Adductor pollicis muscle thickness and the nutritional and functional status in individuals with COPD submitted to pulmonary rehabilitation: a pilot study
Luana Redel de Moraes, Ana Amélia Machado Duarte, Gustavo Pereira Reinaldo, Pedro Dal Lago, Cintia Pereira de Araujo
Abstract
Background: Loss of muscle mass is an important manifestation in chronic obstructive pulmonary disease (COPD), affecting functional status. In this context, the adductor pollicis muscle thickness (APMT) has been shown to be a useful screening tool for nutritional disorders in hospitalized patients. Aim: To investigate the relationship between APMT and the nutritional and functional status in patients with COPD, as well as to investigate the effects of pulmonary rehabilitation (PR) on APMT. Methods: Patients with COPD were assessed for nutritional status [body mass index, APMT, abdominal and mid-upper arm circumference] and for functional status [limitations in activities of daily living (ADL) and functional capacity assessed by the 6-minute walking test and Glittre-ADL test] and engaged a PR program. Results: Fifteen patients [63.5 ± 7.4 years and forced expiratory volume in one second (FEV1 ): 33.4 ± 15.3% predicted] were included. APMT showed correlation with FEV1 (r = 0.68; p < 0.01), with the limitation in ADL (r = 0.62; p < 0.05) and with mid-upper arm circumference (r = 0.54; p = 0.039) at baseline. Functional capacity and limitation in ADL improved after PR (p < 0.05). APMT was the only nutritional status variable that changed after PR (pre: 11.7 ± 2.5 mm vs. post: 12.5 ± 1.8 mm; p < 0.05). Conclusion: It is not clear if APMT reflects the nutritional and functional status of patients with COPD. Meanwhile, it may be a responsive tool for muscle mass assessment in this population.
Keywords
Referências
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Submetido em:
11/05/2021
Aceito em:
02/10/2021
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