Relationship between handgrip strength, respiratory muscle strength and spirometric evaluation among male Turkish nursing home residents

Abstract Introduction: Chronic kidney disease (CKD) is defined as loss of kidney function, but its progression leads to systemic changes that compromise the quality of life of patients on dialysis. As such, the decline in lung capacity in this population may be one of the factors related to reduced peripheral muscle strength. Objective: Assess the relationship between handgrip strength (HGS), pulmonary function and respiratory muscle strength in patients with CKD on hemodialysis. Method: Thirty patients with CKD were assessed in terms of anthropometric data, pulmonary function, respiratory muscle strength and HGS. Results: A moderate association was observed between HGS and the variables forced vital capacity (r=0.54; p=0.002), maximum voluntary ventilation (r=0.51; p=0.004) and maximum expiratory pressure (r=0.59; p=0.001), and a weak association with forced expiratory volume in 1 second (FEV1) (r=0.46; p=0.009) and maximum inspiratory pressure (r=0.38; p=0.03). Additionally, about 67% of the sample (n=20) exhibited some degree of restrictive ventilatory defect in the pulmonary function test. With respect to muscle strength, 40% of the sample (n=12) displayed below-normal handgrip strength, as well as low mean MIP and MEP. Conclusion: Decreased lung capacity may be related to a decline in HGS in patients with chronic kidney disease on hemodialysis. Thus, therapeutic strategies aimed at lung expansion and respiratory muscle training may contribute to facilitating and favoring rehabilitation in this population.

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Respiratory Muscle Strengths and Their Association with Lean Mass and Handgrip Strengths in Older Institutionalized Individuals

Journal of Clinical Medicine ◽

10.3390/jcm9092727 ◽

2020 ◽

Vol 9 (9) ◽

pp. 2727

Author(s):

Francisco Miguel Martínez-Arnau ◽

Cristina Buigues ◽

Rosa Fonfría-Vivas ◽

Omar Cauli

Keyword(s):

Muscle Strength ◽

Peak Expiratory Flow ◽

Lean Mass ◽

Biochemical Parameters ◽

Respiratory Muscle ◽

Handgrip Strength ◽

Respiratory Muscle Strength ◽

Mass Content ◽

Skeletal Mass ◽

Expiratory Flow

The study of reduced respiratory muscle strengths in relation to the loss of muscular function associated with ageing is of great interest in the study of sarcopenia in older institutionalized individuals. The present study assesses the association between respiratory muscle parameters and skeletal mass content and strength, and analyzes associations with blood cell counts and biochemical parameters related to protein, lipid, glucose and ion profiles. A multicenter cross-sectional study was performed among patients institutionalized in nursing homes. The respiratory muscle function was evaluated by peak expiratory flow, maximal respiratory pressures and spirometry parameters, and skeletal mass function and lean mass content with handgrip strength, walking speed and bioimpedance, respectively. The prevalence of reduced respiratory muscle strength in the sample ranged from 37.9% to 80.7%. Peak expiratory flow significantly (p < 0.05) correlated to handgrip strength and gait speed, as well as maximal inspiratory pressure (p < 0.01). Maximal expiratory pressure significantly (p < 0.01) correlated to handgrip strength. No correlation was obtained with muscle mass in any of parameters related to reduced respiratory muscle strength. The most significant associations within the blood biochemical parameters were observed for some protein and lipid biomarkers e.g., glutamate-oxaloacetate transaminase (GOT), urea, triglycerides and cholesterol. Respiratory function muscle parameters, peak expiratory flow and maximal respiratory pressures were correlated with reduced strength and functional impairment but not with lean mass content. We identified for the first time a relationship between peak expiratory flow (PEF) values and GOT and urea concentrations in blood which deserves future investigations in order to manage these parameters as a possible biomarkers of reduced respiratory muscle strength.

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Relationship Between Respiratory Muscle Strength, Handgrip Strength, and Muscle Mass in Hospitalized Patients

Journal of Parenteral and Enteral Nutrition ◽

10.1002/jpen.1724 ◽

2019 ◽

Vol 44 (5) ◽

pp. 831-836 ◽

Cited By ~ 1

Author(s):

Sarah J. Peterson ◽

Jessica Park ◽

Hillary K. Zellner ◽

Olivia A. Moss ◽

Arianna Welch ◽

...

Keyword(s):

Muscle Strength ◽

Muscle Mass ◽

Respiratory Muscle ◽

Handgrip Strength ◽

Hospitalized Patients ◽

Respiratory Muscle Strength

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RESPIRATORY MUSCLE STRENGTH IN CHILDREN WITH CEREBRAL PALSY

10.26226/morressier.57d034d0d462b80292383406 ◽

2016 ◽

Author(s):

Baki Umut TUGAY

Keyword(s):

Cerebral Palsy ◽

Muscle Strength ◽

Respiratory Muscle ◽

Respiratory Muscle Strength ◽

Children With Cerebral Palsy

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The Effects of Respiratory Muscle Strength in Parkinson Disease

Case Medical Research ◽

10.31525/ct1-nct04042675 ◽

2019 ◽

Author(s):

Keyword(s):

Muscle Strength ◽

Parkinson Disease ◽

Respiratory Muscle ◽

Respiratory Muscle Strength

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Correlation between Surgical Risk Scales with Respiratory Muscle Strength and Functional Independence in Patients Submitted to Coronary Artery Bypass Grafting

International Journal of Cardiovascular Sciences ◽

10.36660/ijcs.20190161 ◽

2020 ◽

Author(s):

André Luiz Lisboa Cordeiro ◽

Átila Darlan Queiroz de Brito ◽

Graziele Freitas Almeida ◽

Leilane Souza Jesus ◽

Flávia de Araújo Oliveira ◽

...

Keyword(s):

Coronary Artery ◽

Coronary Artery Bypass Grafting ◽

Muscle Strength ◽

Coronary Artery Bypass ◽

Respiratory Muscle ◽

Artery Bypass ◽

Functional Independence ◽

Bypass Grafting ◽

Respiratory Muscle Strength ◽

Surgical Risk

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Respiratory Muscle Weakness as a Risk Factor for Pneumonia in Older People

Gerontology ◽

10.1159/000514007 ◽

2021 ◽

pp. 1-10

Author(s):

Tatsuma Okazaki ◽

Yoshimi Suzukamo ◽

Midori Miyatake ◽

Riyo Komatsu ◽

Masahiro Yaekashiwa ◽

...

Keyword(s):

Risk Factor ◽

Muscle Strength ◽

Older People ◽

Serum Albumin ◽

Muscle Mass ◽

Muscle Weakness ◽

Fat Mass ◽

Respiratory Muscle ◽

Respiratory Muscle Strength ◽

Respiratory Muscle Weakness

Introduction: The respiratory muscle strength regulates the effectiveness of coughing, which clears the airways and protects people from pneumonia. Sarcopenia is an aging-related loss of muscle mass and function, the worsening of which is associated with malnutrition. The loss of respiratory and swallowing muscle strength occurs with aging, but its effect on pneumonia is unclear. This study aimed to determine the risks of respiratory muscle weakness on the onset and relapse of pneumonia in older people in conjunction with other muscle-related factors such as malnutrition. Methods: We conducted a longitudinal study with 47 pneumonia inpatients and 35 non-pneumonia controls aged 70 years and older. We evaluated the strength of respiratory and swallowing muscles, muscle mass, and malnutrition (assessed by serum albumin levels and somatic fat) during admission and confirmed pneumonia relapse within 6 months. The maximal inspiratory and expiratory pressures determined the respiratory muscle strength. Swallowing muscle strength was evaluated by tongue pressure. Bioelectrical impedance analysis was used to evaluate the muscle and fat mass. Results: The respiratory muscle strength, body trunk muscle mass, serum albumin level, somatic fat mass, and tongue pressure were significantly lower in pneumonia patients than in controls. Risk factors for the onset of pneumonia were low inspiratory respiratory muscle strength (odds ratio [OR], 6.85; 95% confidence interval [CI], 1.56–30.11), low body trunk muscle mass divided by height2 (OR, 6.86; 95% CI, 1.49–31.65), and low serum albumin level (OR, 5.46; 95% CI, 1.51–19.79). For the relapse of pneumonia, low somatic fat mass divided by height2 was a risk factor (OR, 20.10; 95% CI, 2.10–192.42). Discussion/Conclusions: Respiratory muscle weakness, lower body trunk muscle mass, and malnutrition were risk factors for the onset of pneumonia in older people. For the relapse of pneumonia, malnutrition was a risk factor.

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