PD100 - 360°NUTRITIONAL PREHABILITATION: BODY COMPOSITION AND FUNCTIONALITY IN A NUTRITION CLINIC

PD100

360°NUTRITIONAL PREHABILITATION: BODY COMPOSITION AND FUNCTIONALITY IN A NUTRITION CLINIC

T. Hernández Hernández¹, B. Rodríguez Herrera¹, M. L. Carrascal Fabián¹, A. Bielza González¹, C. Velasco Gimeno¹, M. Arnoriaga Rodriguez^1,*, I. Bretón Lesmes¹, M. Gómez-Gordo Hernanz¹, C. Serrano Moreno¹, C. Cuerda Compés¹

¹HGUGM, Madrid, Spain

Rationale: Surgical prehabilitation optimizes functional capacity. Preoperative malnutrition increases complications and hospital stay. Morphofunctional assessment is essential for risk stratification in nutrition Clinic.

Objectives: To evaluate anthropometric, nutritional and functional parameters in major surgery cantidates to establish phenotypic profiles and correlate nutritional status and functional capacity.

Methods: Cross-sectional study. Nutritional assessment: height, current and usual weight, BIA, handgrip strength(HGS), calf circumference(CC), muscle ultrasound and Timed Up&Go test(TUG). Malnutrition: GLIM, sarcopenia: EWGSOP2. Stats: mean±SD, median[IQR], percentages. Spearman's correlation, Mann-Whitney U and Chi-square tests.

Results: 95 patients(57.9% male), 64[54.5-72.5]years, BMI 26.8[23.8-29.9]kg/m². Tumor types: liver transplant/hepatectomy(30.5%), biliopancreatic(23.1%), sarcoma(12.6%), cystectomy(11.6%), carcinomatosis(7.37%), colorectal(6.32%) and others(8.42%). Prevalence: 36.8% moderate malnutrition, 7.4% confirmed sarcopenia, 24% obesity.

HGS correlated positively with muscle area(r=0.458; p<0.001), ASMMI(r=0.612; p<0.001), and PhA(r=0.371; p<0.001) and inversely with TUG(r=-0.429; p<0.001) and sarcopenia(r=-0.376; p<0.001). Ultrasound correlatated positively with BIA (ASMMI-area(r=0.229; p=0.031); ASMMI-PA(r=0.275; p=0.008)). No differences by tumor type. Significant sex differences found in HGS(p<0.001), ASMMI(p<0.001) and muscle area(p=0.020). Age correlated inversely with PhA(r=-0.414; p=<0.001) and positively with TUG(r=0.379; p<0.01).

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Conclusion: Morphofunctional assessment objectively identifies nutritional/functional impairment. Ultrasound and BIA are key for preoperative optimization.

Due to the high prevalence of normonourished patients in this setting, a specific referral protocol is needed to optimize clinical resources.

Disclosure of Interest: None declared