Anthropometric midarm measurements can detect systemic fat-free mass depletion in patients with chronic obstructive pulmonary disease

Sanchez, Fernanda Figueirôa; Faganello, Márcia Maria; Tanni, Suzana Erico; Lucheta, Paulo Adolfo; Pelegrino, N. G.; Hasegawa, Shohei; Ribeiro, Sérgio Marrone; Godoy, Irma

doi:10.1590/s0100-879x2011007500024

Cited by 24 publications

(14 citation statements)

References 35 publications

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“…Thoracic muscle CSA was also associated with biceps and quadriceps strength training volumes. The close relationship between muscle size and strength has been mainly described for the limb muscles in chronic lung disease . However, there is growing evidence that limb muscle size is related to trunk muscle CSA .…”

Section: Discussionmentioning

confidence: 99%

Thoracic muscle cross-sectional area is associated with hospital length of stay post lung transplantation: a retrospective cohort study

et al. 2017

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Low muscle mass is common in lung transplant (LTx) candidates; however, the clinical implications have not been well described. The study aims were to compare skeletal muscle mass in LTx candidates with controls using thoracic muscle cross-sectional area (CSA) from computed tomography and assess the association with pre- and post-transplant clinical outcomes. This was a retrospective, single-center cohort study of 527 LTx candidates [median age: 55 IQR (42-62) years; 54% male]. Thoracic muscle CSA was compared to an age- and sex-matched control group. Associations between muscle CSA and pre-transplant six-minute walk distance (6MWD), health-related quality of life (HRQL), delisting/mortality, and post-transplant hospital outcomes and one-year mortality were evaluated using multivariable regression analysis. Muscle CSA for LTx candidates was about 10% lower than controls (n = 38). Muscle CSA was associated with pre-transplant 6MWD, but not HRQL, delisting or pre- or post-transplant mortality. Muscle CSA (per 10 cm difference) was associated with shorter hospital stay [0.7 median days 95% CI (0.2-1.3)], independent of 6MWD. In conclusion, thoracic muscle CSA is a simple, readily available estimate of skeletal muscle mass predictive of hospital length of stay, but further study is needed to evaluate the relative contribution of muscle mass versus functional deficits in LTx candidates.

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Section: Discussionmentioning

confidence: 99%

Thoracic muscle cross-sectional area is associated with hospital length of stay post lung transplantation: a retrospective cohort study

et al. 2017

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“…Subjects with 2 or more episodes of AE during the last year are termed frequent exacerbators [45][46][47] . A small pro- 17,41,48 . An important phenotype is COPD overlapping bronchial asthma that is characterised by the presence of either 2 major criteria, or 1 major and at least 2 minor criteria showing a persistent combination of clinical presentation that is typical for both conditions 3,8,42,[49][50][51] .…”

Section: Clinical Disease Course and Phenotypesmentioning

confidence: 99%

Chronic Obstructive Pulmonary Disease: Official diagnosis and treatment guidelines of the Czech Pneumological and Phthisiological Society; a novel phenotypic approach to COPD with patient-oriented care

Koblížek

Chlumský²,

Zindr³

et al. 2013

Biomed Pap Med Fac Univ Palacky Olomouc Czech Repub

126

116

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“…Despite the demonstration in clinical studies of a high prevalence of malnutrition among hospitalized patients, in clinical practice PEM is not yet recognized as an illness and not always diagnosed (9). Several reports have shown that the presence of PEM results in an impairment of the response to therapeutic planning (10), inefficiency and delay in wound healing and a decrease in wound bursting strength related to sutures, development of pressure ulcers (11,12), as well as increases in the frequency of infectious and noninfectious complications (13), the duration of hospitalization, and the mortality rate (14,15). In addition, it has also been established that the impact of hospital malnutrition on health and social costs is significant (16).…”

Section: Introductionmentioning

confidence: 99%

Clinical outcome of protein-energy malnourished patients in a Brazilian university hospital

Pasquini¹,

Neder²,

Araújo-Junqueira³

et al. 2012

Braz J Med Biol Res

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Protein-energy malnutrition (PEM) is a treatable disease with high prevalence among hospitalized patients. It can cause significant increases in the duration of hospitalization and costs. PEM is especially important for health systems since malnourished patients present higher morbidity and mortality. The objective of the present study was to assess the evolution of nutritional status (NS) and the effect of malnutrition on clinical outcome of patients at a public university hospital of high complexity in Brazil. Patients hospitalized in internal medicine (n = 54), oncology (n = 43), and infectious diseases (n = 12) wards were included. NS was evaluated using subjective global assessment up to 48 h after admission, and thereafter at intervals of 4-6 days. On admission, patients (n = 109) were classified as well-nourished (n = 73), moderately malnourished or at risk of malnutrition (n = 28), and severely malnourished (n = 8). During hospitalization, malnutrition developed or worsened in 11 patients. Malnutrition was included in the clinical diagnosis of only 5/36 records (13.9% of the cases, P = 0.000). Nutritional therapy was administered to only 22/36 of the malnourished patients; however, unexpectedly, 6/73 well-nourished patients also received commercial enteral diets. Complications were diagnosed in 28/36 malnourished and 9/73 well-nourished patients (P = 0.000). Death occurred in 12/36 malnourished and 3/73 well-nourished patients (P = 0.001). A total of 24/36 malnourished patients were discharged regardless of NS. In summary, malnutrition remains a real problem, often unrecognized, unappreciated, and only sporadically treated, even though its effects can be detrimental to the clinical course and prognosis of patients. The amount of public and private funds unnecessarily dispersed because of hospital malnutrition is significant.

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Anthropometric midarm measurements can detect systemic fat-free mass depletion in patients with chronic obstructive pulmonary disease

Cited by 24 publications

References 35 publications

Thoracic muscle cross-sectional area is associated with hospital length of stay post lung transplantation: a retrospective cohort study

Thoracic muscle cross-sectional area is associated with hospital length of stay post lung transplantation: a retrospective cohort study

Chronic Obstructive Pulmonary Disease: Official diagnosis and treatment guidelines of the Czech Pneumological and Phthisiological Society; a novel phenotypic approach to COPD with patient-oriented care

Clinical outcome of protein-energy malnourished patients in a Brazilian university hospital

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