ĐỘ DÀY CƠ KHÉP NGÓN TAY CÁI VÀ SUY DINH DƯỠNG Ở NGƯỜI SUY TIM

Abstract

Background: Nutritional status is a topic in guidelines for management of heart failure. The adductor pollicis muscle thickness (APMT) is a new anthropometry measurement assessing muscle mass and relating to nutritional status. Objective: To determine the values of adductor pollicis muscle thickness in patients with heart failure, corressponding to malnutrition which is assessed by the subjective global assessment (SGA). Subjects and research methods: A descriptive cross-sectional study was conducted on 152 patients with heart failure at the Cardiology Department of Cho Ray hospital from May to September 2022. Results: The mean value of the dominant hand (APMTDH) was 15.2 ± 3.9mm, 13.8 ± 2.9mm for female and 16.8 ± 4.3mm for male; while that value of the non-dominant hand (APMTNDH) was 13.9 ± 3.8mm, 12.7 ± 2.9mm for female and 15.4 ± 4.0mm for male. The cut-off for APMTDH in malnutrition was 14.3mm with sensitivity of 71.6% and specificity of 67.1%, Cl 0.697-0.844 (P<0.0001); the cut-off for APMTNDH was 13mm with sensitivity of 71.6% and specificity of 65.9%, Cl 0.679- 0.829 (P<0.0001). Conclusion: The APMT may vary depending on gender, age, dominant or non-dominant hand, nutritional status, and comorbidities. The value of the male is higher than that of the female, the value of the dominant hand is higher than that of the non-dominant hand, the value of the non-malnourished group is higher than that of the malnourished group, sensitivity and specificity are average in malnourish determination.