Acuracy and concordance of anthropometric indicators and body composition in heart failure
Autor(a) principal: | |
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Data de Publicação: | 2018 |
Outros Autores: | , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Institucional da UFRN |
Texto Completo: | https://repositorio.ufrn.br/handle/123456789/57956 http://dx.doi.org/10.5935/2359-4802.20180093 |
Resumo: | Background: Anabolic/catabolic disorder in heart failure (HF) favors cardiac cachexia, implying a reduction in HF survival. Objectives: To assess the accuracy and concordance of the diagnosis of protein malnutrition and excess fat among the anthropometric and body composition methods in individuals with HF. Method: A study of accuracy that included 60 individuals with HF. Body mass index (BMI), arm circumference (AC), triceps skinfold thickness (TST), adductor pollicis muscle thickness (APMT), arm muscle circumference (AMC) and corrected arm muscle area (cAMA). Fat free mass index (FFMI) and body fat percentage (BF%), obtained by electrical bioimpedance (EBI), were used to compare the diagnosis of protein malnutrition and excess fat. Accuracy was assessed by calculating sensitivity, specificity, positive and negative predictive value. The concordance of the EBI diagnosis and other methods was performed by the chi-square test and kappa (k) statistic, where p<0.05 was considered significant. Results: Higher frequencies of protein malnutrition were identified by cAMA and AMC, and excess fat by BF%. BMI presented low sensitivity (43%) and accuracy (38.5%), with moderate concordance (0.50). AMC sensitivity was 86%, accuracy 66.4%, and acceptable concordance (0.36) compared to FFMI. Similar percentages of moderate sensitivity and low accuracy were observed for TST and BMI. Conclusion: AMC may be useful to identify protein malnutrition and TST has not been adequate to diagnose adiposity. BMI was not sensitive to assess muscle and adipose reserve. EBI was more accurate. (Int J Cardiovasc Sci. 2019;32(2)143-151) |
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Lyra, Clélia de OliveiraRocha, Daniela de OliveiraDantas, Raquel Costa SilvaAndrade, Fernanda Lambert deAvelino, Regina Ranielly dos SantosDiniz, Rosiane Viana ZuzaLira, Niethia Regina Dantas deEvangelista, Karine Cavalcanti Mauricio Sena2024-03-26T22:34:50Z2024-03-26T22:34:50Z2018ROCHA, Daniela de Oliveira; DANTAS, Raquel Costa Silva; ANDRADE, Fernanda Lambert de; AVELINO, Regina Ranielly dos Santos; LYRA, Clélia de Oliveira; DINIZ, Rosiane Viana Zuza; LIRA, Niethia Regina Dantas de; EVANGELISTA, Karine Cavalcanti Mauricio Sena. Acuracy and concordance of anthropometric indicators and body composition in heart failure. International Journal of Cardiovascular Sciences, [S.l.], v. 32, n. 2, p. 143-151, 2018. DOI: 10.5935/2359-4802.20180093. Disponível em: https://www.scielo.br/j/ijcs/a/z9Lb8Cp8pPKmGCrBW6hcY7d/?lang=en. Acesso em: 26 mar. 2024.https://repositorio.ufrn.br/handle/123456789/57956http://dx.doi.org/10.5935/2359-4802.20180093International Journal of Cardiovascular SciencesAttribution 3.0 Brazilhttp://creativecommons.org/licenses/by/3.0/br/info:eu-repo/semantics/openAccessHeart failureNutrition assessmentAnthropometryBody compositionCachexiaAcuracy and concordance of anthropometric indicators and body composition in heart failureinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleBackground: Anabolic/catabolic disorder in heart failure (HF) favors cardiac cachexia, implying a reduction in HF survival. Objectives: To assess the accuracy and concordance of the diagnosis of protein malnutrition and excess fat among the anthropometric and body composition methods in individuals with HF. Method: A study of accuracy that included 60 individuals with HF. Body mass index (BMI), arm circumference (AC), triceps skinfold thickness (TST), adductor pollicis muscle thickness (APMT), arm muscle circumference (AMC) and corrected arm muscle area (cAMA). Fat free mass index (FFMI) and body fat percentage (BF%), obtained by electrical bioimpedance (EBI), were used to compare the diagnosis of protein malnutrition and excess fat. Accuracy was assessed by calculating sensitivity, specificity, positive and negative predictive value. The concordance of the EBI diagnosis and other methods was performed by the chi-square test and kappa (k) statistic, where p<0.05 was considered significant. Results: Higher frequencies of protein malnutrition were identified by cAMA and AMC, and excess fat by BF%. BMI presented low sensitivity (43%) and accuracy (38.5%), with moderate concordance (0.50). AMC sensitivity was 86%, accuracy 66.4%, and acceptable concordance (0.36) compared to FFMI. Similar percentages of moderate sensitivity and low accuracy were observed for TST and BMI. Conclusion: AMC may be useful to identify protein malnutrition and TST has not been adequate to diagnose adiposity. BMI was not sensitive to assess muscle and adipose reserve. EBI was more accurate. (Int J Cardiovasc Sci. 2019;32(2)143-151)engreponame:Repositório Institucional da UFRNinstname:Universidade Federal do Rio Grande do Norte (UFRN)instacron:UFRNORIGINALAcuracyConcordance_Rocha_2018.pdfAcuracyConcordance_Rocha_2018.pdfapplication/pdf186002https://repositorio.ufrn.br/bitstream/123456789/57956/1/AcuracyConcordance_Rocha_2018.pdf30f2a180bb95e5bf70ab13664e1d2cf0MD51CC-LICENSElicense_rdflicense_rdfapplication/rdf+xml; charset=utf-8914https://repositorio.ufrn.br/bitstream/123456789/57956/2/license_rdf4d2950bda3d176f570a9f8b328dfbbefMD52LICENSElicense.txtlicense.txttext/plain; charset=utf-81484https://repositorio.ufrn.br/bitstream/123456789/57956/3/license.txte9597aa2854d128fd968be5edc8a28d9MD53123456789/579562024-03-26 19:34:51.012oai:https://repositorio.ufrn.br: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Repositório de PublicaçõesPUBhttp://repositorio.ufrn.br/oai/opendoar:2024-03-26T22:34:51Repositório Institucional da UFRN - Universidade Federal do Rio Grande do Norte (UFRN)false |
dc.title.pt_BR.fl_str_mv |
Acuracy and concordance of anthropometric indicators and body composition in heart failure |
title |
Acuracy and concordance of anthropometric indicators and body composition in heart failure |
spellingShingle |
Acuracy and concordance of anthropometric indicators and body composition in heart failure Lyra, Clélia de Oliveira Heart failure Nutrition assessment Anthropometry Body composition Cachexia |
title_short |
Acuracy and concordance of anthropometric indicators and body composition in heart failure |
title_full |
Acuracy and concordance of anthropometric indicators and body composition in heart failure |
title_fullStr |
Acuracy and concordance of anthropometric indicators and body composition in heart failure |
title_full_unstemmed |
Acuracy and concordance of anthropometric indicators and body composition in heart failure |
title_sort |
Acuracy and concordance of anthropometric indicators and body composition in heart failure |
author |
Lyra, Clélia de Oliveira |
author_facet |
Lyra, Clélia de Oliveira Rocha, Daniela de Oliveira Dantas, Raquel Costa Silva Andrade, Fernanda Lambert de Avelino, Regina Ranielly dos Santos Diniz, Rosiane Viana Zuza Lira, Niethia Regina Dantas de Evangelista, Karine Cavalcanti Mauricio Sena |
author_role |
author |
author2 |
Rocha, Daniela de Oliveira Dantas, Raquel Costa Silva Andrade, Fernanda Lambert de Avelino, Regina Ranielly dos Santos Diniz, Rosiane Viana Zuza Lira, Niethia Regina Dantas de Evangelista, Karine Cavalcanti Mauricio Sena |
author2_role |
author author author author author author author |
dc.contributor.author.fl_str_mv |
Lyra, Clélia de Oliveira Rocha, Daniela de Oliveira Dantas, Raquel Costa Silva Andrade, Fernanda Lambert de Avelino, Regina Ranielly dos Santos Diniz, Rosiane Viana Zuza Lira, Niethia Regina Dantas de Evangelista, Karine Cavalcanti Mauricio Sena |
dc.subject.por.fl_str_mv |
Heart failure Nutrition assessment Anthropometry Body composition Cachexia |
topic |
Heart failure Nutrition assessment Anthropometry Body composition Cachexia |
description |
Background: Anabolic/catabolic disorder in heart failure (HF) favors cardiac cachexia, implying a reduction in HF survival. Objectives: To assess the accuracy and concordance of the diagnosis of protein malnutrition and excess fat among the anthropometric and body composition methods in individuals with HF. Method: A study of accuracy that included 60 individuals with HF. Body mass index (BMI), arm circumference (AC), triceps skinfold thickness (TST), adductor pollicis muscle thickness (APMT), arm muscle circumference (AMC) and corrected arm muscle area (cAMA). Fat free mass index (FFMI) and body fat percentage (BF%), obtained by electrical bioimpedance (EBI), were used to compare the diagnosis of protein malnutrition and excess fat. Accuracy was assessed by calculating sensitivity, specificity, positive and negative predictive value. The concordance of the EBI diagnosis and other methods was performed by the chi-square test and kappa (k) statistic, where p<0.05 was considered significant. Results: Higher frequencies of protein malnutrition were identified by cAMA and AMC, and excess fat by BF%. BMI presented low sensitivity (43%) and accuracy (38.5%), with moderate concordance (0.50). AMC sensitivity was 86%, accuracy 66.4%, and acceptable concordance (0.36) compared to FFMI. Similar percentages of moderate sensitivity and low accuracy were observed for TST and BMI. Conclusion: AMC may be useful to identify protein malnutrition and TST has not been adequate to diagnose adiposity. BMI was not sensitive to assess muscle and adipose reserve. EBI was more accurate. (Int J Cardiovasc Sci. 2019;32(2)143-151) |
publishDate |
2018 |
dc.date.issued.fl_str_mv |
2018 |
dc.date.accessioned.fl_str_mv |
2024-03-26T22:34:50Z |
dc.date.available.fl_str_mv |
2024-03-26T22:34:50Z |
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.citation.fl_str_mv |
ROCHA, Daniela de Oliveira; DANTAS, Raquel Costa Silva; ANDRADE, Fernanda Lambert de; AVELINO, Regina Ranielly dos Santos; LYRA, Clélia de Oliveira; DINIZ, Rosiane Viana Zuza; LIRA, Niethia Regina Dantas de; EVANGELISTA, Karine Cavalcanti Mauricio Sena. Acuracy and concordance of anthropometric indicators and body composition in heart failure. International Journal of Cardiovascular Sciences, [S.l.], v. 32, n. 2, p. 143-151, 2018. DOI: 10.5935/2359-4802.20180093. Disponível em: https://www.scielo.br/j/ijcs/a/z9Lb8Cp8pPKmGCrBW6hcY7d/?lang=en. Acesso em: 26 mar. 2024. |
dc.identifier.uri.fl_str_mv |
https://repositorio.ufrn.br/handle/123456789/57956 |
dc.identifier.doi.none.fl_str_mv |
http://dx.doi.org/10.5935/2359-4802.20180093 |
identifier_str_mv |
ROCHA, Daniela de Oliveira; DANTAS, Raquel Costa Silva; ANDRADE, Fernanda Lambert de; AVELINO, Regina Ranielly dos Santos; LYRA, Clélia de Oliveira; DINIZ, Rosiane Viana Zuza; LIRA, Niethia Regina Dantas de; EVANGELISTA, Karine Cavalcanti Mauricio Sena. Acuracy and concordance of anthropometric indicators and body composition in heart failure. International Journal of Cardiovascular Sciences, [S.l.], v. 32, n. 2, p. 143-151, 2018. DOI: 10.5935/2359-4802.20180093. Disponível em: https://www.scielo.br/j/ijcs/a/z9Lb8Cp8pPKmGCrBW6hcY7d/?lang=en. Acesso em: 26 mar. 2024. |
url |
https://repositorio.ufrn.br/handle/123456789/57956 http://dx.doi.org/10.5935/2359-4802.20180093 |
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eng |
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eng |
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Attribution 3.0 Brazil http://creativecommons.org/licenses/by/3.0/br/ info:eu-repo/semantics/openAccess |
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Attribution 3.0 Brazil http://creativecommons.org/licenses/by/3.0/br/ |
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openAccess |
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International Journal of Cardiovascular Sciences |
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International Journal of Cardiovascular Sciences |
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