{"id":36026,"date":"2019-01-07T17:12:11","date_gmt":"2019-01-07T19:12:11","guid":{"rendered":"https:\/\/nutritotal.com.br\/pro\/?p=36026"},"modified":"2021-04-23T15:51:07","modified_gmt":"2021-04-23T18:51:07","slug":"vantagens-e-desvantagens-dos-atuais-metodos-de-avaliacao-da-composicao-corporal","status":"publish","type":"post","link":"https:\/\/nutritotal.com.br\/pro\/vantagens-e-desvantagens-dos-atuais-metodos-de-avaliacao-da-composicao-corporal\/","title":{"rendered":"Vantagens e desvantagens dos atuais m\u00e9todos de avalia\u00e7\u00e3o da composi\u00e7\u00e3o corporal"},"content":{"rendered":"<p>Revis\u00e3o de literatura abordou as vantagens e desvantagens de m\u00e9todos para avalia\u00e7\u00e3o de composi\u00e7\u00e3o corporal de pacientes a beira do leito, contemplando ultrassonografia, imped\u00e2ncia bioel\u00e9trica, tomografia computadorizada e DXA.<\/p>\n<p><b>ULTRASSONOGRAFIA (US):<\/b><\/p>\n<ul>\n<li><strong>Vantagens:<\/strong> o fato de ser port\u00e1til, baixo custo, n\u00e3o invasiva, confiabilidade satisfat\u00f3ria, seguro para repetidas mensura\u00e7\u00f5es, avalia altera\u00e7\u00f5es musculares longitudinais;<\/li>\n<li><strong>Desvantagens:<\/strong> a aus\u00eancia de pontos de corte para diagn\u00f3sticos, escassez de protocolos cl\u00ednicos e concord\u00e2ncia em sua utiliza\u00e7\u00e3o e utiliza\u00e7\u00e3o limitada em situa\u00e7\u00f5es com edema excessivo.<\/li>\n<\/ul>\n<p><b>IMPED\u00c2NCIA BIOEL\u00c9TRICA (BIA):<\/b><\/p>\n<ul>\n<li><strong>Vantagens:<\/strong> portabilidade, baixo custo, rapidez, m\u00e9todo n\u00e3o invasivo, simples e reprodut\u00edvel, e seguro para repetidas mensura\u00e7\u00f5es;<\/li>\n<li><strong>Desvantagens:<\/strong> o fato de ser um m\u00e9todo indireto, ser limitado pelo estado de hidrata\u00e7\u00e3o, e a necessidade de equa\u00e7\u00e3o espec\u00edfica para cada popula\u00e7\u00e3o.<\/li>\n<\/ul>\n<p><b>TOMOGRAFIA COMPUTADORIZADA (TC):<\/b><\/p>\n<ul>\n<li><strong>Vantagens:<\/strong> presen\u00e7a de valores validados para pontos de corte, alta acur\u00e1cia quantitativa e qualitativa, imagem de alta resolu\u00e7\u00e3o, capacidade de determinar a qualidade tissular, e alta precis\u00e3o;<\/li>\n<li><strong>Desvantagens:<\/strong> n\u00e3o portabilidade, alto custo, alta exposi\u00e7\u00e3o radioativa, requer destreza \u00a0t\u00e9cnica para an\u00e1lise da imagem, e examina\u00e7\u00e3o conveniente.<\/li>\n<\/ul>\n<p><b>ABSORMETRIA DE DUPLO RAIO-X (DXA):<\/b><\/p>\n<ul>\n<li><strong>Vantagens:<\/strong> \u00a0habilidade na diferencia\u00e7\u00e3o entre gordura, massa magra e esquel\u00e9tica, r\u00e1pida e n\u00e3o invasiva, baixa exposi\u00e7\u00e3o a radia\u00e7\u00e3o, possibilidade de obten\u00e7\u00e3o de mensura\u00e7\u00f5es locais, segura para repetidas medidas e alta precis\u00e3o e acur\u00e1cia;<\/li>\n<li><strong>Desvantagens:<\/strong> n\u00e3o portabilidade, alto custo, varia\u00e7\u00e3o de procedimentos para calibra\u00e7\u00e3o do instrumento, de hardwares e de vers\u00f5es de softwares entre fornecedores, espessura do corpo e estado de hidrata\u00e7\u00e3o podem influenciar as medidas, contraindicado na gesta\u00e7\u00e3o, inabilidade de discrimina\u00e7\u00e3o dos diferentes tipos de gorduras (visceral, subcut\u00e2nea e intramuscular) e capacidade t\u00e9cnica espec\u00edfica e experi\u00eancia do operador.<\/li>\n<\/ul>\n<p>Concluiu-se que os m\u00e9todos descritos podem ser muito uteis, contribuindo para o conhecimento e monitoriza\u00e7\u00e3o do estado nutricional dos pacientes, bem como para \u00a0interven\u00e7\u00f5es nutricionais adequadas. A utiliza\u00e7\u00e3o do US para avalia\u00e7\u00e3o da composi\u00e7\u00e3o corporal \u00e9 respaldada por sua facilidade e baixo custo. A TC traz conhecimento adicional para o campo da oncologia e sarcopenia. A BIA pode ser utilizada como prognostico e para avalia\u00e7\u00e3o da composi\u00e7\u00e3o corporal. J\u00e1 o DXA \u00e9 de grande valor para o estudo da sarcopenia.<\/p>\n<p><strong>Resumo das discuss\u00f5es realizadas:<\/strong><\/p>\n<table style=\"height: 528px\" border=\"1\" width=\"815\" cellspacing=\"0\" cellpadding=\"0\">\n<tbody>\n<tr>\n<td valign=\"top\" width=\"113\"><b>Caracter\u00edsticas<\/b><\/td>\n<td valign=\"top\" width=\"75\">\n<p align=\"center\"><b>US<\/b><\/p>\n<\/td>\n<td valign=\"top\" width=\"76\">\n<p align=\"center\"><b>BIA<\/b><\/p>\n<\/td>\n<td valign=\"top\" width=\"236\">\n<p align=\"center\"><b>TC<\/b><\/p>\n<\/td>\n<td valign=\"top\" width=\"66\">\n<p align=\"center\"><b>DXA<\/b><\/p>\n<\/td>\n<\/tr>\n<tr>\n<td valign=\"top\" width=\"113\"><b>Popula\u00e7\u00e3o<\/b><\/td>\n<td valign=\"top\" width=\"75\">\n<p align=\"center\">Amplo espectro<\/p>\n<\/td>\n<td valign=\"top\" width=\"76\">\n<p align=\"center\">Amplo espectro<\/p>\n<\/td>\n<td valign=\"top\" width=\"236\">\n<p align=\"center\">CA, cirurgia abdominal, pacientes com exame pr\u00e9vio<\/p>\n<\/td>\n<td valign=\"top\" width=\"66\">\n<p align=\"center\">N\u00e3o intubados<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td valign=\"top\" width=\"113\"><b>Contraindica\u00e7\u00e3o<\/b><\/td>\n<td valign=\"top\" width=\"75\">\n<p align=\"center\">N\u00e3o<\/p>\n<\/td>\n<td valign=\"top\" width=\"76\">\n<p align=\"center\">Gestante<\/p>\n<\/td>\n<td valign=\"top\" width=\"236\">\n<p align=\"center\">N\u00e3o utilizado exclusivamente para avalia\u00e7\u00e3o da composi\u00e7\u00e3o corporal devido exposi\u00e7\u00e3o a radia\u00e7\u00e3o<\/p>\n<\/td>\n<td valign=\"top\" width=\"66\">\n<p align=\"center\">Intuba\u00e7\u00e3o<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td valign=\"top\" width=\"113\"><b>Baixo custo<\/b><\/td>\n<td valign=\"top\" width=\"75\">\n<p align=\"center\">+++<\/p>\n<\/td>\n<td valign=\"top\" width=\"76\">\n<p align=\"center\">+++<\/p>\n<\/td>\n<td valign=\"top\" width=\"236\">\n<p align=\"center\">+<\/p>\n<\/td>\n<td valign=\"top\" width=\"66\">\n<p align=\"center\">+<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td valign=\"top\" width=\"113\"><b>Seguran\u00e7a<\/b><\/td>\n<td valign=\"top\" width=\"75\">\n<p align=\"center\">+++<\/p>\n<\/td>\n<td valign=\"top\" width=\"76\">\n<p align=\"center\">+++<\/p>\n<\/td>\n<td valign=\"top\" width=\"236\">\n<p align=\"center\">++<\/p>\n<\/td>\n<td valign=\"top\" width=\"66\">\n<p align=\"center\">++<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td valign=\"top\" width=\"113\"><b>Replicabilidade<\/b><\/td>\n<td valign=\"top\" width=\"75\">\n<p align=\"center\">++<\/p>\n<\/td>\n<td valign=\"top\" width=\"76\">\n<p align=\"center\">++<\/p>\n<\/td>\n<td valign=\"top\" width=\"236\">\n<p align=\"center\">+++<\/p>\n<\/td>\n<td valign=\"top\" width=\"66\">\n<p align=\"center\">++<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td valign=\"top\" width=\"113\"><b>Acur\u00e1cia<\/b><\/td>\n<td valign=\"top\" width=\"75\">\n<p align=\"center\">++<\/p>\n<\/td>\n<td valign=\"top\" width=\"76\">\n<p align=\"center\">++<\/p>\n<\/td>\n<td valign=\"top\" width=\"236\">\n<p align=\"center\">+++<\/p>\n<\/td>\n<td valign=\"top\" width=\"66\">\n<p align=\"center\">+++<\/p>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n","protected":false},"excerpt":{"rendered":"<p>Revis\u00e3o da literatura discutiu vantagens e desvantagens de instrumentos como US, BIA, TC e DXA e trouxe resumo das recomenda\u00e7\u00f5es de utiliza\u00e7\u00e3o e aplica\u00e7\u00e3o<\/p>\n","protected":false},"author":15,"featured_media":36027,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[1],"tags":[167,166],"divisao":[2186],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v23.5 - 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