Association of adductor pollicis muscle thickness and anthropometric indicators in community older adults

Introduction: The measurement of the adductor pollicis muscle thickness (APMT) has been investigated as an index for muscle mass and undernutrition. However, there are few studies related to community-living older adults. Methods: Cross-sectional study carried out with community-dwelling older adult...

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Detalles Bibliográficos
Autores: Alves, Luana Ferreira, Carregosa, Mariana Passos, Oliveira, Juliana de Souza, Oliveira, Carolina Cunha de
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2022
País:Brasil
Institución:Faculdade de Medicina do ABC (FMABC)
Repositorio:ABCS Health Sciences (Online)
Idioma:inglés
OAI Identifier:oai:ojs.emnuvens.com.br:article/1756
Acceso en línea:https://www.portalnepas.org.br/abcshs/article/view/1756
Access Level:acceso abierto
Palabra clave:muscles
thumb
nutritional status
anthropometry
malnutrition
aged
músculos
polegar
estado nutricional
antropometria
desnutrição
idosos
Descripción
Sumario:Introduction: The measurement of the adductor pollicis muscle thickness (APMT) has been investigated as an index for muscle mass and undernutrition. However, there are few studies related to community-living older adults. Methods: Cross-sectional study carried out with community-dwelling older adults, of both sexes. The APMT, the body mass index (BMI), arm circumference (AC), arm muscle circumference (AMC), and calf circumference (CC) were evaluated. For APMT classification, the 25th percentile value (P25 ≤9 mm) of the sample was considered to identify muscle mass deficit. Chi-square test, Pearson's correlation, and Poisson regression were performed, with a significance level of p<0.05. Results: Among men, APMT showed a correlation with AC (r=0.350; p<0.01), and among women it was with BMI (r=0.337; p=0.01). There was an association between the BMI classification and the APMT percentile (p=0.020). Older adults with BMI<23 kg/m² were 1.28 times more likely to have APMT≤P25 (p=0.007) and older adults with adequate BMI were 1.23 times more likely (p=0.023). Older adults with reduced CC have a 1.18 times more chance of presenting APMT≤P25 (p=0.064). Conclusion: APMT has been associated with BMI in older adults, proving to be a good parameter for the assessment of malnutrition.