Adductor Pollicis Muscle Thickness for nutritional assessment: a systematic review

ABSTRACT Objective: The aim of this study is to systematically review the scientific findings about the efficacy of the measure of the Adductor Pollicis Muscle Thickness for nutritional assessment of individuals in various clinical conditions. Method: Systematic review study performed according to the methodology Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA). Results: 13 original articles published between 2004 and 2016 were included. The measure was associated/correlated to parameters of nutritional status (such as weight, body mass index and Global Subjective Assessment) and muscle mass markers (such as circumference brachial muscle circumference, brachial muscle area, calf circumference, and muscle mass). All these correlations were weak or moderate. Conclusion: The measurement can be used in different populations, being able to estimate nutritional status and muscle mass. However, it is suggested that it be used in a complementary way to the nutritional evaluation, not constituting a single diagnostic/monitoring parameter.

摘要
目的：本研究旨在系统回顾关于拇收肌（Adductor Pollicis Muscle）厚度测量用于不同临床状况个体营养评估有效性的科学研究结果。
方法：本研究为系统综述类研究，遵循系统综述与Meta分析优先报告条目（Preferred Reporting Items for Systematic Reviews and Meta-Analyses，PRISMA）的方法学规范开展。
结果：最终纳入2004年至2016年间发表的13篇原创性研究。该测量指标与营养状态相关参数（如体重、体质量指数（Body Mass Index）及整体主观评估（Global Subjective Assessment））及肌肉质量标志物（如肱肌围、肱肌面积、小腿围及肌肉质量）均存在弱至中等程度的相关性。
结论：该测量方法可应用于不同人群，能够用于估算个体的营养状态与肌肉质量。但建议将其作为营养评估的补充手段，不可作为单一的诊断或监测参数。