Thumb Adductor Muscle Thickness in the Diagnosis of Malnutrition in Cancer Patients

Detalhes bibliográficos
Autor(a) principal: Gottlieb, Tamiris Suzeti
Data de Publicação: 2022
Outros Autores: Poersch, Alice Bertotto
Tipo de documento: Artigo
Idioma: por
eng
Título da fonte: Revista Brasileira de Cancerologia (Online)
Texto Completo: https://rbc.inca.gov.br/index.php/revista/article/view/1658
Resumo: Introduction: Cancer patients are at high risk of malnutrition due to the metabolic disorders of the disease and the required treatments. The adductor pollicis muscle thickness (APMT) evaluates the muscular compartment and can be useful to detect early malnutrition. Objective: To verify the frequency of malnutrition in cancer patients according to APMT and correlate with the body mass index (BMI), mid arm circumference (MAC) and patient generated subjective global assessment (PG-SGA). Method: Cross-sectional study, with individuals aged 20 years or older, admitted for chemotherapy treatment, in a hospital in Vale do Taquari-RS. Anthropometric data were collected: weight, height, MAC and APMT during nutritional screening. PG-SGA was applied to assess nutritional status. Data were analyzed using SPSS software version 26.0 and the variables were related using Pearson’s Chi-square test and correlated by Spearman’s test. Results: 41 patients were evaluated. Of these, 68.3% were classified with some degree of reduction by APMT. The PG-SGA classified 78% in nutritional risk/moderate malnutrition and severe malnutrition. There was a significant correlation between APMT and PG-SGA. An inverse correlation was observed between APMT and BMI. APMT had a significant association with BMI, MAC and PG-SGA. Conclusion: APMT is an effective method utilized to diagnose malnutrition and can be associated with other assessment methods for the nutritional diagnosis of cancer patients.
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spelling Thumb Adductor Muscle Thickness in the Diagnosis of Malnutrition in Cancer PatientsEspesor del Músculo Aductor del Pulgar en el Diagnóstico de Desnutrición en Pacientes con CáncerEspessura do Músculo Adutor do Polegar no Diagnóstico de Desnutrição em Pacientes Oncológicosavaliação nutricionaldesnutrição/diagnósticoneoplasias/complicaçõesestudos transversaisnutritional assessmentmalnutrition/diagnosisneoplasms/ complicationscross-sectional studiesevaluación nutricionaldesnutrición/diagnósticoneoplasias/complicacionesestudios transversalesIntroduction: Cancer patients are at high risk of malnutrition due to the metabolic disorders of the disease and the required treatments. The adductor pollicis muscle thickness (APMT) evaluates the muscular compartment and can be useful to detect early malnutrition. Objective: To verify the frequency of malnutrition in cancer patients according to APMT and correlate with the body mass index (BMI), mid arm circumference (MAC) and patient generated subjective global assessment (PG-SGA). Method: Cross-sectional study, with individuals aged 20 years or older, admitted for chemotherapy treatment, in a hospital in Vale do Taquari-RS. Anthropometric data were collected: weight, height, MAC and APMT during nutritional screening. PG-SGA was applied to assess nutritional status. Data were analyzed using SPSS software version 26.0 and the variables were related using Pearson’s Chi-square test and correlated by Spearman’s test. Results: 41 patients were evaluated. Of these, 68.3% were classified with some degree of reduction by APMT. The PG-SGA classified 78% in nutritional risk/moderate malnutrition and severe malnutrition. There was a significant correlation between APMT and PG-SGA. An inverse correlation was observed between APMT and BMI. APMT had a significant association with BMI, MAC and PG-SGA. Conclusion: APMT is an effective method utilized to diagnose malnutrition and can be associated with other assessment methods for the nutritional diagnosis of cancer patients.Introducción: Los pacientes con cáncer tienen un alto riesgo de desnutrición, debido a los trastornos metabólicos de la enfermedad y los tratamientos necesarios. El grosor del músculo aductor del pulgar (EMAP) evalúa el compartimento muscular y puede ser útil para detectar la desnutrición precoz. Objetivo: Verificar la frecuencia de desnutrición en pacientes oncológicos según la EMAP y correlacionar con el índice de masa corporal (IMC), circunferencia del brazo (CB) y evaluación global subjetiva producida por el paciente (EGS-PPP). Método: Estudio transversal, con individuos de 20 años o más, ingresados para administración de quimioterapia, en un hospital de Vale do Taquari-RS. Se recogieron datos antropométricos: peso, talla, CB y EMAP durante el cribado nutricional. Se aplicó EGS-PPP para evaluar el estado nutricional. Los datos se analizaron mediante el software SPSS versión 26.0 y las variables se relacionaron mediante la prueba de chi-cuadrado de Pearson y se correlacionaron mediante la prueba de Spearman. Resultados: Se evaluaron 41 pacientes. De estos, el 68,3% fueron clasificados con algún grado de reducción por EMAP. La EGS-PPP clasificó al 78% en riesgo nutricional/desnutrición moderada y desnutrición severa. Hubo una correlación significativa entre EMAP y EGS-PPP. Se observó una correlación inversa entre EMAP e IMC. EMAP tuvo una asociación significativa con IMC, CB y EGS-PPP. Conclusión: EMAP es un método eficaz para diagnosticar la desnutrición y puede utilizarse junto con otros métodos de evaluación para el diagnóstico nutricional de pacientes con cáncer.Introdução: Pacientes oncológicos apresentam alto risco de desnutrição, em razão das desordens metabólicas da doença e de tratamentos necessários. A espessura do músculo adutor do polegar (EMAP) avalia o compartimento muscular, podendo ser útil para detectar a desnutrição precoce. Objetivo: Verificar a frequência de desnutrição em pacientes oncológicos conforme a EMAP e correlacionar com o índice de massa corporal (IMC), circunferência do braço (CB) e avaliação subjetiva global produzida pelo próprio paciente (ASG-PPP). Método: Estudo transversal, com indivíduos com idade maior ou igual a 20 anos, internados para administração de quimioterapia, em um hospital do Vale do Taquari-RS. Foram coletados dados antropométricos: peso, altura, CB e EMAP durante a triagem nutricional. A ASG-PPP foi aplicada para avaliação do estado nutricional. Os dados foram analisados por meio do software SPSS versão 26.0, e as variáveis relacionadas por meio do teste qui-quadrado de Pearson e correlacionadas pelo teste de Spearman. Resultados: Foram avaliados 41 pacientes. Destes, 68,3% foram classificados com algum grau de redução pela EMAP. A ASG-PPP classificou 78% em risco nutricional/desnutrição moderada e desnutrição grave. Houve correlação significativa entre a EMAP e a ASG-PPP. Foi observada correlação inversa entre a EMAP e o IMC. A EMAP teve associação significativa com o IMC, a CB e a ASG-PPP. Conclusão: A EMAP é um método eficaz, utilizado para diagnosticar desnutrição, podendo ser associado a outros métodos de avaliação para o diagnóstico nutricional de pacientes oncológicos.INCA2022-03-21info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionArtigos, Avaliado pelos paresapplication/pdfapplication/pdftext/htmlhttps://rbc.inca.gov.br/index.php/revista/article/view/165810.32635/2176-9745.RBC.2022v68n1.1658Revista Brasileira de Cancerologia; Vol. 68 No. 1 (2022): Jan./Feb./Mar.; e-221658Revista Brasileira de Cancerologia; Vol. 68 Núm. 1 (2022): ene./feb./mar.; e-221658Revista Brasileira de Cancerologia; v. 68 n. 1 (2022): jan./fev./mar.; e-2216582176-9745reponame:Revista Brasileira de Cancerologia (Online)instname:Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA)instacron:INCAporenghttps://rbc.inca.gov.br/index.php/revista/article/view/1658/1593https://rbc.inca.gov.br/index.php/revista/article/view/1658/1929https://rbc.inca.gov.br/index.php/revista/article/view/1658/2434Copyright (c) 2022 Revista Brasileira de Cancerologiahttps://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessGottlieb, Tamiris SuzetiPoersch, Alice Bertotto 2022-12-01T13:39:24Zoai:rbc.inca.gov.br:article/1658Revistahttps://rbc.inca.gov.br/index.php/revistaPUBhttps://rbc.inca.gov.br/index.php/revista/oairbc@inca.gov.br0034-71162176-9745opendoar:2022-12-01T13:39:24Revista Brasileira de Cancerologia (Online) - Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA)false
dc.title.none.fl_str_mv Thumb Adductor Muscle Thickness in the Diagnosis of Malnutrition in Cancer Patients
Espesor del Músculo Aductor del Pulgar en el Diagnóstico de Desnutrición en Pacientes con Cáncer
Espessura do Músculo Adutor do Polegar no Diagnóstico de Desnutrição em Pacientes Oncológicos
title Thumb Adductor Muscle Thickness in the Diagnosis of Malnutrition in Cancer Patients
spellingShingle Thumb Adductor Muscle Thickness in the Diagnosis of Malnutrition in Cancer Patients
Gottlieb, Tamiris Suzeti
avaliação nutricional
desnutrição/diagnóstico
neoplasias/complicações
estudos transversais
nutritional assessment
malnutrition/diagnosis
neoplasms/ complications
cross-sectional studies
evaluación nutricional
desnutrición/diagnóstico
neoplasias/complicaciones
estudios transversales
title_short Thumb Adductor Muscle Thickness in the Diagnosis of Malnutrition in Cancer Patients
title_full Thumb Adductor Muscle Thickness in the Diagnosis of Malnutrition in Cancer Patients
title_fullStr Thumb Adductor Muscle Thickness in the Diagnosis of Malnutrition in Cancer Patients
title_full_unstemmed Thumb Adductor Muscle Thickness in the Diagnosis of Malnutrition in Cancer Patients
title_sort Thumb Adductor Muscle Thickness in the Diagnosis of Malnutrition in Cancer Patients
author Gottlieb, Tamiris Suzeti
author_facet Gottlieb, Tamiris Suzeti
Poersch, Alice Bertotto
author_role author
author2 Poersch, Alice Bertotto
author2_role author
dc.contributor.author.fl_str_mv Gottlieb, Tamiris Suzeti
Poersch, Alice Bertotto
dc.subject.por.fl_str_mv avaliação nutricional
desnutrição/diagnóstico
neoplasias/complicações
estudos transversais
nutritional assessment
malnutrition/diagnosis
neoplasms/ complications
cross-sectional studies
evaluación nutricional
desnutrición/diagnóstico
neoplasias/complicaciones
estudios transversales
topic avaliação nutricional
desnutrição/diagnóstico
neoplasias/complicações
estudos transversais
nutritional assessment
malnutrition/diagnosis
neoplasms/ complications
cross-sectional studies
evaluación nutricional
desnutrición/diagnóstico
neoplasias/complicaciones
estudios transversales
description Introduction: Cancer patients are at high risk of malnutrition due to the metabolic disorders of the disease and the required treatments. The adductor pollicis muscle thickness (APMT) evaluates the muscular compartment and can be useful to detect early malnutrition. Objective: To verify the frequency of malnutrition in cancer patients according to APMT and correlate with the body mass index (BMI), mid arm circumference (MAC) and patient generated subjective global assessment (PG-SGA). Method: Cross-sectional study, with individuals aged 20 years or older, admitted for chemotherapy treatment, in a hospital in Vale do Taquari-RS. Anthropometric data were collected: weight, height, MAC and APMT during nutritional screening. PG-SGA was applied to assess nutritional status. Data were analyzed using SPSS software version 26.0 and the variables were related using Pearson’s Chi-square test and correlated by Spearman’s test. Results: 41 patients were evaluated. Of these, 68.3% were classified with some degree of reduction by APMT. The PG-SGA classified 78% in nutritional risk/moderate malnutrition and severe malnutrition. There was a significant correlation between APMT and PG-SGA. An inverse correlation was observed between APMT and BMI. APMT had a significant association with BMI, MAC and PG-SGA. Conclusion: APMT is an effective method utilized to diagnose malnutrition and can be associated with other assessment methods for the nutritional diagnosis of cancer patients.
publishDate 2022
dc.date.none.fl_str_mv 2022-03-21
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
Artigos, Avaliado pelos pares
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://rbc.inca.gov.br/index.php/revista/article/view/1658
10.32635/2176-9745.RBC.2022v68n1.1658
url https://rbc.inca.gov.br/index.php/revista/article/view/1658
identifier_str_mv 10.32635/2176-9745.RBC.2022v68n1.1658
dc.language.iso.fl_str_mv por
eng
language por
eng
dc.relation.none.fl_str_mv https://rbc.inca.gov.br/index.php/revista/article/view/1658/1593
https://rbc.inca.gov.br/index.php/revista/article/view/1658/1929
https://rbc.inca.gov.br/index.php/revista/article/view/1658/2434
dc.rights.driver.fl_str_mv Copyright (c) 2022 Revista Brasileira de Cancerologia
https://creativecommons.org/licenses/by/4.0
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Copyright (c) 2022 Revista Brasileira de Cancerologia
https://creativecommons.org/licenses/by/4.0
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
application/pdf
text/html
dc.publisher.none.fl_str_mv INCA
publisher.none.fl_str_mv INCA
dc.source.none.fl_str_mv Revista Brasileira de Cancerologia; Vol. 68 No. 1 (2022): Jan./Feb./Mar.; e-221658
Revista Brasileira de Cancerologia; Vol. 68 Núm. 1 (2022): ene./feb./mar.; e-221658
Revista Brasileira de Cancerologia; v. 68 n. 1 (2022): jan./fev./mar.; e-221658
2176-9745
reponame:Revista Brasileira de Cancerologia (Online)
instname:Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA)
instacron:INCA
instname_str Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA)
instacron_str INCA
institution INCA
reponame_str Revista Brasileira de Cancerologia (Online)
collection Revista Brasileira de Cancerologia (Online)
repository.name.fl_str_mv Revista Brasileira de Cancerologia (Online) - Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA)
repository.mail.fl_str_mv rbc@inca.gov.br
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