scholarly journals Association of Subjective Global Assessment and Adductor pollicis muscle thickness with the Sarcopenia in older patients with type 2 diabetes

2021 ◽  
Author(s):  
Mileni Vanti Beretta ◽  
Juliane Vieiro Feldman ◽  
Camila Nery da Silva ◽  
Ticiana da Costa Rodrigues
Keyword(s):  
Type 2 Diabetes ◽  
Older Patients ◽  
Global Assessment ◽  
Muscle Thickness ◽  
Adductor Pollicis ◽  
Subjective Global Assessment ◽  
Adductor Pollicis Muscle

scholarly journals Nutritional Predictors of Mortality after Discharge in Older Patients with type 2 Diabetes

2020 ◽  
Author(s):  
Mileni Vanti Beretta ◽  
Camila Nery da Silva ◽  
Juliane Viero Feldman ◽  
Ticiana da Costa Rodrigues
Keyword(s):  
Type 2 Diabetes ◽  
Older Patients ◽  
Muscle Thickness ◽  
Mortality Data ◽  
Calf Circumference ◽  
Post Discharge ◽  
Adductor Pollicis Muscle ◽  
Predictors Of Mortality

Abstract Background: Older patient with type 2 diabetes (T2D) and malnutrition have a greater chance of negative events during hospitalization and a higher risk of mortality. The aim of this study was to investigate nutritional markers as mortality predictors following discharge hospitalized older patients with T2D. Methods: This is a prospective cohort study with follow-up of four years. All patients were subjected to Mini Assessment Nutrition, Subjective Global Assessment, calf circumference, arm circumference and adductor pollicis muscle thickness, obtained all within 48 h of admission. Mortality data were verified by medical registry and analyzed using Cox-proportional hazard models and survival curves. Results: 311 patients were included; the mean age was 71.35 years. There were 113 (36.3 %) deaths in the follow-up period. Nutritional status evaluated according to BMI identified 54.5% (n = 168) were overweight, for other hand the MAN identified 45.7% of patients were at risk of malnutrition and 37.7% malnutrition and the SGA identify 61.7% (n = 192) presented normal nutrition in admission. Malnutrition patients (OR=2.02), with low calf circumference (OR=1.43) or with APMT less than 5th percentile (2.33) were associated with post-discharge mortality. Conclusion: Malnutrition, reduced calf circumference and reduced APMT were nutritional predictors of mortality after hospital discharge in older patients with diabetes

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

2016 ◽  
Vol 14 (1) ◽  
pp. 18-24 ◽  
Author(s):  
Katarina Papera Valente ◽  
Naira Marceli Fraga Silva ◽  
Amanda Barcelos Faioli ◽  
Marina Abelha Barreto ◽  
Rafael Araújo Guedes de Moraes ◽  
...  
Keyword(s):  
Body Mass Index ◽  
Body Mass ◽  
Global Assessment ◽  
Nutritional Assessment ◽  
Adductor Pollicis ◽  
University Hospital ◽  
Nutritional Risk ◽  
Surgical Patients ◽  
Subjective Global Assessment ◽  
Adductor Pollicis Muscle

ABSTRACT 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.

Efficacy and safety of saxagliptin in older patients with type 2 diabetes mellitus

2011 ◽  
Vol 27 (4) ◽  
pp. 863-869 ◽  
Author(s):  
Jean Doucet ◽  
Antonio Chacra ◽  
Pierre Maheux ◽  
Jane Lu ◽  
Susan Harris ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Type 2 Diabetes ◽  
Type 2 Diabetes Mellitus ◽  
Older Patients ◽  
Efficacy And Safety

scholarly journals ADDUCTOR POLLICIS MUSCLE THICKNESS AND PREDICTION OF POSTOPERATIVE MORTALITY IN PATIENTS WITH STOMACH CANCER

2018 ◽  
Vol 31 (1) ◽  
Author(s):  
Aline Kirjner POZIOMYCK ◽  
Oly Campos CORLETA ◽  
Leandro Totti CAVAZZOLA ◽  
Antonio Carlos WESTON ◽  
Edson Braga LAMEU ◽  
...  
Keyword(s):  
Gastric Cancer ◽  
Stomach Cancer ◽  
Nutritional Assessment ◽  
Postoperative Mortality ◽  
Muscle Thickness ◽  
Adductor Pollicis ◽  
Dominant Hand ◽  
Adductor Pollicis Muscle ◽  
Risk Of Death ◽  
Muscle Compartment

ABSTRACT Background: Malnutrition is very prevalent in patients with gastric cancer and increases the risk of morbidity and mortality. Adductor pollicis muscle thickness (APMT) appears as an important objective, quick, inexpensive and noninvasive measure to assess the muscle compartment Aim: To compare APMT and other nutritional assessment methods and to correlate these methods with postoperative mortality Methods: Forty-four patients, 29 men and 15 women, mean age of 63±10.2 and ranging from 34-83 years, who underwent nine (20.5%) partial and 34 (77.3%) total gastrectomies due to stomach cancer (stage II to IIIa) were preoperatively assessed by Patient Generated Subjective Global Assessment (PG-SGA), anthropometry and laboratorial profile Results: APMT better predicted death (p<0.001) on both, dominant and non-dominant hand, and well correlated with albumin (p=0.039) and PG-SGA (p=0.007) Conclusion: APMT clearly allowed to determine malnutrition and to predict risk of death in patients with gastric cancer.

Use of sodium-glucose cotransporter 2 inhibitors in older patients with type 2 diabetes mellitus

2017 ◽  
Vol 18 (1) ◽  
pp. 108-114 ◽  
Author(s):  
Takahiro Kambara ◽  
Rei Shibata ◽  
Hiroyuki Osanai ◽  
Yoshihito Nakashima ◽  
Hiroshi Asano ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Type 2 Diabetes ◽  
Type 2 Diabetes Mellitus ◽  
Older Patients ◽  
Sodium Glucose Cotransporter

scholarly journals Impact of Prediabetes and Type-2 Diabetes on Outcomes in Patients with COVID-19

2021 ◽  
Vol 2021 ◽  
pp. 1-9
Author(s):  
Jasbir Makker ◽  
Haozhe Sun ◽  
Harish Patel ◽  
Nikhitha Mantri ◽  
Maleeha Zahid ◽  
...  
Keyword(s):  
Type 2 Diabetes ◽  
Mechanical Ventilation ◽  
Older Patients ◽  
Control Group ◽  
Newly Diagnosed ◽  
Conflicting Evidence ◽  
Diabetes Status ◽  
Binomial Regression ◽  
Diabetes Patients

Introduction. The true impact of prediabetes and type-2 diabetes in patients with COVID-19 remains unknown, with studies thus far providing conflicting evidence. Methods. This is a single-center retrospective observational study involving 843 hospitalized patients with SARS-CoV-2 infection. Primary outcomes, mortality, and mechanical ventilation use were compared among the three groups: control, prediabetes, and type-2 diabetes. Binomial regression analysis was used to determine predictors of mortality and mechanical ventilation requirement. Results. Age was a significant predictor of mortality. On stratifying our patients based on their age, older patients aged 55 years and above had no difference in mortality or mechanical ventilation requirement among the three groups of control, prediabetes, and type-2 diabetes. However, among the younger population aged less than 55 years, patients with type-2 diabetes had significantly higher mortality as compared with patients in control and prediabetes groups (27% vs 12.5% vs 9%, p   0.025 ). Additionally, newly diagnosed type-2 diabetes patients demonstrated lower mortality rate in comparison to previously known type-2 diabetes patients (18% vs 40%, p   0.005 ). Outcomes in the prediabetes group were similar to that in the control group. Admission hyperglycemia was associated with higher mortality regardless of diabetes status. Conclusion. In older patients aged 55 years and above, status of type-2 diabetes does not influence their mortality. However, in younger patients aged less than 55 years, the presence of type-2 diabetes is an important driver of mortality. Newly diagnosed type-2 diabetes, in comparison with previously diagnosed type-2 diabetes, may have better survival. Presence of prediabetes did not affect outcomes in patients with COVID-19 infection.

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