College of Cornell University (Data and Specimen Analysis Only)
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Uniondale, New York, United States, 11553
- Memorial Sloan Kettering Nassau (Consent only)
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Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Sampling Method
Study Population
This study is open to patients undergoing prophylactic or therapeutic mastectomy or radical prostatectomy at MSKCC.
Patients will be identified and recruited from the Breast Service at and Plastics and Reconstructive Surgery Clinics MSKCC and approached at the time of initial surgical consultation.
Description
Inclusion Criteria:
- Age ≥ 18
- Female
- All BMIs
- Patients undergoing mastectomy at MSKCC (i.e. Nipple-sparing mastectomy, skin-sparing mastectomy, simple mastectomy, modified radical mastectomy, radical mastectomy); mastectomy may be either prophylactic or therapeutic. OR
- Patients undergoing hysterectomy at MSKCC
- History of prior breast surgeries/procedures is acceptable
Exclusion Criteria:
- Pregnancy (confirmed or suspected);
- Inability to lay supine on equipment table and maintain the position for the necessary time;
- Weight superior to the maximum allowed by the DEXA machine (over 350 lbs or 158 kg);
- Greater than 10% baseline weight loss in the past year;
- Planned surgical procedure is not a Mastectomy (i.e. breast conservation surgery or other non-mastectomy procedure; such as lumpectomy) or hysterectomy
- Metastatic cancer
- History of Wasting Syndromes or Cachexia
- Use of daily NSAIDs, aspirin, or steroids (other than inhaled or topical) within 30 days of surgery
- Use of neoadjuvant systemic or radiation therapy.
Study Plan
How is the study designed?
Design Details
- Observational Models: Cohort
- Time Perspectives: Prospective
Number of groups / cohorts
Cohorts and Interventions
Group / CohortGroup / Cohort |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Breast Cancer
DEXA scan will be carried out 1 to 30 days prior to mastectomy.
Patients will also complete the Godin Leisure Time Exercise Questionnaire (GLTEQ) and their waist to hip ratio will be measured.
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|
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Prostate Cancer
DEXA scan will be carried out 1 to 30 days prior to radical prostatectomy.
Patients will also complete the Godin Leisure Time Exercise Questionnaire (GLTEQ) and their waist to hip ratio will be measured.
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
fat percentage
Time Frame: 1 year
|
as measured by DEXA
|
1 year
|
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presence of White Adipose Tissue Inflammation (WATi )
Time Frame: 1 year
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as measured by DEXA
|
1 year
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Collaborators and Investigators
Sponsor
Sponsor
Collaborators
Collaborators
Investigators
Investigators
- Principal Investigator: Neil Iyengar, MD, Memorial Sloan Kettering Cancer Center
Publications and helpful links
Helpful Links
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Estimated)
First Posted
Study Record Updates
Last Update Posted (Estimated)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- 15-235
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