A dinamometria manual e seu uso na avaliação nutricional

Schlüssel, Michael Maia; Anjos, Luiz Antônio dos; Kac, Gilberto

doi:10.1590/s1415-52732008000200009

Cited by 57 publications

(57 citation statements)

References 38 publications

(81 reference statements)

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“…In another study evaluating elderly patients with hepatocellular carcinoma, the results suggested that MNA was adequate to identify the risk of deterioration in the quality of life and functional status, and to determine the risk of malnutrition 23 .…”

Section: Reliability Of Nutritional Assessment In Patients With Gastrmentioning

confidence: 99%

Reliability of nutritional assessment in patients with gastrointestinal tumors

Poziomyck

Fruchtenicht

Kabke

et al. 2016

Rev. Col. Bras. Cir.

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A B S T R A C TPatients with gastrointestinal cancer and malnutrition are less likely to tolerate major surgical procedures, radiotherapy or chemotherapy.In general, they display a higher incidence of complications such as infection, dehiscence and sepsis, which increases the length of stay and risk of death, and reduces quality of life. The aim of this review is to discuss the pros and cons of different points of view to assess nutritional risk in patients with gastrointestinal tract (GIT) tumors and their viability, considering the current understanding and screening approaches in the field. A better combination of anthropometric, laboratory and subjective evaluations is needed in patients with GIT cancer, since malnutrition in these patients is usually much more severe than in those patients with tumors at sites other than the GIT. Therefore, in the daily practice of oncology, the definition of an appreciable and simple to apply nutritional assessment tool is necessary to identify nutritional risk patients and thus determine the best approach and appropriate nutritional support 8 . The objective of this review is to present an overview of the methods and tools used to determine nutritional risk, considering the pros and cons when applied to patients with GIT cancer. METHODSWe systematically identified studies on nutritional status of patients with GIT cancer through the PubMed and MEDLINE databases. We researched articles published in the last ten years by combining the terms "nutritional assessment", "GI cancer", "gastrointestinal tract", "gastric cancer", "oesophageal cancer" and "pancreatic cancer". We considered for evaluation only complete articles with those terms in English or Portuguese. We identified additional articles from citations in the articles evaluated. RESULTS AND DISCUSSION General review of nutritional assessmentIt was in the 1950s that authors first published research related to nutritional assessment procedures. Subjective methodsIn 1980, Detsky et al. described the Subjective Global Assessment (SGA) used to assess preoperative patients with GIT tumors (n = 202) undergoing major surgical procedures; They have shown that SGA could be easily applied and considered it a valid and reliable method to estimate the surgical patients' nutritional status 12 .Other authors have published several articles supporting the SGA in determining nutritional status, which differed from other methods in considering not only changes in body composition, but also functional changes. In addition, SGA is a simple, inexpensive, non-invasive method and can be performed at bedside.Correct guidance on the SGA application is essential, since its accuracy depends on the observer's ability to detect subjectively significant nutritional changes 8,13,14 .Subsequently, the SGA has undergone modi- Wu et al. had higher incidence of complications and longer hospital stay the worse the level of SGA in patients undergoing major procedures for GIT cancer (mainly gastric) 18 . These results were also supported by our series o...

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Section: Reliability Of Nutritional Assessment In Patients With Gastrmentioning

confidence: 99%

Reliability of nutritional assessment in patients with gastrointestinal tumors

Poziomyck

Fruchtenicht

Kabke

et al. 2016

Rev. Col. Bras. Cir.

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“…It has been described as an appropriate tool for the nutritional screening and diagnosis of healthy populations 11,12 and hospitalized individuals 17 .…”

Section: Discussionmentioning

confidence: 99%

“…The evaluation was done with the patient seated, with hips and knees at 90° of flexion, adducted shoulder close to the trunk, flexed elbow at 90° with the forearm in neutral position (between pronation and supination) and wrist between 0° and 30° of extension and 0° and 15°o f ulnar deviation 12 .…”

Section: Hand Grip Strengthmentioning

confidence: 99%

“…The researcher verbally instructed the participant to exert maximum palmar prehension three times and the highest value was used 12 . HGS was evaluated on the arm side without vascular access.…”

Section: Hand Grip Strengthmentioning

confidence: 99%

“…It is a noninvasive, simple and quick method that can be used in clinical and epidemiological studies 10,11 . It may be useful for the assessment of nutritional status [11][12][13] , since malnourished patients present lean mass depletion and low muscle strength 10,11 .…”

Section: Introductionmentioning

confidence: 99%

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Relationship between hand grip strength and nutritional assessment methods used of hospitalized patients

et al. 2013

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OBJECTIVE: This study verified the association between hand grip strength and body mass index, subjective global assessment and nutritional risk screening 2002. METHODS: This cross-sectional study calculated the body mass index, measured hand grip strength and administered the subjective global assessment and nutritional risk screening 2002 to 118 patients hospitalized at the University Hospital of the Universidade Federal de Santa Catarina, Florianópolis, Brazil. Hand grip strength was compared with the reference values for the Brazilian population according to gender and age. The statistical analyses included the Student's t-test or Mann-Whitney test and multiple linear regression. The results were considered significant when p<0.05. RESULTS: The prevalences of nutritional risk or malnutrition according to body mass index, global subjective assessment, nutritional risk screening 2002 and hand grip strength were 3.5%, 50.9%, 33.9% and 35.6%, respectively. Malnourished individuals according to body mass index had, on average, 11.0kg less hand grip strength than the nourished individuals (p=0.008). There was no association between hand grip strength and the subjective global assessment (malnourished individuals had -2.8kg; p=0.078) and nutritional risk screening 2002 (malnourished individuals had -1.5kg; p=0.352). CONCLUSION: Hand grip strength was associated with body mass index but not with the subjective global assessment or nutritional risk screening 2002.

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