Keywords
Nutritional status
Inflammation
Surgery
Gastrointestinal tract
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Abstract
Objective: To investigate the probable presence of sarcopenia (SARC-F + CC) and its association with nutritional and inflammatory status in preoperative patients of digestive tract and coloproctological surgeries. Methods: Observational and cross-sectional study with preoperative patients admitted to a university hospital. Sociodemographic, clinical and laboratory data were collected. Anthropometric measurements and handgrip strength (HGS) were measured and the following instruments were used: SARC-F + CC, nutritional risk screening (NRS-2002) and Nutritional Status Classification (AND-ASPEN). The Chi-square test was applied and the STATA® Program, version14.0, was used. Results: We evaluated 85 patients, 64.7% female, 29.4% elderly and 24.7% with probable sarcopenia (SARC-F + CC). There was no statistical association of the probable existence of sarcopenia with sociodemographic factors and surgical category (oncological or not). Probable sarcopenia was significantly associated with low weight and eutrophy (BMI) (p=0.001); Reduced HGS (p=0.003); nutritional risk (NRS-2002) (p=0.035); severe malnutrition associated with chronic/acute disease (AND-ASPEN) (p<0.001); high CRP values (p=0.004); and hypoalbuminemia (p=0.001). Conclusion: Probable sarcopenia (SARC-F + CC) is significantly associated with inflammation, absence of overweight (BMI) and worse nutritional status (HGS; NRS-2002; AND-ASPEN) in preoperative patients of digestive tract and coloproctological surgeries.
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