PMID- 34278900 OWN - NLM STAT- MEDLINE DCOM- 20220426 LR - 20220602 IS - 1532-7914 (Electronic) IS - 0163-5581 (Linking) VI - 74 IP - 4 DP - 2022 TI - Body Mass Index Alters the Predictive Value of the Neutrophil-to-Lymphocyte Ratio and Systemic Inflammation Response Index in Laryngeal Squamous Cell Carcinoma Patients. PG - 1261-1269 LID - 10.1080/01635581.2021.1952447 [doi] AB - Laryngeal squamous cell carcinoma (LSCC) is a frequent cancer subtype among head and neck cancers. Exacerbated inflammation and nutritional deficit are common features in this type of cancer and can be used as a prognostic marker. This study aimed to investigate the relationship between body mass index (BMI), neutrophil-to-lymphocyte ratio (NLR), and systemic inflammation response index (SIRI) on overall survival (OS) of LSCC patients. In this retrospective cohort study, 168 patients were followed for 5 years. Data on clinical factors, patients' life habits, height, weight, and hematological parameters were collected. BMI, NLR, and SIRI were calculated. Pretreatment NLR>/= 2.02 and SIRI>/= 1160.85 were independent prognostic factors for poor OS. Low BMI did not significantly affect the OS. However, the inflammatory parameters had their predictive capacity altered when stratified by the BMI classification. NLR>/= 2.02 + Low BMI or SIRI>/= 1160.85 + Low BMI increased in 8.6 and 3.8 times the risk of death, respectively. In contrast, stratification by normal/high BMI classification eliminated the predictive capacity of NLR and SIRI. Here, we demonstrated the possible ability of BMI to change the prognostic capacity of inflammatory markers NLR and SIRI in patients with LSCC.Supplemental data for this article is available online at https://doi.org/10.1080/01635581.2021.1952447. FAU - Murad, Luana Dalbem AU - Murad LD AUID- ORCID: 0000-0001-8210-3000 AD - Nutrition and Dietetics Section, Brazilian National Cancer Institute Jose Alencar Gomes da Silva (INCA), Rio de Janeiro, RJ, Brazil. AD - Basic and Experimental Nutrition Department, Josue de Castro Nutrition Institute, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil. FAU - Silva, Thays de Queiroz AU - Silva TQ AD - Basic and Experimental Nutrition Department, Josue de Castro Nutrition Institute, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil. FAU - Schilithz, Arthur Orlando Correa AU - Schilithz AOC AD - Nutrition and Dietetics Section, Brazilian National Cancer Institute Jose Alencar Gomes da Silva (INCA), Rio de Janeiro, RJ, Brazil. FAU - Monteiro, Mariana Costa AU - Monteiro MC AD - Basic and Experimental Nutrition Department, Josue de Castro Nutrition Institute, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil. FAU - Murad, Leonardo Borges AU - Murad LB AD - Nutrition and Dietetics Section, Brazilian National Cancer Institute Jose Alencar Gomes da Silva (INCA), Rio de Janeiro, RJ, Brazil. FAU - Fialho, Eliane AU - Fialho E AD - Basic and Experimental Nutrition Department, Josue de Castro Nutrition Institute, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20210719 PL - United States TA - Nutr Cancer JT - Nutrition and cancer JID - 7905040 SB - IM MH - Body Mass Index MH - *Head and Neck Neoplasms/pathology MH - Humans MH - Inflammation/pathology MH - Lymphocytes/pathology MH - *Neutrophils/pathology MH - Prognosis MH - Retrospective Studies MH - Squamous Cell Carcinoma of Head and Neck/pathology EDAT- 2021/07/20 06:00 MHDA- 2022/04/27 06:00 CRDT- 2021/07/19 08:42 PHST- 2021/07/20 06:00 [pubmed] PHST- 2022/04/27 06:00 [medline] PHST- 2021/07/19 08:42 [entrez] AID - 10.1080/01635581.2021.1952447 [doi] PST - ppublish SO - Nutr Cancer. 2022;74(4):1261-1269. doi: 10.1080/01635581.2021.1952447. Epub 2021 Jul 19.