Associação da provável sarcopenia com o estado nutricional e inflamatório em pacientes de pré-operatório de cirurgias do aparelho digestivo e coloproctológicas
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Resumo
Objetivo: Investigar a provável presença de sarcopenia (SARC-F + CC) e sua associação com o estado nutricional e inflamatório em pacientes em pré-operatório de cirurgias do aparelho digestivo e coloproctológicas. Métodos: Estudo observacional e transversal, com pacientes em pré-operatório internados em um hospital universitário. Foram coletados dados sociodemográficos, clínicos e laboratoriais. Foram aferidas medidas antropométricas, força de preensão manual (FPM) e utilizados os instrumentos: SARC-F + CC, triagem de risco nutricional (NRS-2002) e Classificação do Estado Nutricional (AND-ASPEN). Foi aplicado o teste Qui-quadrado e utilizado o Programa STATA®, versão14.0. Resultados: Foram avaliados 85 pacientes, sendo 64,7% do sexo feminino, 29,4% idosos e 24,7% com provável sarcopenia (SARC-F + CC). Não houve associação estatística da provável existência de sarcopenia com os fatores sociodemográficos e categoria cirúrgica (oncológica ou não). A provável sarcopenia foi significativamente associada ao baixo peso e eutrofia (IMC) (p=0,001); FPM reduzida (p=0,003); risco nutricional (NRS-2002) (p=0,035); desnutrição grave associada à doença crônica/aguda (AND-ASPEN) (p<0,001); valores elevados de PCR (p=0,004); e hipoalbuminemia (p=0,001). Conclusão: A provável sarcopenia (SARC-F + CC) está associada significativamente à inflamação, ausência de excesso de peso (IMC) e pior estado nutricional (FPM; NRS-2002; AND-ASPEN) em pacientes em pré-operatório de cirurgias do aparelho digestivo e coloproctológicas.
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