Acuracy and concordance of anthropometric indicators and body composition in heart failure

dc.contributor.authorLyra, Clélia de Oliveira
dc.contributor.authorRocha, Daniela de Oliveira
dc.contributor.authorDantas, Raquel Costa Silva
dc.contributor.authorAndrade, Fernanda Lambert de
dc.contributor.authorAvelino, Regina Ranielly dos Santos
dc.contributor.authorDiniz, Rosiane Viana Zuza
dc.contributor.authorLira, Niethia Regina Dantas de
dc.contributor.authorEvangelista, Karine Cavalcanti Mauricio Sena
dc.date.accessioned2024-03-26T22:34:50Z
dc.date.available2024-03-26T22:34:50Z
dc.date.issued2018
dc.description.resumoBackground: Anabolic/catabolic disorder in heart failure (HF) favors cardiac cachexia, implying a reduction in HF survival. Objectives: To assess the accuracy and concordance of the diagnosis of protein malnutrition and excess fat among the anthropometric and body composition methods in individuals with HF. Method: A study of accuracy that included 60 individuals with HF. Body mass index (BMI), arm circumference (AC), triceps skinfold thickness (TST), adductor pollicis muscle thickness (APMT), arm muscle circumference (AMC) and corrected arm muscle area (cAMA). Fat free mass index (FFMI) and body fat percentage (BF%), obtained by electrical bioimpedance (EBI), were used to compare the diagnosis of protein malnutrition and excess fat. Accuracy was assessed by calculating sensitivity, specificity, positive and negative predictive value. The concordance of the EBI diagnosis and other methods was performed by the chi-square test and kappa (k) statistic, where p<0.05 was considered significant. Results: Higher frequencies of protein malnutrition were identified by cAMA and AMC, and excess fat by BF%. BMI presented low sensitivity (43%) and accuracy (38.5%), with moderate concordance (0.50). AMC sensitivity was 86%, accuracy 66.4%, and acceptable concordance (0.36) compared to FFMI. Similar percentages of moderate sensitivity and low accuracy were observed for TST and BMI. Conclusion: AMC may be useful to identify protein malnutrition and TST has not been adequate to diagnose adiposity. BMI was not sensitive to assess muscle and adipose reserve. EBI was more accurate. (Int J Cardiovasc Sci. 2019;32(2)143-151)pt_BR
dc.identifier.citationROCHA, Daniela de Oliveira; DANTAS, Raquel Costa Silva; ANDRADE, Fernanda Lambert de; AVELINO, Regina Ranielly dos Santos; LYRA, Clélia de Oliveira; DINIZ, Rosiane Viana Zuza; LIRA, Niethia Regina Dantas de; EVANGELISTA, Karine Cavalcanti Mauricio Sena. Acuracy and concordance of anthropometric indicators and body composition in heart failure. International Journal of Cardiovascular Sciences, [S.l.], v. 32, n. 2, p. 143-151, 2018. DOI: 10.5935/2359-4802.20180093. Disponível em: https://www.scielo.br/j/ijcs/a/z9Lb8Cp8pPKmGCrBW6hcY7d/?lang=en. Acesso em: 26 mar. 2024.pt_BR
dc.identifier.doihttp://dx.doi.org/10.5935/2359-4802.20180093
dc.identifier.urihttps://repositorio.ufrn.br/handle/123456789/57956
dc.languageenpt_BR
dc.publisherInternational Journal of Cardiovascular Sciencespt_BR
dc.rightsAttribution 3.0 Brazil*
dc.rights.urihttp://creativecommons.org/licenses/by/3.0/br/*
dc.subjectHeart failurept_BR
dc.subjectNutrition assessmentpt_BR
dc.subjectAnthropometrypt_BR
dc.subjectBody compositionpt_BR
dc.subjectCachexiapt_BR
dc.titleAcuracy and concordance of anthropometric indicators and body composition in heart failurept_BR
dc.typearticlept_BR

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