SAT-026-Mid-arm circumference and triceps skinfold thickness independently predicts mortality in hospitalized patients with decompensated cirrhosis

2019 ◽  
Vol 70 (1) ◽  
pp. e636
Author(s):  
Camila Saueressig ◽  
Pâmela Kremer Ferreira ◽  
Joana Hoch Glasenapp ◽  
Thais Ortiz Hammes ◽  
Vivian Cristine Luft ◽  
...  
Keyword(s):  
Skinfold Thickness ◽  
Hospitalized Patients ◽  
Decompensated Cirrhosis ◽  
Arm Circumference ◽  
Triceps Skinfold Thickness

scholarly journals Is total lymphocyte count related to nutritional markers in hospitalized older adults?

2017 ◽  
Vol 54 (1) ◽  
pp. 79-82 ◽  
Author(s):  
Vânia Aparecida LEANDRO-MERHI ◽  
Vitória Negri BRÁZ ◽  
José Luis Braga de AQUINO
Keyword(s):  
Older Adults ◽  
Lymphocyte Count ◽  
Skinfold Thickness ◽  
Total Lymphocyte Count ◽  
Nutritional Risk ◽  
Total Lymphocyte ◽  
Arm Circumference ◽  
Hospitalized Older Adults ◽  
Mid Upper Arm Circumference ◽  
Triceps Skinfold Thickness

ABSTRACT BACKGROUND Older patients are commonly malnourished during hospital stay, and a high prevalence of malnutrition is found in hospitalized patients aged more than 65 years. OBJECTIVE To investigate whether total lymphocyte count is related to other nutritional markers in hospitalized older adults. METHODS Hospitalized older adults (N=131) were recruited for a cross-sectional study. Their nutritional status was assessed by the Nutritional Risk Screening (NRS), anthropometry, and total lymphocyte count. The statistical analyses included the chi-square test, Fisher's exact test, and Mann-Whitney test. Spearman's linear correlation coefficient determined whether total lymphocyte count was correlated with the nutritional markers. Multiple linear regression determined the parameters associated with lymphocyte count. The significance level was set at 5%. RESULTS According to the NRS, 41.2% of the patients were at nutritional risk, and 36% had mild or moderate depletion according to total lymphocyte count. Total lymphocyte count was weakly correlated with mid-upper arm circumference (r=0.20507); triceps skinfold thickness (r=0.29036), and length of hospital stay (r= -0.21518). Total lymphocyte count in different NRS categories differed significantly: older adults who were not at nutritional risk had higher mean and median total lymphocyte count ( P =0.0245). Multiple regression analysis showed that higher lymphocyte counts were associated with higher triceps skinfold thicknesses and no nutritional risk according to the NRS. CONCLUSION Total lymphocyte count was correlated with mid-upper arm circumference, triceps skinfold thickness, and nutritional risk according to the NRS. In multiple regression the combined factors that remained associated with lymphocyte count were NRS and triceps skinfold thickness. Therefore, total lymphocyte count may be considered a nutritional marker. Other studies should confirm these findings.

scholarly journals Anthropometric Measurements and Frailty in Patients with Liver Diseases

Diagnostics ◽  
2020 ◽  
Vol 10 (6) ◽  
pp. 433 ◽  
Author(s):  
Hiroki Nishikawa ◽  
Kazunori Yoh ◽  
Hirayuki Enomoto ◽  
Naoto Ikeda ◽  
Nobuhiro Aizawa ◽  
...  
Keyword(s):  
Liver Diseases ◽  
Body Weight Loss ◽  
Skinfold Thickness ◽  
Cutoff Point ◽  
Operating Characteristics ◽  
Slow Walking ◽  
Arm Circumference ◽  
The Relationship ◽  
Triceps Skinfold Thickness ◽  
Slow Walking Speed

There have been scarce data regarding the relationship between frailty and anthropometry measurements (AMs) in patients with chronic liver diseases (CLDs). We aimed to elucidate the influence of AMs on frailty in CLDs (median age = 66 years, 183 men and 192 women). AMs included arm circumference, triceps skinfold thickness, calf circumference (CC), waist circumference, and body mass index. Frailty assessment was done by using five phenotypes (body weight loss, exhaustion, decreased muscle strength, slow walking speed, and low physical activity). Robust (frailty point 0), prefrail (frailty point 1 or 2), and frailty (frailty point 3 or more) were observed in 63 (34.4%), 98 (53.6%), and 22 (12.0%) of males, respectively, and 63 (32.8%), 101 (52.6%), and 28 (14.6%) of females, respectively. In receiver operating characteristics (ROC) curve analyses for the presence of frailty, CC had the highest area under the ROC (AUC) both in male (AUC = 0.693, cutoff point = 33.7 cm) and female (AUC = 0.734, cutoff point = 33.4 cm) participants. In the multivariate analysis associated with frailty, for the male participants, only the presence of liver cirrhosis (p = 0.0433) was identified to be significant, while among the female participants, serum albumin (p = 0.0444) and CC (p = 0.0010) were identified to be significant. In conclusion, CC can be helpful for predicting frailty, especially in female CLD patients.

scholarly journals Adductor pollicis muscle as predictor of malnutrition in surgical patients

2014 ◽  
Vol 27 (1) ◽  
pp. 13-17 ◽  
Author(s):  
Camila Yandara Sousa Vieira de MELO ◽  
Silvia Alves da SILVA
Keyword(s):  
Weight Loss ◽  
Nutritional Assessment ◽  
Skinfold Thickness ◽  
Adductor Pollicis ◽  
Surgical Patients ◽  
Muscle Area ◽  
Cross Sectional ◽  
Adductor Pollicis Muscle ◽  
Arm Circumference ◽  
Triceps Skinfold Thickness

Background - In the compromised nutritional status, there is excessive skeletal muscle loss and decreased inflammatory response, contributing to increased morbidity and mortality and length of stay. Aim: To estimate the prevalence of malnutrition by measuring adductor pollicis muscle using cutoffs for surgical patients suggested in the literature. Methods: Cross-sectional study with 151 patients scheduled for elective surgical procedure. Nutritional assessment was performed by classical anthropometric measurements: arm circumference, triceps skinfold thickness, arm muscle circumference, corrected arm muscle area, BMI and percentage of weight loss and the extent of the adductor pollicis muscle in both hands. Results: The prevalence of malnutrition in patients was high. A significant association between nutritional diagnosis according to the measures of adductor pollicis muscle and arm circumference, BMI and triceps skinfold thickness but there was no association with arm muscular circumference, arm muscular area or percentage of weight loss. Conclusion: The adductor pollicis muscle has proved to be a good method to diagnose muscle depletion and malnutrition in surgical patients.

Weight Gain and Loss In Cancer Patients Undergoing Chemotherapy: Importance of Dose Adjustment

2021 ◽  
Vol 08 ◽  
Author(s):  
Maria Ayanny de Lima Fernandes ◽  
Andreza Tallyne de Aguiar Silva ◽  
Iago Dillion Lima Cavalcanti ◽  
Adrya Lúcia Peres Bezerra de Medeiros ◽  
Lígia Maria de Oliveira Lima ◽  
...  
Keyword(s):  
Weight Loss ◽  
Weight Gain ◽  
Cancer Patients ◽  
Antineoplastic Agent ◽  
Skinfold Thickness ◽  
Significant Loss ◽  
Arm Circumference ◽  
Gain And Loss ◽  
Triceps Skinfold Thickness ◽  
Anthropometric Assessment

Introduction: The established dose of chemotherapy is based on the values of the patient's body weight, where variations during treatment can increase the toxicity of chemotherapy, with the development of nephrotoxicity, among other toxicity profiles, as well as in cases of weight gain, patients may receive low doses and compromise the therapeutic response to the tumor. Objective: to evaluate weight gain and loss in cancer patients undergoing chemotherapy. Methods: Longitudinal analytical study with patients at the end of chemotherapy treatment of both genders. The type, location of the tumor and the antineoplastic agent used were collected from the medical records, as well as height and weight at the beginning of treatment. At the time of collection, anthropometric assessment was performed using body mass index, arm circumference, arm muscle circumference, triceps skinfold thickness and percentage of weight loss. Results: Among the patients included in the study, 47.5% had a weight gain of around 2.5 kg, while the remaining patients (52.5%) had a weight loss of around 2.8 kg. Of the patients who had GFR, 55.5% had severe PP, 33.4% had no significant loss and 11.1 had significant loss. In the current study, only 22% had a GFR <60ml/min/1.73m², but they would already need to readjust the medication calculation. Conclusion: It is important to evaluate body surface variations and also the GFR to adjust the dose of the antineoplastic agent and to prevent or minimize nephrotoxicity, as well as to reduce the risk of underdosing and inefficiency of the therapy.

Lactational Capacity of Marginally Nourished Mothers: Relationships Between Maternal Nutritional Status and Quantity and Proximate Composition of Milk

PEDIATRICS ◽  
1986 ◽  
Vol 78 (5) ◽  
pp. 909-919
Author(s):  
Kenneth H. Brown ◽  
Naheed Ahmed Akhtar ◽  
Alastair D. Robertson ◽  
M. Giashuddin Ahmed
Keyword(s):  
Nutritional Status ◽  
Milk Production ◽  
Skinfold Thickness ◽  
Maternal Nutritional Status ◽  
Arm Circumference ◽  
Lactose Concentration ◽  
Daily Milk Production ◽  
Major Nutrients ◽  
Triceps Skinfold Thickness ◽  
Daily Milk

Longitudinal studies of the nutritional status of 60 lactating Bangladeshi mothers from an underprivileged, periurban community and of the quantity and composition of their milk were completed to determine the relationships between maternal nutritional status and lactational capacity. Daily milk production was estimated by 24-hour test-weighing; the nitrogen, fat, lactose, and total energy concentrations of extracted milk samples were analyzed at various stages of lactation to estimate total milk nutrient production. Although the mothers were poorly nourished compared with international reference populations, their lactational capacity was not severely impaired. Average milk production peaked at 750 g/d when the infants were between 5 and 7 months of age. Nitrogen and fat concentrations declined with (log) infant age; lactose concentration increased with (log) infant age (P &lt; .001). Average concentrations of milk nutrients when the infants were 3 months of age were: nitrogen, 0.161 g/dL; fat, 2.804 g/dL; lactose, 7.92 g/dL; energy, 61.0 kcal/dL. Fat and energy concentrations were significantly greater, and fat and energy amounts tended to be greater, for mothers with larger triceps skinfold thickness or arm circumference. Changes in nutritional status within individual women were also significantly related to the amount and composition of their milk: within-woman increases in triceps skinfold thickness were associated with increases in fat and energy concentrations (P &lt; .01) and within-woman increases in body weight were associated with increases in the amounts of milk and all major nutrients (P &lt; .01). Milk production declined significantly during certain months of the year, just before the major harvest period. The findings suggest that, despite their remarkably good lactational capacity, the mothers' milk production was limited to some extent by their nutritional status and may, therefore, be further increased with nutritional improvment.

scholarly journals Weight and height prediction of immobilized patients

2006 ◽  
Vol 19 (6) ◽  
pp. 655-661 ◽  
Author(s):  
Estela Iraci Rabito ◽  
Gabriela Bergamini Vannucchi ◽  
Vivian Marques Miguel Suen ◽  
Laércio Lopes Castilho Neto ◽  
Júlio Sérgio Marchini
Keyword(s):  
Linear Regression ◽  
Multiple Linear Regression ◽  
Hospitalized Patients ◽  
Anthropometric Measurements ◽  
Abdominal Circumference ◽  
Calf Circumference ◽  
Mean Error ◽  
Arm Circumference ◽  
Height Prediction ◽  
The One

OBJECTIVE: To confirm the adequacy of the formula suggested in the literature and/or to develop appropriate equations for the Brazilian population of immobilized patients based on simple anthropometric measurements. METHODS: Hospitalized patients were submitted to anthropometry and methods to estimate weight and height of bedridden patients were developed by multiple linear regression. RESULTS: Three hundred sixty eight persons were evaluated at two hospital centers and five weight-predicting and two height-predicting equations were developed from the measurements obtained. Among the new equations developed, the simplest one for weight estimate was: Weight (kg) = 0.5759 x (arm circumference, cm) + 0.5263 x (abdominal circumference, cm) + 1.2452 x (calf circumference, cm) -4.8689 x (Sex, male = 1 and female = 2) -32.9241 (r = 0.94); and the one for height estimate was: Height (cm) = 58.6940 - 2.9740 x (Sex) -0.0736 x (age, years) + 0.4958 x (arm length, cm) + 1.1320 x (half- span, cm) (r = 0.88). The estimates thus calculated did not differ significantly from actual measurements, with p = 0.94 and 0.89 and a mean error of 6.0 and 2.1% for weight and height, respectively. CONCLUSION: We suggest that these equations can be used to estimate the weight and height of bedridden patients when necessary or when these parameters cannot be measured with a scale and a stadiometer.

scholarly journals A study of nutritional status, development of malnutrition and food consumption in hospitalized patients

2019 ◽  
Vol 3 (2) ◽  
pp. 66-80
Author(s):  
Anil Evrim Gungor ◽  
Perihan Arslan ◽  
Osman Abbasoglu
Keyword(s):  
Weight Loss ◽  
Nutritional Status ◽  
Hospitalized Patients ◽  
Nutritional Risk ◽  
Food Services ◽  
Hospital Malnutrition ◽  
Arm Circumference ◽  
Nrs 2002 ◽  
Mid Upper Arm Circumference ◽  
Nutritional Risk Screening

Purpose: To investigate the nutritional status of patients on admission and during hospital stay, the factors leading to weight loss, and to evaluate patient satisfaction of hospital food. Methods: On admission, Nutritional Risk Screening (NRS-2002), weight, height, Body Mass Index (BMI), mid upper arm circumference (MAC) measurements were carried out; serum total protein and albumin levels were recorded. Upon discharge, measurements of weight, MAC were repeated, along with a food satisfaction questionnaire. Results: Patients with NRS-2002>3, BMI<20, were classified as nutrionally at risk which were 43.6% and 9.4% respectively. Of the patients, 77% lost weight (2.6±1.9 kg). Patients who were determined to be malnourished on admission by BMI and NRS-2002 stayed longer in hospital (p<0.0 and p<0.001, respectively). The relationships between weight loss and lenght of stay, use of medications and period of starvation were significant (p<0.0001, for each). Of the patients, 49.9% did not satisfy with the hospital food. Conclusions: Nutritional status of hospitalized patients should be screened with NRS-2002, assessed and monitored. Keywords: NRS-2002, hospital malnutrition, hospital food services

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