Músculo adutor do polegar e força de preensão palmar: potenciais métodos de avaliação nutricional em pacientes ambulatoriais com acidente vascular encefálico

Oliveira, Débora Rocha; Frangella, Vera Silvia

doi:10.1590/s1679-45082010ao1763

Cited by 9 publications

(8 citation statements)

References 17 publications

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“…Adductor pollicis muscle thickness is capable of estimating muscle mass loss and it has some advantages, such as it is easy, quick, and cheap to measure, besides eliminating the use of formulas to calculate the muscle compartment. 19 Some studies 5 , 21 - 23 demonstrated its use in many clinical conditions and treatments, with significant results regarding nutritional diagnosis, correlation with anthropometric variables, lean mass reduction, and association in prognosis of complications in the postoperative period and during hospital stay. 6 , 24…”

Section: Discussionmentioning

confidence: 99%

“…A EMAP é uma medida capaz de estimar a perda de massa muscular e possui vantagens como sua medida ser fácil, rápida e de baixo custo, além de dispensar o uso de fórmulas para calcular o compartimento muscular. 19 Estudos 5 , 21 - 23 têm demonstrado sua utilização em diversas condições clínicas e tratamentos, com resultados significativos quanto à sua utilização no diagnóstico nutricional, correlação com variáveis antropométricas, redução da massa magra, e associação no prognóstico de complicações hospitalares no pós-operatório e tempo de internação hospitalar. 6 , 24…”

Section: Discussionunclassified

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Thickness of the adductor pollicis muscle in nutritional assessment of surgical patients

Valente

Silva

Faioli

et al. 2016

Einstein (São Paulo)

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Objective To evaluate the correlation between thickness of the muscle adductor pollicis and anthropometric measurements, body mass index and Subjective Global Assessment in the nutritional assessment of surgical patients.Methods The study population comprised patients admitted to the general and reconstructive surgery unit of a university hospital in the city of Vitória (ES), Brazil. The inclusion criteria were patients evaluated in the first 48 hours of admission, aged ≥20 years, hemodynamically stable, with no edema or ascites. Data analysis was performed using the software Statistical Package for Social Science 21.0, significance level of 5%.Results The sample consisted of 150 patients that were candidates to surgery, mean age of 42.7±12.0 years. The most common reasons for hospitalization were surgical procedures, gastrintestinal diseases and neoplasm. Significant association was observed between thickness of adductor pollicis muscle and Subjective Global Assessment (p=0.021) and body mass index (p=0.008) for nutritional risk. Significant correlation was found between thickness of adductor pollicis muscle and arm muscle circumference, corrected arm muscle area, calf circumference and body mass index. There were no significant correlations between thickness of adductor pollicis muscle and triceps skinfold and age.Conclusion The use of thickness of adductor pollicis muscle proved to be an efficient method to detect malnutrition in surgical patients and it should be added to the screening process of hospitalized patients, since it is easy to perform, inexpensive and noninvasive.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionunclassified

Thickness of the adductor pollicis muscle in nutritional assessment of surgical patients

Valente

Silva

Faioli

et al. 2016

Einstein (São Paulo)

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“…The APMT has been suggested as a promising marker of muscle mass[ 43 , 44 ]. The adductor pollicis muscle is the only muscle that allows direct thickness assessment, as it is anatomically well defined and flat in shape[ 45 ].…”

Section: Nutritional Assessment In Cirrhosismentioning

confidence: 99%

Nutritional evaluation in cirrhosis: Emphasis on the phase angle

Fernandes¹,

Mattos²,

Tovo³

et al. 2016

WJH

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Protein-calorie malnutrition (PCM) is a common condition in cirrhotic patients, leading to a worse prognosis, complications, poor quality of life and lower survival rates. Among ways of assessing nutritional status, there are anthropometric methods such as the evaluation of the triceps skinfold, the arm circumference, the arm muscle circumference and the body mass index, and non-anthropometric methods such as the subjective global assessment, the handgrip strength of non-dominant hand, and the bioelectrical impedance analysis (BIA). PCM is frequently under-diagnosed in clinical settings in patients with cirrhosis due to the limitations of nutritional evaluation methods in this population. BIA is a useful method, but cannot be indicated in patients with abnormal body composition. In these situations, the phase angle (PA) has been used, and can become an important tool in assessing nutritional status in any situation. The PA is superior to anthropometric methods and might be considered as a nutritional indicator in cirrhosis. The early characterization of the nutritional status in patients with cirrhosis means an early nutritional intervention, with a positive impact on patients’ overall prognosis. Among the usually accepted methods for nutritional diagnosis, the PA provides information in a quick and objective manner.

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“…An evaluation technique that has been used to estimate muscle loss and hence malnutrition is the measurement of adductor pollicis muscle thickness (APMT). ( 7 ) Numerous studies involving clinical patients, ( 8 ) hospitalized patients, ( 9 ) cirrhotic patients, ( 10 ) stroke victims, ( 11 ) surgical patients, ( 12 ) cancer ( 13 ) and kidney patients ( 14 ) have been conducted with APMT; however, there are few studies evaluating severe cardiac patients. ( 15 ) Therefore, there is no established cutoff point for all populations.…”

Section: Introductionmentioning

confidence: 99%

Relationship between adductor pollicis muscle thickness and subjective global assessment in a cardiac intensive care unit

Karst¹,

Vieira²,

Barbiero³

2015

Revista Brasileira De Terapia Intensiva

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Objective To verify the relationship between the adductor pollicis muscle thickness test and the subjective global assessment and to correlate it with other anthropometric methods.Methods This observational cross-sectional study was conducted in the intensive care unit of a cardiology hospital in the state of Rio Grande do Sul, Brazil. The hospitalized patients underwent subjective global assessment and adductor pollicis muscle thickness tests on both hands, along with measurement of the right calf circumference. Laboratory parameters, length of stay, vital signs and electronic medical record data and tests were all collected.Results The study population included 83 patients, of whom 62% were men. The average age was 68.6 ± 12.5 years. The most common reason for hospitalization was acute myocardial infarction (34.9%), and the most common pathology was systolic blood pressure (63.9%), followed by diabetes mellitus (28.9%). According to subjective global assessment classifications, 62.7% of patients presented no nutritional risk, 20.5% were moderately malnourished and 16.9% were severely malnourished. Women had a higher nutritional risk, according to both the subjective global assessment and the adductor pollicis muscle thickness test, the cutoff for which was < 6.5mm (54.8%; p = 0.001). The pathology presenting the greatest nutritional risk was congestive heart failure (p = 0.001). Evaluation of the receiver operating characteristic (ROC) curve between adductor pollicis muscle thickness and subjective global assessment showed the accuracy of the former, with an area of 0.822.Conclusion Adductor pollicis muscle thickness proved to be a good method for evaluating nutritional risk.

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Músculo adutor do polegar e força de preensão palmar: potenciais métodos de avaliação nutricional em pacientes ambulatoriais com acidente vascular encefálico

Cited by 9 publications

References 17 publications

Thickness of the adductor pollicis muscle in nutritional assessment of surgical patients

Thickness of the adductor pollicis muscle in nutritional assessment of surgical patients

Nutritional evaluation in cirrhosis: Emphasis on the phase angle

Relationship between adductor pollicis muscle thickness and subjective global assessment in a cardiac intensive care unit

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