{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T17:14:14Z","timestamp":1782926054543,"version":"3.54.5"},"reference-count":40,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2022,7,27]],"date-time":"2022-07-27T00:00:00Z","timestamp":1658880000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Human Nutrition Diet"],"published-print":{"date-parts":[[2023,2]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>The mid\u2010arm circumference (MAC) is an accessible, quick, and inexpensive measurement, which can be performed at the bedside only with a measuring tape. In this sense, the present study aims to suggest MAC cut\u2010off values to assess the nutritional status and its association with mortality of hospitalised patients with decompensated cirrhosis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A prospective cohort study was performed with decompensated cirrhotic patients. Nutritional status was assessed by MAC and Subjective Global Assessment (SGA). Considering the SGA as the reference standard and based on receiver operating characteristic curve analysis, the MAC cut\u2010off values with the best sensitivity and specificity were selected. Predictors of mortality were identified using multivariate analysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The study included 100 patients with a mean \u00b1 SD age of 60.1\u2009\u00b1\u200910.3 years. The median follow\u2010up time was 11.2 months and overall mortality was 60%. Considering malnutrition assessed by SGA as the reference standard, the area under the curve of MAC for women and men was 0.947 (95% confidence interval [CI] = 0.878\u20131.000) and 0.813 (95% CI = 0.694\u20130.932). The MAC cut\u2010off values of \u2264 28\u2009cm for women and \u2264 30\u2009cm for men reached a sensitivity and specificity of 85.5% and 71%, respectively. According to multivariate analysis, a low MAC was significantly associated with mortality (hazard ratio = 2.41; 95% CI = 1.20\u20134.84).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The MAC cut\u2010off values had satisfactory accuracy for men and women in predicting malnutrition. Additionally, a low MAC was an independent predictor of mortality. Thus, these MAC cut\u2010off values can be used as the first step of nutritional assessment to prioritise patients who require more detailed assessment.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jhn.13067","type":"journal-article","created":{"date-parts":[[2022,7,13]],"date-time":"2022-07-13T05:28:57Z","timestamp":1657690137000},"page":"116-125","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Measurement of mid\u2010arm circumference as a starting point for nutritional assessment of patients with decompensated cirrhosis: A prospective cohort study"],"prefix":"10.1111","volume":"36","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9907-0097","authenticated-orcid":false,"given":"Camila","family":"Saueressig","sequence":"first","affiliation":[{"name":"Graduate Program in Gastroenterology and Hepatology, Universidade Federal do Rio Grande do Sul Faculty of Medicine Porto Alegre Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vivian C.","family":"Luft","sequence":"additional","affiliation":[{"name":"Graduate Program in Epidemiology, Universidade Federal do Rio Grande do Sul Faculty of Medicine Porto Alegre Brazil"},{"name":"Graduate Program in Food, Nutrition, and Health, Universidade Federal do Rio Grande do Sul Faculty of Medicine Porto Alegre Brazil"},{"name":"Department of Nutrition, Universidade Federal do Rio Grande do Sul Faculty of Medicine Porto Alegre Brazil"},{"name":"Nutrition and Dietetics Service Hospital de Cl\u00ednicas de Porto Alegre Porto Alegre Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Valesca","family":"Dall'Alba","sequence":"additional","affiliation":[{"name":"Graduate Program in Gastroenterology and Hepatology, Universidade Federal do Rio Grande do Sul Faculty of Medicine Porto Alegre Brazil"},{"name":"Graduate Program in Food, Nutrition, and Health, Universidade Federal do Rio Grande do Sul Faculty of Medicine Porto Alegre Brazil"},{"name":"Department of Nutrition, Universidade Federal do Rio Grande do Sul Faculty of Medicine Porto Alegre Brazil"},{"name":"Nutrition and Dietetics Service Hospital de Cl\u00ednicas de Porto Alegre Porto Alegre Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2022,7,27]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhep.2005.10.013"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.clnu.2018.12.022"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cgh.2011.08.016"},{"key":"e_1_2_9_5_1","doi-asserted-by":"crossref","unstructured":"SaueressigC FerreiraPK GlasenappJH Dall'AlbaV.Food Intake Visual Scale\u2010A practical tool for assessing the dietary intake of hospitalized patients with decompensated cirrhosis.Nutr Clin Pract.2022Feb 4.https:\/\/doi.org\/10.1002\/ncp.10840","DOI":"10.1002\/ncp.10840"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1002\/hep.29003"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/jhn.12759"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/jhn.12952"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.clnu.2014.12.014"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.3390\/jcm8071040"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/jhn.12721"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1093\/cdn\/nzab048_003"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.nut.2017.09.014"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0011-3840(64)80003-4"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.1800600817"},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.1053\/he.2000.5852"},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.1097\/MD.0000000000002877"},{"key":"e_1_2_9_18_1","doi-asserted-by":"publisher","DOI":"10.1002\/hep.26370"},{"key":"e_1_2_9_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cgh.2016.04.040"},{"key":"e_1_2_9_20_1","doi-asserted-by":"publisher","DOI":"10.1177\/0148607185009006712"},{"key":"e_1_2_9_21_1","volume-title":"Obesity: preventing and managing the global epidemic. 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