P154 - CHANGE IN CALF CIRCUMFERENCE VALUES IN HOSPITALIZED PATIENTS

P154

CHANGE IN CALF CIRCUMFERENCE VALUES IN HOSPITALIZED PATIENTS

A. Niño González^1,*, M. CASADO AMIGO¹, E. GONZALEZ ARNAIZ¹, M. GARCIA DUQUE¹, A. URIOSTE FONDO¹, D. ARIADEL COBO¹, P. GARCIA PEREZ¹, M. BALLESTEROS POMAR¹

¹NUTRITION, COMPLEJO ASISTENCIAL UNIVERSITARIO DE LEON, LEON, Spain

Rationale: Calf circumference(CC) is a simple, non-invasive, and useful tool for assessing the nutritional and muscular status of hospitalized patients. Our aims is to determine muscle mass using CC at admission and discharge in patients monitored by  Nutrition Unit in 2024, and to evaluate the change in CC during hospitalization and its association with the length of hospital stay.

Methods: A prospective study was conducted on hospitalized patients under the care of the CAULE Nutrition Unit. Nutritional assessments were performed, including the measurement of CC adjusted for BMI at both admission and discharge. Low CC was defined as <32 cm in men and <31 cm in women¹. The association between the length of hospital stay and the gain or loss of CC during hospitalization was analyzed

Results: 67 patients were included, 67.2% were male, mean age of 65.9(SD 16.8) years.The main reasons for admission were oncologic(28.4%), digestive(20.9%), surgical(19.4%) and hematologic(13.4%) conditions. A total of 41.8% were at risk of disease-related malnutrition, 38.8% and 16.4% had GLIM criteria for severe and moderate malnutrition respectively, and 3% had dysphagia. The mean weight was 65.2(SD 14.5) kg, BMI 24.1(SD 4.4) kg/m², initial CC 32.9(SD 4.1) cm, CC at discharge 32.3(SD 3.7) cm. 31.3% presented low CC at admission and discharge, With respect to admission, 35.8% had higher CC values at discharge, and 64.2% had lower CC values. Table 1 shows the hospital stay according to CC loss during admission.

Conclusion: In our sample, 30% of patients presented low CC values at both admission and discharge. However, we observed that in 64% of patients, the CC values decreased during hospitalization, which was associated with a longer length of stay, although no statistically significant differences were observed

References: 1.Gonzalez MC, Am J Clin Nutr. 2021.

Disclosure of Interest: None declared