PMID- 31522085
OWN - NLM
STAT- MEDLINE
DCOM- 20200923
LR  - 20200923
IS  - 1873-1244 (Electronic)
IS  - 0899-9007 (Linking)
VI  - 67-68
DP  - 2019 Nov-Dec
TI  - Adductor pollicis muscle and nutritional status in heart failure patients: Is 
      there an association?
PG  - 110536
LID - S0899-9007(19)30090-5 [pii]
LID - 10.1016/j.nut.2019.06.017 [doi]
AB  - OBJECTIVES: Adductor pollicis muscle thickness (APMT) has been used as a simple 
      index for muscle mass for the assessment of nutritional status among hospitalized 
      patients to identify malnutrition. The aim of this study was to evaluate the 
      association between APMT and nutritional status in clinical patients diagnosed 
      with congestive heart failure (CHF). METHODS: APMT was measured in 500 patients 
      with CHF on the dominant side. Nutritional status was assessed means of by the 
      Subjective Global Assessment (SGA). Functional classification was performed 
      according to guidelines provided by the New York Heart Association (NYHA), which 
      establishes four categories of CHF severity. Poisson regression was used to 
      verify the association of APMT, malnutrition, and severity of CHF. P </= 0.05 was 
      considered statistically significant. RESULTS: The malnutrition prevalence varied 
      from 1.5% in patients with functional class I CHF to 96.2% in patients classified 
      as functional class IV (P </= 0.001). In both sexes, APMT values were significantly 
      lower in patients who were malnourished (P< 0.001). The proportion of patients 
      with CHF and malnutrition was higher among women than men (47.2 versus 37.4%, 
      P = 0.027). Malnutrition was slightly more common among patients >/=60 y of age 
      compared with other age groups (48.3%, P </= 0.001). APMT is a significant 
      protective factor for malnutrition even after controlling for sex, age, body mass 
      index, and CHF functional class. CONCLUSIONS: Malnutrition is highly prevalent 
      among patients with CHF and is associated with functional class. APMT may be used 
      as a simple index for muscle mass for the assessment of nutritional status in 
      these patient populations, and is also associated with malnutrition in these 
      patients, even after controlling for other risk factors.
CI  - Copyright (c) 2019. Published by Elsevier Inc.
FAU - Duarte, Rodrigo R
AU  - Duarte RR
AD  - Postgraduate Programs in Health Sciences: Cardiology, Institute of Cardiology, 
      Porto Alegre, RS, Brazil.
FAU - Gonzalez, M Cristina
AU  - Gonzalez MC
AD  - Postgraduate Programs in Health and Behavior, Catholic University of Pelotas, RS, 
      Brazil. Electronic address: cristinagbs@hotmail.com.
FAU - Oliveira, Jacqueline F
AU  - Oliveira JF
AD  - Postgraduate Program in Nursing, Federal University of Rio Grande, RS, Brazil.
FAU - Oliveira, Patricia C
AU  - Oliveira PC
AD  - Postgraduate Programs in Health Sciences: Cardiology, Institute of Cardiology, 
      Porto Alegre, RS, Brazil.
FAU - Castro, Iran
AU  - Castro I
AD  - Postgraduate Programs in Health Sciences: Cardiology, Institute of Cardiology, 
      Porto Alegre, RS, Brazil.
LA  - eng
PT  - Journal Article
PT  - Observational Study
DEP - 20190707
PL  - United States
TA  - Nutrition
JT  - Nutrition (Burbank, Los Angeles County, Calif.)
JID - 8802712
SB  - IM
MH  - Adolescent
MH  - Adult
MH  - Aged
MH  - Aged, 80 and over
MH  - Brazil/epidemiology
MH  - Cross-Sectional Studies
MH  - Female
MH  - Heart Failure/complications/*pathology/*physiopathology
MH  - Humans
MH  - Male
MH  - Malnutrition/complications/epidemiology/pathology
MH  - Middle Aged
MH  - Muscle, Skeletal/*physiology
MH  - Nutrition Assessment
MH  - *Nutritional Status
MH  - Prevalence
MH  - Risk Factors
MH  - Young Adult
OTO - NOTNLM
OT  - Adductor policies muscle thickness
OT  - Congestive heart failure
OT  - Malnutrition
OT  - Nutritional assessment
OT  - Risk factors
EDAT- 2019/09/16 06:00
MHDA- 2020/09/24 06:00
CRDT- 2019/09/16 06:00
PHST- 2019/01/22 00:00 [received]
PHST- 2019/06/20 00:00 [revised]
PHST- 2019/06/21 00:00 [accepted]
PHST- 2019/09/16 06:00 [pubmed]
PHST- 2020/09/24 06:00 [medline]
PHST- 2019/09/16 06:00 [entrez]
AID - S0899-9007(19)30090-5 [pii]
AID - 10.1016/j.nut.2019.06.017 [doi]
PST - ppublish
SO  - Nutrition. 2019 Nov-Dec;67-68:110536. doi: 10.1016/j.nut.2019.06.017. Epub 2019 
      Jul 7.