Association between adductor pollicis muscle thickness, anthropometric and immunological parameters in HIV-positive patients

Adductor Pollicis Muscle Thickness for nutritional assessment: a systematic review

“…The highest values of APMT were found in the studies of Cortez et al (20) , carried out with outpatients infected with HIV (APMT-DH = 16.2 ± 4.3 mm, APMT-NDH = 14.8 ± 4.3 mm), Ghorabi et al (23) , which included patients of the ICU (APMT-DH = 14.5 ± 3.6 mm, APMT-NDH = 13.4 ± 3.6 mm), and Bragagnolo et al (7) , with patients who were candidates for large surgery in the gastrointestinal tract (APMT-DH = 12.6 ± 3.2 mm, APMT-NDH = 12.2 ± 2.9 mm). The lowest values were from the studies by Karst et al (24) carried out with ICU patients at a cardiology hospital (APMT-DH = 8.0 ± 3.0 mm; APMT-NDH = 7.3 ± 2.7 mm), Neves et al (21) , who evaluated patients with HIV from a hospital emergency service (APMT-RH = 9.6 ± 4.7 mm, APMT-LH = 8.9 ± 3.5 mm), and Pereira et al (27) , with patients on hemodialysis (APMT = 10.0 ± 4.5 mm).…”

“…Some studies have shown that APMT presented higher values in males (5,7,(18)(19)(20)22,26) . The measure was also influenced by age, with lower value in older individuals (5,(25)(26)(27) .…”

“…From the final sample, 13 studies were published between 2004 and 2016, with only two longitudinal (18)(19) and the other with a cross-sectional design (5,7,(20)(21)(22)(23)(24)(25)(26)(27)(28) . Regarding the samples, two studies were carried out with HIV-infected individuals (20)(21) , two with patients candidates for surgery (7,22) , two with patients admitted to the Intensive Care Unit (ICU) (23)(24) , two with patients in the hospital ward (25,28) , two with chronic kidney patients on hemodialysis (18,27) and three with healthy individuals (5,19,26) . The characteristics of the studies included in the review are presented in Chart 2.…”

“…Chart 1 -Quality criteria assessed for the confirmation of eligibility of the studies to be included in the review All of the studies have properly described the EMAP measurement methodology, as proposed by Lameu et al (5) , and used the simple arithmetic mean from three measurements. Most adopted the Lange ® (5,7,(18)(19)(20)(21)25,28) brand analog adipometer, three from Cescorf ® (22,24,27) and two from Vogel ® (23,26) .…”

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

“…The diagnosis of malnutrition is multimodal and requires a comprehensive and structured nutritional assessment, ranging from anthropometry, dietary habits, laboratory tests for micronutrient and macronutrient deficiencies, loss of subcutaneous tissue and, mainly, muscle mass [6]. Consequently, nutritional assessment is not feasible for nutritional risk screening, especially in those who remain stable, even with chronic inflammatory disease or infectious diseases, such as hepatitis and HIV [11,49]. As suggested in recent papers, advanced stable chronic liver disease (Child-Pugh C) or decompensated chronic liver disease increase the risk of malnutrition and its harmful consequences [8,11].…”