Association between adductor pollicis muscle thickness and nutritional parameters in hospitalized elderly patients

Schwanke, Carla Helena Augustin; Dorneles, Thamiris de Cristho; Kik, Raquel Milani El

doi:10.20960/nh.1739

Cited by 8 publications

(7 citation statements)

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“…This is the first study that has associated muscle ultrasound parameters in the lower limb with the nutritional status measured by MNA. Schwanke et al showed associations between MT and MNA, but the muscle studied was the adductor pollicis [29]. In this line, we found in the present study that multiple regression models associated lower leg MT with MNA scores, even after adjusting by strength, age or sex.…”

Section: Discussionsupporting

confidence: 80%

“…There are some reports that investigated the relationship between adductor pollicis MT and nutritional status [14,15]. Relations between muscle thickness and MNA in hospitalized older adults has been studied [29]. A previous study showed relations between muscle thickness and nutritional parameters (arm circumference) in institutionalized older adults [30].…”

Section: Discussionmentioning

confidence: 99%

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Ultrasound Muscle Assessment and Nutritional Status in Institutionalized Older Adults: A Pilot Study

2019

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Muscle thickness, measured by ultrasonography, has been investigated for nutritional assessment in older adults, however the associations between muscle ultrasound parameters in the lower limb and nutritional status have not been studied. The aim of this study was to investigate the relationship between muscle thickness echo intensity (EI), and nutritional status in home care residents. A cross sectional study was conducted involving 19 older adults from a home care in Malaga (Spain). We evaluated lower leg muscles by ultrasound, anthropometric data, physical function (measured by gait speed and the Short Physical Performance Battery), strength (handgrip and knee extensors strength) and nutritional status across the Mini-Nutritional Assessment Short-Form (MNA-SF). We found that muscle thickness assessed by ultrasonography independently predicts nutritional status by MNA-SF and after adjusting for handgrip strength or age and sex. As secondary findings, we found relations between strength, functional capacity and the MNA-SF test. These results suggest that lower leg muscle ultrasound parameters could be used as a low-cost objective method for muscle evaluation in nutritional assessment in older adults.

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Section: Discussionsupporting

confidence: 80%

Section: Discussionmentioning

confidence: 99%

Ultrasound Muscle Assessment and Nutritional Status in Institutionalized Older Adults: A Pilot Study

2019

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“…However, the SGA depends on the patient's clinical history, which is not always possible to access during hospitalization. Hence, some indirect parameters of body composition, especially those that indicate reduced muscle mass, could be applied because they are good predictors of malnutrition and clinical outcomes in different conditions, 16,17 such as cancer, 18 cardiac heart failure, 19 and critical illness 20 …”

Section: Introductionmentioning

confidence: 99%

Low Muscle Mass Is a Predictor of Malnutrition and Prolonged Hospital Stay in Patients With Acute Exacerbation of Chronic Obstructive Pulmonary Disease: A Longitudinal Study

Teixeira¹,

Kowalski²,

Valduga

et al. 2020

J Parenter Enteral Nutr

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Background Malnutrition in chronic obstructive pulmonary disease (COPD) patients is more prevalent during times of exacerbation. Fat‐free mass index (FFMI), calf circumference (CC), and adductor muscle pollicis thickness (AMPT) can be used to identify reduced muscle mass and have been found to be good predictors of clinical outcomes in other conditions, but they have not been investigated in COPD. Therefore, this study evaluated low muscle mass as predictor of malnutrition, prolonged length of stay (LOS), and in‐hospital death in COPD patients. Methods This prospective cohort study was carried out in hospitalized patients with COPD exacerbation. Malnutrition diagnosis was performed by Subjective Global Assessment, and muscle mass was assessed by FFMI, calculated using fat‐free mass from bioelectrical impedance, CC, and AMPT. Clinical outcomes (LOS and in‐hospital death) were collected from records. Results One hundred seventy‐six patients were included (68.2 ± 10.4 years old, 56.2% women); 74.2% were classified as Global Initiative of Chronic Obstructive Lung Disease 2 or 3 and 58.2% as malnourished. The median LOS was 11 (7–19) days, and the incidence of death was 9.1%. Low FFMI and CC predicted malnutrition (low CC: odds ratio [OR], 4.6; 95% CI, 2.2–9.7 and low FFMI: OR, 8.8; 95% CI, 3.7–20.8) and were associated with prolonged LOS (low CC: OR, 2.3; 95% CI, 1.1–4.6 and low FFMI: OR, 2.5; 95% CI, 1.3–4.8). Conclusion Simple, inexpensive, and noninvasive parameters of muscle mass—FFMI and CC—are good predictors of malnutrition and prolonged LOS in COPD patients experiencing exacerbation.

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“…Anthropometry is an important nutritional assessment method to evaluate total body mass and body composition. The arm circumference (AC), arm muscle circumference (AMC), and calf circumference (CC), as well as the Body Mass Index (BMI) and the Adductor Pollicis Muscle Thickness (APMT), are indicators used in the nutritional assessment of the older adults [9][10][11] .…”

Section: Introductionmentioning

confidence: 99%

“…The APMT is a low-invasive, low-cost and simple measurement, with easy reproducibility and practicality, important criteria in the choice of a tool to be measured in the outpatient geriatric population, being able to verify the loss of muscle mass 10,12 . However, there are no studies that evaluate the relationship of the APMT with other anthropometric indicators only with community-dwelling older adults, with most studies being conducted with adults and hospitalized, surgical, and/or chronically ill older adults 9,[12][13][14][15] Thus, the use of the APMT as an index of muscle mass and malnutrition in community-dwelling older adults can help prevent and recover functional status and quality of life, contributing to the reduction of healthcare costs for these individuals.…”

Section: Introductionmentioning

confidence: 99%

Associação da espessura do músculo adutor do polegar e indicadores antropométricos em idosos da comunidade

et al. 2022

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Introdução: A espessura do músculo adutor do polegar (EMAP) tem sido sugerido como um índice de massa muscular e desnutrição. Objetivo: Verificar a associação da EMAP com indicadores antropométricos convencionais em idosos da comunidade. Métodos: Estudo transversal realizado com 159 idosos da comunidade, de ambos os sexos, com média de idade de 70,9±29,4 anos. Foram avaliados a EMAP, o índice de massa corporal (IMC), as circunferências do braço (CB), muscular do braço (CMB) e da panturrilha (CP). Para classificação da EMAP se considerou o valor do percentil 25 (P25≤9 mm) da amostra para identificar déficit de massa muscular. Teste Qui-quadrado, Correlação de Pearson e Regressão de Poisson foram realizados, sendo adotado um nível de significância de p<0,05. Resultados: Entre os homens, a EMAP apresentou correlação com a CB (r=0,350; p<0,01) e entre as mulheres foi com o IMC (r=0,337; p=0,01). Houve associação entre a classificação do IMC e o percentil da EMAP (p=0,020). Os idosos com IMC<23 kg/m² tinham 1,28 vezes mais chances de possuir EMAP≤P25 (p=0,007) e idosos com IMC adequado tinham 1,23 vezes mais chance (p=0,023). Idosos com CP reduzido apresentaram 1,18 vezes mais chance de apresentar EMAP≤P25 (p=0,064). Conclusão: A EMAP apresentou associação com o IMC em idosos, demostrando ser um bom parâmetro para a avaliação da desnutrição.

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Association between adductor pollicis muscle thickness and nutritional parameters in hospitalized elderly patients

Abstract: Introducción: la nutrición parenteral (NP) en la infancia es un tratamiento cuyas características son muy variables en función de la edad y la patología que presente el paciente.

Cited by 8 publications

References 0 publications

Ultrasound Muscle Assessment and Nutritional Status in Institutionalized Older Adults: A Pilot Study

Ultrasound Muscle Assessment and Nutritional Status in Institutionalized Older Adults: A Pilot Study

Low Muscle Mass Is a Predictor of Malnutrition and Prolonged Hospital Stay in Patients With Acute Exacerbation of Chronic Obstructive Pulmonary Disease: A Longitudinal Study

Associação da espessura do músculo adutor do polegar e indicadores antropométricos em idosos da comunidade

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