{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2023,8,21]],"date-time":"2023-08-21T07:49:53Z","timestamp":1692604193935},"reference-count":53,"publisher":"FapUNIFESP (SciELO)","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Arq. Gastroenterol."],"published-print":{"date-parts":[[2004,6]]},"abstract":"<jats:p>OBJETIVO: A sensibilidade de indicadores antropom\u00e9tricos e laboratoriais, na detec\u00e7\u00e3o da desnutri\u00e7\u00e3o prot\u00e9ico-energ\u00e9tica de cirr\u00f3ticos foi estudada em 117 adultos, com gravidades (Child-Pugh), Child A (18), B (42) e C (57). RESULTADOS: Os indicadores antropom\u00e9tricos mais alterados foram: a circunfer\u00eancia braquial 61%, a prega cut\u00e2nea tricipital 55% e a prega cut\u00e2nea subescapular 53%, e os laboratoriais: albumina 93% e hemoglobina 90%. Com a combina\u00e7\u00e3o de indicadores circunfer\u00eancia braquial + prega cut\u00e2nea subescapular + albumina ou hemoglobina, alcan\u00e7aram-se 29% de d\u00e9ficit, valor id\u00eantico ao da associa\u00e7\u00e3o apenas de circunfer\u00eancia braquial + prega cut\u00e2nea subescapular. Essa combina\u00e7\u00e3o (circunfer\u00eancia braquial e prega cut\u00e2nea subescapular) detectou 63% de desnutri\u00e7\u00e3o prot\u00e9ico-energ\u00e9tica, com predomin\u00e2ncia das formas moderada e grave em todos os graus Child. CONCLUS\u00c3O: A desnutri\u00e7\u00e3o prot\u00e9ico-energ\u00e9tica na cirrose hep\u00e1tica \u00e9 predominantemente prot\u00e9ica, podendo ser caracterizada por indicadores laboratoriais (mais sens\u00edveis) ou, com maior especificidade, pela circunfer\u00eancia braquial, embora inespec\u00edfica \u00e0 discrimina\u00e7\u00e3o da gravidade da desnutri\u00e7\u00e3o prot\u00e9ico-energ\u00e9tica entre os grupos Child B e C.<\/jats:p>","DOI":"10.1590\/s0004-28032004000200005","type":"journal-article","created":{"date-parts":[[2005,4,15]],"date-time":"2005-04-15T14:21:16Z","timestamp":1113574876000},"page":"93-99","source":"Crossref","is-referenced-by-count":4,"title":["Sensibilidade de indicadores da desnutri\u00e7\u00e3o prot\u00e9ico-energ\u00e9tica em cirr\u00f3ticos com v\u00e1rios graus de disfun\u00e7\u00e3o hepatocelular"],"prefix":"10.1590","volume":"41","author":[{"given":"Regiane","family":"Maio","sequence":"first","affiliation":[{"name":"Universidade Estadual Paulista - UNESP"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jane Bandeira","family":"Dichi","sequence":"additional","affiliation":[{"name":"Universidade Estadual de Londrina"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Roberto Carlos","family":"Burini","sequence":"additional","affiliation":[{"name":"Universidade Estadual Paulista - 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