2014
DOI: 10.1590/s0102-67202014000100004
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Abstract: BackgroundIn the compromised nutritional status, there is excessive skeletal muscle loss and decreased inflammatory response, contributing to increased morbidity and mortality and length of stay.AimTo estimate the prevalence of malnutrition by measuring adductor pollicis muscle using cutoffs for surgical patients suggested in the literature.MethodsCross-sectional study with 151 patients scheduled for elective surgical procedure. Nutritional assessment was performed by classical anthropometric measurements: arm… Show more

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Cited by 13 publications
(16 citation statements)
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References 18 publications
(24 reference statements)
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“…In the present study, almost two-thirds (67%) of the patients were malnourished by PGSGA, similar to other studies, showing malnutrition rates of 66% and 57% 26,27 , but lower than the 86% and 88% described in other works [24][25] . Paceli et al 28 found a preoperative weight loss greater than 10% in 42% of gastric cancer patients, similar to those of other Asian studies, of 13% and 31% 6,7 , respectively.…”
Section: Discussionsupporting
confidence: 91%
“…In the present study, almost two-thirds (67%) of the patients were malnourished by PGSGA, similar to other studies, showing malnutrition rates of 66% and 57% 26,27 , but lower than the 86% and 88% described in other works [24][25] . Paceli et al 28 found a preoperative weight loss greater than 10% in 42% of gastric cancer patients, similar to those of other Asian studies, of 13% and 31% 6,7 , respectively.…”
Section: Discussionsupporting
confidence: 91%
“…These previous studies found a negative relationship between APMT and mortality [13] and malnutrition [14,15], and a positive correlation with muscle mass markers [12]. However, the only study that used a convergent validation of APMT with SGA, which is one of the methods considered a gold standard in nutritional assessment, did not consider differences between genders in the establishment of cut-off points [14], which could be an important limitation e since lower values of APMT are observed in women, as presented in our previous publication [9].…”
Section: Discussionmentioning
confidence: 93%
“…The use of adductor pollicis muscle thickness (APMT) in the clinical practice is still scarce, but recent studies have shown a positive association of APMT with the estimation of the total muscle compartment [12] and also a negative relationship with mortality [13]. The relationship between APMT and nutritional parameters has been investigated in surgical patients [14,15]. However, both studies were carried out with small samples and no distinction was made between gender and APMT measurement.…”
Section: Introductionmentioning
confidence: 99%
“…The APMT may indicate changes in the composition of the whole body, and therefore may be useful to detect early changes related to malnutrition and assess nutritional recovery. The method is fast, simple, non-invasive and can be used in both bedridden patients and those able to walk (CAPAROSSI et al, 2012;MELO;SILVA, 2014 A study with healthy subjects was the first to suggest APM as an anthropometric parameter, obtaining an average APMT of 11.50 ± 2.76 mm (LAMEU et al, 2004b). Other studies were conducted with oncology, surgical, cardiac and chronic renal patients (ANDRADE et al, 2005;BRAGAGNOLO et al, 2009;FREITAS et al, 2010;OLIVEIRA et al, 2012;PEREIRA et al, 2013;MELO;SILVA, 2014).…”
Section: Resultsmentioning
confidence: 99%
“…The method is fast, simple, non-invasive and can be used in both bedridden patients and those able to walk (CAPAROSSI et al, 2012;MELO;SILVA, 2014 A study with healthy subjects was the first to suggest APM as an anthropometric parameter, obtaining an average APMT of 11.50 ± 2.76 mm (LAMEU et al, 2004b). Other studies were conducted with oncology, surgical, cardiac and chronic renal patients (ANDRADE et al, 2005;BRAGAGNOLO et al, 2009;FREITAS et al, 2010;OLIVEIRA et al, 2012;PEREIRA et al, 2013;MELO;SILVA, 2014). The average APMT in our study was 18.8 ± 5.2 mm in adults and 16.2 ± 4.9 mm in the elderly, and Spearman correlation test showed significant decrease in this measure with aging in the elderly (p = 0.004), corroborating the study of Pereira et al (2013), where the APMT also inversely correlated with age.…”
Section: Resultsmentioning
confidence: 99%