Clinical and nutritional evaluation indicators of patients on waiting list for liver transplantation
Autor(a) principal: | |
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Data de Publicação: | 2019 |
Outros Autores: | , , , , , |
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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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 info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
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 reponame:Rasbran instname:Associação Brasileira de Nutrição (ASBRAN) instacron:ASBRAN |
instname_str |
Associação Brasileira de Nutrição (ASBRAN) |
instacron_str |
ASBRAN |
institution |
ASBRAN |
reponame_str |
Rasbran |
collection |
Rasbran |
repository.name.fl_str_mv |
Rasbran - Associação Brasileira de Nutrição (ASBRAN) |
repository.mail.fl_str_mv |
index_rasbran@asbran.org.br || rasbran@asbran.org.br |
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1797049027579084800 |