In patients with heart failure, mid-upper arm circumference and arm muscle circumference are more associated with prognosis than skeletal muscle mass index or calf circumference, data suggest.
, and estimated glomerular filtration rate , the high MUAC and high AMC groups were associated with significantly better prognoses than their respective low groups. By contrast, high SMI and high CC were not associated with better prognoses.
"When caring for patients with heart failure, it seems that the often overlooked and simple measure of arm circumference might carry significant prognostic value," said Kamiya and Uchida."So, as you cuff the arm for routine blood pressure measurement, it might be worthwhile to also pay attention to arm girth."
Methodologic weaknesses include the retrospective, observational nature of the study and the fact that incomplete data collection led to the exclusion of more than half of the potential participants, he said. In addition,"anthropometric measurements are prone to inter-rater error. It is not clear if the same or different researchers conducted these measurements.
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