Low calf circumference adjusted for body mass index is associated with prolonged hospital stay
Autor(a) principal: | |
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Data de Publicação: | 2023 |
Outros Autores: | , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Institucional da UFRN |
Texto Completo: | https://repositorio.ufrn.br/handle/123456789/55764 http://dx.doi.org/10.1016/j.ajcnut.2022.11.003 |
Resumo: | Background: Calf circumference (CC) is of emerging importance because of its practicality, high correlation with skeletal muscle, and potential predictive value for adverse outcomes. However, the accuracy of CC is influenced by adiposity. CC adjusted for BMI (BMI-adjusted CC) has been proposed to counteract this problem. However, its accuracy to predict outcomes is unknown. Objectives: To evaluate the predictive validity of BMI-adjusted CC in hospital settings. Methods: A secondary analysis of a prospective cohort study in hospitalized adult patients was conducted. The CC was adjusted for BMI by reducing 3, 7, or 12 cm for BMI (in kg/m2) of 25–29.9, 30–39.9, and ≥40, respectively. Low CC was defined as ≤34 cm for males and ≤33 cm for females. Primary outcomes included length of hospital stay (LOS) and in-hospital death, and secondary outcomes were hospital readmissions and mortality within 6 mo after discharge. Results: We included 554 patients (55.2 ± 14.9 y, 52.9% men). Among them, 25.3% presented with low CC, whereas 60.6% had BMI-adjusted low CC. In-hospital death occurred in 13 patients (2.3%), and median LOS was 10.0 (5.0–18.0) d. Within 6 mo from discharge, 43 patients (8.2%) died, and 178 (34.0%) were readmitted to the hospital. BMI-adjusted low CC was an independent predictor of LOS ≥ 10 d (odds ratio = 1.70; 95% confidence interval: 1.18, 2.43], but it was not associated with the other outcomes. Conclusions: BMI-adjusted low CC was identified in more than 60% of hospitalized patients and was an independent predictor of longer LOS |
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Fayh, Ana Paula TrussardiSousa, Iasmin Matias deLima, JúliaGonzalez, Maria CristinaPrado, Carla M.Silva, Flávia Moraes2023-12-11T23:54:20Z2023-12-11T23:54:20Z2023-02SOUSA, Iasmin Matias de; FAYH, Ana Paula Trussardi; LIMA, Júlia; GONZALEZ, Maria Cristina; PRADO, Carla M.; SILVA, Flávia Moraes. Low calf circumference adjusted for body mass index is associated with prolonged hospital stay. The American Journal Of Clinical Nutrition, [S.l.], v. 117, p. 402-407, fev. 2023. DOI: 10.1016/j.ajcnut.2022.11.003. Disponível em: https://www.sciencedirect.com/science/article/abs/pii/S0002916522105113?via%3Dihub. Acesso em: 11 dez. 2023.https://repositorio.ufrn.br/handle/123456789/55764http://dx.doi.org/10.1016/j.ajcnut.2022.11.003The American Journal Of Clinical NutritionAnthropometrybody mass indexcalf circumferenceclinical outcomesHospital readmissionmortalitymuscle massLow calf circumference adjusted for body mass index is associated with prolonged hospital stayinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleBackground: Calf circumference (CC) is of emerging importance because of its practicality, high correlation with skeletal muscle, and potential predictive value for adverse outcomes. However, the accuracy of CC is influenced by adiposity. CC adjusted for BMI (BMI-adjusted CC) has been proposed to counteract this problem. However, its accuracy to predict outcomes is unknown. Objectives: To evaluate the predictive validity of BMI-adjusted CC in hospital settings. Methods: A secondary analysis of a prospective cohort study in hospitalized adult patients was conducted. The CC was adjusted for BMI by reducing 3, 7, or 12 cm for BMI (in kg/m2) of 25–29.9, 30–39.9, and ≥40, respectively. Low CC was defined as ≤34 cm for males and ≤33 cm for females. Primary outcomes included length of hospital stay (LOS) and in-hospital death, and secondary outcomes were hospital readmissions and mortality within 6 mo after discharge. Results: We included 554 patients (55.2 ± 14.9 y, 52.9% men). Among them, 25.3% presented with low CC, whereas 60.6% had BMI-adjusted low CC. In-hospital death occurred in 13 patients (2.3%), and median LOS was 10.0 (5.0–18.0) d. Within 6 mo from discharge, 43 patients (8.2%) died, and 178 (34.0%) were readmitted to the hospital. BMI-adjusted low CC was an independent predictor of LOS ≥ 10 d (odds ratio = 1.70; 95% confidence interval: 1.18, 2.43], but it was not associated with the other outcomes. Conclusions: BMI-adjusted low CC was identified in more than 60% of hospitalized patients and was an independent predictor of longer LOSengreponame:Repositório Institucional da UFRNinstname:Universidade Federal do Rio Grande do Norte (UFRN)instacron:UFRNinfo:eu-repo/semantics/openAccessLICENSElicense.txtlicense.txttext/plain; charset=utf-81484https://repositorio.ufrn.br/bitstream/123456789/55764/2/license.txte9597aa2854d128fd968be5edc8a28d9MD52123456789/557642023-12-11 20:55:09.259oai:https://repositorio.ufrn.br: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Repositório de PublicaçõesPUBhttp://repositorio.ufrn.br/oai/opendoar:2023-12-11T23:55:09Repositório Institucional da UFRN - Universidade Federal do Rio Grande do Norte (UFRN)false |
dc.title.pt_BR.fl_str_mv |
Low calf circumference adjusted for body mass index is associated with prolonged hospital stay |
title |
Low calf circumference adjusted for body mass index is associated with prolonged hospital stay |
spellingShingle |
Low calf circumference adjusted for body mass index is associated with prolonged hospital stay Fayh, Ana Paula Trussardi Anthropometry body mass index calf circumference clinical outcomes Hospital readmission mortality muscle mass |
title_short |
Low calf circumference adjusted for body mass index is associated with prolonged hospital stay |
title_full |
Low calf circumference adjusted for body mass index is associated with prolonged hospital stay |
title_fullStr |
Low calf circumference adjusted for body mass index is associated with prolonged hospital stay |
title_full_unstemmed |
Low calf circumference adjusted for body mass index is associated with prolonged hospital stay |
title_sort |
Low calf circumference adjusted for body mass index is associated with prolonged hospital stay |
author |
Fayh, Ana Paula Trussardi |
author_facet |
Fayh, Ana Paula Trussardi Sousa, Iasmin Matias de Lima, Júlia Gonzalez, Maria Cristina Prado, Carla M. Silva, Flávia Moraes |
author_role |
author |
author2 |
Sousa, Iasmin Matias de Lima, Júlia Gonzalez, Maria Cristina Prado, Carla M. Silva, Flávia Moraes |
author2_role |
author author author author author |
dc.contributor.author.fl_str_mv |
Fayh, Ana Paula Trussardi Sousa, Iasmin Matias de Lima, Júlia Gonzalez, Maria Cristina Prado, Carla M. Silva, Flávia Moraes |
dc.subject.por.fl_str_mv |
Anthropometry body mass index calf circumference clinical outcomes Hospital readmission mortality muscle mass |
topic |
Anthropometry body mass index calf circumference clinical outcomes Hospital readmission mortality muscle mass |
description |
Background: Calf circumference (CC) is of emerging importance because of its practicality, high correlation with skeletal muscle, and potential predictive value for adverse outcomes. However, the accuracy of CC is influenced by adiposity. CC adjusted for BMI (BMI-adjusted CC) has been proposed to counteract this problem. However, its accuracy to predict outcomes is unknown. Objectives: To evaluate the predictive validity of BMI-adjusted CC in hospital settings. Methods: A secondary analysis of a prospective cohort study in hospitalized adult patients was conducted. The CC was adjusted for BMI by reducing 3, 7, or 12 cm for BMI (in kg/m2) of 25–29.9, 30–39.9, and ≥40, respectively. Low CC was defined as ≤34 cm for males and ≤33 cm for females. Primary outcomes included length of hospital stay (LOS) and in-hospital death, and secondary outcomes were hospital readmissions and mortality within 6 mo after discharge. Results: We included 554 patients (55.2 ± 14.9 y, 52.9% men). Among them, 25.3% presented with low CC, whereas 60.6% had BMI-adjusted low CC. In-hospital death occurred in 13 patients (2.3%), and median LOS was 10.0 (5.0–18.0) d. Within 6 mo from discharge, 43 patients (8.2%) died, and 178 (34.0%) were readmitted to the hospital. BMI-adjusted low CC was an independent predictor of LOS ≥ 10 d (odds ratio = 1.70; 95% confidence interval: 1.18, 2.43], but it was not associated with the other outcomes. Conclusions: BMI-adjusted low CC was identified in more than 60% of hospitalized patients and was an independent predictor of longer LOS |
publishDate |
2023 |
dc.date.accessioned.fl_str_mv |
2023-12-11T23:54:20Z |
dc.date.available.fl_str_mv |
2023-12-11T23:54:20Z |
dc.date.issued.fl_str_mv |
2023-02 |
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 |
SOUSA, Iasmin Matias de; FAYH, Ana Paula Trussardi; LIMA, Júlia; GONZALEZ, Maria Cristina; PRADO, Carla M.; SILVA, Flávia Moraes. Low calf circumference adjusted for body mass index is associated with prolonged hospital stay. The American Journal Of Clinical Nutrition, [S.l.], v. 117, p. 402-407, fev. 2023. DOI: 10.1016/j.ajcnut.2022.11.003. Disponível em: https://www.sciencedirect.com/science/article/abs/pii/S0002916522105113?via%3Dihub. Acesso em: 11 dez. 2023. |
dc.identifier.uri.fl_str_mv |
https://repositorio.ufrn.br/handle/123456789/55764 |
dc.identifier.doi.none.fl_str_mv |
http://dx.doi.org/10.1016/j.ajcnut.2022.11.003 |
identifier_str_mv |
SOUSA, Iasmin Matias de; FAYH, Ana Paula Trussardi; LIMA, Júlia; GONZALEZ, Maria Cristina; PRADO, Carla M.; SILVA, Flávia Moraes. Low calf circumference adjusted for body mass index is associated with prolonged hospital stay. The American Journal Of Clinical Nutrition, [S.l.], v. 117, p. 402-407, fev. 2023. DOI: 10.1016/j.ajcnut.2022.11.003. Disponível em: https://www.sciencedirect.com/science/article/abs/pii/S0002916522105113?via%3Dihub. Acesso em: 11 dez. 2023. |
url |
https://repositorio.ufrn.br/handle/123456789/55764 http://dx.doi.org/10.1016/j.ajcnut.2022.11.003 |
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eng |
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eng |
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info:eu-repo/semantics/openAccess |
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openAccess |
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The American Journal Of Clinical Nutrition |
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The American Journal Of Clinical Nutrition |
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