Subjective muscle assessment as a complementary parameter for the nutritional diagnosis in presurgical patients
Autor(a) principal: | |
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Data de Publicação: | 2023 |
Outros Autores: | , , , |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Revista de Nutrição |
Texto Completo: | https://periodicos.puc-campinas.edu.br/nutricao/article/view/9715 |
Resumo: | ObjectiveThis study will compare Subjective Muscle Assessment with objective methods of nutritional assessment in presurgical patients. MethodsThis is a cross-sectional study to compare nutritional assessment methods involving primary data in presurgical patients. Anthropometric measurements, laboratory tests and Subjective Muscle Assessment were carried out to assess the subjects´ nutritional status. Kendall’s tau-b coefficient was employed and values equal to or above 80.0% were considered excellent in terms of reliability. ResultsThe protocol included 168 adult patients of both genders who would undergo major surgery. For Subjective Muscular Assessment, inter and intra-rater reliability was shown to be 77.0% and 89.0%, respectively. The muscle groups that presented the greatest percentage of trophic changes were the temporal and the masseter for both genders (female=53.5%; male=82.0). For women, a low reliability rate (≤51.0%) was found between Subjective Muscle Assessment and the objective methods, except for albumin and the gastrocnemius muscle (83.0%). Kendall’s coefficient for men was shown to be 60.0% and 70.0%, thus revealing good reliability(≥60.0% and <80.0%) when the body mass index and the arm circumference were compared with walking, mastication and interosseous muscles. Conclusion1. Subjective Muscle Assessment showed good diagnostic reproducibility. 2. Subjective trophic changes prevailed in the temporal and masseter muscles. 3. No excellent reliability was found between Subjective Muscle Assessment and the objective methods of nutritional assessment for both genders, except for that between albumin and the gastrocnemius muscle for women. |
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Subjective muscle assessment as a complementary parameter for the nutritional diagnosis in presurgical patientsAvaliação muscular subjetiva como parâmetro complementar de diagnóstico nutricional em pacientes no pré-operatórioanthropometrynutritional assessmentpreoperative careantropometriaavaliação nutricionalcuidados pré-operatóriosObjectiveThis study will compare Subjective Muscle Assessment with objective methods of nutritional assessment in presurgical patients. MethodsThis is a cross-sectional study to compare nutritional assessment methods involving primary data in presurgical patients. Anthropometric measurements, laboratory tests and Subjective Muscle Assessment were carried out to assess the subjects´ nutritional status. Kendall’s tau-b coefficient was employed and values equal to or above 80.0% were considered excellent in terms of reliability. ResultsThe protocol included 168 adult patients of both genders who would undergo major surgery. For Subjective Muscular Assessment, inter and intra-rater reliability was shown to be 77.0% and 89.0%, respectively. The muscle groups that presented the greatest percentage of trophic changes were the temporal and the masseter for both genders (female=53.5%; male=82.0). For women, a low reliability rate (≤51.0%) was found between Subjective Muscle Assessment and the objective methods, except for albumin and the gastrocnemius muscle (83.0%). Kendall’s coefficient for men was shown to be 60.0% and 70.0%, thus revealing good reliability(≥60.0% and <80.0%) when the body mass index and the arm circumference were compared with walking, mastication and interosseous muscles. Conclusion1. Subjective Muscle Assessment showed good diagnostic reproducibility. 2. Subjective trophic changes prevailed in the temporal and masseter muscles. 3. No excellent reliability was found between Subjective Muscle Assessment and the objective methods of nutritional assessment for both genders, except for that between albumin and the gastrocnemius muscle for women.ObjetivoComparar a Avaliação Muscular Subjetiva com métodos objetivos de avaliação nutricional em pacientes que serão submetidos à cirurgia. MétodosTrata-se de um estudo de comparação entre métodos de avaliação nutricional, com características transversais, envolvendo dados primários em pacientes no pré-operatório. Realizaram-se medidas antropométricas, laboratoriais e a Avaliação Muscular Subjetiva para diagnóstico nutricional dos pacientes. Utilizou-se o Coeficiente de Tau-b de Kendall, adotando-se como concordância excelente entre os métodos valores maiores ou iguais a 80%. ResultadosForam incluídos no protocolo 168 pacientes adultos, de ambos os sexos, com indicação de cirurgia de médio e grande porte. Para a Avaliação Muscular Subjetiva os valores observados no teste de concordância inter e intra-examinador foram 77,0% e 89,0%, respectivamente. Os grupamentos musculares que apresentaram maior percentual de alterações tróficas foram o temporal e masseter para ambos os sexos (feminino=53,5%; masculino=82,0%). Para o sexo feminino, o grau de concordância entre a Avaliação Muscular Subjetiva e os métodos objetivos foi baixo (≤51,0%), exceto para albumina e músculo gastrocnêmio (83,0%). Encontrou-se, para o sexo masculino, Coeficiente de Kendall com valores entre 60,0% e 70,0%, representando boa concordância (≥60,0% e <80,0%), ao comparar o índice de massa corporal e a circunferência do braço com os músculos da deambulação, da mastigação e dos interósseos. Conclusão1. A Avaliação Muscular Subjetiva apresentou boa reprodutibilidade diagnóstica; 2. Alterações tróficas subjetivas foram prevalentes nos músculo temporal e masseter; 3. Não foi encontrada concordância excelente entre a Avaliação Muscular Subjetiva e os métodos objetivos de avaliação nutricional para ambos os sexos, exceto entre a albumina e o músculo gastrocnêmio para o sexo feminino.Núcleo de Editoração – PUC-Campinas2023-09-15info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://periodicos.puc-campinas.edu.br/nutricao/article/view/9715Brazilian Journal of Nutrition; Vol. 20 No. 6 (2007): Revista de NutriçãoRevista de Nutrição; Vol. 20 Núm. 6 (2007): Revista de NutriçãoRevista de Nutrição; v. 20 n. 6 (2007): Revista de Nutrição1678-9865reponame:Revista de Nutriçãoinstname:Pontifícia Universidade Católica de Campinas (PUC-CAMPINAS)instacron:PUC_CAMPporhttps://periodicos.puc-campinas.edu.br/nutricao/article/view/9715/7061Copyright (c) 2023 Ionar Figueredo Bonfim REZENDE, Andréa da Silva ARAÚJO, Martha França SANTOS, Lílian Ramos SAMPAIO, Rosângela Passos de Jesus MAZZAhttps://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccess Figueredo Bonfim REZENDE, Ionar da Silva ARAÚJO, Andréa França SANTOS, Martha Ramos SAMPAIO, LílianPassos de Jesus MAZZA, Rosângela 2023-10-05T18:43:48Zoai:ojs.periodicos.puc-campinas.edu.br:article/9715Revistahttp://www.scielo.br/rnPRIhttps://periodicos.puc-campinas.edu.br/nutricao/oai||sbi.submissionrn@puc-campinas.edu.br1678-98651415-5273opendoar:2023-10-05T18:43:48Revista de Nutrição - Pontifícia Universidade Católica de Campinas (PUC-CAMPINAS)false |
dc.title.none.fl_str_mv |
Subjective muscle assessment as a complementary parameter for the nutritional diagnosis in presurgical patients Avaliação muscular subjetiva como parâmetro complementar de diagnóstico nutricional em pacientes no pré-operatório |
title |
Subjective muscle assessment as a complementary parameter for the nutritional diagnosis in presurgical patients |
spellingShingle |
Subjective muscle assessment as a complementary parameter for the nutritional diagnosis in presurgical patients Figueredo Bonfim REZENDE, Ionar anthropometry nutritional assessment preoperative care antropometria avaliação nutricional cuidados pré-operatórios |
title_short |
Subjective muscle assessment as a complementary parameter for the nutritional diagnosis in presurgical patients |
title_full |
Subjective muscle assessment as a complementary parameter for the nutritional diagnosis in presurgical patients |
title_fullStr |
Subjective muscle assessment as a complementary parameter for the nutritional diagnosis in presurgical patients |
title_full_unstemmed |
Subjective muscle assessment as a complementary parameter for the nutritional diagnosis in presurgical patients |
title_sort |
Subjective muscle assessment as a complementary parameter for the nutritional diagnosis in presurgical patients |
author |
Figueredo Bonfim REZENDE, Ionar |
author_facet |
Figueredo Bonfim REZENDE, Ionar da Silva ARAÚJO, Andréa França SANTOS, Martha Ramos SAMPAIO, Lílian Passos de Jesus MAZZA, Rosângela |
author_role |
author |
author2 |
da Silva ARAÚJO, Andréa França SANTOS, Martha Ramos SAMPAIO, Lílian Passos de Jesus MAZZA, Rosângela |
author2_role |
author author author author |
dc.contributor.author.fl_str_mv |
Figueredo Bonfim REZENDE, Ionar da Silva ARAÚJO, Andréa França SANTOS, Martha Ramos SAMPAIO, Lílian Passos de Jesus MAZZA, Rosângela |
dc.subject.por.fl_str_mv |
anthropometry nutritional assessment preoperative care antropometria avaliação nutricional cuidados pré-operatórios |
topic |
anthropometry nutritional assessment preoperative care antropometria avaliação nutricional cuidados pré-operatórios |
description |
ObjectiveThis study will compare Subjective Muscle Assessment with objective methods of nutritional assessment in presurgical patients. MethodsThis is a cross-sectional study to compare nutritional assessment methods involving primary data in presurgical patients. Anthropometric measurements, laboratory tests and Subjective Muscle Assessment were carried out to assess the subjects´ nutritional status. Kendall’s tau-b coefficient was employed and values equal to or above 80.0% were considered excellent in terms of reliability. ResultsThe protocol included 168 adult patients of both genders who would undergo major surgery. For Subjective Muscular Assessment, inter and intra-rater reliability was shown to be 77.0% and 89.0%, respectively. The muscle groups that presented the greatest percentage of trophic changes were the temporal and the masseter for both genders (female=53.5%; male=82.0). For women, a low reliability rate (≤51.0%) was found between Subjective Muscle Assessment and the objective methods, except for albumin and the gastrocnemius muscle (83.0%). Kendall’s coefficient for men was shown to be 60.0% and 70.0%, thus revealing good reliability(≥60.0% and <80.0%) when the body mass index and the arm circumference were compared with walking, mastication and interosseous muscles. Conclusion1. Subjective Muscle Assessment showed good diagnostic reproducibility. 2. Subjective trophic changes prevailed in the temporal and masseter muscles. 3. No excellent reliability was found between Subjective Muscle Assessment and the objective methods of nutritional assessment for both genders, except for that between albumin and the gastrocnemius muscle for women. |
publishDate |
2023 |
dc.date.none.fl_str_mv |
2023-09-15 |
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://periodicos.puc-campinas.edu.br/nutricao/article/view/9715 |
url |
https://periodicos.puc-campinas.edu.br/nutricao/article/view/9715 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
https://periodicos.puc-campinas.edu.br/nutricao/article/view/9715/7061 |
dc.rights.driver.fl_str_mv |
https://creativecommons.org/licenses/by/4.0 info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
https://creativecommons.org/licenses/by/4.0 |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Núcleo de Editoração – PUC-Campinas |
publisher.none.fl_str_mv |
Núcleo de Editoração – PUC-Campinas |
dc.source.none.fl_str_mv |
Brazilian Journal of Nutrition; Vol. 20 No. 6 (2007): Revista de Nutrição Revista de Nutrição; Vol. 20 Núm. 6 (2007): Revista de Nutrição Revista de Nutrição; v. 20 n. 6 (2007): Revista de Nutrição 1678-9865 reponame:Revista de Nutrição instname:Pontifícia Universidade Católica de Campinas (PUC-CAMPINAS) instacron:PUC_CAMP |
instname_str |
Pontifícia Universidade Católica de Campinas (PUC-CAMPINAS) |
instacron_str |
PUC_CAMP |
institution |
PUC_CAMP |
reponame_str |
Revista de Nutrição |
collection |
Revista de Nutrição |
repository.name.fl_str_mv |
Revista de Nutrição - Pontifícia Universidade Católica de Campinas (PUC-CAMPINAS) |
repository.mail.fl_str_mv |
||sbi.submissionrn@puc-campinas.edu.br |
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1799126075065761792 |