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ORIGINAL ARTICLE
Changes in body composition of burn patients during the phases of response to trauma
Revista Brasileira de Enfermagem. 2023;76(6):e20230039
12-04-2023
Resumo
ORIGINAL ARTICLEChanges in body composition of burn patients during the phases of response to trauma
Revista Brasileira de Enfermagem. 2023;76(6):e20230039
12-04-2023DOI 10.1590/0034-7167-2023-0039
Visualizações0ABSTRACT
Objective:
To assess the changes in body composition of burn patients through electrical bioimpedance in the phases of response to trauma.
Methods:
a longitudinal observational study, carried out from October 2019 to March 2020. Sociodemographic, clinical, epidemiological, anthropometric and body composition data were collected. Statistical analysis was performed with SPSS, considering a significance of 5%. The comparison between variables was performed using the paired Student’s t test.
Results:
the sample consisted of 58 adult burn patients, with a mean age of 38.2±12.5 years. The mean body surface area (BSA) with burns was 10.8±7.3%. Nutritional assessment demonstrated a depletion of body weight, Body Mass Index, fat-free mass and muscle mass in the phases of response to trauma (p<0.005).
Conclusion:
metabolic alterations in the different phases of the metabolic response to trauma led to a depletion of the nutritional status of burn patients of both sexes during hospitalization.
Palavras-chave: Bioelectrical ImpedanceBody compositionBurnsNutritional AssessmentNutritional StatusVer mais -
RESEARCH
Calf circumference: clinical validation for evaluation of muscle mass in the elderly
Revista Brasileira de Enfermagem. 2018;71(2):322-328
01-01-2018
Resumo
RESEARCHCalf circumference: clinical validation for evaluation of muscle mass in the elderly
Revista Brasileira de Enfermagem. 2018;71(2):322-328
01-01-2018DOI 10.1590/0034-7167-2017-0121
Visualizações0Ver maisABSTRACT
Objective:
To validate calf circumference as a technology for assessing muscle mass in the elderly.
Method:
Cross-sectional study with 132 elderly people from Goiânia, Goiás, Brazil. Decreased muscle mass was determined by the skeletal muscle mass index (IME) using Dual Energy X-Ray Absortometry (DEXA). The cutoff circumferences (CC) cutoff points to indicate muscle mass decrease were estimated by ROC curve, sensitivity, specificity and accuracy.
Results:
The most accurate cut-off points for detecting decreased muscle mass in the elderly were 34 cm for men (sensitivity: 71.5%, specificity: 77.4%) and 33 cm for women (sensitivity: 80.0%; specificity: 84.6%).
Conclusion:
CC can be used as a measure for early identification of muscle mass decrease in routine evaluations of the elderly in primary care.
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REVISÃO
Adductor Pollicis Muscle Thickness for nutritional assessment: a systematic review
Revista Brasileira de Enfermagem. 2018;71(6):3093-3102
01-01-2018
Resumo
REVISÃOAdductor Pollicis Muscle Thickness for nutritional assessment: a systematic review
Revista Brasileira de Enfermagem. 2018;71(6):3093-3102
01-01-2018DOI 10.1590/0034-7167-2017-0913
Visualizações0ABSTRACT
Objective:
The aim of this study is to systematically review the scientific findings about the efficacy of the measure of the Adductor Pollicis Muscle Thickness for nutritional assessment of individuals in various clinical conditions.
Method:
Systematic review study performed according to the methodology Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA).
Results:
13 original articles published between 2004 and 2016 were included. The measure was associated/correlated to parameters of nutritional status (such as weight, body mass index and Global Subjective Assessment) and muscle mass markers (such as circumference brachial muscle circumference, brachial muscle area, calf circumference, and muscle mass). All these correlations were weak or moderate.
Conclusion:
The measurement can be used in different populations, being able to estimate nutritional status and muscle mass. However, it is suggested that it be used in a complementary way to the nutritional evaluation, not constituting a single diagnostic/monitoring parameter.
Palavras-chave: AnthropometryBody compositionNutritional AssessmentNutritional StatusWeights and Body MeasurementsVer mais