Hand Grip Strength: An Important Tool for Assessment of Nutritional Status in Patients with Liver Cirrhosis

2014 ◽  
Vol 4 ◽  
pp. S47
Author(s):  
Abdul Rauf ◽  
Praveen Sharma ◽  
Matin Abdul ◽  
Pankaj Tyagi ◽  
Naresh Bansal ◽  
...  
Keyword(s):  
Liver Cirrhosis ◽  
Nutritional Status ◽  
Grip Strength ◽  
Hand Grip Strength ◽  
Hand Grip

Hand grip strength: Outcome predictor and marker of nutritional status

2011 ◽  
Vol 30 (2) ◽  
pp. 135-142 ◽  
Author(s):  
Kristina Norman ◽  
Nicole Stobäus ◽  
M. Cristina Gonzalez ◽  
Jörg-Dieter Schulzke ◽  
Matthias Pirlich
Keyword(s):  
Nutritional Status ◽  
Grip Strength ◽  
Hand Grip Strength ◽  
Outcome Predictor ◽  
Hand Grip

scholarly journals REDUCED HAND GRIP STRENGTH IN OVERWEIGHT AND OBESE CHRONIC HEPATITIS C PATIENTS

2016 ◽  
Vol 53 (1) ◽  
pp. 31-35 ◽  
Author(s):  
Juliana Paula BRUCH ◽  
Mário Reis ÁLVARES-DA-SILVA ◽  
Bruna Cherubini ALVES ◽  
Valesca DALL'ALBA
Keyword(s):  
Physical Activity ◽  
Body Mass Index ◽  
Chronic Hepatitis ◽  
Cardiovascular Risk ◽  
Hepatitis C ◽  
Nutritional Status ◽  
Grip Strength ◽  
Chronic Hepatitis C ◽  
Hand Grip Strength ◽  
Hand Grip

ABSTRACT Background Hepatitis C is a liver disease that causes significant changes in metabolism, and also has an impact on nutritional status. Objective To evaluate the nutritional status and cardiovascular risk in patients with chronic hepatitis C. Methods This cross-sectional study investigated 58 patients with chronic hepatitis C, non-cirrhotic and were not under active pharmacological treatment. Patients with significant alcohol consumption (greater than 10 g ethanol/day) were excluded. Patients underwent nutritional assessment through anthropometric measurements and functional assessment using hand grip strength by dynamometry. The physical activity was assessed using the International Physical Activity Questionnaire. Patients also underwent clinical and laboratory evaluation. Cardiovascular risk was calculated by the Framingham score. Results The mean age of patients was 51.6±9.7 years, 55.2% were female, and 79.3% had genotype 1. The most prevalent degree of fibrosis was F1 (37.9%) followed by F2 (27.6%) and F3 (1.7%). The prevalence of overweight/obesity considering the body mass index was 70.7%. However, 57.7% of men and 68.8% of women were considered malnourished according to hand grip strength. These patients also had waist circumference (93.5±10.7 cm) and neck circumference (37.0±3.6 cm) high. Almost 60% of patients were considered sedentary or irregularly active. In relation to cardiovascular risk, 50% of patients had high risk of suffering a cardiovascular event within 10 years. Conclusion Although most patients with hepatitis C presented overweight, associated with high cardiovascular risk, they also have reduced functional capacity, indicative of protein-caloric commitment. Therefore, body mass index can not be considered the only method of assessment for nutritional diagnosis of patients with liver disease. Adopting methods such as hand grip strength can be important for a better understanding of nutritional status of these patients.

Hand-grip strength does not correlate with treatment-related weight loss in patients with head and neck cancer

2015 ◽  
Vol 129 (7) ◽  
pp. 706-709 ◽  
Author(s):  
B Cosway ◽  
M Easby ◽  
S Covington ◽  
I Bowe ◽  
V Paleri
Keyword(s):  
Head And Neck Cancer ◽  
Nutritional Status ◽  
Head And Neck ◽  
Grip Strength ◽  
Neck Cancer ◽  
Nutritional Assessment ◽  
Hand Grip Strength ◽  
Prospective Audit ◽  
Hand Grip ◽  
Routine Assessment

AbstractBackground:Hand-grip strength has been shown to be a reliable predictor of health outcomes. However, evidence supporting its use as an indicator of nutritional status is inconsistent. This study investigated its use in monitoring nutritional status in patients with head and neck cancer.Methods:A prospective audit of patients treated for head and neck cancer was undertaken at four centres over a three-month period in 2009. Nutritional outcomes were collected at 3, 6 and 12 months, and the data were statistically analysed.Results:Data from 114 patients showed that mean weight, but not hand-grip strength, fell significantly at 3, 6 and 12 months post-treatment (p < 0.003 vs p < 0.126).Conclusion:A fall in weight does not coincide with a drop in hand-grip strength in patients receiving treatment for head and neck cancer. Hand-grip strength may therefore not be of benefit in the nutritional assessment of these patients and should not be part of routine assessment.

scholarly journals HAND GRIP STRENGTH AS A NUTRITIONAL ASSESSMENT TOOL IN PATIENTS WITH LIVER CIRRHOSIS.

2016 ◽  
Vol 4 (11) ◽  
pp. 1183-1191
Author(s):  
Shaimaa Elkholy ◽  
◽  
Sherif Mogawer ◽  
Mona Mansour ◽  
Reem Elmessiery ◽  
...  
Keyword(s):  
Liver Cirrhosis ◽  
Grip Strength ◽  
Assessment Tool ◽  
Nutritional Assessment ◽  
Hand Grip Strength ◽  
Hand Grip

scholarly journals Kekuatan genggam tangan, skor Child Pugh, dan massa otot pada pasien dengan sirosis hati

2018 ◽  
Vol 14 (3) ◽  
pp. 122
Author(s):  
Amanda Trixie Hardigaloeh ◽  
Rino Alvani Gani ◽  
Irsan Hasan ◽  
Andri Sanityoso Sulaiman
Keyword(s):  
Liver Cirrhosis ◽  
Liver Function ◽  
Grip Strength ◽  
Muscle Mass ◽  
Cross Sectional Study ◽  
Hand Grip Strength ◽  
Cost Of Treatment ◽  
Cross Sectional ◽  
Hand Grip

Background: Malnutrition is independent factor related to morbidity, mortality and high cost of treatment in liver cirrhosis. Hand grip strength (HGS) is one of the method use for malnutrition detection and prognosis evaluation. The correlation of HGS with liver function (Child Pugh score) and muscle mass is controversial. These important evaluation is not yet avalaible in Indonesia.Objective: Aim of this study is to assess the role of HGS measurement in malnutrition and its correlation with liver function and muscle mass.Method: This is a cross-sectional study in liver cirrhosis patients at Hepatobiliary Clinic of Cipto Mangunkusumo Hospital from February to June 2015. Nutritional status was assessed by HGS. Muscle mass was obtained from bioimpedance. Data were analyzed using Spearman correlation test.Results: There were 115 patients liver cirrhosis at Hepatobiliary Clinic of Cipto Mangunkusumo Hospital, 112 patients who fit the inclusion criteria, consisted of 79 men and 33 women with mean age 54.15±10.55 years, median Child Pugh score 6 (5-13) with median HGS 26 (11-50) kgF, mean muscle mass 44.43±8.12 kg. The median intake of energy 1334.82 (604.75-3023.7) kkal, median protein 45.87 (19-114.5) gram. Prevalence of malnutrition according HGS was 33%. Hand grip strength is not correlated with Child Pugh score (p=0.046; r=-0.19) however it is correlated with muscle mass (p<0.00; r=0.70).Conclusion: There are 33% malnutrition cases based on HGS in out patient liver cirrhosis. There is no correlation between HGS with Child Pugh score however HGS is correlated with muscle mass in liver cirrhosis.

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