Ribeiro Lays S, Souza Bárbarah G de A, de Lima Juliana B, Pimentel Gustavo D
Hospital das Clínicas de Goiás, Universidade Federal de Goiás, Goiânia 74605-080, Brazil.
Laboratório de Investigação em Nutrição Clínica e Esportiva (Labince), Faculdade de Nu-trição, Universidade Federal de Goiás, Goiânia 74605-080, Brazil.
Clin Pract. 2021 Jun 16;11(2):395-403. doi: 10.3390/clinpract11020054.
This study sought (i) to adapt cross-culturally the Brazilian Portuguese-translated version of the MSRA questionnaire, (ii) to estimate the prevalence of risk of sarcopenia, and (iii) to correlate the MSRA Portuguese version with CC in hospitalized cancer patients.
This was a cross-sectional study developed at the hospital in the year 2018. After being translated and adapted to the Portuguese language, the questionnaire was applied and associated with the measurement of calf circumference (CC) to verify its validity.
Of the 45 patients, 71.1% presented significant or severe body weight loss, and 55.5% indicated muscle mass loss (CC < 31 cm). From the MSRA of seven and five items, 91.1 and 84.5% of the patients, respectively, presented risk for sarcopenia. Among those at risk for sarcopenia, more than 60% were aged <70 years, >80% were hospitalized in the last year, more than 40% could not walk > 1000 m, >40% did not eat regularly, and >80% lost >2 kg in the last year. CC was correlated with MSRA of five items (r = 0.46, = 0.001) and seven items (r = 0.53, = 0.0002). Furthermore, both versions of the MSRA (seven and five items) presented strong agreement and high reliability.
The MSRA full and short version was adapted for a Brazilian Portuguese-translated version and showed strong agreement and high reliability to identify the risk for sarcopenia in hospitalized cancer patients. Therefore, this questionnaire can be used as part of nutritional assessment protocols in order to enable early screening of the risk for sarcopenia.
本研究旨在（i）对MSRA问卷的巴西葡萄牙语翻译版本进行跨文化改编，（ii）估计肌肉减少症风险的患病率，以及（iii）将MSRA葡萄牙语版本与住院癌症患者的小腿围度（CC）进行关联。
这是一项于2018年在该医院开展的横断面研究。问卷经翻译并改编为葡萄牙语后进行应用，并与小腿围度测量（CC）相关联以验证其有效性。
45例患者中，71.1%出现显著或严重体重减轻，55.5%表明存在肌肉量减少（CC<31 cm）。从包含7项和5项的MSRA来看，分别有91.1%和84.5%的患者存在肌肉减少症风险。在有肌肉减少症风险的患者中，超过60%年龄<70岁，超过80%在过去一年住院，超过40%无法行走>1000米，超过40%饮食不规律，超过80%在过去一年体重减轻>2千克。CC与包含5项的MSRA（r = 0.46，P = 0.001）和包含7项的MSRA（r = 0.53，P = 0.0002）相关。此外，MSRA的两个版本（7项和5项）均表现出高度一致性和高可靠性。
MSRA的完整版和简短版已改编为巴西葡萄牙语翻译版本，在识别住院癌症患者肌肉减少症风险方面表现出高度一致性和高可靠性。因此，该问卷可作为营养评估方案的一部分，以便早期筛查肌肉减少症风险。
