Evaluation of adductor pollicis muscle thickness obtained by ultrasonography and adipometer in patients with chronic kidney disease under conservative treatment

Abstract Introduction: Evaluate the association between the thumb adductor muscle thickness and the patient's nutritional status, and propose cutoff points for muscle mass depletion in elderly patients with chronic kidney disease (CKD) under conservative treatment. Epidemiological and cross-sectional study, including patients with CKD stages 3 to 5, older than 60 years. Socioeconomic, clinical, physical activity and anthropometric data was obtained. TAMT was described and compared according to CKD stage, socioeconomic data, physical activity, nutritional status and correlated with age, glomerular filtration rate and anthropometric variables. Receiver Operating Characteristic (ROC) curves were produced, considering the lean tissue index classification as reference. The cut-off point was defined by the Youden index. Results: We evaluated 137 individuals. The TAMT was lower in malnourished and/or depleted muscle mass individuals; among males it was higher among those who practiced physical activities (p <0.05). This measure was moderately correlated with BMI, calf and brachial circumferences, lean body tissue, lean tissue index and body cell mass (r <0.7); negatively with age (r = -0.34). The ROC curve analysis determined cut points of 15.33 mm for females and 20.33 mm for males, with 72.22% and 62.50% accuracy, respectively. Conclusion: TAMT is used to estimate muscle mass and we suggest the cutoff point is useful to rule out the likelihood of muscle mass depletion. It is recommended that it be used in a complementary way in nutritional assessment.

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

ABCD Arquivos Brasileiros de Cirurgia Digestiva (São Paulo) ◽

10.1590/0102-672020180001e1340 ◽

2018 ◽

Vol 31 (1) ◽

Cited By ~ 6

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.

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

Revista Brasileira de Terapia Intensiva ◽

10.5935/0103-507x.20150062 ◽

2015 ◽

Vol 27 (4) ◽

Cited By ~ 7

Author(s):

Fernanda Pickrodt Karst ◽

Renata Monteiro Vieira ◽

Sandra Barbiero

Keyword(s):

Intensive Care Unit ◽

Intensive Care ◽

Global Assessment ◽

Muscle Thickness ◽

Adductor Pollicis ◽

Subjective Global Assessment ◽

Cardiac Intensive Care Unit ◽

Adductor Pollicis Muscle ◽

Cardiac Intensive Care

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Terms of specialized nursing language for chronic renal patients undergoing conservative treatment

Revista Brasileira de Enfermagem ◽

10.1590/0034-7167-2019-0820 ◽

2020 ◽

Vol 73 (suppl 6) ◽

Author(s):

Harlon França de Menezes ◽

Alessandra Conceição Leite Funchal Camacho ◽

Silvia Maria de Sá Basílio Lins ◽

Tatiane da Silva Campos ◽

Fillipe Rangel Lima ◽

...

Keyword(s):

Chronic Kidney Disease ◽

Kidney Disease ◽

Conservative Treatment ◽

Content Validity ◽

Nursing Practice ◽

Methodological Study ◽

Validity Index ◽

Content Validity Index ◽

A Value ◽

Nursing Language

ABSTRACT Objectives: to validate the terms of the specialized nursing language used in the care of people with chronic kidney disease undergoing conservative treatment identified in the literature by mapping them with terms of the International Classification for Nursing Practice, version 2019, and representing them by means of a mandala. Methods: descriptive, documentary and methodological study. The terms were collected in 53 scientific articles, standardized and mapped with the terminology. The validation was performed by six nurses through a focus group. The Content Validity Index was used and terms with a value ≥ 0.80 were validated. Results: the normalization resulted in 957 relevant terms, of which 499 were constant and 458 not included in the terminology. Terms were validated when Content Validity Index was between 0.86 and 1.0. Conclusions: the study allowed the validation of terms that will contribute to unify the professional language of nursing in the care of people with chronic kidney disease.

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Progression of Aortic Calcification in Stage 4–5 Chronic Kidney Disease Patients Transitioning to Dialysis and Transplantation

Kidney & Blood Pressure Research ◽

10.1159/000518670 ◽

2021 ◽

pp. 1-8

Author(s):

Roosa Lankinen ◽

Markus Hakamäki ◽

Tapio Hellman ◽

Niina S. Koivuviita ◽

Kaj Metsärinne ◽

...

Keyword(s):

Chronic Kidney Disease ◽

Kidney Disease ◽

Conservative Treatment ◽

Left Ventricular ◽

Waiting List ◽

Aortic Calcification ◽

Transplant Recipients ◽

Treatment Groups ◽

In The Beginning

Background and Aims: Abdominal aortic calcification (AAC) is common in chronic kidney disease (CKD) patients and associated with increased mortality. Comparative data on the AAC score progression in CKD patients transitioning from conservative treatment to different modalities of renal replacement therapy (RRT) are lacking and were examined. Methods: 150 study patients underwent lateral lumbar radiograph to study AAC in the beginning of the study before commencing RRT (AAC1) and at 3 years of follow-up (AAC2). We examined the associations between repeated laboratory tests taken every 3 months, echocardiographic and clinical variables and AAC increment per year (ΔAAC), and the association between ΔAAC and outcomes during follow-up. Results: At the time of AAC2 measurement, 39 patients were on hemodialysis, 39 on peritoneal dialysis, 39 had a transplant, and 33 were on conservative treatment. Median AAC1 was 4.8 (0.5–9.0) and median AAC2 8.0 (1.5–12.0) (p < 0.0001). ΔAAC was similar across the treatment groups (p = 0.19). ΔAAC was independently associated with mean left ventricular mass index (LVMI) (log LVMI: β = 0.97, p = 0.02) and mean phosphorus through follow-up (log phosphorus: β = 1.19, p = 0.02) in the multivariable model. Time to transplantation was associated with ΔAAC in transplant recipients (per month on the waiting list: β = 0.04, p = 0.001). ΔAAC was associated with mortality (HR 1.427, 95% confidence interval 1.044–1.950, p = 0.03). Conclusion: AAC progresses rapidly in patients with CKD, and ΔAAC is similar across the CKD treatment groups including transplant recipients. The increment rate is associated with mortality and in transplant recipients with the time on the transplant waiting list.

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