Correlación de la albúmina con indicadores antropométricos y fuerza muscular en pacientes quirúrgicos

David Carelli; Rocio Lema; Romina Sayar

Authors

David Carelli Hospital de Agudos Juan A. Fernández https://orcid.org/0000-0002-0183-9831
Rocio Lema Hospital General de Agudos Juan A. Fernández
Romina Sayar Hospital General de Agudos Juan A. Fernández

Keywords:

nutritional status, albumin, muscle strength, surgery

Abstract

Introduction: serum albumin is used as a marker of nutritional status in surgical patients. Its usefulness as a sole indicator has been questioned due to its limitations in inflammatory stages. Objective: to evaluate the correlation between albumin, anthropometric indicators and muscle strength to determine the adequacy of albumin as a nutritional indicator in surgical patients hospitalized in a public hospital of the Autonomous City of Buenos Aires between September 2023 and June 2024. Methods: cross sectional study. The correlation of albumin with body mass index (BMI), percentage of weight loss (PPP) and muscle strength was established. A comparison of BMI and PPP was made between patients with normal and low albumin. Sampling was non-probabilistic, by convenience. Results: the sample consisted of 100 patients, 63.00 % male. The most prevalent surgeries were biliary surgeries. No correlation was found between albumin and PPP and BMI. There was a significant correlation with muscle strength. No significant difference was observed in BMI and PPP between the groups with normal and low albumin. However, there was statistical significance in the handgrip strength values between both groups, being higher in patients with normal albumin. Conclusions: serum albumin does not show a significant correlation with BMI and PPP, but it does with muscle strength. These results suggest that, although albumin may be a useful indicator, it is not sufficient to assess nutritional status in surgical patients.

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