El índice de masa corporal no se asocia con indicadores metabólicos en pacientes con traumatismo ortopédico

• Hallan Douglas Bertelli ^[2] ; Vânia Aparecida Leandro-Merhi ^[3] ; José Luis Braga de Aquino ^[3] ; Carla Adriane Roballo Bertelli ^[4] ; Kelly Cristine Santos Roballo ^[1]
  1. [1] University of Wyoming

     University of Wyoming

     Estados Unidos

     
  2. [2] Postgraduate Program in Health Science, Puc-Campinas-SP. Brasil
  3. [3] Professor Doctor of the Postgraduate Program in Health Sciences, Puc-Campinas-SP-Brazil.
  4. [4] Professor at the Faculty of Medicine, Puc-Campinas, SP-Brazil.

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• Localización: Nutrición clínica y dietética hospitalaria, ISSN 0211-6057, Vol. 42, Nº. 1, 2022, págs. 34-40
• Idioma: español
• Títulos paralelos:
  • Body mass index found not to be associated with metabolicindicators in patients with orthopedic trauma
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• Resumen
  • español

    Introducción: La relevancia del estado nutricional en pacientes con traumatismo ortopédico (TO) se ha reforzado en la literatura.

    Objetivo: Este estudio comparó pacientes con sobrepeso y obesidad con pacientes con peso corporal normal y su relación con indicadores nutricionales y metabólicos.

    Métodos: Los pacientes con TO (n = 108) fueron investigados en un estudio prospectivo para el índice de masa corporal (IMC) en relación con su circunferencia de la pantorrilla (CC), vitamina D y niveles séricos de albúmina. El análisis estadístico incluyó las pruebas de Chi-cuadrado o Fisher y la prueba de Mann-Whitney y el coeficiente de correlación lineal de Spearman.

    Resultados: No hubo asociación entre sexo, tipo de fractura ósea, lateralidad, tabaquismo, diabetes, menopausia, albúmina y vitamina D y los dos grupos de pacientes clasificados por IMC. Hubo asociación (p <0,0001) solo con CC, con valores de CC más bajos en pacientes con peso corporal normal.

    Conclusión: El IMC no se asoció con indicadores metabólicos en pacientes con TO.

  • English

    Introduction: The relevance of the nutritional status inpatients with orthopedic trauma (OT) has been enhanced inthe literature. Objective: This study compared overweight and obese pa-tients with normal body weight patients and their relationshipwith nutritional and metabolic indicators.Methods: Patients with OT (n=108) were investigated in aprospective study for body mass index (BMI) in relation totheir calf circumference (CC), vitamin D and albumin serumlevels. The statistical analysis included the Chi-square or Fishertests and the Mann-Whitney test and Spearman’s linear cor-relation coefficient.Results: There was no association between gender, typeof fractured bone, laterality, smoking, diabetes, menopause,albumin and vitamin D and the two groups of patients classi-fied by BMI. There was an association (p <0.0001) only withCC, with lower CC values in patients with normal body weight. Conclusion: BMI was not associated with metabolic indi-cators in patients with OT.

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