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Decreased mid-arm muscle circumference

MedGen UID:
1784618
•Concept ID:
C5539602
•
Finding
HPO: HP:0033449

Definition

Reduction of the midupper arm circumference midway between the acromion and olecranon processes of the ulna with the use of a steel or fiberglass tape. This measure is a proxy for the muscle mass of the upper arm and can be used as a part of the assessment of nutritional status in children. [from HPO]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVDecreased mid-arm muscle circumference

Professional guidelines

PubMed

Nutritional status of the opiate dependent persons after 4 years of methadone maintenance treatment.
Kolarzyk E, Pach D, Wojtowicz B, Szpanowska-Wohn A, Szurkowska M
Przegl Lek 2005;62(6):373-7. PMID: 16225072
Nutritional assessment: a primary component of multidimensional geriatric assessment in the acute care setting.
Antonelli Incalzi R, Landi F, Cipriani L, Bruno E, Pagano F, Gemma A, Capparella O, Carbonin PU
J Am Geriatr Soc 1996 Feb;44(2):166-74. doi: 10.1111/j.1532-5415.1996.tb02434.x. PMID: 8576507
Changes in body composition of patients with subnormal spontaneous secretion of growth hormone, during the first year of treatment with growth hormone.
Vaisman N, Zadik Z, Shamai Y, Franklin L, Dukhan R
Metabolism 1992 May;41(5):483-6. doi: 10.1016/0026-0495(92)90205-o. PMID: 1588826

Recent clinical studies

Etiology

The association between reduced calf and mid-arm circumferences and ICU mortality in critically ill COVID-19 patients.
Santer D, Schneider N, de Carvalho YSS, de Souza Bortolini RV, Silva FM, Franken DL, da Silva Fink J
Clin Nutr ESPEN 2023 Apr;54:45-51. Epub 2023 Jan 11 doi: 10.1016/j.clnesp.2023.01.006. PMID: 36963893Free PMC Article
Effect of a high-protein, high-fiber diet plus supplementation with branched-chain amino acids on the nutritional status of patients with cirrhosis.
Ruiz-Margáin A, Macías-Rodríguez RU, Ríos-Torres SL, Román-Calleja BM, Méndez-Guerrero O, Rodríguez-Córdova P, Torre A
Rev Gastroenterol Mex (Engl Ed) 2018 Jan-Mar;83(1):9-15. Epub 2017 Apr 11 doi: 10.1016/j.rgmx.2017.02.005. PMID: 28408059
Weight stability in Parkinson's disease.
Lindskov S, Sjöberg K, Hagell P, Westergren A
Nutr Neurosci 2016;19(1):11-20. Epub 2015 Sep 4 doi: 10.1179/1476830515Y.0000000044. PMID: 26339843
Is malnutrition a risk factor of stroke?
Habib MA, Dey SK, Alam MR, Bhuiyan M, Bhuiyan SI, Khatun MH, Rizvi AN, Haque A
Mymensingh Med J 2015 Apr;24(2):373-8. PMID: 26007268
Testosterone, body composition and aging.
Vermeulen A, Goemaere S, Kaufman JM
J Endocrinol Invest 1999;22(5 Suppl):110-6. PMID: 10442580

Diagnosis

The association between reduced calf and mid-arm circumferences and ICU mortality in critically ill COVID-19 patients.
Santer D, Schneider N, de Carvalho YSS, de Souza Bortolini RV, Silva FM, Franken DL, da Silva Fink J
Clin Nutr ESPEN 2023 Apr;54:45-51. Epub 2023 Jan 11 doi: 10.1016/j.clnesp.2023.01.006. PMID: 36963893Free PMC Article
Prognostic value of muscle mass assessed by DEXA in elderly hospitalized patients.
Monereo-Muñoz M, Martín-Ponce E, Hernández-Luis R, Quintero-Platt G, Gómez-Rodríguez-Bethencourt MÁ, González-Reimers E, Santolaria F
Clin Nutr ESPEN 2019 Aug;32:118-124. Epub 2019 Apr 14 doi: 10.1016/j.clnesp.2019.04.001. PMID: 31221276
Bioelectrical Impedance Analysis-Derived Phase Angle Predicts Protein-Energy Wasting in Maintenance Hemodialysis Patients.
Tan RS, Liang DH, Liu Y, Zhong XS, Zhang DS, Ma J
J Ren Nutr 2019 Jul;29(4):295-301. Epub 2018 Nov 13 doi: 10.1053/j.jrn.2018.09.001. PMID: 30446269
Proteasome activity related with the daily physical activity of COPD patients.
Lee KY, Chen TT, Chiang LL, Chuang HC, Feng PH, Liu WT, Chen KY, Ho SC
Int J Chron Obstruct Pulmon Dis 2017;12:1519-1525. Epub 2017 May 22 doi: 10.2147/COPD.S132276. PMID: 28579770Free PMC Article
Weight stability in Parkinson's disease.
Lindskov S, Sjöberg K, Hagell P, Westergren A
Nutr Neurosci 2016;19(1):11-20. Epub 2015 Sep 4 doi: 10.1179/1476830515Y.0000000044. PMID: 26339843

Therapy

Malnutrition, Cancer Stage and Gastrostomy Timing as Markers of Poor Outcomes in Gastrostomy-Fed Head and Neck Cancer Patients.
Sousa-Catita D, Ferreira-Santos C, Mascarenhas P, Oliveira C, Madeira R, Santos CA, André C, Godinho C, Antunes L, Fonseca J
Nutrients 2023 Jan 28;15(3) doi: 10.3390/nu15030662. PMID: 36771369Free PMC Article
The Effect of Exercise on Nutritional Status and Body Composition in Hemodialysis: A Systematic Review.
Bakaloudi DR, Siargkas A, Poulia KA, Dounousi E, Chourdakis M
Nutrients 2020 Oct 8;12(10) doi: 10.3390/nu12103071. PMID: 33050111Free PMC Article
Effect of a high-protein, high-fiber diet plus supplementation with branched-chain amino acids on the nutritional status of patients with cirrhosis.
Ruiz-Margáin A, Macías-Rodríguez RU, Ríos-Torres SL, Román-Calleja BM, Méndez-Guerrero O, Rodríguez-Córdova P, Torre A
Rev Gastroenterol Mex (Engl Ed) 2018 Jan-Mar;83(1):9-15. Epub 2017 Apr 11 doi: 10.1016/j.rgmx.2017.02.005. PMID: 28408059
Malnutrition is prevalent among hemodialysis patients in Jeddah, Saudi Arabia.
Alharbi K, Enrione EB
Saudi J Kidney Dis Transpl 2012 May;23(3):598-608. PMID: 22569456
Malnutrition predicting factors in hemodialysis patients.
Jahromi SR, Hosseini S, Razeghi E, Meysamie Ap, Sadrzadeh H
Saudi J Kidney Dis Transpl 2010 Sep;21(5):846-51. PMID: 20814118

Prognosis

Trajectory of mid-arm subcutaneous fat, muscle mass predicts mortality in hemodialysis patients independent of body mass index.
Yang Y, Li Q, Qiu W, Zhang H, Qiu Y, Yuan J, Zha Y
Sci Rep 2024 Jun 18;14(1):14005. doi: 10.1038/s41598-024-64728-8. PMID: 38890351Free PMC Article
Bioelectrical Impedance Analysis-Derived Phase Angle Predicts Protein-Energy Wasting in Maintenance Hemodialysis Patients.
Tan RS, Liang DH, Liu Y, Zhong XS, Zhang DS, Ma J
J Ren Nutr 2019 Jul;29(4):295-301. Epub 2018 Nov 13 doi: 10.1053/j.jrn.2018.09.001. PMID: 30446269
Effect of a high-protein, high-fiber diet plus supplementation with branched-chain amino acids on the nutritional status of patients with cirrhosis.
Ruiz-Margáin A, Macías-Rodríguez RU, Ríos-Torres SL, Román-Calleja BM, Méndez-Guerrero O, Rodríguez-Córdova P, Torre A
Rev Gastroenterol Mex (Engl Ed) 2018 Jan-Mar;83(1):9-15. Epub 2017 Apr 11 doi: 10.1016/j.rgmx.2017.02.005. PMID: 28408059
Weight stability in Parkinson's disease.
Lindskov S, Sjöberg K, Hagell P, Westergren A
Nutr Neurosci 2016;19(1):11-20. Epub 2015 Sep 4 doi: 10.1179/1476830515Y.0000000044. PMID: 26339843
Is malnutrition a risk factor of stroke?
Habib MA, Dey SK, Alam MR, Bhuiyan M, Bhuiyan SI, Khatun MH, Rizvi AN, Haque A
Mymensingh Med J 2015 Apr;24(2):373-8. PMID: 26007268

Clinical prediction guides

The association between reduced calf and mid-arm circumferences and ICU mortality in critically ill COVID-19 patients.
Santer D, Schneider N, de Carvalho YSS, de Souza Bortolini RV, Silva FM, Franken DL, da Silva Fink J
Clin Nutr ESPEN 2023 Apr;54:45-51. Epub 2023 Jan 11 doi: 10.1016/j.clnesp.2023.01.006. PMID: 36963893Free PMC Article
Comparison of absolute and relative handgrip strength to predict cancer prognosis: A prospective multicenter cohort study.
Xie H, Ruan G, Deng L, Zhang H, Ge Y, Zhang Q, Lin S, Song M, Zhang X, Liu X, Li X, Zhang K, Yang M, Tang M, Hu W, Weng M, Shi H
Clin Nutr 2022 Aug;41(8):1636-1643. Epub 2022 Jun 22 doi: 10.1016/j.clnu.2022.06.011. PMID: 35767913
Effect of a high-protein, high-fiber diet plus supplementation with branched-chain amino acids on the nutritional status of patients with cirrhosis.
Ruiz-Margáin A, Macías-Rodríguez RU, Ríos-Torres SL, Román-Calleja BM, Méndez-Guerrero O, Rodríguez-Córdova P, Torre A
Rev Gastroenterol Mex (Engl Ed) 2018 Jan-Mar;83(1):9-15. Epub 2017 Apr 11 doi: 10.1016/j.rgmx.2017.02.005. PMID: 28408059
Is malnutrition a risk factor of stroke?
Habib MA, Dey SK, Alam MR, Bhuiyan M, Bhuiyan SI, Khatun MH, Rizvi AN, Haque A
Mymensingh Med J 2015 Apr;24(2):373-8. PMID: 26007268
Testosterone, body composition and aging.
Vermeulen A, Goemaere S, Kaufman JM
J Endocrinol Invest 1999;22(5 Suppl):110-6. PMID: 10442580

Recent systematic reviews

The Effect of Exercise on Nutritional Status and Body Composition in Hemodialysis: A Systematic Review.
Bakaloudi DR, Siargkas A, Poulia KA, Dounousi E, Chourdakis M
Nutrients 2020 Oct 8;12(10) doi: 10.3390/nu12103071. PMID: 33050111Free PMC Article

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