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  1. Article ; Online: Poor diet quality is associated with biochemical parameters of protein nutritional status after Roux-en-Y gastric bypass.

    de Brito, Beatriz Bobbio / Braga, Gabriela Bernabé / Martins, Cleodice Alves / Lopes-Júnior, Luís Carlos / Salaroli, Luciane Bresciani / Lopes, Andressa Bolsoni / Haraguchi, Fabiano Kenji

    Nutrition (Burbank, Los Angeles County, Calif.)

    2024  Volume 123, Page(s) 112419

    Abstract: Objective: To assess diet quality and its association with body and biochemical parameters in patients who underwent Roux-en-Y gastric bypass (RYGB).: Methods: Prospective observational study with individuals of both sexes subjected to RYGB. Body ... ...

    Abstract Objective: To assess diet quality and its association with body and biochemical parameters in patients who underwent Roux-en-Y gastric bypass (RYGB).
    Methods: Prospective observational study with individuals of both sexes subjected to RYGB. Body composition, biochemical parameters, and diet quality were assessed before and six months after RYGB. Diet quality was assessed by the Healthy Eating Index (HEI). Data were analyzed by the paired t-test or Wilcoxon signed-rank test, with a significance level of 5%. Spearman's correlation and simple linear regression were performed between variables..
    Results: The final sample included 34 patients. Their diet was classified as poor before and 6 mo after RYGB. BMI, fat mass, fat-free mass, waist perimeter, serum total protein, transthyretin, alpha-1-acid glycoprotein, and C-reactive protein decreased significantly (P < 0.05). Variations in the HEI score and caloric intake were associated with serum albumin and transthyretin (P < 0.05).
    Conclusion: Poor diet quality was present before and six months after RYGB, and the study data suggest that poor diet quality is associated to a risk of loss of lean body mass and visceral protein six months after RYGB.
    Language English
    Publishing date 2024-03-07
    Publishing country United States
    Document type Journal Article
    ZDB-ID 639259-3
    ISSN 1873-1244 ; 0899-9007
    ISSN (online) 1873-1244
    ISSN 0899-9007
    DOI 10.1016/j.nut.2024.112419
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Self-rated health status and associated factors in rural workers.

    Martins, Cleodice Alves / do Prado, Camila Bruneli / Ferreira, Júlia Rabelo Santos / Zandonade, Eliana / de Paula Alves Bezerra, Olívia Maria / Salaroli, Luciane Bresciani

    BMC public health

    2023  Volume 23, Issue 1, Page(s) 680

    Abstract: Background: Self-rated health status can be considered a good predictor of morbidity and mortality and has been used due to its easy assessment and applicability. The instrument is efficient for understanding sociodemographic, environmental and clinical ...

    Abstract Background: Self-rated health status can be considered a good predictor of morbidity and mortality and has been used due to its easy assessment and applicability. The instrument is efficient for understanding sociodemographic, environmental and clinical conditions that may be related to the self-rated health status. Thus, this study aims to analyze the self-assessment of health status in rural workers and its association with socioeconomic characteristics, lifestyle, clinical condition and work characteristics.
    Methods: This is a cross-sectional study carried out with 787 male and female rural reporting agriculture as their main source of income in the municipality of Santa Maria de Jetibá. A simple and direct question was used "In general, compared to people your age, how do you rate your own state of health?" to see how rural workers rate their current health status. The independent variables analyzed were socioeconomic, clinical, health and work conditions. The magnitude of the associations was evaluated by means of hierarchical logistic regression.
    Results: It was found that 42.1% of rural workers self-rated their health status as regular or poor. Belonging to socioeconomic classes C (OR = 1.937; 95% CI = 1.009-3.720) or D/E (OR = 2.280; 95% CI = 1.178-4.415), being overweight (or having excess weight) (OR = 1.477; 95% CI = 1.086-2.008), multimorbidity (OR = 1.715; 95% CI = 1.201-2.447) and complex multimorbidity (OR = 1.738; 95% CI = 1.097-2.751) were risk factors for worse self-rated health.
    Conclusion: It was concluded that chronic diseases, socioeconomic status and overweight are risk factors for negative self-rated health. The identification of these determinants through self-rated status can support the planning of actions aimed at improving the health of the rural population.
    Trial registration: This study was approved by the Research Ethics Committee of the Health Sciences Center of the Federal University of Espírito Santo (Protocol No. 2091172; CAAE No. 52839116.3.0000.5060). All research participants gave their informed consent.
    MeSH term(s) Humans ; Male ; Female ; Cross-Sectional Studies ; Rural Population ; Overweight ; Health Status ; Socioeconomic Factors
    Language English
    Publishing date 2023-04-12
    Publishing country England
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 2041338-5
    ISSN 1471-2458 ; 1471-2458
    ISSN (online) 1471-2458
    ISSN 1471-2458
    DOI 10.1186/s12889-023-15548-4
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Metabolic Syndrome and Associated Factors in Farmers in Southeastern Brazil: A Cross-Sectional Study.

    Cremonini, Ana Clara Petersen / Ferreira, Júlia Rabelo Santos / Martins, Cleodice Alves / do Prado, Camila Bruneli / Petarli, Glenda Blaser / Cattafesta, Monica / Salaroli, Luciane Bresciani

    International journal of environmental research and public health

    2023  Volume 20, Issue 14

    Abstract: 1) Background: Metabolic syndrome is a strong predictor of cardiovascular disease thus the objective of the study was to verify the prevalence of metabolic syndrome in farmers, as well as to verify the association with sociodemographic, work and ... ...

    Abstract (1) Background: Metabolic syndrome is a strong predictor of cardiovascular disease thus the objective of the study was to verify the prevalence of metabolic syndrome in farmers, as well as to verify the association with sociodemographic, work and lifestyle factors. (2) Methods: Cross-sectional, observational study, conducted with 790 individuals. For the diagnosis of metabolic syndrome, the National Cholesterol Education Program's Adult Treatment Panel III (NCEP-ATP III) and International Diabetes Federation (IDF) criteria were used. Pearson's chi-square test and binary logistic regression were used to verify factors associated with metabolic syndrome (3) Results: The prevalence of MS according to the IDF criteria was 16.3% overall, with 9.7% of women (95% CI: 6.66-16.16) and 6.6% of men (95% CI: 5.17-11.97). According to the NCEP/ATP III criterion, it was 12.3% overall, with 7.5% corresponding to women (95% CI: 6.62-13.13) and 4.8% to men (95% CI: 3.5-8.70). With regard to the conditions that make up metabolic syndrome, it was found that high density lipoprotein, high blood pressure and high waist circumference were the most prevalent. (4) Conclusions: The prevalence of metabolic syndrome is considerable in the population when compared to other regions, both rural and urban, in Brazil.
    MeSH term(s) Male ; Adult ; Humans ; Female ; Metabolic Syndrome/complications ; Cross-Sectional Studies ; Farmers ; Brazil/epidemiology ; Diabetes Mellitus ; Adenosine Triphosphate ; Prevalence ; Risk Factors
    Chemical Substances Adenosine Triphosphate (8L70Q75FXE)
    Language English
    Publishing date 2023-07-08
    Publishing country Switzerland
    Document type Observational Study ; Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 2175195-X
    ISSN 1660-4601 ; 1661-7827
    ISSN (online) 1660-4601
    ISSN 1661-7827
    DOI 10.3390/ijerph20146328
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  4. Article ; Online: Predicting mortality in neonates with gastroschisis in a Southeastern state of Brazil.

    Muniz, Virginia Maria / Lima Netto, Antônio / Carvalho, Katia Souza / Valle, Claudia Saleme do / Martins, Cleodice Alves / Salaroli, Luciane Bresciani / Zandonade, Eliana

    Revista da Associacao Medica Brasileira (1992)

    2023  Volume 69, Issue 2, Page(s) 314–319

    Abstract: Objective: This study aimed to verify risk factors associated with gastroschisis mortality in three neonatal intensive care units located in the state of Espírito Santo, Brazil.: Methods: A retrospective cohort study of neonates with gastroschisis ... ...

    Abstract Objective: This study aimed to verify risk factors associated with gastroschisis mortality in three neonatal intensive care units located in the state of Espírito Santo, Brazil.
    Methods: A retrospective cohort study of neonates with gastroschisis was performed between 2000 and 2018. Prenatal, perinatal, and postsurgical variables of survival or nonsurvival groups were compared using chi-square statistical test, t-test, Mann-Whitney U test, and logistic regression. Tests with p<0.05 were considered statistically determined.
    Results: A total of 142 newborns were investigated. Mean maternal age, gestational age, and birth weight were lower in the group of nonsurvival (p<0.05). Poor clinical conditions during admission, complex gastroschisis, closure with silo placement, the use of blood products, surgical complications, and short bowel syndrome were more frequent in the nonsurvival group (p<0.05). Complex gastroschisis [adjusted odds ratio (OR) 3.74, 95% confidence interval (95%CI) 1.274-11.019] and short bowel syndrome (adjusted OR 7.55, 95%CI 2.177-26.225) increased the risk of death. Higher birth weight inversely reduced the risk for mortality (adjusted OR 0.99, 95%CI 0.997-1.000).
    Conclusion: Complex gastroschisis and short bowel syndrome increased the risk of death, with greater birth weight being inversely correlated with the risk of mortality. The findings of this research can contribute to the formulation of protocols to improve the quality and safety of care in order to reduce neonatal mortality associated with gastroschisis.
    MeSH term(s) Pregnancy ; Female ; Humans ; Infant, Newborn ; Gastroschisis/complications ; Gastroschisis/surgery ; Retrospective Studies ; Birth Weight ; Short Bowel Syndrome/complications ; Brazil/epidemiology
    Language English
    Publishing date 2023-02-10
    Publishing country Brazil
    Document type Journal Article
    ZDB-ID 731969-1
    ISSN 1806-9282 ; 0104-4230 ; 0004-5241 ; 0102-843X
    ISSN (online) 1806-9282
    ISSN 0104-4230 ; 0004-5241 ; 0102-843X
    DOI 10.1590/1806-9282.20221116
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Waist-to-height ratio and dynapenic abdominal obesity in users of hemodialysis services.

    de Paiva Souza, Leticia / Martins, Cleodice Alves / Cattafesta, Monica / Theodoro Dos Santos-Neto, Edson / Salaroli, Luciane Bresciani

    Nutrition, metabolism, and cardiovascular diseases : NMCD

    2023  Volume 33, Issue 8, Page(s) 1583–1590

    Abstract: Background and aims: Abdominal obesity and decreased muscle strength are risk factors for individuals on hemodialysis. Thus, the combination of these two factors known as dynapenic abdominal obesity acts as an important marker of the nutritional status ... ...

    Abstract Background and aims: Abdominal obesity and decreased muscle strength are risk factors for individuals on hemodialysis. Thus, the combination of these two factors known as dynapenic abdominal obesity acts as an important marker of the nutritional status of this population. Therefore, the objective of the work was to investigate the association between abdominal obesity, dynapenia, and sociodemographic, clinical, and nutritional factors in individuals with chronic kidney disease undergoing hemodialysis.
    Methods and results: Cross-sectional study with 940 individuals undergoing hemodialysis in southeastern Brazil. Dynapenic abdominal obesity was defined by the combination of the presence of abdominal obesity, indicated by the waist-to-height ratio, and the reduction in muscle strength, measured by handgrip strength. Binary logistic regression was performed to calculate the odds ratio (OR) and the respective confidence intervals (95% CI). Dynapenic abdominal obesity was present in 45.42% of the study population. We found that being 18-59 years (OR: 3.17; 95% CI 2.35-4.28; p < 0.001) and being overweight (OR: 2.58; 95% CI 1.92-3.47; p < 0.001) increased the chances for the presence of dynapenic abdominal obesity; however, the habit of consuming meals away from home (OR: 0.63; 95% CI 0.47-0.85; p = 0.003) and having preserved behavioral adductor muscle thickness (OR: 0.52; 95% CI 0.38-0.71; p < 0.001) are considered protective factors.
    Conclusion: Dynapenic abdominal obesity, present in individuals on hemodialysis, may represent a valid nutritional tool for assessing cardiovascular risk and mortality in this population, in order to implement the most effective preventive and/or therapeutic intervention possible.
    MeSH term(s) Humans ; Obesity, Abdominal/diagnosis ; Obesity, Abdominal/epidemiology ; Obesity, Abdominal/therapy ; Hand Strength/physiology ; Cross-Sectional Studies ; Waist Circumference ; Obesity/diagnosis ; Obesity/epidemiology ; Obesity/therapy ; Muscle Strength/physiology ; Risk Factors
    Language English
    Publishing date 2023-05-11
    Publishing country Netherlands
    Document type Journal Article
    ZDB-ID 1067704-5
    ISSN 1590-3729 ; 0939-4753
    ISSN (online) 1590-3729
    ISSN 0939-4753
    DOI 10.1016/j.numecd.2023.05.011
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Waist-to-height ratio and dynapenic abdominal obesity in users of hemodialysis services

    de Paiva Souza, Letícia / Martins, Cleodice Alves / Cattafesta, Monica / Theodoro dos Santos Neto, Edson / Salaroli, Luciane Bresciani

    The Italian Diabetes Society, the Italian Society for the Study of Atherosclerosis, the Italian Society of Human Nutrition and the Department of Clinical Medicine and Surgery, Federico II University Nutrition, Metabolism and Cardiovascular Diseases. 2023 May 11,

    2023  

    Abstract: Abdominal obesity and decreased muscle strength are risk factors for individuals on hemodialysis. Thus, the combination of these two factors known as dynapenic abdominal obesity acts as an important marker of the nutritional status of this population. ... ...

    Abstract Abdominal obesity and decreased muscle strength are risk factors for individuals on hemodialysis. Thus, the combination of these two factors known as dynapenic abdominal obesity acts as an important marker of the nutritional status of this population. Therefore, the objective of the work was to investigate the association between abdominal obesity, dynapenia, and sociodemographic, clinical, and nutritional factors in individuals with chronic kidney disease undergoing hemodialysis. Cross-sectional study with 940 individuals undergoing hemodialysis in southeastern Brazil. Dynapenic abdominal obesity was defined by the combination of the presence of abdominal obesity, indicated by the waist-to-height ratio, and the reduction in muscle strength, measured by handgrip strength. Binary logistic regression was performed to calculate the odds ratio (OR) and the respective confidence intervals (95% CI). Dynapenic abdominal obesity was present in 45.42% of the study population. We found that being 18–59 years (OR: 3.17; 95% CI 2.35–4.28; p < 0.001) and being overweight (OR: 2.58; 95% CI 1.92–3.47; p < 0.001) increased the chances for the presence of dynapenic abdominal obesity; however, the habit of consuming meals away from home (OR: 0.63; 95% CI 0.47–0.85; p = 0.003) and having preserved behavioral adductor muscle thickness (OR: 0.52; 95% CI 0.38–0.71; p < 0.001) are considered protective factors. Dynapenic abdominal obesity, present in individuals on hemodialysis, may represent a valid nutritional tool for assessing cardiovascular risk and mortality in this population, in order to implement the most effective preventive and/or therapeutic intervention possible.
    Keywords cross-sectional studies ; hand strength ; hemodialysis ; kidney diseases ; metabolism ; mortality ; muscles ; nutritional status ; obesity ; odds ratio ; regression analysis ; risk ; waist-to-height ratio ; Brazil ; Abdominal obesity ; Dynapenia ; Chronic kidney disease
    Language English
    Dates of publication 2023-0511
    Publishing place Elsevier B.V.
    Document type Article ; Online
    Note Pre-press version
    ZDB-ID 1067704-5
    ISSN 0939-4753
    ISSN 0939-4753
    DOI 10.1016/j.numecd.2023.05.011
    Database NAL-Catalogue (AGRICOLA)

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  7. Article ; Online: Cut points of the conicity index as an indicator of abdominal obesity in individuals undergoing hemodialysis: An analysis of latent classes.

    Martins, Cleodice Alves / Ferreira, Júlia Rabelo Santos / Cattafesta, Monica / Neto, Edson Theodoro Dos Santos / Rocha, Jose Luiz Marques / Salaroli, Luciane Bresciani

    Nutrition (Burbank, Los Angeles County, Calif.)

    2022  Volume 106, Page(s) 111890

    Abstract: Objectives: Abdominal obesity favors the involvement of cardiometabolic complications in renal patients on hemodialysis. Thus, the aim of the study was to identify the cut-points of the conicity index in individuals undergoing hemodialysis.: Methods: ...

    Abstract Objectives: Abdominal obesity favors the involvement of cardiometabolic complications in renal patients on hemodialysis. Thus, the aim of the study was to identify the cut-points of the conicity index in individuals undergoing hemodialysis.
    Methods: This was a cross-sectional study carried out with 953 individuals undergoing hemodialysis in clinics in a metropolitan region of southeastern Brazil. The conicity index was calculated using the following mathematical equation: waist circumference/0.109 × √weight/height. The receiver operating characteristic (ROC) curve was calculated from the analysis of latent classes by cross-validation through a latent variable of abdominal obesity. This latent variable was defined using the response pattern of the observed anthropometric variables considering the presence and absence of abdominal obesity: waist circumference, waist-to-height ratio, and body shape index. The cut-points identified were elucidated by the area under the curve (AUC), Youden index, sensitivity, and specificity.
    Results: The cut-points for the conicity index found for both sexes were similar, resulting in a cut-point for men of 1.275 (AUC, 0.921; Youden index, 0.666), with a sensitivity and specificity of 83% and 83.6%, and a cut-point for women of 1.285 (AUC, 0.921; Youden index, 0.679), with a sensitivity and specificity of 78.6% and 89.3%, respectively.
    Conclusions: The conicity index showed high discriminatory power for the identification of abdominal obesity in hemodialysis patients, therefore it can be a simple and easily accessible tool to be incorporated into clinical practice in this population.
    MeSH term(s) Male ; Humans ; Female ; Obesity, Abdominal/complications ; Obesity, Abdominal/diagnosis ; Obesity, Abdominal/epidemiology ; Cross-Sectional Studies ; Body Mass Index ; Obesity/complications ; Obesity/epidemiology ; Waist Circumference ; ROC Curve ; Waist-Height Ratio ; Renal Dialysis
    Language English
    Publishing date 2022-10-29
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 639259-3
    ISSN 1873-1244 ; 0899-9007
    ISSN (online) 1873-1244
    ISSN 0899-9007
    DOI 10.1016/j.nut.2022.111890
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: Conicity index as an indicator of abdominal obesity in individuals with chronic kidney disease on hemodialysis.

    Martins, Cleodice Alves / do Prado, Camila Bruneli / Santos Ferreira, Júlia Rabelo / Cattafesta, Monica / Dos Santos Neto, Edson Theodoro / Haraguchi, Fabiano Kenji / Marques-Rocha, José Luiz / Salaroli, Luciane Bresciani

    PloS one

    2023  Volume 18, Issue 4, Page(s) e0284059

    Abstract: Background: The conicity index is indicated as a tool for assessing the nutritional status of renal individuals undergoing hemodialysis. Thus, this study aimed to estimate the prevalence of abdominal obesity using the conicity index in individuals with ... ...

    Abstract Background: The conicity index is indicated as a tool for assessing the nutritional status of renal individuals undergoing hemodialysis. Thus, this study aimed to estimate the prevalence of abdominal obesity using the conicity index in individuals with chronic kidney disease undergoing hemodialysis to verify its association with sociodemographic, clinical, and lifestyle factors.
    Materials and methods: This is a cross-sectional study with 941 individuals undergoing hemodialysis in a metropolitan area in southeastern Brazil. The conicity index was estimated and cutoffs of 1.275 and 1.285 for men and women, respectively, were used. For the analysis of the results, binary logistic regression was performed and the odds ratio (OR) was estimated with their respective confidence intervals (95% CI).
    Results: The conicity index was high in 56.54% of men (95% CI: 34.34-70.16) and 43.46% of women (95% CI: 38.45-55.20). We found that both adult men (OR = 3.71; 95% CI: 2.27-6.07) and adult women (OR = 4.06; 95% CI: 2.41-6.84) were more likely to have abdominal obesity, as well as self-declared mixed-raced (OR: 1.74; 95% CI: 1.01-3.00) and single men (OR: 1.64; 95% CI: 1.00-2.68).
    Conclusions: The conicity index is an important anthropometric indicator to estimate abdominal obesity in individuals with chronic kidney disease on hemodialysis.
    MeSH term(s) Male ; Adult ; Humans ; Female ; Obesity, Abdominal/complications ; Obesity, Abdominal/epidemiology ; Cross-Sectional Studies ; Waist Circumference ; Obesity/complications ; Obesity/epidemiology ; Renal Insufficiency, Chronic/complications ; Renal Insufficiency, Chronic/epidemiology ; Renal Insufficiency, Chronic/therapy ; Renal Dialysis ; Body Mass Index
    Language English
    Publishing date 2023-04-19
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 2267670-3
    ISSN 1932-6203 ; 1932-6203
    ISSN (online) 1932-6203
    ISSN 1932-6203
    DOI 10.1371/journal.pone.0284059
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: Cut Points of the Conicity Index and Associated Factors in Brazilian Rural Workers.

    do Prado, Camila Bruneli / Martins, Cleodice Alves / Cremonini, Ana Clara Petersen / Ferreira, Júlia Rabelo Santos / Cattafesta, Monica / Almeida-de-Souza, Juliana / Zandonade, Eliana / Bezerra, Olívia Maria de Paula Alves / Salaroli, Luciane Bresciani

    Nutrients

    2022  Volume 14, Issue 21

    Abstract: 1) Background: Metabolic syndrome is associated with cardiovascular complications. Therefore, this study aims to establish cut points for the conicity index based on the components of metabolic syndrome and to associate it with characteristic ... ...

    Abstract (1) Background: Metabolic syndrome is associated with cardiovascular complications. Therefore, this study aims to establish cut points for the conicity index based on the components of metabolic syndrome and to associate it with characteristic sociodemographic, food consumption and occupational factors in Brazilian rural workers; (2) Methods: A cross-sectional study carried out with farmers. The receiver operating characteristic curve was calculated and the cut-off points for the conicity index were identified by the area under the curve, sensitivity and specificity. The variables included in the binary logistic regression analysis were selected by considering p < 0.20 in the bivariate test; (3) Results: The cut points were similar in females according to both criteria, resulting in a single cut-off of 1.269. In males, the cut points showed differences, resulting in 1.272 according to the NCEP-ATP III and 1.252 according to the IDF. We have shown that younger people, those who work more than 40 h a week and the lowest contribution of culinary ingredients are associated with increased odds of abdominal obesity, while the consumption of the products they sell or produce decreases these chances; (4) Conclusions: The conicity index showed high discriminatory power for the identification of abdominal obesity in rural workers. Therefore, there is a need to improve eating habits and promote healthier eating environments for individuals, respecting traditional food culture, mainly to contain the advance of MS in rural areas.
    MeSH term(s) Male ; Female ; Humans ; Metabolic Syndrome/complications ; Obesity, Abdominal/complications ; Cross-Sectional Studies ; Brazil/epidemiology ; Prevalence ; ROC Curve ; Risk Factors ; Body Mass Index ; Waist Circumference
    Language English
    Publishing date 2022-10-25
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2518386-2
    ISSN 2072-6643 ; 2072-6643
    ISSN (online) 2072-6643
    ISSN 2072-6643
    DOI 10.3390/nu14214487
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  10. Article ; Online: Prevalence of sarcopenia in kidney transplants and their association with determinant factors of muscle homeostasis.

    Martins, Cleodice Alves / França, Ana Karina Teixeira da Cunha / Dias, Raimunda Sheyla Carneiro / Costa, Rayanna Cadilhe de Oliveira / Lemos, Antônio Pedro Leite / Santos, Alcione Miranda Dos / Hortegal, Elane Viana / Brito, Dyego José de Araújo

    Revista da Associacao Medica Brasileira (1992)

    2020  Volume 66, Issue 9, Page(s) 1235–1240

    Abstract: Introduction: Sarcopenia is characterized by the involuntary loss of lean body mass associated with a progressive reduction of muscle strength.: Objective: To determine the prevalence of sarcopenia in kidney transplant recipients and its association ... ...

    Abstract Introduction: Sarcopenia is characterized by the involuntary loss of lean body mass associated with a progressive reduction of muscle strength.
    Objective: To determine the prevalence of sarcopenia in kidney transplant recipients and its association with the determining factors that control muscle homeostasis.
    Methods: We evaluated renal transplant recipients undergoing follow-up at the University Hospital of the Federal University of Maranhão from June 2017 to July 2018 and who met the inclusion criteria. Sarcopenia was defined according to the European criteria. The skeletal muscle mass index was measured by dual-energy radiological absorptiometry; the values <7,26 kg/m2 for men and <5,5 kg/m2 for women were adopted for muscle depletion. For handgrip strength, values of <30 kg for men and <20 kg for women were considered as reduced muscle strength. In both sexes, the cutoff point for walking speed was <0,8 m/s.
    Results: We evaluated 83 renal transplant recipients with a mean age of 48.8 ± 12,1 years and predominantly males (57,8%). The prevalence of sarcopenia was 19,3%. Among individuals without sarcopenia, 17,9% had a decrease in handgrip strength and 40,3% has altered gait speed.
    Discussion: Individuals submitted to renal transplant may develop sarcopenia while still young and already present altered muscle function and strength even before the depletion of lean body mass.
    Conclusion: Early diagnosis may allow the prevention of sarcopenia and provide a better quality of life for patients.
    MeSH term(s) Adult ; Female ; Hand Strength ; Homeostasis ; Humans ; Kidney Transplantation ; Male ; Middle Aged ; Prevalence ; Quality of Life ; Sarcopenia
    Language English
    Publishing date 2020-10-02
    Publishing country Brazil
    Document type Journal Article
    ZDB-ID 731969-1
    ISSN 1806-9282 ; 0104-4230 ; 0004-5241 ; 0102-843X
    ISSN (online) 1806-9282
    ISSN 0104-4230 ; 0004-5241 ; 0102-843X
    DOI 10.1590/1806-9282.66.9.1235
    Database MEDical Literature Analysis and Retrieval System OnLINE

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