Adductor Pollicis Muscle Thickness and Its Relationship with Other Anthropometric Measurements: A Sample of Healthy Turkish Population
Year 2023,
, 171 - 187, 30.04.2023
Emine Dinçer
,
Mehmet Çavdar
,
Tuba Tekin
,
Meliha Çavdar
Abstract
Objective: The aim of the authors of this study was to determine the reference values for the Adductor Pollicis Muscle Thickness (APMT) in individuals belonging to a healthy population and to compare these values with other anthropometric measurements.
Materials and Methods: In this cross-sectional study, the APMT in the dominant and non-dominant hands of 385 healthy individuals categorized according to age and gender variables were measured with a caliper. Individuals in the “A” category according to the Subjective Global Assessment (SGA) test were included in the study, and anthropometric measurements.
Results: In the study, 193 women and 192 men were included, and various anthropometric measurements were taken. The mean APMT values of the dominant and non-dominant hands were 20.87 ± 3.23 mm and 19.28 ± 2.93 mm in men and 16.78 ± 3.10 mm and 15.43 ± 2.92 mm in women, respectively, which indicates that there were significant differences between the members of the two genders and between the members of the same gender (p<0.001). There was a high level of positive correlation between the mean APMT values of the dominant hand and the mid-upper arm circumference (p<0.001).
Conclusion: In this study, a high-level and positive correlation was found between APMT values and mid-upper arm circumference (MUAC), mid-upper arm muscle circumference (MUAMC) and mid-upper arm muscle area (AMA) values. APMT measurement emerges as a useful and new anthropometric measurement method in the assessment of the nutritional status of a person.
Supporting Institution
Sivas Cumhuriyet Üniversitesi
Thanks
We would like to express our thanks to all participants of this study.
References
- Araujo, A. B., Chiu, G. R., Kupelian, V., Hall, S. A., Williams, R. E., Clark, R. V., et al. (2010). Lean mass, muscle strength, and physical function in a diverse population of men: a population-based cross-sectional study. BMC Public Health, 10, 1-8. https://doi.org/10.1186/1471-2458-10-508
- Augusti, L., Franzoni, L. C., Santos, L. A. A., Lima, T. B., Ietsugu, M. V., Koga, K. H., et al. (2016). Lower values of handgrip strength and adductor pollicis muscle thickness are associated with hepatic encephalopathy manifestations in cirrhotic patients. Metabolic Brain Disease, 31(4), 909-915. https://doi.org/10.1007/s11011-016-9828-8
- Barreiro, S. M., Santos, H. O., Cruz, R. P., Nahas, P. C., Rossato, L. T., Orsatti, F. L., et al. P. (2018). Adductor pollicis muscle thickness has a low association with lean mass in women. Clinical Nutrition, 37(5), 1759-1761. https://doi.org/10.1016/j.clnu.2017.08.012
- Bielemann, R. M., Horta, B. L., Orlandi, S. P., Barbosa-Silva, T. G., Gonzalez, M. C., Assunção, M. C., et al. (2016). Is adductor pollicis muscle thickness a good predictor of lean mass in adults? Clinical Nutrition, 35(5), 1073-77. https://doi.org/10.1016/j.clnu.2015.07.022
- Caporossi, F. S., Caporossi, C., Dock-Nascimento, D. B., & de Aguilar-Nascimento, J. E. (2012). Measurement of the thickness of the adductor pollicis muscle as a predictor of outcome in critically ill patients. Nutricion Hospitalaria, 27(2), 490-495. https://doi.org/10.1590/S0212-16112012000200021
- Cortez, A. F., Tolentino, J. C., de Azevedo Aguiar, M. R., Elarrat, R. M., & Passos, R. B. F. (2017). Association between adductor pollicis muscle thickness, anthropometric and immunological parameters in HIV-positive patients. Clinical Nutrition ESPEN, 17, 105-109. https://doi.org/10.1016/j.clnesp.2016.09.004
- da Costa, T. Y., Suganuma, J. Y., Faria, S. O., & Spexoto, M. C. B. (2021). Association of adductor pollicis muscle thickness and handgrip strength with nutritional status in hospitalized individuals. Nutricion Hospitalaria, 38(3), 519-524. https://doi.org/10.20960/nh.03319
- de Melo, C. Y. S. V., & da Silva S. A. (2014). Adductor pollicis muscle as predictor of malnutrition in surgical patients. Arq Bras Cir Dig, 27(1), 13-7. https://doi.org/10.1590/s0102-67202014000100004
- Detsky, A. S., Baker, J. P., Johnston, N., Whittaker, S., Mendelson, R. A., & Jeejeebhoy, K. N. (1987). What is subjective global assessment of nutritional status? JPEN, Journal of Parenteral and Enteral Nutrition, 11(1), 8-13. https://doi.org/10.1177/014860718701100108
- Dos Reis, A. S., Santos, H. O., Limirio, L. S., & de Oliveira, E. P. (2018). Adductor pollicis muscle thickness has a low association with muscle mass and lean mass in kidney transplantation patients. Clinical Nutrition ESPEN, 28, 110-113. https://doi.org/10.1016/j.clnesp.2018.08.021
- Duren, D. L., Sherwood, R. J., Czerwinski, S. A., Lee, M., Choh, A. C., Siervogel, R. M., et al. (2008). Body composition methods: comparisons and interpretation. Journal of Diabetes Science and Technology, 2(6), 1139-1146. https://doi.org/10.1177/193229680800200623
- Edwards, R. H. T., Young, A., Hosking, G. P., & Jones, D. A. (1977). Human skeletal muscle function: description of tests and normal values. Clinical Science and Molecular Medicine, 52(3), 283-290. https://doi.org/10.1042/cs0520283
- Frisancho, A. R. (1984). New standards of weight and body composition by frame size and height for assessment of nutritional status of adults and the elderly. The American Journal of Clinical Nutrition, 40, 808-820. https://doi.org/10.1093/ajcn/40.4.808
- Ghorabi, S., Vahdat Shariatpanahi, Z., & Amiri Z. (2014). Measurement of adductor pollicis muscle thickness in a healthy population in Iran and its correlation with other anthropometric parameters. Malaysian Journal of Nutrition, 20(2), 237-43.
- Gonzalez, M. C., Duarte, R. R., & Budziareck, M. B. (2010). Adductor pollicis muscle: reference values of its thickness in a healthy population. Clinical Nutrition, 29(2), 268-271. https://doi.org/10.1016/j.clnu.2009.08.012
- Heymsfield, S. B., McManus, C., Smith, J., Stevens, V., & Nixon, D. W. (1982). Anthropometric measurument of muscle mass: revised equations for calculating bone-free arm muscle area. The American Journal of Clinical Nutrition, 36(4), 680-90. https://doi.org/10.1093/ajcn/36.4.680
- 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. Current Opinion in Clinical Nutrition and Metabolic Care, 7(3), 293-301. https://doi.org/10.1097/00075197-200405000-00009
- Lameu, E. B., Gerude, M. F., Corrêa, R. C., & Lima, K. A. (2004b). Adductor policis muscle: a new anthropometric parameter. Revista do Hospital dos Clinicas, 59(2), 57-62. https://doi.org/10.1590/s0041-87812004000200002
- Leslie, W., & Hankey, C. (2015). Aging, Nutritional Status and Health. Healthcare, 3(3), 648-658. https://doi: 10.3390/healthcare3030648
- Hammond, K. (2012). Assessment: Dietary and Clinical Data. In Mahan, K. L., & Raymond, J. L. (Eds.), Krause’s Food & Nutrition Care Process (pp. 401-403). Saunders Elsevier.
- Melo, C. Y. S. V. D., & Silva, S. A. D. (2014). Adductor pollicis muscle as predictor of malnutrition in surgical patients. Arquivos Brasileiros de Cirurgia Digestiva, 27(1), 13-17. https://doi.org/10.1590/s0102-67202014000100004
- Mony, P. K., Swaminathan, S., Gajendran, J. K., & Vaz, M. (2016). Quality assurance for accuracy of anthropometric measurements in clinical and epidemiological studies:[Errare humanum est= to err is human]. Indian Journal of Community Medicine, 41(2), 98-102. https://doi.org/10.4103/0970-0218.173499
- Nix, S. (2013). Williams’ Basic Nutrition and Diet Therapy. Elsevier Mosby.
- Pereira, P. M. D. L., Neves, F. S., Bastos, M. G., & Cândido, A. P. C. (2018). Adductor Pollicis Muscle Thickness for nutritional assessment: a systematic review. Revista Brasileira de Enfermagem, 71(6), 3093-3102. https://doi.org/10.1590/0034-7167-2017-0913
- Wagner, D. R., & Heyward, V. H. (2000). Measures of body composition in blacks and whites: a comparative review. The American Journal of Clinical Nutrition, 71(6), 1392-1402. https://doi.org/10.1093/ajcn/71.6.1392
- Weisell, R. C. (2002). Body mass index as an indicator of obesity. Asia Pacific Journal of Clinical Nutrition, 11(8), 681-84. https://doi.org/10.1046/j.1440-6047.11.s8.5.x
Year 2023,
, 171 - 187, 30.04.2023
Emine Dinçer
,
Mehmet Çavdar
,
Tuba Tekin
,
Meliha Çavdar
References
- Araujo, A. B., Chiu, G. R., Kupelian, V., Hall, S. A., Williams, R. E., Clark, R. V., et al. (2010). Lean mass, muscle strength, and physical function in a diverse population of men: a population-based cross-sectional study. BMC Public Health, 10, 1-8. https://doi.org/10.1186/1471-2458-10-508
- Augusti, L., Franzoni, L. C., Santos, L. A. A., Lima, T. B., Ietsugu, M. V., Koga, K. H., et al. (2016). Lower values of handgrip strength and adductor pollicis muscle thickness are associated with hepatic encephalopathy manifestations in cirrhotic patients. Metabolic Brain Disease, 31(4), 909-915. https://doi.org/10.1007/s11011-016-9828-8
- Barreiro, S. M., Santos, H. O., Cruz, R. P., Nahas, P. C., Rossato, L. T., Orsatti, F. L., et al. P. (2018). Adductor pollicis muscle thickness has a low association with lean mass in women. Clinical Nutrition, 37(5), 1759-1761. https://doi.org/10.1016/j.clnu.2017.08.012
- Bielemann, R. M., Horta, B. L., Orlandi, S. P., Barbosa-Silva, T. G., Gonzalez, M. C., Assunção, M. C., et al. (2016). Is adductor pollicis muscle thickness a good predictor of lean mass in adults? Clinical Nutrition, 35(5), 1073-77. https://doi.org/10.1016/j.clnu.2015.07.022
- Caporossi, F. S., Caporossi, C., Dock-Nascimento, D. B., & de Aguilar-Nascimento, J. E. (2012). Measurement of the thickness of the adductor pollicis muscle as a predictor of outcome in critically ill patients. Nutricion Hospitalaria, 27(2), 490-495. https://doi.org/10.1590/S0212-16112012000200021
- Cortez, A. F., Tolentino, J. C., de Azevedo Aguiar, M. R., Elarrat, R. M., & Passos, R. B. F. (2017). Association between adductor pollicis muscle thickness, anthropometric and immunological parameters in HIV-positive patients. Clinical Nutrition ESPEN, 17, 105-109. https://doi.org/10.1016/j.clnesp.2016.09.004
- da Costa, T. Y., Suganuma, J. Y., Faria, S. O., & Spexoto, M. C. B. (2021). Association of adductor pollicis muscle thickness and handgrip strength with nutritional status in hospitalized individuals. Nutricion Hospitalaria, 38(3), 519-524. https://doi.org/10.20960/nh.03319
- de Melo, C. Y. S. V., & da Silva S. A. (2014). Adductor pollicis muscle as predictor of malnutrition in surgical patients. Arq Bras Cir Dig, 27(1), 13-7. https://doi.org/10.1590/s0102-67202014000100004
- Detsky, A. S., Baker, J. P., Johnston, N., Whittaker, S., Mendelson, R. A., & Jeejeebhoy, K. N. (1987). What is subjective global assessment of nutritional status? JPEN, Journal of Parenteral and Enteral Nutrition, 11(1), 8-13. https://doi.org/10.1177/014860718701100108
- Dos Reis, A. S., Santos, H. O., Limirio, L. S., & de Oliveira, E. P. (2018). Adductor pollicis muscle thickness has a low association with muscle mass and lean mass in kidney transplantation patients. Clinical Nutrition ESPEN, 28, 110-113. https://doi.org/10.1016/j.clnesp.2018.08.021
- Duren, D. L., Sherwood, R. J., Czerwinski, S. A., Lee, M., Choh, A. C., Siervogel, R. M., et al. (2008). Body composition methods: comparisons and interpretation. Journal of Diabetes Science and Technology, 2(6), 1139-1146. https://doi.org/10.1177/193229680800200623
- Edwards, R. H. T., Young, A., Hosking, G. P., & Jones, D. A. (1977). Human skeletal muscle function: description of tests and normal values. Clinical Science and Molecular Medicine, 52(3), 283-290. https://doi.org/10.1042/cs0520283
- Frisancho, A. R. (1984). New standards of weight and body composition by frame size and height for assessment of nutritional status of adults and the elderly. The American Journal of Clinical Nutrition, 40, 808-820. https://doi.org/10.1093/ajcn/40.4.808
- Ghorabi, S., Vahdat Shariatpanahi, Z., & Amiri Z. (2014). Measurement of adductor pollicis muscle thickness in a healthy population in Iran and its correlation with other anthropometric parameters. Malaysian Journal of Nutrition, 20(2), 237-43.
- Gonzalez, M. C., Duarte, R. R., & Budziareck, M. B. (2010). Adductor pollicis muscle: reference values of its thickness in a healthy population. Clinical Nutrition, 29(2), 268-271. https://doi.org/10.1016/j.clnu.2009.08.012
- Heymsfield, S. B., McManus, C., Smith, J., Stevens, V., & Nixon, D. W. (1982). Anthropometric measurument of muscle mass: revised equations for calculating bone-free arm muscle area. The American Journal of Clinical Nutrition, 36(4), 680-90. https://doi.org/10.1093/ajcn/36.4.680
- 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. Current Opinion in Clinical Nutrition and Metabolic Care, 7(3), 293-301. https://doi.org/10.1097/00075197-200405000-00009
- Lameu, E. B., Gerude, M. F., Corrêa, R. C., & Lima, K. A. (2004b). Adductor policis muscle: a new anthropometric parameter. Revista do Hospital dos Clinicas, 59(2), 57-62. https://doi.org/10.1590/s0041-87812004000200002
- Leslie, W., & Hankey, C. (2015). Aging, Nutritional Status and Health. Healthcare, 3(3), 648-658. https://doi: 10.3390/healthcare3030648
- Hammond, K. (2012). Assessment: Dietary and Clinical Data. In Mahan, K. L., & Raymond, J. L. (Eds.), Krause’s Food & Nutrition Care Process (pp. 401-403). Saunders Elsevier.
- Melo, C. Y. S. V. D., & Silva, S. A. D. (2014). Adductor pollicis muscle as predictor of malnutrition in surgical patients. Arquivos Brasileiros de Cirurgia Digestiva, 27(1), 13-17. https://doi.org/10.1590/s0102-67202014000100004
- Mony, P. K., Swaminathan, S., Gajendran, J. K., & Vaz, M. (2016). Quality assurance for accuracy of anthropometric measurements in clinical and epidemiological studies:[Errare humanum est= to err is human]. Indian Journal of Community Medicine, 41(2), 98-102. https://doi.org/10.4103/0970-0218.173499
- Nix, S. (2013). Williams’ Basic Nutrition and Diet Therapy. Elsevier Mosby.
- Pereira, P. M. D. L., Neves, F. S., Bastos, M. G., & Cândido, A. P. C. (2018). Adductor Pollicis Muscle Thickness for nutritional assessment: a systematic review. Revista Brasileira de Enfermagem, 71(6), 3093-3102. https://doi.org/10.1590/0034-7167-2017-0913
- Wagner, D. R., & Heyward, V. H. (2000). Measures of body composition in blacks and whites: a comparative review. The American Journal of Clinical Nutrition, 71(6), 1392-1402. https://doi.org/10.1093/ajcn/71.6.1392
- Weisell, R. C. (2002). Body mass index as an indicator of obesity. Asia Pacific Journal of Clinical Nutrition, 11(8), 681-84. https://doi.org/10.1046/j.1440-6047.11.s8.5.x