Circunferencia del antebrazo y su relación con el estado metabólico en adultos mayores del Hospital Provincial General Pablo Arturo Suárez, 2019

Abstract

The aim of this research was to analyze the relationship between the forearm circumference and the metabolic state in older adults at the “Hospital Provincial General Pablo Arturo Suárez”. An analytical cross-sectional study was carried out in adult patients from ages 60 to 90 of either sex hospitalized in the internal medicine service from February until April 2019. Patients who especially gave the informed consent and were in a starvation and cachexia state with generalized edema, kidney disease or endocrine diseases were excluded from the study. On the other hand, Control variables of sex, age, Body Mass Index (BMI) and weight as well as the study variables: biochemical parameters (serum creatinine, fasting glucose, blood urea nitrogen), systolic and diastolic blood pressure, and forearm circumference (FC) were analyzed and the statistical analysis was performed by means of the SPSS 23.0 program for Windows. Furthermore, the distribution of the variables was determined by the Kolmogorov Smirnoff test. The descriptive statistics expressed as means and standard deviation were considered for the obtained results, but the Pearson and Spearman correlation tests were used for the correlation matrix. A relationship between the FC and the serum creatinine was only found in women. However, the dialectic blood pressure and the serum creatinine were associated with the FC in the BMI category as well as the glucose but in excess amounts. Based on the direct correlation between FC and the serum creatinine examined in this research, it is suggested that the FC could be used as a non-invasive anthropometric measure to evaluate the metabolic state in older women. In addition, FC and fasting glucosa may be used in conjunction with excess BMI, as it shows a relation ship in hospitalizedd older adults ≥ 60.