Low calf circumference adjusted for body mass index is associated with prolonged hospital stay

Background: Calf circumference (CC) is of emerging importance because of its practicality, high correlation with skeletal muscle, and potential predictive value for adverse outcomes. However, the accuracy of CC is influenced by adiposity. CC adjusted for BMI (BMI-adjusted CC) has been proposed to co...

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Principais autores: Fayh, Ana Paula Trussardi, Sousa, Iasmin Matias de, Lima, Júlia, Gonzalez, Maria Cristina, Prado, Carla M., Silva, Flávia Moraes
Formato: article
Idioma:English
Publicado em: The American Journal Of Clinical Nutrition
Assuntos:
Anthropometry
body mass index
calf circumference
clinical outcomes
Hospital readmission
mortality
muscle mass
Endereço do item:https://repositorio.ufrn.br/handle/123456789/55764
http://dx.doi.org/10.1016/j.ajcnut.2022.11.003
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spelling ri-123456789-557642023-12-11T23:55:09Z Low calf circumference adjusted for body mass index is associated with prolonged hospital stay Fayh, Ana Paula Trussardi Sousa, Iasmin Matias de Lima, Júlia Gonzalez, Maria Cristina Prado, Carla M. Silva, Flávia Moraes Anthropometry body mass index calf circumference clinical outcomes Hospital readmission mortality muscle mass Background: Calf circumference (CC) is of emerging importance because of its practicality, high correlation with skeletal muscle, and potential predictive value for adverse outcomes. However, the accuracy of CC is influenced by adiposity. CC adjusted for BMI (BMI-adjusted CC) has been proposed to counteract this problem. However, its accuracy to predict outcomes is unknown. Objectives: To evaluate the predictive validity of BMI-adjusted CC in hospital settings. Methods: A secondary analysis of a prospective cohort study in hospitalized adult patients was conducted. The CC was adjusted for BMI by reducing 3, 7, or 12 cm for BMI (in kg/m2) of 25–29.9, 30–39.9, and ≥40, respectively. Low CC was defined as ≤34 cm for males and ≤33 cm for females. Primary outcomes included length of hospital stay (LOS) and in-hospital death, and secondary outcomes were hospital readmissions and mortality within 6 mo after discharge. Results: We included 554 patients (55.2 ± 14.9 y, 52.9% men). Among them, 25.3% presented with low CC, whereas 60.6% had BMI-adjusted low CC. In-hospital death occurred in 13 patients (2.3%), and median LOS was 10.0 (5.0–18.0) d. Within 6 mo from discharge, 43 patients (8.2%) died, and 178 (34.0%) were readmitted to the hospital. BMI-adjusted low CC was an independent predictor of LOS ≥ 10 d (odds ratio = 1.70; 95% confidence interval: 1.18, 2.43], but it was not associated with the other outcomes. Conclusions: BMI-adjusted low CC was identified in more than 60% of hospitalized patients and was an independent predictor of longer LOS 2023-12-11T23:54:20Z 2023-12-11T23:54:20Z 2023-02 article SOUSA, Iasmin Matias de; FAYH, Ana Paula Trussardi; LIMA, Júlia; GONZALEZ, Maria Cristina; PRADO, Carla M.; SILVA, Flávia Moraes. Low calf circumference adjusted for body mass index is associated with prolonged hospital stay. The American Journal Of Clinical Nutrition, [S.l.], v. 117, p. 402-407, fev. 2023. DOI: 10.1016/j.ajcnut.2022.11.003. Disponível em: https://www.sciencedirect.com/science/article/abs/pii/S0002916522105113?via%3Dihub. Acesso em: 11 dez. 2023. https://repositorio.ufrn.br/handle/123456789/55764 http://dx.doi.org/10.1016/j.ajcnut.2022.11.003 en The American Journal Of Clinical Nutrition
institution Repositório Institucional
collection RI - UFRN
language English
topic Anthropometry
body mass index
calf circumference
clinical outcomes
Hospital readmission
mortality
muscle mass
spellingShingle Anthropometry
body mass index
calf circumference
clinical outcomes
Hospital readmission
mortality
muscle mass
Fayh, Ana Paula Trussardi
Sousa, Iasmin Matias de
Lima, Júlia
Gonzalez, Maria Cristina
Prado, Carla M.
Silva, Flávia Moraes
Low calf circumference adjusted for body mass index is associated with prolonged hospital stay
description Background: Calf circumference (CC) is of emerging importance because of its practicality, high correlation with skeletal muscle, and potential predictive value for adverse outcomes. However, the accuracy of CC is influenced by adiposity. CC adjusted for BMI (BMI-adjusted CC) has been proposed to counteract this problem. However, its accuracy to predict outcomes is unknown. Objectives: To evaluate the predictive validity of BMI-adjusted CC in hospital settings. Methods: A secondary analysis of a prospective cohort study in hospitalized adult patients was conducted. The CC was adjusted for BMI by reducing 3, 7, or 12 cm for BMI (in kg/m2) of 25–29.9, 30–39.9, and ≥40, respectively. Low CC was defined as ≤34 cm for males and ≤33 cm for females. Primary outcomes included length of hospital stay (LOS) and in-hospital death, and secondary outcomes were hospital readmissions and mortality within 6 mo after discharge. Results: We included 554 patients (55.2 ± 14.9 y, 52.9% men). Among them, 25.3% presented with low CC, whereas 60.6% had BMI-adjusted low CC. In-hospital death occurred in 13 patients (2.3%), and median LOS was 10.0 (5.0–18.0) d. Within 6 mo from discharge, 43 patients (8.2%) died, and 178 (34.0%) were readmitted to the hospital. BMI-adjusted low CC was an independent predictor of LOS ≥ 10 d (odds ratio = 1.70; 95% confidence interval: 1.18, 2.43], but it was not associated with the other outcomes. Conclusions: BMI-adjusted low CC was identified in more than 60% of hospitalized patients and was an independent predictor of longer LOS
format article
author Fayh, Ana Paula Trussardi
Sousa, Iasmin Matias de
Lima, Júlia
Gonzalez, Maria Cristina
Prado, Carla M.
Silva, Flávia Moraes
author_facet Fayh, Ana Paula Trussardi
Sousa, Iasmin Matias de
Lima, Júlia
Gonzalez, Maria Cristina
Prado, Carla M.
Silva, Flávia Moraes
author_sort Fayh, Ana Paula Trussardi
title Low calf circumference adjusted for body mass index is associated with prolonged hospital stay
title_short Low calf circumference adjusted for body mass index is associated with prolonged hospital stay
title_full Low calf circumference adjusted for body mass index is associated with prolonged hospital stay
title_fullStr Low calf circumference adjusted for body mass index is associated with prolonged hospital stay
title_full_unstemmed Low calf circumference adjusted for body mass index is associated with prolonged hospital stay
title_sort low calf circumference adjusted for body mass index is associated with prolonged hospital stay
publisher The American Journal Of Clinical Nutrition
publishDate 2023
url https://repositorio.ufrn.br/handle/123456789/55764
http://dx.doi.org/10.1016/j.ajcnut.2022.11.003
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