Adductor pollicis muscle thickness in Brazilian adolescents and associations with nutritional status, sexual maturation and physical activity (EVA-JF Study)

Authors

  • Priscila Moreira de Lima Pereira Departamento de Nutrição, Instituto de Ciências Biológicas, Universidade Federal de Juiz de Fora (UFJF). Juiz de Fora, Minas Gerais, Brasil.
  • Felipe Silva Neves Departamento de Nutrição, Instituto de Ciências Biológicas, Universidade Federal de Juiz de Fora (UFJF). Juiz de Fora, Minas Gerais, Brasil.
  • Vanessa Sequeira Fontes Departamento de Nutrição, Instituto de Ciências Biológicas, Universidade Federal de Juiz de Fora (UFJF). Juiz de Fora, Minas Gerais, Brasil.
  • Angélica Atala Lombelo Campos Departamento de Saúde Coletiva, Faculdade de Medicina, Universidade Federal de Juiz de Fora (UFJF). Juiz de Fora, Minas Gerais, Brasil.
  • George Luiz Lins Machado-Coelho Laboratório de Epidemiologia, Escola de Medicina, Universidade Federal de Ouro Preto (UFOP). Ouro Preto, Minas Gerais, Brasil.
  • Eliane Rodrigues de Faria Departamento de Nutrição, Instituto de Ciências Biológicas, Universidade Federal de Juiz de Fora (UFJF). Juiz de Fora, Minas Gerais, Brasil.
  • Michele Pereira Netto Departamento de Nutrição, Instituto de Ciências Biológicas, Universidade Federal de Juiz de Fora (UFJF). Juiz de Fora, Minas Gerais, Brasil.
  • Renata Maria Souza Oliveira Departamento de Nutrição, Instituto de Ciências Biológicas, Universidade Federal de Juiz de Fora (UFJF). Juiz de Fora, Minas Gerais, Brasil.
  • Ana Paula Carlos Cândido Departamento de Nutrição, Instituto de Ciências Biológicas, Universidade Federal de Juiz de Fora (UFJF). Juiz de Fora, Minas Gerais, Brasil.

DOI:

https://doi.org/10.14306/renhyd.26.S2.1347

Keywords:

Adolescent, Anthropometry , Nutrition Assessment, Muscles

Abstract

Objective: The present study aims to assess the associations of adductor pollicis muscle thickness (APMT) with age, skin color, sexual maturation, anthropometric indicators and physical activity in Brazilian adolescents.

Materials and methods: Cross-sectional study of adolescents aged 14-19 years. Weight, height, body mass index (BMI), arm circumference (AC), APMT, body fat, fat-free mass (FFM), fat-free mass index (FFMI), sexual maturation, time of physical activity and skin color were evaluated. APMT was associated with categorical variables using Mann-Whitney or Kruskal-Wallis tests and correlated with anthropometric variables using Spearman’s correlation. Linear regression was used with APMT as a dependent and the other variables as predictors. Data analysis was carried out in SPSS® software (version 17.0) with a 5% significance level.

Results: 828 adolescents were evaluated, 57.6% female, with a mean age of 16.13 ± 1.20 years. APMT had an average value of 18.0 mm in females and 21.0 mm in males. The measure was greater in males, in more advanced stages of sexual maturation, overweight and physical activity. It presented a moderate correlation with FFM, FFMI, body fat and AC. In the final model of multiple linear regression for females, the variables AC and body fat explain 20.1% of the APMT variability. For men, the variables AC and FFMI explain 30.5% of the APMT variability.

Conclusion: It is recommended that APMT be used in a complementary manner in the nutritional assessment of adolescents.

References

(1) Patton GC, Viner R. Pubertal transitions in health. Lancet. 2007;369(9567):1130-9, doi: 10.1016/S0140-6736(07)60366-3.

(2) Neves AM, Führer CD, Almeida JC, Hammes TO. Músculo adutor do polegar como ferramenta de avaliação nutricional em paciente portadores do vírus da imunodeficiência humana. Clinical & Biomedical Research. 2016;36(4). Doi: http://dx.doi.org/10.4322/2357-9730.66344

(3) Lameu EB, Gerude MF, Campos AC, Luiz RR. The thickness of the adductor pollicis muscle reflects the muscle compartment and may be used as a new anthropometric parameter for nutritional assessment. Curr Opin Clin Nutr Metab Care. 2004;7(3):293-301, doi: 10.1097/00075197-200405000-00009.

(4) Bragagnolo R, Caporossi FS, Dock-Nascimento DB, de Aguilar-Nascimento JE. Adductor pollicis muscle thickness: a fast and reliable method for nutritional assessment in surgical patients. Rev Col Bras Cir. 2009;36(5):371-6, doi: 10.1590/s0100-69912009000500003.

(5) Pereira PM de L, Neves FS, Bastos MG, Cândido APC. Adductor Pollicis Muscle Thickness for nutritional assessment: a systematic review. Rev Bras Enferm. 2018;71:3093-102, doi: 10.1590/0034-7167-2017-0913.

(6) Vallandro JP, da Silveira Klein Campos L, Neumann LD, de Mello ED. Adductor muscle thickness of the thumb: A new and reliable parameter for nutritional assessment of pediatric inpatients. Clin Nutr. 2019;38(2):891-6, doi: 10.1016/j.clnu.2018.02.010.

(7) Neves F, Fontes V, Pereira P, Campos A, Batista A, Machado-Coelho G, et al. EVA-JF Study: methodological aspects, general sample characteristics and potentialities of a study on the lifestyle of Brazilian adolescents. Adolesc Saude. 2019;16(4):113-129.

(8) Lohman TG, Roche AF, Martorell R. Anthropometric standardization reference manual. Champaign (IL): Human Kinetics Books; 1988.

(9) de Onis M, Onyango AW, Borghi E, Siyam A, Nishida C, Siekmann J. Development of a WHO growth reference for school-aged children and adolescents. Bull World Health Organ. 2007;85(9):660-7, doi: 10.2471/blt.07.043497.

(10) Wu YT, Nielsen DH, Cassady SL, Cook JS, Janz KF, Hansen JR. Cross-validation of bioelectrical impedance analysis of body composition in children and adolescents. Phys Ther. 1993;73(5):320-8, doi: 10.1093/ptj/73.5.320.

(11) Wells JC. A critique of the expression of paediatric body composition data. Arch Dis Child. 2001;85(1):67-72, doi: 10.1136/adc.85.1.67.

(12) Tanner JM. Growth at adolescence: with a general consideration of the effects of hereditary and environmental factors upongrowth and maturation from birth to maturity. 2nd ed. Oxford (MS): Blackwell Scientific Publications; 1962.

(13) Marshall WA, Tanner JM. Variations in pattern of pubertal changes in girls. Arch Dis Child. 1969;44(235):291-303, doi: 10.1136/adc.44.235.291.

(14) Marshall WA, Tanner JM. Variations in the pattern of pubertal changes in boys. Arch Dis Child. 1970;45(239):13-23, doi: 10.1136/adc.45.239.13.

(15) Brazil. Ministry of Health. Health Care Secretariat. Department of Programmatic and Strategic Actions. Protect and care for the health of adolescents in primary care. 2. ed. Brasília (DF): Ministry of Health; 2018.

(16) Matsudo S, Araújo T, Matsudo V, Andrade D, Andrade E, Oliveira LC, et al. Questionário Internacional de Atividade Física (ipaq): Estudo de Validade e Reprodutibilidade no Brasil. Rev Bras Ativ Fis Saúde. 2001;6:5-18., doi: 10.12820/rbafs.v.6n2p5-18.

(17) Willet, W. Nutritional Epidemiology. 2nd ed. New York: Oxford University Press.1998.

(18) Bielemann RM, Horta BL, Orlandi SP, Barbosa-Silva TG, Gonzalez MC, Assunção MC, et al. Is adductor pollicis muscle thickness a good predictor of lean mass in adults? Clin Nutr. 2016;35(5):1073-7, doi: 10.1016/j.clnu.2015.07.022.

(19) Karst FP, Vieira RM, Barbiero S. Relationship between adductor pollicis muscle thickness and subjective global assessment in a cardiac intensive care unit. Rev Bras Ter Intensiva. 2015;27(4):369-75, doi: 10.5935/0103-507X.20150062.

(20) Gonzalez MC, Pureza Duarte RR, Orlandi SP, Bielemann RM, Barbosa-Silva TG. Adductor pollicis muscle: A study about its use as a nutritional parameter in surgical patients. Clin Nutr. 2015;34(5):1025-9, doi: 10.1016/j.clnu.2014.11.006.

(21) Ghorabi S, Vahdat Shariatpanahi Z, Zohreh A. Measurement of Adductor Pollicis Muscle Thickness in a Healthy Population in Iran and Its Correlation with other Anthropometric Parameters. Mal J Nutrition. 2014;20:237-43.

(22) Pereira, P. F. Relationship between central perimetry and adiposity, cardiometabolic, inflammatory and hormonal markers in the three phases of adolescence. 2014. 211f. Thesis (Doctorate in Nutrition Science) - Department of Nutrition and Health, Federal University of Viçosa, Viçosa, 2014

(23) Borges JLC, Brandão CMA. Low bone mass in children and adolescents. Arq Bras Endocrinol Metabol. 2006;50(4):775-82, doi: 10.1590/s0004-27302006000400022.

(24) Cortez AF, Tolentino JC, Aguiar MR de A, Elarrat RM, Freitas Passos RB. Association between adductor pollicis muscle thickness, anthropometric and immunological parameters in HIV-positive patients. Clin Nutr ESPEN. 2017;17:105-9, doi: 10.1016/j.clnesp.2016.09.004.

(25) Valente KP, Silva NMF, Faioli AB, Barreto MA, Moraes RAG de, Guandalini VR. Thickness of the adductor pollicis muscle in nutritional assessment of surgical patients. Einstein (Sao Paulo). 2016;14(1):18-24, doi: 10.1590/S1679-45082016AO3596.

(26) Schiaffino S, Reggiani C. Fiber types in mammalian skeletal muscles. Physiol Rev. 2011;91(4):1447-531, doi: 10.1152/physrev.00031.2010.

(27) Wagner DR, Heyward VH. Measures of body composition in blacks and whites: a comparative review. Am J Clin Nutr. 2000;71(6):1392-402, doi: 10.1093/ajcn/71.6.1392.

(28) Araujo AB, Chiu GR, Kupelian V, Hall SA, Williams RE, Clark RV, et al. Lean mass, muscle strength, and physical function in a diverse population of men: a population-based cross-sectional study. BMC Public Health. 2010;10:508, doi: 10.1186/1471-2458-10-508.

(29) Bosy-Westphal A, Later W, Hitze B, Sato T, Kossel E, Gluer C-C, et al. Accuracy of bioelectrical impedance consumer devices for measurement of body composition in comparison to whole body magnetic resonance imaging and dual X-ray absorptiometry. Obes Facts. 2008;1(6):319-24, doi: 10.1159/000176061.

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Published

2022-01-02

How to Cite

Pereira, P. M. de L. ., Neves, F. S. ., Fontes, V. S. ., Campos, A. A. L., Machado-Coelho, G. L. L. ., Rodrigues de Faria, E. ., Netto, M. P., Souza Oliveira, R. M. ., & Cândido, A. P. C. . (2022). Adductor pollicis muscle thickness in Brazilian adolescents and associations with nutritional status, sexual maturation and physical activity (EVA-JF Study) . Spanish Journal of Human Nutrition and Dietetics, 26(Supl. 2). https://doi.org/10.14306/renhyd.26.S2.1347

Issue

Vol. 26 (2022): (Supl. 2) Nutrition in Childhood and Adolescence

Section

Research articles

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Copyright (c) 2022 Priscila Moreira de Lima Pereira, Felipe Silva Neves, Vanessa Sequeira Fontes, Angélica Atala Lombelo Campos, George Luiz Lins Machado-Coelho, Eliane Rodrigues de Faria, Michele Pereira Netto, Renata Maria Souza Oliveira, Ana Paula Carlos Cândido

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