Correlation between Sonographic Muscle Measurements of Vastus Intermedius and Rectus Femoris with Nitrogen Balance in Nutritional Assessment of Critically III Overweight and Obese Patients
Journal Title: International Journal Of Medical Science And Clinical Research Studies - Year 2022, Vol 2, Issue 09
Abstract
Introduction. Assessing nutritional status has become an essential practice in the critically ill patient, the tools availableto the clinician such as anthropometric measurements are inaccurate in obese patients, so it has been necessary tolook for other available options such as muscle ultrasound, which has becomea novel waytothe evaluation of nutritional status and muscle structure of critically ill patients regardless of their body mass index (BMI). Recent studies demonstrate a positive correlation between sonography and total nitrogen balance (TNB) for measuring nutritional status, both of which are considered to be able to assessthe nutritional status of overweight and obese patients.Objective. To correlate sonographic muscle measurements of the vastus intermedius (VI) and rectus femoris (RF) with the TNB in the nutritional assessment of critically ill overweight and obese patients.Material and methods. A descriptive, prospective, analytical study in which 30 patients were included. Sonographic measurement of RF and VImuscle thickness was performed simultaneously with TNBon day zero (admission) and five (control). Thepopulation was divided into groups according to BMI (overweight, class I obesity, class II obesity, class III obesity). Sonographic measurements were correlated with the TNBmeasured in the patients.Results. In the initial sonographic measurements, a moderate correlation was found with the TNBat admission. In the group comparison at five days, a strong correlation was demonstrated in the AP diameter of the VImuscle (r=-0.609, p=0.001.) In the initial and control cross-sectional areain cm2 (CSA), a positive correlation was observed (r=0.213 and r=0.258, respectively).Conclusion. There isaninverse correlation between sonographic measurements of RF and VImuscles with TNBin critically ill overweight and obese patients. A positive correlation between CSAof both muscles with the biochemical parameter is reported.
Authors and Affiliations
Ma. Natalia Gómez-González, Oscar Olvera-Reyes, Pedro Luis González-Carrillo
Keywords
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- EP ID EP733576
- DOI 10.47191/ijmscrs/v2-i9-19
- Views 58
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