Brachial circumference as an alternative to body mass index for the detection of in-hospital undernutrition in a referal hospital, Cameroon.

Autor: Eloumou Bagnaka SA; Hôpital Général de Douala, Service de Médecine interne, Faculté de médecine et des sciences pharmaceutiques de Douala, 999 Douala, Cameroun., Luma Namme H; Hôpital Général de Douala, Service de Médecine Interne, Douala, Faculté de médecine et des sciences biomédicales de Yaoundé, Cameroun., Noah Noah D; Hôpital central de Yaoundé, Service d'hépatogastroentérologie, Faculté de médecine et des sciences pharmaceutiques de Douala, Cameroun., Nko'Ayissi GB; Ministère de la santé publique, Yaoundé, Cameroun., Essomba NE; Faculté de médecine et des sciences pharmaceutiques de Douala, Cameroun., Okon Anassis JB; Service d'hépatogastroentérologie du CHU de Bouaké, UFR des sciences médicales de Bouaké, Côte d'Ivoire., Malongue A; Hôpital Général de Douala, Service de Médecine interne, Faculté de médecine et des sciences pharmaceutiques de Douala, 999 Douala, Cameroun., Kenfack R; Hôpital Général de Douala, Service de Médecine interne, Faculté de médecine et des sciences pharmaceutiques de Douala, 999 Douala, Cameroun., Tzeuton C; Faculté de médecine et des sciences pharmaceutiques de Douala, Cameroun., Mouelle Sone A; Service de radiothérapie, Hôpital général de Douala, Faculté de médecine et des sciences pharmaceutiques de Douala, Cameroun.
Jazyk: angličtina
Zdroj: Medecine et sante tropicales [Med Sante Trop] 2017 Feb 01; Vol. 27 (1), pp. 62-66.
DOI: 10.1684/mst.2017.0650
Abstrakt: The prevalence of undernutrition in hospitals in Africa is estimated at about 57 %. Simple anthropometric methods are available to detect it, including measurement of the brachial circumference (BC) and the body mass index (BMI). The aim of this study was to identify a threshold value that might make it possible to diagnose undernutrition in hospitals. It was a cross sectional study carried out at Douala General Hospital - Cameroon over a five months period. The measurements studied were: BMI, BC and percentage of weight loss. The Pearson test was used to compare the quantitative variables. The Receiving Operating Characteristic curve enabled us to determine a threshold value of the BC according to BMI. The study included 333 patients, with a mean age of 45 ± 16 years (range : 18-86). BMI and BC were strongly correlated; BC =11.69 + 0.68(BMI), with r 2 = 0.65 (P < 0.01)). The threshold value of BC retained to detect undernutrition was 27 cm. The prevalence of undernutrition at the Douala General Hospital varies according to the anthropometric parameter used. At a BC threshold of 27 cm, the prevalence of undenutrition in our population was 24,3%.
Databáze: MEDLINE