Clinical and nutritional evaluation indicators of patients on waiting list for liver transplantation

Detalhes bibliográficos
Autor(a) principal: Portugal, Milêda Lima Torres
Data de Publicação: 2019
Outros Autores: Daltro, Ana Filomena Camacho Santos, Coêlho, Gustavo Rêgo, Batista, Bruna Aparecida Melo, de Oliveira, Ariclécio Cunha, de Almeida, Paulo César, Maia, Carla Soraya Costa
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Rasbran
Texto Completo: https://rasbran.com.br/rasbran/article/view/750
Resumo: Objective: Comparing different methods of clinical and anthropometric assessment of pre-liver transplant patients. Methods: This was a cross-sectional study with quantitative approach. We analyzed data from the medical records of pre-transplant patients older than 18 who received care at a Nutrition outpatient clinic of a Liver Transplant Center in Fortaleza-CE. We collected data regarding patient identification, clinical diagnosis, nutritional assessment and diagnosis. This study was approved by the Ethics Committee in Research of Walter Cantídio University Hospital of the Federal University of Ceará. Data were analyzed in the statistical program SPSSTM version 17.0 Results: The sample consisted of 71 patients, with 46 men (64.8%) and 25 women (35.2%), with a mean age of 53.7 years. The average BMI was 27.2 kg/m2; most women were healthy (60.0%) and most men were with excess of body weight (69.0%). As for the nutritional diagnosis according to the percentage of adequacy of the mid-upper arm circumference, we noted that 52.4% and 43.6% of female and male patients, respectively, showed some level of protein-calorie malnutrition. For the triceps skin fold, we noticed that most  male patients (54.5%) were diagnosed as being overweight or obese. When assessing the percentage of adequacy of the mid-upper arm muscle area, most patients of both sexes had some level of malnutrition (62.3%). No significant correlation was observed between the MELD and Child-Pugh severity score (indices that encompass biochemical and clinical parameters for the prognostic evaluation of end-stage liver disease) and anthropometric variables. Conclusion: The severity indicators of the disease were not related to the anthropometric indices, but  most patients who are eligible for a liver transplant were overweight according to BMI, although suffer from muscle mass depletion according to mid-upper arm muscle are, which shows the necessity of the  combined use of several nutritional assessment methods in order to achieve a diagnosis of their body composition and, consequently, a faithful nutritional diagnosis.
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spelling Clinical and nutritional evaluation indicators of patients on waiting list for liver transplantationNutritional assessmentAnthropometryLiver transplantationObjective: Comparing different methods of clinical and anthropometric assessment of pre-liver transplant patients. Methods: This was a cross-sectional study with quantitative approach. We analyzed data from the medical records of pre-transplant patients older than 18 who received care at a Nutrition outpatient clinic of a Liver Transplant Center in Fortaleza-CE. We collected data regarding patient identification, clinical diagnosis, nutritional assessment and diagnosis. This study was approved by the Ethics Committee in Research of Walter Cantídio University Hospital of the Federal University of Ceará. Data were analyzed in the statistical program SPSSTM version 17.0 Results: The sample consisted of 71 patients, with 46 men (64.8%) and 25 women (35.2%), with a mean age of 53.7 years. The average BMI was 27.2 kg/m2; most women were healthy (60.0%) and most men were with excess of body weight (69.0%). As for the nutritional diagnosis according to the percentage of adequacy of the mid-upper arm circumference, we noted that 52.4% and 43.6% of female and male patients, respectively, showed some level of protein-calorie malnutrition. For the triceps skin fold, we noticed that most  male patients (54.5%) were diagnosed as being overweight or obese. When assessing the percentage of adequacy of the mid-upper arm muscle area, most patients of both sexes had some level of malnutrition (62.3%). No significant correlation was observed between the MELD and Child-Pugh severity score (indices that encompass biochemical and clinical parameters for the prognostic evaluation of end-stage liver disease) and anthropometric variables. Conclusion: The severity indicators of the disease were not related to the anthropometric indices, but  most patients who are eligible for a liver transplant were overweight according to BMI, although suffer from muscle mass depletion according to mid-upper arm muscle are, which shows the necessity of the  combined use of several nutritional assessment methods in order to achieve a diagnosis of their body composition and, consequently, a faithful nutritional diagnosis.ASSOCIAÇÃO BRASILEIRA DE NUTRIÇÃO (ASBRAN)2019-09-05info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://rasbran.com.br/rasbran/article/view/750Revista da Associação Brasileira de Nutrição - RASBRAN; v. 10 n. 1 (2019); 15-212357-78941983-3164reponame:Rasbraninstname:Associação Brasileira de Nutrição (ASBRAN)instacron:ASBRANenghttps://rasbran.com.br/rasbran/article/view/750/248Copyright (c) 2019 Revista da Associação Brasileira de Nutrição - RASBRANinfo:eu-repo/semantics/openAccessPortugal, Milêda Lima TorresDaltro, Ana Filomena Camacho SantosCoêlho, Gustavo RêgoBatista, Bruna Aparecida Melode Oliveira, Ariclécio Cunhade Almeida, Paulo CésarMaia, Carla Soraya Costa2019-09-06T02:12:50Zoai:ojs.emnuvens.com.br:article/750Revistahttps://www.rasbran.com.br/rasbranONGhttps://rasbran.com.br/rasbran/oaiindex_rasbran@asbran.org.br || rasbran@asbran.org.br2357-78941983-3164opendoar:2019-09-06T02:12:50Rasbran - Associação Brasileira de Nutrição (ASBRAN)false
dc.title.none.fl_str_mv Clinical and nutritional evaluation indicators of patients on waiting list for liver transplantation
title Clinical and nutritional evaluation indicators of patients on waiting list for liver transplantation
spellingShingle Clinical and nutritional evaluation indicators of patients on waiting list for liver transplantation
Portugal, Milêda Lima Torres
Nutritional assessment
Anthropometry
Liver transplantation
title_short Clinical and nutritional evaluation indicators of patients on waiting list for liver transplantation
title_full Clinical and nutritional evaluation indicators of patients on waiting list for liver transplantation
title_fullStr Clinical and nutritional evaluation indicators of patients on waiting list for liver transplantation
title_full_unstemmed Clinical and nutritional evaluation indicators of patients on waiting list for liver transplantation
title_sort Clinical and nutritional evaluation indicators of patients on waiting list for liver transplantation
author Portugal, Milêda Lima Torres
author_facet Portugal, Milêda Lima Torres
Daltro, Ana Filomena Camacho Santos
Coêlho, Gustavo Rêgo
Batista, Bruna Aparecida Melo
de Oliveira, Ariclécio Cunha
de Almeida, Paulo César
Maia, Carla Soraya Costa
author_role author
author2 Daltro, Ana Filomena Camacho Santos
Coêlho, Gustavo Rêgo
Batista, Bruna Aparecida Melo
de Oliveira, Ariclécio Cunha
de Almeida, Paulo César
Maia, Carla Soraya Costa
author2_role author
author
author
author
author
author
dc.contributor.author.fl_str_mv Portugal, Milêda Lima Torres
Daltro, Ana Filomena Camacho Santos
Coêlho, Gustavo Rêgo
Batista, Bruna Aparecida Melo
de Oliveira, Ariclécio Cunha
de Almeida, Paulo César
Maia, Carla Soraya Costa
dc.subject.por.fl_str_mv Nutritional assessment
Anthropometry
Liver transplantation
topic Nutritional assessment
Anthropometry
Liver transplantation
description Objective: Comparing different methods of clinical and anthropometric assessment of pre-liver transplant patients. Methods: This was a cross-sectional study with quantitative approach. We analyzed data from the medical records of pre-transplant patients older than 18 who received care at a Nutrition outpatient clinic of a Liver Transplant Center in Fortaleza-CE. We collected data regarding patient identification, clinical diagnosis, nutritional assessment and diagnosis. This study was approved by the Ethics Committee in Research of Walter Cantídio University Hospital of the Federal University of Ceará. Data were analyzed in the statistical program SPSSTM version 17.0 Results: The sample consisted of 71 patients, with 46 men (64.8%) and 25 women (35.2%), with a mean age of 53.7 years. The average BMI was 27.2 kg/m2; most women were healthy (60.0%) and most men were with excess of body weight (69.0%). As for the nutritional diagnosis according to the percentage of adequacy of the mid-upper arm circumference, we noted that 52.4% and 43.6% of female and male patients, respectively, showed some level of protein-calorie malnutrition. For the triceps skin fold, we noticed that most  male patients (54.5%) were diagnosed as being overweight or obese. When assessing the percentage of adequacy of the mid-upper arm muscle area, most patients of both sexes had some level of malnutrition (62.3%). No significant correlation was observed between the MELD and Child-Pugh severity score (indices that encompass biochemical and clinical parameters for the prognostic evaluation of end-stage liver disease) and anthropometric variables. Conclusion: The severity indicators of the disease were not related to the anthropometric indices, but  most patients who are eligible for a liver transplant were overweight according to BMI, although suffer from muscle mass depletion according to mid-upper arm muscle are, which shows the necessity of the  combined use of several nutritional assessment methods in order to achieve a diagnosis of their body composition and, consequently, a faithful nutritional diagnosis.
publishDate 2019
dc.date.none.fl_str_mv 2019-09-05
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
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dc.identifier.uri.fl_str_mv https://rasbran.com.br/rasbran/article/view/750
url https://rasbran.com.br/rasbran/article/view/750
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv https://rasbran.com.br/rasbran/article/view/750/248
dc.rights.driver.fl_str_mv Copyright (c) 2019 Revista da Associação Brasileira de Nutrição - RASBRAN
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Copyright (c) 2019 Revista da Associação Brasileira de Nutrição - RASBRAN
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv ASSOCIAÇÃO BRASILEIRA DE NUTRIÇÃO (ASBRAN)
publisher.none.fl_str_mv ASSOCIAÇÃO BRASILEIRA DE NUTRIÇÃO (ASBRAN)
dc.source.none.fl_str_mv Revista da Associação Brasileira de Nutrição - RASBRAN; v. 10 n. 1 (2019); 15-21
2357-7894
1983-3164
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repository.name.fl_str_mv Rasbran - Associação Brasileira de Nutrição (ASBRAN)
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