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Hastanede Yatan Pediatrik Hastalarda Antropometrik Bir Parametre Olarak Adduktör Polisis Kas Kalınlığı Ölçümü

Year 2021, Volume: 6 Issue: BESLENME ÖZEL SAYISI, 70 - 87, 30.12.2021

Abstract

Amaç: Adduktör polisis kas kalınlığı (APKK) ölçümü yetişkin ve yaşlı bireylerde vücut kas dokusu ve dolayısıyla yetersiz beslenmenin değerlendirilmesinde kullanılabilen bir yöntemdir. Pediatrik popülasyonda APKK ölçümünün kullanımına ilişkin sınırlı sayıda çalışma bulunmaktadır. Bu çalışma ile hastanede yatan pediatrik hastalarda malnütrisyon durumunun belirlenmesinde Adduktör polisis kas kalınlığı ölçümününün etkinliğinin değerlendirilmesi amaçlanmıştır.
Gereç ve Yöntem: Çalışma; Ekim 2019-Mart 2020 tarihleri arasında XXXX Hastanesi’ne yatış işlemi gerçekleştirilen, 4 - 9 yaş aralığında 236 çocuk hastanın dahil edildiği kesitsel bir çalışmadır. Hastaların besin alımları, antropometrik ölçümleri ve APKK ölçümleri kaydedilmiştir. Hastalarda malnütrisyon oluşma riskinin belirlenmesinde Bozulmuş Beslenme Durumu ve Büyüme Riski için Tarama Aracı (STRONGkids- Screening Tool for Risk of impared Nutritional Status and Growth) ve Çocuklarda Beslenme Risk Skoru (PNRS- Pediatric Nutritional Risk Score), beslenme durumunun değerlendirilmesinde ise Öznel Genel Beslenme Değerlendirmesi (SGNA- Subjective Global Nutritional Assessment) pediatrik nütrisyonel tarama araçları kullanılmıştır.
Bulgular: Bireylerin yaş ortalaması 6,29 ± 1,78 yıl olup, %51,7’sini (n=122) kız, %48,3’ünü (n=114) ise erkek hastalar oluşturmaktadır. Hastaların antropometrik ölçümlerinin tümü ile APKK ölçümleri arasında pozitif yönlü ve güçlü bir korelasyon tespit edilmiştir (p<0,05). Adduktör polisis kas kalınlığı ölçümleri ilehastanede yatış süresi arasındaki korelasyon negatif yönlü ve zayıf bulunmuştur (p<0,05). Şiddetli malnütrisyonlu (SGNA ile değerlendirilen) ve beslenme bozukluğı riski yüksek (STRONGKids ve PNRS ile değerlendirilen) hastaların APKK ölçüm değerlerinin daha düşük olduğu saptanmıştır (p<0,05). Adduktör polisis kas kalınlığı (mm) için kesim noktası (SGNA referans standart alındığında) 4,5 mm olup, malnütrisyon tanısı koymadaki duyarlılığı %89,7, seçiciliği %37,0 ve eğri altında kalan alan (AUC) 0,70 (%95 CI: 0,63 – 0,77) bulunmuştur (p<0,05).
Sonuç: Bu çalışma ile APKK ölçümünün hastanede yatan pediyatrik hastalarda yetersiz beslenmenin saptanmasında kullanılabilecek non-invaziv, düşük maliyetli, objektif ve hızlı uygulanan bir yöntem olduğu belirlenmiştir.

References

  • Addo, O. Y., Himes, J. H., ve Zemel, B. S. (2017). Reference ranges for midupper arm circumference, upper arm muscle area, and upper arm fat area in US children and adolescents aged 1-20 y. The American Journal of Clinical Nutrition, 105 (1), 111–120.
  • Beser, O. F., Cokugras, F. C., Erkan, T., Kutlu, T., Yagci, R. V., ve TUHAMAR Study Group (2018). Evaluation of malnutrition development risk in hospitalized children. Nutrition, 48, 40–47.
  • Bragagnolo, R., Caporossi, F. S., Dock-Nascimento, D. B., Aguilar-Nascimento, J. E. (2011). Handgrip strength and adductor pollicis muscle thickness as predictors of postoperative complications after major operations of the gastrointestinal tract. The European e-Journal of Clinical Nutrition and Metabolism, 6, 21-26.
  • Caporossi, F. S., Caporossi, C., Borges Dock-Nascimento, D., ve de Aguilar-Nascimento, J. E. (2012). Measurement of the thickness of the adductor pollicis muscle as a predictor of outcome in critically ill patients. Nutricion Hospitalaria, 27 (2), 490–495.
  • Cederholm, T., Barazzoni, R., Austin, P., Ballmer, P., Biolo, G., Bischoff, S. C., Compher, C., … Singer, P. (2017). ESPEN guidelines on definitions and terminology of clinical nutrition. Clinical Nutrition (Edinburgh, Scotland), 36(1), 49–64.
  • Soares, S.B., ve Vicentini, A. P. (2018). Use of adductor pollicis muscle thickness in hospitalized or ambulatory patients: a systematic review. Revista Latino-Americana de Enfermagem, 26, e2960.
  • National Agricultural Library. (2006). Dietary Reference Intakes: The Essential Guide to Nutrient Requirements.1 Ağustos 2020 tarihinde https://www.nal.usda.gov/fnic/dietary-reference-intakes adresinden erişildi.
  • Edwards, R. H., Young, A., Hosking, G. P., ve Jones, D. A. (1977). Human skeletal muscle function: description of tests and normal values. Clinical Science and Molecular Medicine, 52 (3), 283–290.
  • Frisancho A. R. (1981). New norms of upper limb fat and muscle areas for assessment of nutritional status. The American Journal of Clinical Nutrition, 34(11), 2540–2545.
  • Gonzalez, M. C., Pureza Duarte, R. R., Orlandi, S. P., Bielemann, R. M., ve Barbosa-Silva, T. G. (2015). Adductor pollicis muscle: A study about its use as a nutritional parameter in surgical patients. Clinical Nutrition, 34 (5), 1025–1029.
  • Hartman, C., Shamir, R., Hecht, C., ve Koletzko, B. (2012). Malnutrition screening tools for hospitalized children. Current Opinion in Clinical Nutrition and Metabolic Care, 15(3), 303–309.
  • Hulst, J. M., Zwart, H., Hop, W. C., ve Joosten, K. F. (2010). Dutch national survey to test the STRONGkids nutritional risk screening tool in hospitalized children. Clinical Nutrition, 29(1), 106–111.
  • Joosten, K. F., ve Hulst, J. M. (2011). Malnutrition in pediatric hospital patients: current issues. Nutrition, 27 (2), 133–137.
  • Karaağaoğlu, E., Karakaya, J., ve Kılıçkap, M. (2016). Tanı testlerinin değerlendirilmesinde istatistiksel yöntemler (5. bs.). Ankara, Detay yayıncılık.
  • Lopes, J., Russell, D. M., Whitwell, J., ve Jeejeebhoy, K. N. (1982). Skeletal muscle function in malnutrition. The American Journal of Clinical Nutrition, 36 (4), 602–610.
  • McCarthy, A., Delvin, E., Marcil, V., Belanger, V., Marchand, V., Boctor, D., ... Levy, E. (2019). Prevalence of Malnutrition in Pediatric Hospitals in Developed and In-Transition Countries: The Impactof Hospital Practices. Nutrients, 11 (2), 236.
  • Mehta, N. M., Corkins, M. R., Lyman, B., Malone, A., Goday, P. S., Carney, L. N., … American Society for Parenteral and Enteral Nutrition Board of Directors (2013). Defining pediatric malnutrition: a paradigm shift toward etiology-related definitions. JPEN. Journal of Parenteral and Enteral Nutrition, 37(4), 460–481.
  • Melo, C. Y., ve Silva, S. A. (2014). Adductor pollicis muscle as predictor of malnutrition in surgical patients. Arquivos brasileiros de cirurgia digestiva: ABCD = Brazilian. Archives of Digestive Surgery, 27 (1), 13–17.
  • Oruçoğlu, B., ve İnanç, N. (2020). Assessment of the STRONGkids screening tool: A cross-sectional study in Turkish children. Clinical Science of Nutrition, 2 (1), 35-42. Pekcan, G. (2018). Hastanın Beslenme Durumunun Saptanması, Diyet El Kitabı. Ankara: Hatiboğlu Yayınevi.
  • Secker, D. J., ve Jeejeebhoy, K. N. (2012). How to perform Subjective Global Nutritional assessment in children. Journal of the Academy of Nutrition and Dietetics, 112(3), 424–431.e6.
  • Sermet-Gaudelus, I., Poisson-Salomon, A. S., Colomb, V., Brusset, M. C., Mosser, F., Berrier, F., … Ricour, C. (2000). Simple pediatric nutritional risk score to identify children at risk of malnutrition. The American Journal of Clinical Nutrition, 72(1), 64–70.
  • Soeters, P. B., & Schols, A. M. (2009). Advances in understanding and assessing malnutrition. Current opinion in clinical nutrition and metabolic care, 12(5), 487–494.
  • Taşcı, O., Bekem Soylu, Ö., Kıran Taşcı, E., Eser, E., Oruçoğlu, B., ve Günay, İ. (2020). Validity and reliability analysis of the Turkish version of pediatric nutritional risk score scale. The Turkish journal of gastroenterology: The Official Journal of Turkish Society of Gastroenterology, 31 (4), 324–330.
  • Valente, K. P., Almeida, B. L., Lazzarini, T. R., Souza, V. F., Ribeiro, T. S. C., Guedes de Moraes, R. A., … Guandalini, V. R. (2019). Association of Adductor Pollicis Muscle Thickness and Handgrip Strength with nutritional status in cancer patients. PLoS One, 2, 14 (8), e0220334.
  • Valente, K. P., Silva, N. M., Faioli, A. B., Barreto, M. A., Moraes, R. A., ve Guandalini, V. R. (2016) Thickness of the adductor pollicis muscle in nutritional assessment of surgical patients. Einstein (Sao Paulo), 14 (1), 18-24.
  • Vallandro, J. P., da Silveira Klein Campos, L., Neumann, L. D., ve de Mello, E. D. (2019). Adductor muscle thickness of the thumb: A new and reliable parameter for nutritional assessment of pediatric inpatients. Clinical Nutrition (Edinburgh, Scotland), 38 (2), 891–896.
  • World Health Organization (WHO). Multicentre Growth Reference Study Group. (2006). WHO Child Growth Standards: Length/height-for-age, weight-for-age, weight-for-length, weight-for-height and body mass index-for-age: Methods and development. Geneva: World Health Organization. 21 Ekim 2019 tarihinde https://www.who.int/publications/i/item/924154693X adresinden erişildi.
  • World Health Organization. (2008). Training Course on Child Growth Assessment, Geneva. 23 Ekim 2019 tarihinde adresinden erişildi.
  • World Health Organization (2009). Software for assessing growth of the world's children and adolescents. WHO AnthroPlus for personal computers [software]. Version 2009. Geneva 21 Ekim 2019 tarihinde http://www.who.int/growthref/tools/en/ adresinden erişildi.
Year 2021, Volume: 6 Issue: BESLENME ÖZEL SAYISI, 70 - 87, 30.12.2021

Abstract

References

  • Addo, O. Y., Himes, J. H., ve Zemel, B. S. (2017). Reference ranges for midupper arm circumference, upper arm muscle area, and upper arm fat area in US children and adolescents aged 1-20 y. The American Journal of Clinical Nutrition, 105 (1), 111–120.
  • Beser, O. F., Cokugras, F. C., Erkan, T., Kutlu, T., Yagci, R. V., ve TUHAMAR Study Group (2018). Evaluation of malnutrition development risk in hospitalized children. Nutrition, 48, 40–47.
  • Bragagnolo, R., Caporossi, F. S., Dock-Nascimento, D. B., Aguilar-Nascimento, J. E. (2011). Handgrip strength and adductor pollicis muscle thickness as predictors of postoperative complications after major operations of the gastrointestinal tract. The European e-Journal of Clinical Nutrition and Metabolism, 6, 21-26.
  • Caporossi, F. S., Caporossi, C., Borges Dock-Nascimento, D., ve de Aguilar-Nascimento, J. E. (2012). Measurement of the thickness of the adductor pollicis muscle as a predictor of outcome in critically ill patients. Nutricion Hospitalaria, 27 (2), 490–495.
  • Cederholm, T., Barazzoni, R., Austin, P., Ballmer, P., Biolo, G., Bischoff, S. C., Compher, C., … Singer, P. (2017). ESPEN guidelines on definitions and terminology of clinical nutrition. Clinical Nutrition (Edinburgh, Scotland), 36(1), 49–64.
  • Soares, S.B., ve Vicentini, A. P. (2018). Use of adductor pollicis muscle thickness in hospitalized or ambulatory patients: a systematic review. Revista Latino-Americana de Enfermagem, 26, e2960.
  • National Agricultural Library. (2006). Dietary Reference Intakes: The Essential Guide to Nutrient Requirements.1 Ağustos 2020 tarihinde https://www.nal.usda.gov/fnic/dietary-reference-intakes adresinden erişildi.
  • Edwards, R. H., Young, A., Hosking, G. P., ve Jones, D. A. (1977). Human skeletal muscle function: description of tests and normal values. Clinical Science and Molecular Medicine, 52 (3), 283–290.
  • Frisancho A. R. (1981). New norms of upper limb fat and muscle areas for assessment of nutritional status. The American Journal of Clinical Nutrition, 34(11), 2540–2545.
  • Gonzalez, M. C., Pureza Duarte, R. R., Orlandi, S. P., Bielemann, R. M., ve Barbosa-Silva, T. G. (2015). Adductor pollicis muscle: A study about its use as a nutritional parameter in surgical patients. Clinical Nutrition, 34 (5), 1025–1029.
  • Hartman, C., Shamir, R., Hecht, C., ve Koletzko, B. (2012). Malnutrition screening tools for hospitalized children. Current Opinion in Clinical Nutrition and Metabolic Care, 15(3), 303–309.
  • Hulst, J. M., Zwart, H., Hop, W. C., ve Joosten, K. F. (2010). Dutch national survey to test the STRONGkids nutritional risk screening tool in hospitalized children. Clinical Nutrition, 29(1), 106–111.
  • Joosten, K. F., ve Hulst, J. M. (2011). Malnutrition in pediatric hospital patients: current issues. Nutrition, 27 (2), 133–137.
  • Karaağaoğlu, E., Karakaya, J., ve Kılıçkap, M. (2016). Tanı testlerinin değerlendirilmesinde istatistiksel yöntemler (5. bs.). Ankara, Detay yayıncılık.
  • Lopes, J., Russell, D. M., Whitwell, J., ve Jeejeebhoy, K. N. (1982). Skeletal muscle function in malnutrition. The American Journal of Clinical Nutrition, 36 (4), 602–610.
  • McCarthy, A., Delvin, E., Marcil, V., Belanger, V., Marchand, V., Boctor, D., ... Levy, E. (2019). Prevalence of Malnutrition in Pediatric Hospitals in Developed and In-Transition Countries: The Impactof Hospital Practices. Nutrients, 11 (2), 236.
  • Mehta, N. M., Corkins, M. R., Lyman, B., Malone, A., Goday, P. S., Carney, L. N., … American Society for Parenteral and Enteral Nutrition Board of Directors (2013). Defining pediatric malnutrition: a paradigm shift toward etiology-related definitions. JPEN. Journal of Parenteral and Enteral Nutrition, 37(4), 460–481.
  • Melo, C. Y., ve Silva, S. A. (2014). Adductor pollicis muscle as predictor of malnutrition in surgical patients. Arquivos brasileiros de cirurgia digestiva: ABCD = Brazilian. Archives of Digestive Surgery, 27 (1), 13–17.
  • Oruçoğlu, B., ve İnanç, N. (2020). Assessment of the STRONGkids screening tool: A cross-sectional study in Turkish children. Clinical Science of Nutrition, 2 (1), 35-42. Pekcan, G. (2018). Hastanın Beslenme Durumunun Saptanması, Diyet El Kitabı. Ankara: Hatiboğlu Yayınevi.
  • Secker, D. J., ve Jeejeebhoy, K. N. (2012). How to perform Subjective Global Nutritional assessment in children. Journal of the Academy of Nutrition and Dietetics, 112(3), 424–431.e6.
  • Sermet-Gaudelus, I., Poisson-Salomon, A. S., Colomb, V., Brusset, M. C., Mosser, F., Berrier, F., … Ricour, C. (2000). Simple pediatric nutritional risk score to identify children at risk of malnutrition. The American Journal of Clinical Nutrition, 72(1), 64–70.
  • Soeters, P. B., & Schols, A. M. (2009). Advances in understanding and assessing malnutrition. Current opinion in clinical nutrition and metabolic care, 12(5), 487–494.
  • Taşcı, O., Bekem Soylu, Ö., Kıran Taşcı, E., Eser, E., Oruçoğlu, B., ve Günay, İ. (2020). Validity and reliability analysis of the Turkish version of pediatric nutritional risk score scale. The Turkish journal of gastroenterology: The Official Journal of Turkish Society of Gastroenterology, 31 (4), 324–330.
  • Valente, K. P., Almeida, B. L., Lazzarini, T. R., Souza, V. F., Ribeiro, T. S. C., Guedes de Moraes, R. A., … Guandalini, V. R. (2019). Association of Adductor Pollicis Muscle Thickness and Handgrip Strength with nutritional status in cancer patients. PLoS One, 2, 14 (8), e0220334.
  • Valente, K. P., Silva, N. M., Faioli, A. B., Barreto, M. A., Moraes, R. A., ve Guandalini, V. R. (2016) Thickness of the adductor pollicis muscle in nutritional assessment of surgical patients. Einstein (Sao Paulo), 14 (1), 18-24.
  • Vallandro, J. P., da Silveira Klein Campos, L., Neumann, L. D., ve de Mello, E. D. (2019). Adductor muscle thickness of the thumb: A new and reliable parameter for nutritional assessment of pediatric inpatients. Clinical Nutrition (Edinburgh, Scotland), 38 (2), 891–896.
  • World Health Organization (WHO). Multicentre Growth Reference Study Group. (2006). WHO Child Growth Standards: Length/height-for-age, weight-for-age, weight-for-length, weight-for-height and body mass index-for-age: Methods and development. Geneva: World Health Organization. 21 Ekim 2019 tarihinde https://www.who.int/publications/i/item/924154693X adresinden erişildi.
  • World Health Organization. (2008). Training Course on Child Growth Assessment, Geneva. 23 Ekim 2019 tarihinde adresinden erişildi.
  • World Health Organization (2009). Software for assessing growth of the world's children and adolescents. WHO AnthroPlus for personal computers [software]. Version 2009. Geneva 21 Ekim 2019 tarihinde http://www.who.int/growthref/tools/en/ adresinden erişildi.
There are 29 citations in total.

Details

Primary Language Turkish
Subjects Sports Nutrition
Journal Section Research Article
Authors

Betül Oruçoğlu This is me

Mendane Saka

Özlem Bekem Soylu

Zeynep Akışın This is me

Publication Date December 30, 2021
Published in Issue Year 2021 Volume: 6 Issue: BESLENME ÖZEL SAYISI

Cite

APA Oruçoğlu, B., Saka, M., Bekem Soylu, Ö., Akışın, Z. (2021). Hastanede Yatan Pediatrik Hastalarda Antropometrik Bir Parametre Olarak Adduktör Polisis Kas Kalınlığı Ölçümü. Başkent Üniversitesi Sağlık Bilimleri Fakültesi Dergisi, 6(BESLENME ÖZEL SAYISI), 70-87.