Wasting syndrome and associated factors in hospitalized older people

Santos, Roana Carolina Bezerra dos; Nascimento, Stephany Beatriz do; Mendes, Taynara de Sousa Rego; Santos, Letícia Sabino; Lemos, Manoel; Pinho, Cláudia Porto Sabino

doi:10.1016/j.exger.2022.111985

Cited by 1 publication

(2 citation statements)

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“…The CC investigation and its association with mortality was also investigated in a recent systematic review and meta-analysis, showing that low levels of CC were associated with a higher risk of mortality 33 , 36 ; such observations also point to the relevance of using the CC indicator in hospital clinical practice. Another important aspect is the presence of wasting syndrome and its associated factors in OiP, as observed in another work that indicated a high prevalence of this syndrome associated with clinical, biochemical, and nutritional variables, including CC 11 . In general, all anthropometric nutritional indicators can be used to assess nutritional risk in older adult patients 3 .…”

Section: Discussionmentioning

confidence: 90%

“…Although the use of CC is not a new indicator, its application has been investigated particularly in OiP, as demonstrated in recent publications 4 , 11 , 27 . If we take into account that many OiP are bedridden, unable to walk, and therefore, unable to assess their body weight, this indicator could become a valuable method for identifying the nutritional status of these patients.…”

Section: Introductionmentioning

confidence: 99%

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Is Calf Circumference Associated With Clinical and Nutritional Outcome in Older Patients?

MAZZINI,

AQUINO,

CAMARGO

et al. 2023

ABCD, arq. bras. cir. dig.

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BACKGROUND: Previous studies have shown a relationship between calf circumference (CC) and outcomes in hospitalized patients. AIMS: To investigate the relationship between CC and clinical and nutritional outcomes in older in-patients (OiP) in a surgery ward. METHODS: This was a cross-sectional study with 417 OiP in a surgery ward. Clinical variables, anthropometry, and nutritional screening instruments such as subjective global assessment (SGA), mini nutritional assessment (MNA), and nutritional risk screening (NRS) were used in the investigation. The tests Pearson’s chi-square, Mann-Whitney, Kruskal-Wallis, and Spearman’s coefficient, and multiple linear regression analyses were used to review the factors associated with CC. RESULTS: Lower CC values were found in the age group 80 years and over (p<0.0001), presence of complications (p=0.0269), NRS (p<0.0001), SGA (p<0.0001), and MNA (p<0.0001). Gender (p=0.0011; partial R2=0.01151), age (p=0.0002; partial R2=0.06032), body mass index (p≤0.0001; partial R2=0.40820), and arm circumference (p≤0.0001; partial R2=0.11890) are variables that together were associated with CC. There was also a relationship between SGA (p=0.0166; partial R2=0.00605) and absence of complications during hospitalization (p=0.0047; R2=0.01154) with CC. CONCLUSIONS: Gender, age, body mass index, and arm circumference were jointly associated with CC, in addition to SGA and absence of complications. The CC is a relevant indicator for OiP in the clinical practice.

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Section: Discussionmentioning

confidence: 90%