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

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dc.contributor.authorFayh, Ana Paula Trussardi
dc.contributor.authorSousa, Iasmin Matias de
dc.contributor.authorLima, Júlia
dc.contributor.authorGonzalez, Maria Cristina
dc.contributor.authorPrado, Carla M.
dc.contributor.authorSilva, Flávia Moraes
dc.date.accessioned2023-12-11T23:54:20Z
dc.date.available2023-12-11T23:54:20Z
dc.date.issued2023-02
dc.description.resumoBackground: 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 LOSpt_BR
dc.identifier.citationSOUSA, 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.pt_BR
dc.identifier.doihttp://dx.doi.org/10.1016/j.ajcnut.2022.11.003
dc.identifier.urihttps://repositorio.ufrn.br/handle/123456789/55764
dc.languageenpt_BR
dc.publisherThe American Journal Of Clinical Nutritionpt_BR
dc.subjectAnthropometrypt_BR
dc.subjectbody mass indexpt_BR
dc.subjectcalf circumferencept_BR
dc.subjectclinical outcomespt_BR
dc.subjectHospital readmissionpt_BR
dc.subjectmortalitypt_BR
dc.subjectmuscle masspt_BR
dc.titleLow calf circumference adjusted for body mass index is associated with prolonged hospital staypt_BR
dc.typearticlept_BR

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