P582 - NUTRITIONAL STATUS OF SERVICEMEN WITH LOW EXTREMITY AMPUTATION ON REHABILITATION STAGE: SCREENING AND NUTRITIONAL SUPPORT

P582

NUTRITIONAL STATUS OF SERVICEMEN WITH LOW EXTREMITY AMPUTATION ON REHABILITATION STAGE: SCREENING AND NUTRITIONAL SUPPORT

I. Babova^1,*, K. Babov², S. Fediaieva³, O. Makar³, A. Rogulya⁴, O. Hanusych⁴

¹South Ukrainian National Pedagogical University named after K.D.Ushinsky, ²Ukrainian Research Institute of Rehabilitation and Resort Therapy of the Ministry of Health of Ukraine, Odesa, ³Department of Rehabilitation, Lviv National Medical University named after Danylo Halytsky, ⁴Department of Rehabilitation, Lviv Regional Hospital for War Veterans and Victims of Repression named after Yu. Lypa, Lviv, Ukraine

Rationale: Number of amputations in Ukraine increases due to military injuries, aging of population and chronic diseases. Rehabilitation after amputation is a long process when energy needs for proteins, macro- and micronutrients increase, which is difficult to compensate. The aim is to study nutritional status of servicemen with unilateral transtibial amputation and improve quality of long-term rehabilitation.

Methods: 32 servicemen (aged 20 to 48) with unilateral transtibial amputation on long-term inpatient rehabilitation stage (4-11 months after amputation) were examined. Rehabilitation examination: Bartel index, walking tests, timed up and go test; assessment of nutritional status: estimated body mass index (eBMI) for amputations using calculator; malnutrition (MUST) and sarcopenia screening. Data were statistically processed using Statistica 10.0 program.

Results: Screening of nutritional status shows that MUST screening and eBMI calculator were not sufficient for estimation of nutritional status after amputation. We assessed muscle mass using mid-upper corrected arm muscle area (AMAc) measures using formula for males: AVAc(cm²)=AMA(cm²) - 10 cm². Although the eBMI was normal in 14 patients and overweight in 16 patients, 24 patients (75%) were found to have reduced muscle mass: AMAc below average (5.1-15 percentile rank). Only 8 patients (25%) had normal AMAc. The data obtained shows presence of a sarcopenic phenotype, even in patients with normal eBMI. 6 servicemen received nutritional support – high protein  sipping ("Nutridrink Protein") 125 ml 3 times a day, 14 days.

Conclusion: Nutritional status screening of servicemen with unilateral transtibial amputation showed sarcopenic phenotype in 75% which necessitates need for nutritional support – high-protein sipping during long-term rehabilitation.

Disclosure of Interest: None declared