Study of trends in anthropometric nutritional indices and the impact of XXXX among @entity1 of @entity510 .

@entity1 @entity510 @entity2553 @entity427 @entity1386
BACKGROUND: Nutritional status and @entity1386 have not been studied to a significant extent in @entity510 ( @entity510 ). The aim of this study was to determine the trends in anthropometric indices and assess their impact on @entity1 with @entity510 . METHODS: We prospectively studied in 56 @entity1 with @entity510 , the @entity427 ( @entity427 ), mid-arm circumference (MAC), mid-arm muscle circumference (MAMC), and other factors, and their relationship to clinical @entity2553 and mortality. RESULTS: The median MAC decreased significantly from 29.3 cm (interquartile range [IQR] 28-31 cm) at admission to 27 cm (IQR 26-29 cm) at 1-week (P < 0.001). The median @entity427 decreased significantly from 34 mm (IQR 30-40 mm) at admission to 30 mm (IQR 25-35 mm) at 1-week (P < 0.001). MAMC values did not show a significant change over a week. The @entity1 who developed clinical @entity2553 had significantly higher median admission @entity427 of 40 mm (IQR 35-45 mm), compared to the median admission @entity427 of 35 mm (IQR 30-40 mm) among those who did not develop @entity2553 (P = 0.03). MAMC values did not differ significantly in relation to @entity2553 . @entity1 who expired by 3 months had significantly greater fall in median MAMC values at 1-week (7.7% [IQR 5.2-11.5%]), compared to the fall in median MAMC values at 1-week among those who were alive at 3 months (2.6% [IQR 2.1-6.6%]) [P = 0.03]. However, the fall in @entity427 values did not differ significantly in relation to mortality. In multivariate analysis, only the admission @entity427 , Hunt and Hess and Fisher grades had a significant association with @entity2553 . This association was independent of other prognostic factors and of each other. CONCLUSION: Excessive @entity1386 of @entity1 , measured as an increased @entity427 value, is significantly associated with clinical @entity2553 independent of other prognostic factors, while fall in MAMC, indicating somatic protein catabolism, has some impact on mortality.
