Amyotrophic lateral sclerosis: combined nutritional, respiratory and functional assessment / Esclerose lateral amiotrófica: correlações dos indicadores da avaliação nutricional, funcional e respiratória
Arq. neuropsiquiatr
;
66(2b): 354-359, jun. 2008. tab
Article
in English
| LILACS
| ID: lil-486190
ABSTRACT
OBJECTIVE:
To establish correlations between nutritional, functional and respiratory indices of patients with amyotrophic lateral sclerosis (ALS).METHOD:
Twenty patients (13 appendicular - GA and 7 bulbar - GB) were included in the multidisciplinary study at the Neurological Clinic Ambulatory of the University of Campinas Hospital.RESULTS:
Among the GA type significant correlation was observed between maximal inspiratory (MIP) and expiratory (MEP) pressure (r= -0.76), MEP and pulse oxymetry (r=0.58), MIP and percent weight loss ( percentWL; r=0.59), and between MIP, total and subscale respiratory scores (ALSFRS-R) with percentWL. With regard to the GB, correlation was found between MEP and body mass index (BMI) (r=0.97). In both GA and GB correlations were noticed between the BMI and the variables mass (kg), fat ( percent), arm and wrist circumference (cm), and tricipital, subscapular and supra-iliac skinfolds (mm), as well as the arm muscle circumference (cm) and fatty arm muscular area (mm²).CONCLUSION:
It is suggested that the application of simple anthropometric measurements could be useful in routine monitoring of patients with ALS.RESUMO
OBJETIVO:
Correlacionar os indicadores utilizados na avaliação nutricional, funcional e respiratória de indivíduos com esclerose lateral amiotrófica (ELA).MÉTODO:
Vinte pacientes (13 apendiculares - GA e 7 bulbares - GB) foram incluídos no estudo usando parâmetros nutricionais, respiratórios e escala funcional (ALSFRS-R).RESULTADOS:
Entre os pacientes do GA, as correlações observadas foram pressão inspiratória máxima (PImax) e expiratória máxima (PEmax) (r= -0,76); PEmax e oximetria de pulso (r=0,58); PImax e porcentagem de perda de peso ( por centoPP) (r=0,59); e entre PImax, escore ALSFRS-R com por centoPP. No GB, houve correlação entre MEP e índice de massa corporal (IMC) (r=0,97). Em GA e GB, observaram-se correlação entre IMC e as variáveis massa, gordura ( por cento), circunferência braquial e punho, pregas cutâneas tricipital, subescapular e supra-ilíaca, circunferência muscular do braço (cm), área muscular gordurosa do braço (mm²).CONCLUSÃO:
Sugere-se a aplicação deste conjunto de medidas durante a evolução clínica de indivíduos com ELA.
Full text:
Available
Index:
LILACS (Americas)
Main subject:
Respiratory System
/
Body Mass Index
/
Nutrition Assessment
/
Nutritional Status
/
Pulmonary Ventilation
/
Amyotrophic Lateral Sclerosis
Type of study:
Observational study
/
Prevalence study
/
Prognostic study
/
Risk factors
Limits:
Adult
/
Aged
/
Humans
Language:
English
Journal:
Arq. neuropsiquiatr
Journal subject:
Neurology
/
Psychiatry
Year:
2008
Type:
Article
Affiliation country:
Brazil
Institution/Affiliation country:
UNICAMP/BR
/
University of Campinas/BR
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