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Amyotrophic lateral sclerosis: combined nutritional, respiratory and functional assessment / Esclerose lateral amiotrófica: correlações dos indicadores da avaliação nutricional, funcional e respiratória
Silva, Luciano Bruno de Carvalho; Mourão, Lucia Figueiredo; Silva, Ariovaldo Armando; Lima, Núbia Maria Freire Vieira; Almeida, Sara Regina; Franca Júnior, Marcondes C; Nucci, Anamarli; Amaya-Farfán, Jaime.
  • Silva, Luciano Bruno de Carvalho; University of Campinas. School of Food Engineering. Center for Food Security Studies. Food and Nutrition Department. Campinas. BR
  • Mourão, Lucia Figueiredo; UNICAMP. FCM. BR
  • Silva, Ariovaldo Armando; UNICAMP. FCM. BR
  • Lima, Núbia Maria Freire Vieira; UNICAMP. FCM. Dept. of Neurology. BR
  • Almeida, Sara Regina; UNICAMP. FCM. Dept. of Neurology. BR
  • Franca Júnior, Marcondes C; UNICAMP. HC. Ambulatory Neuromuscular Diseases. BR
  • Nucci, Anamarli; UNICAMP. FCM. BR
  • Amaya-Farfán, Jaime; UNICAMP. FCM. BR
Arq. neuropsiquiatr ; 66(2b): 354-359, jun. 2008. tab
Article Dans Anglais | 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.
Sujets)

Texte intégral: Disponible Indice: LILAS (Amériques) Sujet Principal: Appareil respiratoire / Indice de masse corporelle / Évaluation de l'état nutritionnel / État nutritionnel / Ventilation pulmonaire / Sclérose latérale amyotrophique Type d'étude: Étude observationnelle / Étude de prévalence / Étude pronostique / Facteurs de risque Limites du sujet: Adulte / Adulte très âgé / Humains langue: Anglais Texte intégral: Arq. neuropsiquiatr Thème du journal: Neurologie / Psychiatrie Année: 2008 Type: Article Pays d'affiliation: Brésil Institution/Pays d'affiliation: UNICAMP/BR / University of Campinas/BR

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LIS

Texte intégral: Disponible Indice: LILAS (Amériques) Sujet Principal: Appareil respiratoire / Indice de masse corporelle / Évaluation de l'état nutritionnel / État nutritionnel / Ventilation pulmonaire / Sclérose latérale amyotrophique Type d'étude: Étude observationnelle / Étude de prévalence / Étude pronostique / Facteurs de risque Limites du sujet: Adulte / Adulte très âgé / Humains langue: Anglais Texte intégral: Arq. neuropsiquiatr Thème du journal: Neurologie / Psychiatrie Année: 2008 Type: Article Pays d'affiliation: Brésil Institution/Pays d'affiliation: UNICAMP/BR / University of Campinas/BR