Yoshimura da Costa Talita, Yukari Suganuma Juliana, Faria Sheilla de, Bernardes Spexoto Maria Claudia
Universidade Federal da Grande Dourados.
Department of Preventive Medicine. Faculdade de Medicina. Universidade de São Paulo.
Nutr Hosp. 2021 Jun 10;38(3):519-524. doi: 10.20960/nh.03319.
Background: malnutrition is common in hospitalized patients and early diagnosis can contribute to better clinical and nutritional outcomes. Adductor pollicis muscle thickness (APMT) and handgrip strength (HGS) have been used to identify reductions in strength and muscle mass, associated or not with conventional methods. Objective: we aimed to correlate APMT and HGS with conventional anthropometric variables in hospitalized patients, and assess their relationship with nutritional status as evaluated by the Patient-Generated Subjective Global Assessment (PG-SGA) method. Methods: a cross-sectional study was conducted in patients of both sexes admitted to a University Hospital in Brazil. APMT, HGS, and conventional measures were used for anthropometric assessment. PG-SGA was used for the assessment of nutritional status. Results: the sample included 73 patients (66.9 ± 9.6 years). Most patients were admitted for surgery procedures (53.4 %) and had an adequate body mass index (BMI) (47.9 %), while according to PG-SGA most patients (67.1 %) had some degree of malnutrition (B and C). Right-hand (R) APMT was significantly correlated with corrected arm muscle area (cAMA), calf circumference (CC), and HGS. Left-hand (L) APMT was significantly correlated with cAMA, arm circumference (AC), CC, PG-SGA score, and HGS. Both HGS values (R/L) were significantly correlated with CC, PG-SGA score, and APMT. Conclusions: APMT and HGS were significantly correlated with the conventional anthropometric measure CC. In addition, the significant correlation observed between HGS, APMT, and PG-SGA highlights them as complementary assessments of nutritional status in clinical practice and for research purposes.
营养不良在住院患者中很常见，早期诊断有助于改善临床和营养结局。拇收肌厚度（APMT）和握力（HGS）已被用于识别力量和肌肉量的减少，无论是否与传统方法相关。目的：我们旨在将住院患者的APMT和HGS与传统人体测量变量进行关联，并评估它们与通过患者主观整体评估（PG-SGA）方法评估的营养状况之间的关系。方法：对巴西一家大学医院收治的男女患者进行了一项横断面研究。使用APMT、HGS和传统测量方法进行人体测量评估。PG-SGA用于评估营养状况。结果：样本包括73名患者（66.9±9.6岁）。大多数患者因手术入院（53.4%），且体重指数（BMI）正常（47.9%），而根据PG-SGA，大多数患者（67.1%）存在某种程度的营养不良（B级和C级）。右手（R）APMT与校正后的上臂肌肉面积（cAMA）、小腿围（CC）和HGS显著相关。左手（L）APMT与cAMA、上臂围（AC）、CC、PG-SGA评分和HGS显著相关。两个HGS值（R/L）均与CC、PG-SGA评分和APMT显著相关。结论：APMT和HGS与传统人体测量指标CC显著相关。此外，HGS、APMT和PG-SGA之间观察到的显著相关性突出了它们在临床实践和研究中作为营养状况补充评估的作用。
