Liver Function Test Results Predict Nutritional Status Evaluated by Arm Anthropometric Indicators

Hurtado-López, Erika F.; Larrosa‐Haro, Alfredo; Vásquez‐Garibay, Edgar M.; Macías-Rosales, Rocío; Troyo-Sanromán, Rogelio; Bojórquez-Ramos, M Carmen

doi:10.1097/mpg.0b013e3180f60b9e

Cited by 35 publications

(41 citation statements)

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“…Several studies have shown the direct association of disease, biochemical changes, and nutritional status with upper-arm composition. 13,14 The NF1 nutritional status assessment is relevant, because features of this disease as underweight or short height can influence patients' health and quality of life. Therefore, the present study aimed to assess the body composition of NF1 adult patients.…”

Section: Introductionmentioning

confidence: 99%

Body composition in adults with neurofibromatosis type 1

Souza

Jansen

Martins

et al. 2016

Rev. Assoc. Med. Bras.

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SUMMARY Objective To evaluate the body composition and nutritional status of neurofibromatosis type 1 (NF1) adult patients. Method A cross-sectional study of 60 NF1 patients (29 men, 31 women) aged ≥ 18 years who were evaluated from September 2012 to September 2013 in a Neurofibromatosis Outpatient Reference Center. Patients underwent nutritional assessment including measurements of weight, stature, waist circumference (WC), upper-arm circumference (UAC), and skinfolds (biceps, triceps, subscapular, suprailiac). Body mass index (BMI), upper-arm total area (UATA), upper-arm muscle area (UAMA), upper-arm fat area (UAFA), body fat percentage (BFP), fat mass, fat-free mass, fat mass index, and fat-free mass index were also calculated. Results The mean age of the study population was 34.48±10.33 years. The prevalence of short stature was 28.3%. Low weight was present in 10% of the sample and 31.7% of patients had a BMI ≥ 25 kg/m2. Reduced UAMA (<5th percentile) was present in 43.3% and no difference was found in UAFA between the sexes. The BFP was considered high in 30% and 17 (28.3%) patients had a WC above the World Health Organization cutoffs. Conclusion In this study, NF1 patients had a high prevalence of underweight, short stature, and reduced UAMA, with no difference between the sexes. Reduced UAMA was more prevalent in underweight patients; however, this was also observed in the normal and overweight patients. Further studies should investigate the distribution of body tissues in NF1 patients, including differences between men and women, and the influence of diet and nutrition on clinical features in NF1.

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Section: Introductionmentioning

confidence: 99%

Body composition in adults with neurofibromatosis type 1

Souza

Jansen

Martins

et al. 2016

Rev. Assoc. Med. Bras.

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“…The body-composition allows a quantitative assessment of muscle-mass and adiposity changes that reflects nutritional intake, losses and expenses over timeperiod (1,3,14). Recently, several investigations have shown the direct association of disease, biochemical changes, clinical diagnosis and nutritional status with upper-arm composition (6,25,26). Furthermore, age-sex and population specific upper-arm anthropometry seems to be an important technique to determine body-composition and nutritional status especially in epidemiological, clinical diagnosis and disease prevalence.…”

Section: Introductionmentioning

confidence: 99%

Use of upper-arm anthropometry as measure of body-composition and nutritional assessment in children and adolescents (6-20 years) of Assam, northeast India

Singh¹,

Mondal²

2014

Ethiop J Health Sci

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BACKGROUND: Upper-arm muscle area (UMA), upper-arm fat area (UFA), arm-fat index (AFI), upper-arm fat estimate (UFE) and upper-arm muscle estimate (UME) was introduced for the assessment of body-composition. This cross-sectional study assessed age-sex specific upper-arm composition and nutritional status among children and adolescents. METHODS: The present cross-sectional study was conducted among 1545 (770 boys; 775 girls) Sonowal Kacharis of Dibrugarh District, Assam, Northeast-India, using multi-stage stratified random sampling method. The anthropometric measurements of height, weight, triceps and mid-upper-arm circumference were recorded. The upper-arm composition was assessed using standard equations. Nutritional status was assessed using standard classification of upper-arm muscle-area by height (UAMAH) and thinness (low BMI-for-age). RESULTS: Age and sex-specific muscularity were found significantly greater among boys than girls (p<0.01), while adiposity was significantly greater among girls (p<0.01), particularly when they approached to puberty. The overall prevalence of low and below-average UAMAH was found to be 16.38% and 22.65% respectively. The overall prevalence of thinness was 23.69% (26.36% boys, 21.03% girls) (p>0.05). CONCLUSION: Body-composition and nutritional status of these children and adolescents were found markedly unsatisfactory using upper-arm composition, UAMAH and thinness. The combination of upper-arm composition and conventional anthropometric measures appear to be useful for bodycomposition and nutritional status assessment.

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“…Foram encontrados sete artigos com menos de 10 anos de publicação passíveis de comparação com o presente estudo: quatro brasileiros [15][16][17][18] e três internacionais [19][20][21] . Esses estudos utilizaram os índices E/I e/ou DCT/I para a classificação do estado nutricional e os modelos PELD e/ou MELD e/ou o escore Child-Pugh para a classificação da gravidade da doença.…”

Section: Resultsunclassified

“…Pode-se verificar que aqueles estudos que apresentaram escores mais altos de gravidade da doença hepática são os que possuem maiores percentuais de pacientes com desnutrição. A exceção é vista no estudo de Hurtado-López et al 19 , que, apesar de encontrar média do PELD baixa, observou que 44,3% dos pacientes apresentaram desnutrição crônica, determinada pelo índice E/I. Nas duas séries deste estudo, os resultados de DCT/I e CB/I com escore-z ≤ -2,00 foram semelhantes e não demonstraram diferença significativa (tabela 2).…”

Section: Discussionunclassified

“…Esses estudos mostram, em sua maioria, uma importante prevalência de desnutrição. Hurtado-López et al 19 estudaram crianças e adolescentes cirróticos, com média de idade de 72,6 meses, e demonstraram haver correlação entre os testes de função hepática e os indicadores antropométricos, refletindo a estreita relação entre o agravamento dos danos hepáticos e o estado nutricional. Eles mostraram um escore de gravidade baixo (semelhante ao do nosso estudo); no entanto, o percentual de desnutrição encontrado foi praticamente o dobro dos resultados encontrados nas duas séries avaliadas no HCPA.…”

Section: Discussionunclassified

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