Mid-arm muscle area is a better predictor of mortality than body mass index in COPD

Soler-Cataluña, Juan José; Sánchez‐Sánchez, Luz María; Martínez-García, Miguel-Ángel; Sánchez, Pilar Román; Salcedo, Emmanuel; Navarro, Margarita Suárez

doi:10.1016/j.rmedu.2006.01.025

Cited by 16 publications

(28 citation statements)

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“…Grippa et al 30 observed that upper arm muscle area-for-age besides weight/age and height/age was able to predict the duration of mechanical ventilation in 72 children and adolescents in the PICU, but association with mortality and LOS was not studied. In adults, MUAC was a better mortality predictor compared with BMI in patients with chronic obstructive pulmonary disease, as shown by Soler-Cataluña et al 26 Ravasco et al 5 also observed a higher mortality rate in critically ill adults whose MUAC values were <5th percentile.…”

Section: Discussionmentioning

confidence: 77%

“…20 These indicators, as well as numerous other biomarkers, also have been used to show correlation with clinical outcomes 23,24 ; studies have advocated that low skeletal muscle mass is an independent risk factor for mortality in critically ill patients, as demonstrated by Weijs et al 7 and Moisey et al 25 Anthropometric measurements are inexpensive, simple, and rapid to perform, and they provide an indirect estimation of nutrition status and body composition, with correct interpretation requiring the use of reference values for the study population involved. 26 In the anthropometric assessment, circumference measurements and skinfolds reflect both the fat and fat-free components, improving the accuracy of nutrition diagnosis. In their study, Israels et al assessed children and adolescents using weight/age, height/age, and weight/height indicators, as well as the arm circumference and TST, and observed that the arm measurements were more sensitive to diagnose severe malnutrition in their patients.…”

Section: Discussionmentioning

confidence: 99%

“…The association between undernutrition and morbidity and mortality is known and widely documented in the adult population 7,25,26,34,[41][42][43][44][45] ; however, there is a lack of literature that demonstrates this association, evaluated particularly by body composition indicators, in sick and critically ill children. Thus, despite having several limitations, our study reinforces the importance of nutrition assessments in critically ill children and suggests that body composition may be useful not only for nutrition diagnosis and monitoring, but also for an additional indicator in estimating death risk and PICU LOS in this population.…”

Section: Discussionmentioning

confidence: 99%

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Bioelectrical Impedance Phase Angle and Morbidity and Mortality in Critically Ill Children

et al. 2018

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Background Nutrition markers may be useful for diagnosis and monitoring and, also, as additional indicators of estimating death risk. We tested the association of body composition indicators (mid–upper arm circumference and phase angle) with pediatric intensive care unit (PICU) length of stay and mortality in critically ill pediatric patients. Methods Data from children aged 2 months–18 years were collected, and bioelectrical impedance was performed to obtain phase angle. Severity was evaluated by scoring the Pediatric Index of Mortality. Descriptive statistics were reported for nominal variables. Receiver operating characteristic curve was used to analyze the association of phase angle with 30‐day mortality and to find the best cutoff. Survival probabilities and PICU length of stay were estimated using the Kaplan‐Meier method. Results We evaluated 247 children with a median age of 4.8 years whose main cause of admission was sepsis. Survival curves showed higher survival in patients with phase angle >2.8° compared with patients with phase angle ≤2.8° (P < .0001). Kaplan‐Meier time‐to‐event analysis showed that children with lower phase angle values were more likely to remain in the PICU (hazard ratio, 1.84; P = .003). Lower survival was also observed in patients who presented mid–upper arm circumference values ≤5th percentile (P < .03). Conclusions Mid–upper arm circumference and phase angle were associated with mortality and morbidity in critically ill children, suggesting that these parameters may be useful not only for nutrition diagnosis and monitoring, but also as an additional indicator in estimating prognosis.

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Section: Discussionmentioning

confidence: 77%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Bioelectrical Impedance Phase Angle and Morbidity and Mortality in Critically Ill Children

et al. 2018

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“…For example, patients in the study by Odencrants et al (2009) had a BMI that ranged between 16-44, and only a few were identified as malnourished. It has also been discussed that obese patients with COPD may suffer more physical impairments than their underweight counterparts (Soler-Cataluna et al 2005). One reason might be that reduced breathing capacity influences the possibility to maintain physical activities, leading to a sedentary lifestyle with further weight gain and reduced capacity to breath.…”

Section: Nutritional Statusmentioning

confidence: 99%

Assessment of nutritional status and meal‐related situations among patients with chronic obstructive pulmonary disease in Primary health care – obese patients; a challenge for the future

Odencrants

Theander

2012

Journal of Clinical Nursing

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“…If a classification regarding BMI values for a healthy middle-aged group had been used, the overweight group in our study would have been even larger. Although BMI has been discussed as inappropriate for the assessment of nutritional status in persons with COPD (Schols et al 2005, Soler-Cataluna 2005, the value is useful as a description of body size in our study. For the overweight participants the median WHR, 0AE98, indicated obesity for the women and was close to the cut-off value for men, 1AE0.…”

Section: Original Articlementioning

confidence: 99%

Nutritional status and body composition among persons with chronic obstructive pulmonary disease

Odencrants

Ehnfors²,

Ehrenberg³

2009

J of Nursing and Healthcare

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Aim. The aim of the study was to determine whether a relationship exists between nutritional status, assessed by three recommended instruments, and body composition for older persons with Chronic Obstructive Pulmonary Disease (COPD). Background. Commonly reported symptoms of COPD include impaired nutritional status. This is difficult to assess accurately, because currently recommended instruments for risk identification do not evaluate body composition reliably. Design. A descriptive and correlational study; data were collected in 2007. Method. Study participants were 47 women and 34 men with a mean age of 65 years and 48% with very severe COPD. Data collection included body mass index (BMI), waist–hip ratio (WHR), fat‐free mass index (FFMI), lung functions and assessment of nutritional status by the mini nutritional assessment (MNA), the malnutrition universal screening tool (MUST) and a national disease‐specific instrument (ENS). Results. Participants’ BMIs ranged from 15·9 to 43·8. Out of 15 with very low FFMIs five were classified as overweight. One of those participants was identified as malnourished by the MNA, two were identified by the MUST as at high risk for malnutrition and none was identified by the ENS as in need of qualified help with nutrition. Six participants were assessed using each instrument as being in need of special attention for their nutritional status. Correlations between each of the instrument and FFMIs were significant at the 0·01 level for each instrument. Conclusion. A combination of methods gives richer information as single measurements may give misleading results. Assessment of nutritional status cannot rely only on instrument values; there is a need for an astute ‘clinical eye’ as well. Relevance to clinical practice. The methods are suitable for skilled professional use in clinical practice with people with COPD, but the short form of the MNA and the ENS should be used with caution.

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Mid-arm muscle area is a better predictor of mortality than body mass index in COPD

Cited by 16 publications

References 0 publications

Bioelectrical Impedance Phase Angle and Morbidity and Mortality in Critically Ill Children

Bioelectrical Impedance Phase Angle and Morbidity and Mortality in Critically Ill Children

Assessment of nutritional status and meal‐related situations among patients with chronic obstructive pulmonary disease in Primary health care – obese patients; a challenge for the future

Nutritional status and body composition among persons with chronic obstructive pulmonary disease

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