Adductor pollicis muscle: A study about its use as a nutritional parameter in surgical patients

González, Marı́a Cristina; Duarte, Rodrigo Roig Pureza; Orlandi, Silvana Paiva; Bielemann, Renata Moraes; Barbosa-Silva, Thiago G

doi:10.1016/j.clnu.2014.11.006

Cited by 22 publications

(29 citation statements)

References 20 publications

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“…Recently, Gonzalez et al 23 reported that TAM thickness was significantly associated with nutritional status in a sample of surgical patients in southern Brazil. We found similar results, the lowest TAM thickness being related to higher mortality, as also demonstrated by Melo and Silva 24 in 151 elective procedures and Bragagnolo 25 in 87 large procedures of the upper gastrointestinal tract, all in Brazil.…”

Section: Discussionmentioning

confidence: 99%

Nutritional assessment methods as predictors of postoperative mortality in gastric cancer patients submitted to gastrectomy

Poziomyck

Cavazzola

Coelho

et al. 2017

Rev. Col. Bras. Cir.

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Objectives: to determine the nutritional evaluation method that best predicts mortality in 90 days of patients submitted to gastrectomy for gastric cancer. Methods: we conducted a prospective study with 44 patients with gastric cancer, stages II to IIIa, of whom nine were submitted to partial gastrectomy, 34 to total gastrectomy, and one to esophago-gastrectomy. All patients were nutritionally evaluated through the same protocol, up to 72h after hospital admission. The parameters used were Patient-Generated Subjective Global Assessment (PGSGA), classical anthropometry, current weight and height, percentage of weight loss (%WL) and body mass index (BMI). We also measured the thickness of the thumb adductor muscle (TAM) in both hands, dominant hand (TAMD) and non-dominant hand (TAMND), as well as the calculated the prognostic nutritional index (PNI). The laboratory profile included serum levels of albumin, erythrocytes, hemoglobin, hematocrit, leukocytes, and total lymphocytes count (TLC). Results: of the 44 patients studied, 29 (66%) were malnourished by the subjective method, 15 being grade A, 18 grade B and 11 grade C. Cases with PGSGA grade B and TAMD 10.2±2.9 mm were significantly associated with higher mortality. The ROC curves (95% confidence interval) of both PGSGA and TAMD thickness reliably predicted mortality at 30 and 90 days. No laboratory method allowed predicting mortality at 90 days. Conclusion: PGSGA and the TAMD thickness can be used as preoperative parameters for risk of death in patients undergoing gastrectomy for gastric cancer.

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Section: Discussionmentioning

confidence: 99%

Nutritional assessment methods as predictors of postoperative mortality in gastric cancer patients submitted to gastrectomy

Poziomyck

Cavazzola

Coelho

et al. 2017

Rev. Col. Bras. Cir.

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“…Although the influence between APMT and HGS is not as strong compared to height and male gender, APMT was the third largest predictor of HGS values in the regression model, including age. Reference articles for determination of normal values in the general population [8,37] consider height, weight, age and gender as the main predictors of HGS values. The thickness of the adductor pollicis muscle reduced the collinearity between weight, height, BMI, and gender as it personalizes the size of the individual's hands, whether male or female, tall or short, obese or not.…”

Section: Discussionmentioning

confidence: 99%

Nutritional assessment, handgrip strength and adductor pollicis muscle thickness in patients with chronic viral hepatitis

Cortez

Almeida

Corrêa

et al. 2020

Clinical Nutrition Experimental

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Results: According to the SGA, one-third were considered at nutritional risk (SGA-B). Nutritional risk was found in 59.4%, 65.2% and 88% based on HGS, mid-arm muscle circumference (MAMC) and APMT, respectively. The dominant APMT obtained a mean of 17.2 ± 5.4 mm vs 16.2 ± 4.6 mm of the non-dominant hand. On the other hand, the dominant HGS had a mean of 27.3 ± 11.2 vs 24.2 ± 11.0 of the nondominant HGS. APMT and HGS values for any limb were significantly higher in males, but below thresholds patterns described for any gender. The HGS of both hands were correlated with sex, age, weight, height, MAMC, tricipital skinfold and APMT (p < 0.05). In multivariate linear regression, the model that best fit an exploratory analysis included: age, sex, height, MAMC, tricipital skinfold, and dominant APMT. Conclusion: There was a higher nutritional risk in patients with stable CVH when variables dependent of muscle mass were analyzed. APMT was an independent parameter to predict HGS value. We encourage malnutrition screening based on anthropometry, HGS and APMT, since SGA is not such a reliable tool for CVH.

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“…26 In surgical patients, the measurement of APMT was significantly associated with nutritional status. 27 Regarding the possibility of using APMT to measure muscle mass, this purpose has been considered important to estimate prognosis. In critically ill patients, the APMT values were associated with mortality.…”

Section: Discussionmentioning

confidence: 99%

“…4,26 In addition, in diseases such as surgical, critical, and cirrhotic patients, the APMT was associated to poor prognosis. [27][28][29][30] The present study hypothesized that APM is a potential tool to predict prognosis after stroke. From now on, it will be necessary to carry out new studies on a larger scale to prove this applicability.…”

Section: Discussionmentioning

confidence: 99%

Adductor Pollicis Muscle Thickness and Obesity Are Associated with Poor Outcome after Stroke: A Cohort Study

Souza

Minicucci

Zornoff

et al. 2018

Journal of Stroke and Cerebrovascular Diseases

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Adductor pollicis muscle: A study about its use as a nutritional parameter in surgical patients

Cited by 22 publications

References 20 publications

Nutritional assessment methods as predictors of postoperative mortality in gastric cancer patients submitted to gastrectomy

Nutritional assessment methods as predictors of postoperative mortality in gastric cancer patients submitted to gastrectomy

Nutritional assessment, handgrip strength and adductor pollicis muscle thickness in patients with chronic viral hepatitis

Adductor Pollicis Muscle Thickness and Obesity Are Associated with Poor Outcome after Stroke: A Cohort Study

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