Use of wrist circumference in the nutritional assessment of patients with heart disease admitted to an intensive care unit




Nutrition sciences; Anthropometry; Cardiovascular diseases; Intensive care.


Wrist circumference has been shown to be a promising anthropometric measure and may be associated with comorbidities, such as hypertension, insulin resistance and cardiovascular diseases. Objective of the study was evaluate the association between wrist circumference (CPU) and body mass index (BMI), arm circumference (AC) and calf circumference (PC) and to aggregate the NFC as an indicator of nutritional status in patients with heart disease admitted to hospital. an ICU. A cross-sectional, descriptive study with an approach to the population of patients with heart disease in an ICU located in the Recôncavo region of Bahia. In the first 72 hours of admission, the following anthropometric assessments were performed: knee height (KA) followed by height estimation; BC followed by estimation of body mass and BMI; CP; CPU followed by the calculation of body complexion (CC). To establish the correlation between WC and AC, HC and BMI, Pearson's correlation coefficients were used, considering the value of P<0.05. Description of the evaluated group: 22 men, 62.41±13.72 years, height (1.64±0.06 m), estimated body mass (63.63±16.72 kg), WC (34.84±6 .64 cm), CPU (18.08±0.97 cm), WC (9.13±0.52) and BMI (23.49±5.69 kg/m2). Regarding correlations: BMI vs. CB (r: 0.9815, P: 0.0001), BMI vs. CP (r: 0.5249, P: 0.0001), BMI vs. CC (r: 0.2956, P: 0.0089), CC vs. CB (r: 0.2483, P: 0.0183) and CC vs. CP (r: 0.1347, P: 0.0930). The NFC proved to be a simple and practical measure, with viable applicability that can be used in patients with heart disease admitted to the ICU.


Aguiar, L. M. M. A., Martins, G. S., Valduga, R., Gerez, A. P., Carmo, E. C., Cunha, K. C., Cipriano, G. F. B., & Silva, M. L. (2021). Perfil de unidades de terapia intensiva adulto no Brasil: revisão sistemática de estudos observacionais. Revista Brasileira de Terapia Intensiva, 33(4), 624-634.

Amini, A., Soltanian, N., Iraj, B., Askari, G., Ebneyamin, S., Ghias, M., Hajian, H., Zahed, A., & Amini, M. (2012). Association of wrist circumference with cardio metabolic risk factors. Journal of Pakistan Medical Association, 62(3Suppl2), S34-S36.

Amisi, C. A., Ciccozzi, M., & Pozzilli, P. (2020). Wrist circumference: A new marker for insulin resistance in African women with polycystic ovary syndrome. World Journal of Diabetes, 11(2), 42-51.

Barbosa-Silva, T. G., Bielemann, R. M., Gonzalez, M. C., & Menezes, A. M. B. (2015). Prevalence of sarcopenia among Community-dwelling elderly of a medium-sized South American city: results of the COMO VAI? Study. Journal of Cachexia, Sarcopenia and Muscle, 7(2), 136-43.

Berger, M. M., Cayeux, M. C., Schaller, M. D., Soguel, L., Guido, P., & Chioléro, R. L. (2008). Stature estimation using the knee height determination in critically ill patients. e-SPEN, The European e-Journal of Clinical Nutrition and Metabolism, 3(2), e84-88. http://doi:10.1016/j.eclnm.2008.01.004

Chumlea, C. W., Roche, A. F., & Steinbaugh, M. L. (1985). Estimating stature from knee height for persons 60 to 90 years of age. Journal of American Geriatric Society, 33(2), 116-120.

Frisancho, A. R. (1990). Anthropometric standarts for the assessment of growth and nutritional status. Michigan: University of Michigan.

Hajsadeghi, S., Firouzi, A., Bahadoran, P., & Hassanzadeh, M. (2016). The value of wrist circumference for predicting the presence of coronary artery disease and metabolic syndrome. Indian Heart Journal, 68(Suppl 3), S5-S9. http://doi:10.1016/j.ihj.2016.10.011

Lee, R. D., & Nieman, D. C. (1993). Nutritional assessment. Londres: McGraw Hill.

Li, Y., Liu, Y., He, J., Ma, P., Yu, L., & Sun, G. (2019). The association of wrist circumference with hypertension in northeastern

Chinese residents in comparison with other anthropometric obesity indices. PeerJ, 7, e7599.

Lohman, T., Roche, A. F., & Martorell, R. (1988). Anthropometric standardization reference manual. Champaign, IL: Human Kinetics Books.

Maddaloni, E., Cavallari, I., De Pascalis, M., Keenan, H., Park, K., Manfrini, S., Buzzetti, R., Patti, G., Sciascio, G., & Pozzilli, P. (2016). Relation of Body Circumferences to Cardiometabolic Disease in Overweight-Obese Subjects. American Journal of Cardiology, 118(6), 822-827.

McDowell, M. A., Fryar, C. D., Ogden, C. L., & Flegal, K. M. (2008). Anthropometric reference data for children and adults: United States, 2003-2006. National Health Statistics Reports, 22(10), 1-48.

Melo, A. P. F., Salles, R. K., Vieira, F. G. K., & Ferreira, M. G. (2014). Methods for estimating body weight and height in hospitalized adults: a comparative analysis. Revista Brasileira de Cineantropometria e Desempenho Humano, 16(4), 475-484.

Obirikorang, C., Obirikorang, Y., Acheampong, E., Anto, E. O., Toboh, E., Asamoah, E. A., Amakwaa, B., Batu, E. N., & Brenya, P. (2018). Association of Wrist Circumference and Waist-to-Height Ratio with Cardiometabolic Risk Factors among Type II Diabetics in a Ghanaian Population. Journal of Diabetes Research, 1838162.

Oliveira, G. M. M. O., Mendes, M., Malachias, M. V. B., Morais, J., Filho, O. M., Coelho, A. S., Capingana, D. P., Azevedo, V., Soares, I., Menete, A., Ferreira, B., Soares, M. B. P. C., & Fernandes, M. (2017). 2017 Guidelines for Arterial Hypertension Management in Primary Health Care in Portuguese Language Countries. Arquivos Brasileiros de Cardiologia, 109(5), 389-396.

Organização Pan-Americana de Saúde. (2001). División de Promoción y Protección de la Salud (HPP). Encuesta Multicentrica salud beinestar y envejecimiento (SABE) em América Latina el Caribe: Informe Preliminar. In: XXXVI Reunión del Comité asesor de investigaciones em Salud; 2001. Kingston, Jamaica.

Organização Pan-Americana de Saúde. (2021). Doenças Cardiovasculares.

Pereira, A. S., Shitsuka, D. M., Parreira, F. J., & Shitsuka, R. (2018). Metodologia da pesquisa científica. Santa Maria: UAB/NTE/UFSM.

Silveira, E. A., Pagotto, V., Barbosa, L. S., Oliveira, C., Pena, G. G., & Velasquez-Melendez, G. (2020). Acurácia de pontos de corte de IMC e circunferência da cintura para a predição de obesidade em idosos. Ciência & Saúde Coletiva, 25(3), 1073-1082.

Sociedade Brasileira de Cardiologia. (2019). Atualização da Diretriz de Prevenção Cardiovascular da Sociedade Brasileira de Cardiologia. Arquivos Brasileiros de Cardiologia.

Toledo, D., & Castro, M. (2019). Terapia Nutricional em UTI. Rio de Janeiro: Rubio.

Wischmeyer, P. E., Puthucheary, Z., San Millán, I., Butz, D., & Grocott, M. P. W. (2017). Muscle mass and physical recovery in ICU: innovations for targeting of nutrition and exercise. Current Opinion in Critical Care, 23(4), 269-278.

World Health Organization. (1998). Physical status: the use and interpretation of anthropometry.



How to Cite

TEIXEIRA, C. S.; BARRETO, J. S. C. .; RIBEIRO, P. C. da S. .; SANTOS, A. de J. .; ALVES, D. B. .; SANTOS, T. B. dos .; BITENCOURT, B. S. .; BARRETO, N. S.; MAGALHÃES, M. F. C. .; COSTA, C. A. S. da . Use of wrist circumference in the nutritional assessment of patients with heart disease admitted to an intensive care unit. Research, Society and Development, [S. l.], v. 11, n. 10, p. e233111032599, 2022. DOI: 10.33448/rsd-v11i10.32599. Disponível em: Acesso em: 4 oct. 2022.



Health Sciences