NUTRITIONAL STATUS AND FACTORS ASSOCIATED WITH GRIP STRENGTH IN ELDERLY CANDIDATES FOR SURGERY
Autor(a) principal: | |
---|---|
Data de Publicação: | 2022 |
Outros Autores: | , |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | https://doi.org/10.34635/rpc.857 |
Resumo: | Background: nutritional assessment in surgical elderly is important to identify individuals at risk for surgical complications and intervene in a timely manner. Objective: to assess nutritional status and factors associated with handgrip strength in pre- surgical elderly. Methods: cross-sectional study, with elderly candidates for elective surgery, in a tertiary hospital in the State of Pernambuco, Brazil. Sociodemographic, clinical, nutritional and physical activity variables were collected. To assess nutritional risk, NRS-2002 was carried out; for nutritional diagnosis, body mass index, weight loss percentage, arm and calf circumference were collected, and handgrip strength was used to assess muscle strength. Results: 105 patients were studied, 52.4% women and 80% with benign diseases. The diagnosis of eutrophy, according to the body mass index, arm circumference and calf circumference was prevalent in 44.8%, 60% and 66.7% of the elderly, respectively. The handgrip strength was adequate in 82.9%, and lower values were associated with advanced age (p = 0.039), female sex (p <0.001), being single or widowed (p <0.001), physical inactivity (p = 0.001), nutritional risk (p = 0.038) and malnutrition due to calf circumference (p = 0.046). The preoperative fasting time was 11.96 ± 2.65 hours and in the postoperative period 4.73 ± 6.29 hours. The prevalent clinical outcome was hospital discharge (99%), with mortality occurring in one patient. The length of stay was 1-2 days in 76.2%. Conclusions: there was a low frequency of nutritional risk and malnutrition. Nutritional risk and malnutrition according to calf circumference were related to lower values of handgrip strength, in addition to advanced age, being single or widowed and sedentary, with a significant association between reduced muscle strength and these conditions. Malignant diseases and major surgeries were associated with an unfavorable clinical outcome, longer hospital stay and the presence of nutritional risk. |
id |
RCAP_5a495b2e6bec706f6b6277f8362f8103 |
---|---|
oai_identifier_str |
oai:revista.spcir.com:article/857 |
network_acronym_str |
RCAP |
network_name_str |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
repository_id_str |
7160 |
spelling |
NUTRITIONAL STATUS AND FACTORS ASSOCIATED WITH GRIP STRENGTH IN ELDERLY CANDIDATES FOR SURGERYESTADO NUTRICIONAL E FATORES ASSOCIADOS À FORÇA DE PREENSÃO MANUAL EM IDOSOS CANDIDATOS À CIRURGIABackground: nutritional assessment in surgical elderly is important to identify individuals at risk for surgical complications and intervene in a timely manner. Objective: to assess nutritional status and factors associated with handgrip strength in pre- surgical elderly. Methods: cross-sectional study, with elderly candidates for elective surgery, in a tertiary hospital in the State of Pernambuco, Brazil. Sociodemographic, clinical, nutritional and physical activity variables were collected. To assess nutritional risk, NRS-2002 was carried out; for nutritional diagnosis, body mass index, weight loss percentage, arm and calf circumference were collected, and handgrip strength was used to assess muscle strength. Results: 105 patients were studied, 52.4% women and 80% with benign diseases. The diagnosis of eutrophy, according to the body mass index, arm circumference and calf circumference was prevalent in 44.8%, 60% and 66.7% of the elderly, respectively. The handgrip strength was adequate in 82.9%, and lower values were associated with advanced age (p = 0.039), female sex (p <0.001), being single or widowed (p <0.001), physical inactivity (p = 0.001), nutritional risk (p = 0.038) and malnutrition due to calf circumference (p = 0.046). The preoperative fasting time was 11.96 ± 2.65 hours and in the postoperative period 4.73 ± 6.29 hours. The prevalent clinical outcome was hospital discharge (99%), with mortality occurring in one patient. The length of stay was 1-2 days in 76.2%. Conclusions: there was a low frequency of nutritional risk and malnutrition. Nutritional risk and malnutrition according to calf circumference were related to lower values of handgrip strength, in addition to advanced age, being single or widowed and sedentary, with a significant association between reduced muscle strength and these conditions. Malignant diseases and major surgeries were associated with an unfavorable clinical outcome, longer hospital stay and the presence of nutritional risk.Introdução: a avaliação nutricional em idosos cirúrgicos é importante para identificar indivíduos com risco de complicações cirúrgicas e intervir em momento oportuno. Objetivo: avaliar o estado nutricional e fatores associados à força de preensão manual de idosos pré-cirúrgicos. Métodos: estudo transversal, com idosos candidatos a cirurgias eletivas, em hospital terciário do Estado de Pernambuco, Brasil. Foram coletadas variáveis sociodemográficas, clínicas, nutricionais e prática de atividade física. Para avaliação do risco nutricional foi realizado a NRS-2002; para diagnóstico nutricional foram coletados: índice de massa corporal, percentual de perda ponderal, circunferência do braço e da panturrilha, e para avaliar a força muscular foi realizada a força de preensão manual. Resultados: Foram estudados 105 pacientes, sendo 52,4% mulheres e 80% com doenças benignas. O diagnóstico de eutrofia, segundo o índice de massa corporal, circunferência do braço e circunferência da panturrilha foi prevalente em 44,8%, 60% e 66,7% dos idosos, respectivamente. A força de preensão manual esteve adequada em 82,9%, e menores valores foram associados à idade avançada (p=0,039), sexo feminino (p<0,001), estar solteiro ou viúvo (p<0,001), sedentarismo (p=0,001), risco nutricional (p=0,038) e desnutrição pela circunferência da panturrilha (p=0,046). O tempo de jejum pré-operatório foi 11,96 ± 2,65 horas e no pós-operatório 4,73 ± 6,29 horas. O desfecho clínico prevalente foi alta hospitalar (99%), com mortalidade ocorrendo em um paciente. O tempo de internamento foi de 1-2 dias em 76,2%. Conclusões: houve baixa frequência de risco nutricional e desnutrição. O risco nutricional e a desnutrição segundo a circunferência da panturrilha foram relacionados a menores valores de força de preensão manual, além da idade avançada, estar solteiro ou viúvo e sedentarismo, havendo uma associação significativa entre a força muscular reduzida e estas condições. Doenças malignas e cirurgias de grande porte foram associadas a desfecho clínico desfavorável, maior tempo de internamento e presença de risco nutricional.Sociedade Portuguesa de Cirurgia2022-03-13info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttps://doi.org/10.34635/rpc.857https://doi.org/10.34635/rpc.857Revista Portuguesa de Cirurgia; No 52 (2022): Número 52 - Janeiro 2022; 1-12Revista Portuguesa de Cirurgia; No 52 (2022): Número 52 - Janeiro 2022; 1-122183-11651646-6918reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAPporhttps://revista.spcir.com/index.php/spcir/article/view/857https://revista.spcir.com/index.php/spcir/article/view/857/630Copyright (c) 2022 Revista Portuguesa de Cirurgiainfo:eu-repo/semantics/openAccessAraújo, AlineSilva, LauraBurgos, Maria Goretti2024-01-25T16:51:33Zoai:revista.spcir.com:article/857Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-20T01:57:07.393425Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
NUTRITIONAL STATUS AND FACTORS ASSOCIATED WITH GRIP STRENGTH IN ELDERLY CANDIDATES FOR SURGERY ESTADO NUTRICIONAL E FATORES ASSOCIADOS À FORÇA DE PREENSÃO MANUAL EM IDOSOS CANDIDATOS À CIRURGIA |
title |
NUTRITIONAL STATUS AND FACTORS ASSOCIATED WITH GRIP STRENGTH IN ELDERLY CANDIDATES FOR SURGERY |
spellingShingle |
NUTRITIONAL STATUS AND FACTORS ASSOCIATED WITH GRIP STRENGTH IN ELDERLY CANDIDATES FOR SURGERY Araújo, Aline |
title_short |
NUTRITIONAL STATUS AND FACTORS ASSOCIATED WITH GRIP STRENGTH IN ELDERLY CANDIDATES FOR SURGERY |
title_full |
NUTRITIONAL STATUS AND FACTORS ASSOCIATED WITH GRIP STRENGTH IN ELDERLY CANDIDATES FOR SURGERY |
title_fullStr |
NUTRITIONAL STATUS AND FACTORS ASSOCIATED WITH GRIP STRENGTH IN ELDERLY CANDIDATES FOR SURGERY |
title_full_unstemmed |
NUTRITIONAL STATUS AND FACTORS ASSOCIATED WITH GRIP STRENGTH IN ELDERLY CANDIDATES FOR SURGERY |
title_sort |
NUTRITIONAL STATUS AND FACTORS ASSOCIATED WITH GRIP STRENGTH IN ELDERLY CANDIDATES FOR SURGERY |
author |
Araújo, Aline |
author_facet |
Araújo, Aline Silva, Laura Burgos, Maria Goretti |
author_role |
author |
author2 |
Silva, Laura Burgos, Maria Goretti |
author2_role |
author author |
dc.contributor.author.fl_str_mv |
Araújo, Aline Silva, Laura Burgos, Maria Goretti |
description |
Background: nutritional assessment in surgical elderly is important to identify individuals at risk for surgical complications and intervene in a timely manner. Objective: to assess nutritional status and factors associated with handgrip strength in pre- surgical elderly. Methods: cross-sectional study, with elderly candidates for elective surgery, in a tertiary hospital in the State of Pernambuco, Brazil. Sociodemographic, clinical, nutritional and physical activity variables were collected. To assess nutritional risk, NRS-2002 was carried out; for nutritional diagnosis, body mass index, weight loss percentage, arm and calf circumference were collected, and handgrip strength was used to assess muscle strength. Results: 105 patients were studied, 52.4% women and 80% with benign diseases. The diagnosis of eutrophy, according to the body mass index, arm circumference and calf circumference was prevalent in 44.8%, 60% and 66.7% of the elderly, respectively. The handgrip strength was adequate in 82.9%, and lower values were associated with advanced age (p = 0.039), female sex (p <0.001), being single or widowed (p <0.001), physical inactivity (p = 0.001), nutritional risk (p = 0.038) and malnutrition due to calf circumference (p = 0.046). The preoperative fasting time was 11.96 ± 2.65 hours and in the postoperative period 4.73 ± 6.29 hours. The prevalent clinical outcome was hospital discharge (99%), with mortality occurring in one patient. The length of stay was 1-2 days in 76.2%. Conclusions: there was a low frequency of nutritional risk and malnutrition. Nutritional risk and malnutrition according to calf circumference were related to lower values of handgrip strength, in addition to advanced age, being single or widowed and sedentary, with a significant association between reduced muscle strength and these conditions. Malignant diseases and major surgeries were associated with an unfavorable clinical outcome, longer hospital stay and the presence of nutritional risk. |
publishDate |
2022 |
dc.date.none.fl_str_mv |
2022-03-13 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://doi.org/10.34635/rpc.857 https://doi.org/10.34635/rpc.857 |
url |
https://doi.org/10.34635/rpc.857 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
https://revista.spcir.com/index.php/spcir/article/view/857 https://revista.spcir.com/index.php/spcir/article/view/857/630 |
dc.rights.driver.fl_str_mv |
Copyright (c) 2022 Revista Portuguesa de Cirurgia info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Copyright (c) 2022 Revista Portuguesa de Cirurgia |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Sociedade Portuguesa de Cirurgia |
publisher.none.fl_str_mv |
Sociedade Portuguesa de Cirurgia |
dc.source.none.fl_str_mv |
Revista Portuguesa de Cirurgia; No 52 (2022): Número 52 - Janeiro 2022; 1-12 Revista Portuguesa de Cirurgia; No 52 (2022): Número 52 - Janeiro 2022; 1-12 2183-1165 1646-6918 reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
instname_str |
Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
instacron_str |
RCAAP |
institution |
RCAAP |
reponame_str |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
collection |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
repository.name.fl_str_mv |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
repository.mail.fl_str_mv |
|
_version_ |
1799137058377170944 |