Publication Date


Document Type


First Advisor

Parham, Ellen S.

Degree Name

M.S. (Master of Science)

Legacy Department

Department of Human and Family Resources


Creatinine; Ascities; Liver--Cirrhosis; Arm--Muscles


The original purpose of this study was to determine the validity of arm muscle circumference in individuals with cirrhosis and ascites. Arm muscle circumference was compared to creatinine height index, another measure of somatic protein status. The study included 20 patients with cirrhosis and ascites and a control group of 20 individuals without liver disease. The participants completed two 24-hour urine collections which were analyzed for creatinine concentration. These were used to determine creatinine height index. Upper arm anthropometric measurements were completed during each urine collection period. The values obtained were used to calculate arm muscle circumference. Pearson R was calculated to identify any correlation between the two parameters. Arm muscle circumference and creatinine height index were positively correlated in the cirrhotic group but not in the control group. The lack of correlation may be due to the high variability of creatinine excretion observed in this study. This paper focuses on the difficulties in using creatinine height index and arm muscle circumference in assessment of somatic protein status.


Bibliography: pages 54-57.


vii, 73 pages




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