Adductor Pollicis Muscle Thickness: A Promising Anthropometric Parameter for Patients With Chronic Renal Failure

2012 ◽  
Vol 22 (3) ◽  
pp. 307-316 ◽  
Author(s):  
Claudia Maria Costa de Oliveira ◽  
Marcos Kubrusly ◽  
Rosa Salani Mota ◽  
Gabriel Choukroun ◽  
Jose Brandão Neto ◽  
...  
2004 ◽  
Vol 59 (2) ◽  
pp. 57-62 ◽  
Author(s):  
Edson Braga Lameu ◽  
Mauricio Freitas Gerude ◽  
Regina Célia Corrêa ◽  
Keite Azevedo Lima

PURPOSE: To measure the thickness of adductor pollicis muscle in healthy adults. This measurement will be used as a nutritional anthropometric parameter in further studies. SUBJECTS AND METHOD: Four hundred and twenty-one healthy adults were studied, 209 men and 212 women, with ages ranging from 18 to 87 years, living in Rio de Janeiro. The adductor pollicis muscle was also studied in the human anatomy lab as well as in normal healthy volunteers using CAT scans and nuclear magnetic resonance imaging to ensure that only the adductor pollicis was included in measurement of muscle thickness with a Lange caliper. To standardize the measurement, the methodology was detailed, with subjects sitting with the dominant hand dangling over the homolateral thigh and the elbow bent at approximately a 90° angle. The Lange caliper was applied at a pressure of 10 g/mm², pinching the adductor pollicis muscle at the vertex of an imaginary angle between the thumb and the index finger. The average of 3 consecutive measurements was considered to be the muscle thickness. RESULTS: This study provides the first estimates of adductor pollicis thickness in normal healthy subjects as an anthropometric parameter. The normal values in the dominant hand for men were 12.5 ± 2.8 mm (mean ± SD), median 12 mm, and for women were 10.5 ± 2.3 mm, median 10 mm.


2018 ◽  
Vol 26 (0) ◽  
Author(s):  
Brunna Gabrielly Ferreira da Silva Soares ◽  
Andréa Pereira Vicentini

ABSTRACT Objective: to analyze the use of the Adductor Pollicis Muscle Thickness (APMT) as an anthropometric parameter and prognostic indicator in hospitalized or ambulatory patients. Method: systematic review carried out the Web of Science, SCOPUS and Lilacs databases. Results: Twenty-three studies were performed on critical, surgical, oncological, nephropathic and hepatopathic patients, collecting data on bibliographic reference, study site, objectives, number of patients, age group, methodology, main results and conclusion. APMT proved to be a good anthropometric parameter for evaluation of nutritional status in critical patients without edema, and surgical, oncological and nephropathic patients, but presented poor performance for diagnosis of malnutrition in hepatopathic patients. It was a good prognostic indicator for mortality in critical, nephropathic and oncological patients, and also a good predictor of hospitalization in nephropathic patients. There was an association with neurological complications in Hepatic Encephalopathy (HE) in the case of hepatophatic patients, but it was not a predictor of postoperative complications in surgical patients. Conclusion: APTM was considered a good anthropometric parameter in most clinical conditions, except in patients with liver disease and a good prognostic indicator for mortality in critical, oncological and nephropathic patients, and a predictor of neurological complications in HE. Further prognostic investigation, standardization of cutoff points and evaluation of sensitivity and specificity are required.


Author(s):  
Aline Kirjner POZIOMYCK ◽  
Oly Campos CORLETA ◽  
Leandro Totti CAVAZZOLA ◽  
Antonio Carlos WESTON ◽  
Edson Braga LAMEU ◽  
...  

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.


2013 ◽  
Vol 35 (3) ◽  
pp. 177-184 ◽  
Author(s):  
Raíssa Antunes Pereira ◽  
Alex Lopes Caetano ◽  
Lilian Cuppari ◽  
Maria Ayako Kamimura

2017 ◽  
Vol 17 ◽  
pp. 105-109 ◽  
Author(s):  
Arthur Fernandes Cortez ◽  
Julio Cesar Tolentino ◽  
Marília Ribeiro de Azevedo Aguiar ◽  
Rodrigo Moura Elarrat ◽  
Roberta Benitez Freitas Passos

2009 ◽  
Vol 136 (5) ◽  
pp. A-667
Author(s):  
Claudia Cravo ◽  
Edson B. Lameu ◽  
Marcia H. Costa ◽  
Celeste C. Elia ◽  
Cyrla Zaltman

2021 ◽  
Author(s):  
Maria Claudia Bernardes Spexoto ◽  
Talita Yoshimura da Costa ◽  
Juliana Yukari Suganuma ◽  
Sheilla de Faria

2021 ◽  
Vol 4 (35) ◽  
pp. 340-344
Author(s):  
Nathália da Cunha Ferré ◽  
Rebeca Palhares Barbosa ◽  
Thaís Cristina Borges ◽  
Gustavo Duarte Pimentel

Objective: To evaluate the association between blood of C-reactive protein concentrations and an indicator of muscle mass in hospitalized cancer patients. Methods: A cross-sectional study carried out with 110 patients of both sexes, aged ≥18 years, with solid and/or liquid cancer undergoing clinical and/or surgical treatment. Clinical and socioeconomic data were obtained from medical records. The adductor pollicis muscle thickness was obtained using skinfold caliper. Patients were divided into two groups: altered adductor pollicis muscle thickness (<13.4 mm) and normal adductor pollicis muscle thickness (≥13.4 mm). Logistic regression was performed to verify the association between adductor pollicis muscle thickness and C-reactive protein. Results: It was observed that 90% (n = 100) of the patients were classified with reduced adductor pollicis muscle thickness, higher prevalence of the solid tumor, low usual weight, current weight, and body mass index. The logistic regression analysis showed no association between the adductor pollicis muscle thickness and C-reactive protein concentrations, in any of models used: model without adjustment (OR: 1.01; 95% CI [0.94-1.09], p = 0.65); adjusted for sex and age (OR: 1.01; 95% CI [0.94-1.09], p = 0.61); and adjusted model for sex, age and body mass index (BMI) (OR: 1.04; 95% CI [0.96-1.13], p = 0.29). Conclusion: Although adductor pollicis muscle thickness is validated method for nutritional assessment, we did not find an association with the inflammation marker (C-reactive protein).


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