Value of body mass index in the detection of severe malnutrition: influence of the pathology and changes in anthropometric parameters
Value of body mass index in the detection of severe malnutrition: influence of the pathology and changes in anthropometric parameters
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DOI：
10.1016/j.clnu.2003.10.003
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发表时间：
2004-08-01
影响因子：
6.3
通讯作者：
Bories, PN
中科院分区：
文献类型：
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作者：
Campillo, B;Paillaud, E;Bories, PN
设计：一项前瞻性研究纳入1052例患者：396例肝硬化患者，包括165例非腹水患者(NAP)、124例轻度腹水(MAP)、107例紧张性腹水(TAP)、251例心脏手术(SCP)、81例心脏病(MCP)、85例中风(SP)、36例退行性神经系统疾病(DNP)、68例髋部骨折(HFP)术后患者，91例癌症姑息治疗(CP)患者和44例老年医学情感患者(EP)。入院48h内测量体重指数(BMI)、臂中肌围(MAMC)和三头肌皮褶厚度(TST)。当年龄小于或等于74岁时，MAMC和TST低于参考人群的第5个百分位数，或当年龄大于或等于75岁时，低于参考人群的第10个百分位数的患者被定义为严重营养不良。结果：重度营养不良以TAP(39.1%)、HFP(25.6%)和MAP(24.3%)最高，SCP(4%)、SP(4.8%)、DNP(5.7%)和MCP(7.4%)最低(P
Background & aims: We have estimated the prevalence of severe malnutrition in groups of patients hospitalized for different medical causes and assessed the sensitivity of BMI in the diagnosis of severe malnutrition.Design: A prospective study enrolled 1052 patients: 396 patients with liver cirrhosis including 165 non-ascitic patients (NAP), 124 patients with mild ascites (MAP), 107 patients with tense ascites (TAP), 251 patients after cardiac surgery (SCP), 81 patients with cardiac diseases (MCP), 85 patients with stroke (SP), 36 patients with degenerative neurological diseases (DNP), 68 patients after surgery of a hip fracture (HFP), 91 patients with palliative care for cancer (CP) and 44 elderly patients with medical affections (EP). BMI, mid-arm muscular circumference (MAMC) and triceps skinfold thickness (TST) were measured within 48h after admission. Patients with MAMC and TST below the 5th percentile of a reference population when aged less than or equal to 74 or the 10th percentile when aged greater than or equal to 75 were defined as severely malnourished. Sensitivity of BMI < 20 to detect malnutrition was assessed.Results: The prevalence of severe malnutrition was the highest in TAP (39.1%) HFP (25.6%) and MAP (24.3%) and the lowest in SCP (4%), SP (4.8%), DNP (5.7%) and MCP (7.4%) (P