Mid upper arm circumference and Powell-Tuck and Hennessy's equation correlate with body mass index and can be used sequentially in gastrostomy fed patients

Barosa, Rita; Ramos, Lídia Roque; Santos, Carla Adriana; Delerue, Francisca; Fonseca, Jorge

doi:10.1016/j.clnu.2017.08.011

Cited by 14 publications

(11 citation statements)

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“…Body mass index (BMI) was obtained in most patients using the equation Weight (Kg)/Height (m) 2 . If patients were bedridden and could not stand up for weight and height evaluation, BMI was estimated using the mid-upper arm circumference (MUAC) and regression equations described by Powell-Tuck and Hennessy [ 27 ]; this method has been previously used and proved to provide a reliable BMI estimation in PEG patients [ 28 , 29 ]. Each patient was classified by the WHO classification according to their age as having low BMI if was <18.5 kg/m 2 or < 22 kg/m 2 , normal BMI if 18.5–25 kg/m 2 or 22–27 kg/m 2 , and high BMI if >25 kg/m 2 or >27 kg/m 2 , for patients under 65 years or 65 years old or older, respectively [ 30 ] ( Table 1 ).…”

Section: Methodsmentioning

confidence: 99%

Malnutrition, Cancer Stage and Gastrostomy Timing as Markers of Poor Outcomes in Gastrostomy-Fed Head and Neck Cancer Patients

et al. 2023

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For percutaneous endoscopic gastrostomy (PEG)-fed head and neck cancer (HNC) patients, risk markers of poor outcomes may identify those needing more intensive support. This retrospective study aimed to evaluate markers of poor outcomes using TNM-defined stages, initial anthropometry [body mass index (BMI), mid-upper arm circumference (MUAC), tricipital skinfold (TSF), mid-arm muscle circumference (MAMC)] and laboratory data (albumin, transferrin, cholesterol), with 138 patients, 42–94 years old, enrolled. The patients had cancer, most frequently in the larynx (n = 52), predominantly stage IV (n = 109). Stage IVc presented a four times greater death risk than stage I (OR 3.998). Most patients presented low parameters: low BMI (n = 76), MUAC (n = 114), TSF (n = 58), MAMC (n = 81), albumin (n = 47), transferrin (n = 93), and cholesterol (n = 53). In stages I, III, IVa, and IVb, MAMC and PEG-timing were major survival determinants. Each MAMC unit increase resulted in 16% death risk decrease. Additional 10 PEG-feeding days resulted in 1% mortality decrease. Comparing IVa/IVb vs. IVc, albumin and transferrin presented significant differences (p = 0.042; p = 0.008). All parameters decreased as severity of stages increased. HNC patients were malnourished before PEG, with advanced cancer stages, and poor outcomes. Initial MAMC, reflecting lean tissue, significantly increases survival time, highlighting the importance of preserving muscle mass. PEG duration correlated positively with increased survival, lowering death risk by 1% for every additional 10 PEG-feeding days, signaling the need for early gastrostomy.

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Section: Methodsmentioning

confidence: 99%

Malnutrition, Cancer Stage and Gastrostomy Timing as Markers of Poor Outcomes in Gastrostomy-Fed Head and Neck Cancer Patients

et al. 2023

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“…Body mass index was obtained in most patients using the equation weight/height 2 . If patients were unable to easily stand up for weight and height evaluation, BMI was estimated using the Mid Upper Arm Circumference (MUAC), and regression equations described by Powell-Tuck and Hennessy (21) , which were previously been used and proved to provide a reliable BMI estimation in PEG feeding patients (22,23) . Each patient was classified according to age: having low weight if BMI < 18.5 kg/m 2 for patients under 65 years or BMI <22 kg/m 2 for patients 65 years old or older (24) .…”

Section: Methodsmentioning

confidence: 99%

Serum Electrolytes and Outcome in Patients Undergoing Endoscopic Gastrostomy

Vieira

Nunes

Santos

et al. 2018

Arq. Gastroenterol.

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“…For males: BMI = 1.01 x upper arm circumference -4.7 (R 2 = 0.76) and for women: BMI = 1.10 x upper arm circumference -6.7 (R 2 = 0.76). 19 This equation has been validated in the study of Barosa et al 24 Food and Nutrition Technical Assistance III Project (FANTA) conducted a meta-analysis regarding the sensitivity and specificity of various cut-off points for MUAC in adults (men and women who were not pregnant) to identify malnutrition measured by BMI <18.5 kg/m 2 . This study suggested that MUAC in the range of ≤23.0 to ≤25.5 cm can be used as an indicator of low BMI (BMI <18.5 kg/m 2 ), with acceptable sensitivity and specificity values.…”

Section: Research About Muac Cut-off Point For Detecting Malnutritionmentioning

confidence: 99%

A diagnostic test for malnutrition in adults: mid-upper arm circumference towards body mass index: A literature review

2021

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Body mass index is commonly used for detecting malnutrition. At certain conditions, body mass index cannot be measured, so mid-upper arm circumference can be an alternative measurement for detecting malnutrition. Several studies have proposed the cut-off point of mid-upper arm circumference in adults along with its sensitivity, specificity, and area under the ROC curve (AUC). This article aims to describe the diagnostic test for malnutrition using the upper arm circumference in adults and summarize the results of the related studies.

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Mid upper arm circumference and Powell-Tuck and Hennessy's equation correlate with body mass index and can be used sequentially in gastrostomy fed patients

Cited by 14 publications

References 14 publications

Malnutrition, Cancer Stage and Gastrostomy Timing as Markers of Poor Outcomes in Gastrostomy-Fed Head and Neck Cancer Patients

Malnutrition, Cancer Stage and Gastrostomy Timing as Markers of Poor Outcomes in Gastrostomy-Fed Head and Neck Cancer Patients

Serum Electrolytes and Outcome in Patients Undergoing Endoscopic Gastrostomy

A diagnostic test for malnutrition in adults: mid-upper arm circumference towards body mass index: A literature review

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