在评估患有癌症的严重和中度营养不良儿童时，将手臂人体测量值加入到基于年龄的体重指数中，优于血清白蛋白，可提高营养评估的准确性。
Addition of arm anthropometry to body mass index for age, but not serum albumin, improves the accuracy of the nutritional assessment in severely and moderately malnourished children with cancer.
机构信息
Paediatric Oncology, Tata Memorial Centre, Mumbai, Maharashtra, India.
Global Integrative Medicine, Columbia University Irving Medical Center, New York, New York, USA.
出版信息
Pediatr Blood Cancer. 2022 Sep;69(9):e29718. doi: 10.1002/pbc.29718. Epub 2022 Apr 20.
Arm anthropometry is a more sensitive measure of nutritional status than body mass index for age (BMI) in children with cancer, but the added utility of serum albumin remains uncertain. Concordance was determined among four forms of classifying nutritional status in a cohort of undernourished children with cancer: method 1: BMI-for-age Z score; method 2: method 1 + mid-upper arm circumference (MUAC) percentile; method 3: method 2 + triceps skinfold thickness (TSFT) percentile; and method 4: method 3 + serum albumin. Concordance was highest between methods 2 and 3, followed closely by 3 and 4, indicating that addition of arm anthropometry, but not serum albumin, to BMI increased the sensitivity of baseline nutritional assessment.
手臂人体测量学是一种比年龄别体重指数（BMI）更敏感的衡量癌症儿童营养状况的指标，但血清白蛋白的附加效用仍不确定。在一组营养不良的癌症儿童队列中，通过以下四种方法来确定营养状况的分类：方法 1：年龄别 BMI 标准差评分；方法 2：方法 1+中上臂围（MUAC）百分位数；方法 3：方法 2+三头肌皮褶厚度（TSFT）百分位数；方法 4：方法 3+血清白蛋白。方法 2 和 3 之间的一致性最高，其次是 3 和 4，这表明手臂人体测量学的增加，而不是血清白蛋白，提高了基线营养评估的敏感性。
Zotero 插件