Adductor Pollicis Muscle Thickness as a Marker of Nutritional Status in Heart Failure

ABSTRACT Objective: The aim of this study is to systematically review the scientific findings about the efficacy of the measure of the Adductor Pollicis Muscle Thickness for nutritional assessment of individuals in various clinical conditions. Method: Systematic review study performed according to the methodology Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA). Results: 13 original articles published between 2004 and 2016 were included. The measure was associated/correlated to parameters of nutritional status (such as weight, body mass index and Global Subjective Assessment) and muscle mass markers (such as circumference brachial muscle circumference, brachial muscle area, calf circumference, and muscle mass). All these correlations were weak or moderate. Conclusion: The measurement can be used in different populations, being able to estimate nutritional status and muscle mass. However, it is suggested that it be used in a complementary way to the nutritional evaluation, not constituting a single diagnostic/monitoring parameter.

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Adductor pollicis muscle and nutritional status in heart failure patients: Is there an association?

Nutrition ◽

10.1016/j.nut.2019.06.017 ◽

2019 ◽

Vol 67-68 ◽

pp. 110536

Author(s):

Rodrigo R. Duarte ◽

M. Cristina Gonzalez ◽

Jacqueline F. Oliveira ◽

Patrícia C. Oliveira ◽

Iran Castro

Keyword(s):

Heart Failure ◽

Nutritional Status ◽

Adductor Pollicis ◽

Adductor Pollicis Muscle ◽

Heart Failure Patients

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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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MALNUTRITION IN CIRRHOSIS: ASSOCIATION WITH ETIOLOGY AND HEPATOCELLULAR DYSFUNCTION

Arquivos de Gastroenterologia ◽

10.1590/s0004-2803.202000000-71 ◽

2020 ◽

Vol 57 (4) ◽

pp. 375-380

Author(s):

Kalinca S OLIVEIRA ◽

Luana Reis OLIVEIRA ◽

Sabrina A FERNANDES ◽

Gabriela P CORAL

Keyword(s):

Liver Disease ◽

Nutritional Status ◽

Protein Energy Malnutrition ◽

Muscle Thickness ◽

Bioelectrical Impedance ◽

Disease Etiology ◽

Adductor Pollicis Muscle ◽

Protein Energy ◽

End Stage ◽

A Prospective Study

ABSTRACT BACKGROUND: The protein-energy malnutrition alters the prognosis of patients with cirrhosis. Its prevalence may vary according to the etiology of liver disease, it´s severity and the evaluation of the method applied. The infection by the hepatitis C virus (HCV) and alcoholism are the main etiologies of cirrhosis and result in a significant morbidity and mortality. OBJECTIVE: To evaluate the nutritional status of patients with cirrhosis according the liver disease etiology and severity. METHODS: It is a prospective study, in which the sample was for convenience and consisted of patients with cirrhosis, infected by HCV or alcoholic etiology. The nutritional status evaluation was carried out through anthropometry, food consumption, bioelectrical impedance (BIA) and subjective global assessment (SGA). The anthropometric data evaluated were weight, height, body mass index (BMI), triceps skinfold (TSF), circumference of the arm (CA), non-dominant handshake strength (FAM) and the adductor pollicis muscle thickness (APM). Patients were classified according to the severity of liver disease, using the Child-Pugh and Model for End-stage Liver Diseases (MELD) scores. RESULTS: Ninety patients with cirrhosis were evaluated, 47 with HCV and 43 with alcoholic etiology. The prevalence of protein-calorie malnutrition ranged from 10.9% to 54.3% in the HCV group and from 4.7% to 20.9% in the alcoholic group, depending on the method used for evaluation. The group with HCV infection presented a higher malnutrition prevalence in comparison to the alcoholic in the following evaluations: TSF (P<0.001), phase angle (PA) (P=0.016) and SGA (P=0.010). PA values were lower in patients with viral cirrhosis (5.68±1.05) when compared to those with alcoholic etiology (6.61±2.31) (P=0.016). When all patients were analyzed, regardless of etiology, an inversely correlation was observed among Child-Pugh score and PA values (P=0.018). CONCLUSION: HCV cirrhosis showed worse nutritional parameters in comparison to alcoholic etiology; however, the PA was associated with worse liver function in both etiologies.

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