Determination of Adductor Pollicis Muscle Thickness in Overweight or Obese Young Women

Abstract

The Adductor Pollicis Muscle Thickness (APMT) value is the numerical value obtained by measuring the thickness that contains components such as tissue, skin, nerve and adipose tissue by means of a caliper. A new anthropometric measurement technique, APMT, is promising for clinical use in conditions such as obesity and malnutrition. In this study, it is aimed to compare APMT measurement with other anthropometric measurements in overweight-obese and normal weight female individuals. Healthy female individuals living in Sivas, between the ages of 18-25, overweight-obese and with normal weight were included in the study. APMT measurements were taken from both the right and left hands of the participants. The measurements were repeated twice and the average of the measurements was taken. The study sample was divided into normal weight and overweight-obese groups. A total of 46 individuals were included in the study by including 23 women in the groups. While obese individuals constitute 15.2% of the sample; overweight individuals constitute 34.8%. While APMT-R was 15.37±1.90, APMT-L was 15.04±1.78 mm in individuals with normal weight; APMT-R was 17.10±2.81 and APMT-L was 16.69±22.75 mm in overweight and obese individuals. APMT and APMT index values measured on both the right and left hands were found to be higher in overweight-obese individuals than in individuals with normal weight (p<0.05). In the study, it was revealed that APMT and APMT index measured in the right and left hands showed a moderate positive correlation with BMI (p<0.05). It was observed that the correlation between APMT thickness and other anthropometric measurements was higher in overweight and obese individuals. The results obtained from the study show that the increase in weight, muscle and adipose tissue affects APMT values. Anthropometric measurements and APMT values correlate with each other. Therefore, APMT measurement is a feasible method in different age groups and in different clinical situations because it is easy and applicable.

Keywords

• adductor pollicus muscle thickness
• muscle mass
• obesity
• antropometric measurements

Supporting Institution

Sivas Cumhuriyet Üniversitesi

Project Number

SBF-081

References

1. Barreiro, S. M., Santos, H. O., Cruz, R. P., Nahas, P. C., Rossato, L. T., Orsatti, F. L., de Oliveira, E. P. (2018). Adductor pollicis muscle thickness has a low association with lean mass in women. Clinical Nutrition, 37(5), 1759-1761.
2. Bielemann, R. M., Horta, B. L., Orlandi, S. P., Barbosa-Silva, T. G., Gonzalez, M. C., Assunção, M. C., Gigante, D. P. (2016). Is adductor pollicis muscle thickness a good predictor of lean mass in adults?. Clinical Nutrition, 35(5), 1073-1077.
3. de Lima Pereira, P. M., Neves, F. S., Fontes, V. S., Campos, A. A. L., Machado-Coelho, G. L. L., de Faria, E. R., Cândido, A. P. C. (2021). Adductor pollicis muscle thickness in Brazilian adolescents and associations with nutritional status, sexual maturation and physical activity (EVA-JF Study). Revista Española de Nutrición Humana y Dietética. https://doi.org/10.14306/renhyd.25.4.1347
4. de Oliveira, C.M., Kubrusly, M., Mota, R.S. (2012). Adductor pollicis muscle thickness: a promising anthropometric parameter for patients with chronic renal failure. J Ren Nutr, 22, 307-316.
5. de Seabra Trevisan, F., de Siqueira Vasconcelos, M., Elda Silva Augusto de Andrade, S. S. D., de Oliveira Borba, M. J. (2021). Correlation of Body Mass Index With The Hand Grip Strength and Adductor Pollicis Muscle Thickness in Elderly Patients With Rheumatoid Arthritis and Systemic Lupus Eritematosus in A Brazil Northeast Reference Center. International Journal of Aging Research, 4(3), 85-85.
6. Ghorabi, S., VahdatShariatpanahi, Z., Amiri, Z. (2014). Measurement of Adductor Pollicis Muscle Thickness in a healthy population in Iran and its correlation with other anthropometric parameters. Mal J Nutr, 20(2), 237-243.
7. Gonzalez, M.C., Duarte, R.R., Budziareck, M.B. (2010). Adductor pollicis muscle: reference values of its thickness in a healthy population. Clin Nutr, 29, 268-271.
8. Hammond, K.A. (2019). Food consumption: Analysis of diet. Akbulut, G. (Ed.) Krause Nutrition and Nutrition Care Process. Ankara, Turkey.

9. Heymsfield, S.B., McMannus, C.B., Smith, J. (1982). Anthropometric measurement of muscle. Revisede quations for calculating bone-free arm muscle area. Am J Clin Nutr, 36,680–687.
10. Heyward, V.H., Wagner, D.R. (2004). Applied Body Composition Assessment (2nd ed), Human Kinetics. Illinois, USA.
11. Lameu, E.B., Gerude, M.F., Campos, A.C., Luiz, R.R. (2004a). 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, 7(3), 293-301.
12. Lameu, E.B., Gerude, M.F., Corrêa, R.C., Lima, K.A. (2004b). Adductor pollic is muscle: a new anthropometric parameter. Rev Hosp Clin Fac Med Sao Paulo, 59(2),57-62.
13. Lew, C.C.H., Ong, F., Miller, M. (2016). Validity of the adductor pollicis muscle as a component of nutritional screening in the hospital setting: A systematic review. Clin Nurt ESPEN, 16, 1-7.
14. Pereira, P.M.L., Neves, F.S., Bastos, M.G., Cândido, A.P.C. (2018). Adductor Pollicis Muscle Thickness for nutritional assessment: a systematic review. Rev Bras Enform, 71(6), 3093-3102.
15. Soto-Célix, M., Martínez-Blanco, S., del-Riego-Valledor, A., Miján-de-la-Torre, A. (2019). Is adductor pollicis skinfold an accurate tool when checking local muscle improvement in malnourished patients with anorexia nervosa?. Nutrition, 63, 87-91.
16. Uyar, M. (2013). Basic Nutritional Concepts. Gündoğdu, H. (Ed.) Fundamentals of Clinical Nutrition. Ankara, Turkey.
17. WHO. (2019). World Health Organisation Regional Office for Europe. Nutrition: Body mass index – BMI. http://www.euro.who.int/en/health-topics/disease-prevention/nutrition/a-healthy-lifestyle/body-mass-index-bmi (Erişim Tarihi: 15.07.2021)