Oliveira Débora Rocha, Frangella Vera Silvia
Faculdade de Saúde Pública, Universidade de São Paulo - USP, BR.
Centro Universitário São Camilo, São Paulo, SP, BR.
Einstein (Sao Paulo). 2010 Dec;8(4):467-72. doi: 10.1590/S1679-45082010AO1763.
To evaluate and compare the effectiveness of different methods used for nutritional assessment of outpatients who had hemiplegic stroke.
A cross-section study with adult and elderly patients of both genders enrolled in a rehabilitation center. The analyzed variables were anthropometric measurements, bioelectrical impedance, hand grip strength and thickness of the adductor pollicis muscle. The Pearson χ2 test was used to check the association between variables with a significance level of α = 5%.
When evaluating the association between indicators of muscle mass, it was observed that the hand grip strength in both genders was positively correlated with arm muscle circumference (p = 0.0196) and lean mass (p = 0.0002). Fat mass measured by the bioelectrical impedance method already showed a significant inverse relationship with the grip (r = -0.3879). The thickness of the adductor pollicis muscle showed significant association with lean mass (p = 0.0052) and hand grip (p = 0.0024).
In this study, the hand grip strength and thickness of the adductor pollicis muscle were well correlated with measurements determined by anthropometry and bioimpedance. The results show the applicability of grip strength and thickness of the adductor pollicis muscle in clinical practice as nutritional assessment methods for this population, especially elderly patients, since they detect functional changes not captured by other parameters in the short term and are important for early identification of risk nutrition.
评估和比较用于偏瘫性中风门诊患者营养评估的不同方法的有效性。
对一家康复中心纳入的成年和老年男女患者进行横断面研究。分析的变量包括人体测量、生物电阻抗、握力和拇收肌厚度。采用Pearson χ2检验来检验变量之间的关联，显著性水平α = 5%。
在评估肌肉量指标之间的关联时，观察到男女的握力均与上臂围（p = 0.0196）和去脂体重（p = 0.0002）呈正相关。通过生物电阻抗法测量的脂肪量已显示出与握力有显著的负相关关系（r = -0.3879）。拇收肌厚度与去脂体重（p = 0.0052）和握力（p = 0.0024）显示出显著关联。
在本研究中，握力和拇收肌厚度与人体测量和生物阻抗测定结果具有良好的相关性。结果表明，握力和拇收肌厚度在临床实践中可作为该人群，尤其是老年患者的营养评估方法，因为它们能检测出短期内其他参数未捕捉到的功能变化，对早期识别营养风险很重要。
