Association of Hand Grip and Pinch Strength Reading with Nutritional Health Status Among Orang Asli in Perak, Malaysia

Abstract Background Systemic lupus erythematosus (SLE) patients often suffer hand function limitations even in the absence of symptoms related to joint or tendon disorders. Recent researches reported the presence of ultrasonographic (US) subclinical synovitis and tendon involvement in asymptomatic patients. We aimed to assess US patterns in SLE patients and determine their relationship with clinical assessment, disease activity and hand functional status using handheld dynamometry. Results We assessed 30 SLE patients (60 hands) using US; 21 (70%) patient had synovial hypertrophy, 8 (26%) showed a power Doppler (PD) activity, 6 (20%) had erosions and 11 (36.6%) had tendon US abnormality. Both patients with hand arthralgia/arthritis (symptomatic) and patients without arthralgia/arthritis (asymptomatic) had a statistically insignificant difference regarding the global synovitis score (p = 0.2) and disease activity (p = 0.3). However, the symptomatic group had a significantly increased number of joints with effusion (p = 0.04) and tendons involved (p = 0.04). The mean grip strength had a significant negative correlation with SLEDAI-2 K score (rs = − 0.4, p = 0.02) in the total patient group. In the asymptomatic group, a negative correlation was found between both mean grip (rs = − 0.5, p = 0.04) and pinch strength (rs = − 0.6, p = 0.01) with PD index, and mean pinch strength with the Jaccoud’s arthropathy index (rs = − 0.49, p = 0.05). Conclusions SLE patients may have higher subclinical synovitis, erosions and tendon involvement than expected, which may in turn reduce hand grip and pinch strength. Disease activity may also have a negative impact on the hand grip functional strength.

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A pilot study investigating the effect of pedalling exercise during dialysis on 6-min walking test and hand grip and pinch strength

The International Journal of Artificial Organs ◽

10.1177/0391398818823761 ◽

2019 ◽

Vol 42 (4) ◽

pp. 161-166 ◽

Cited By ~ 1

Author(s):

Manasi Desai ◽

Ahmed Mohamed ◽

Andrew Davenport

Keyword(s):

Body Composition ◽

Pilot Study ◽

Grip Strength ◽

Muscle Function ◽

Exercise Programme ◽

Hand Grip Strength ◽

Pinch Strength ◽

Cycling Exercise ◽

Walking Test ◽

Hand Grip

Introduction: Haemodialysis patients are at an increased risk of sarcopenia. Physical inactivity is now recognised as a major cause of muscle wasting in haemodialysis patients. It is unclear as to what and how much exercise is required to show benefit. We therefore performed a pilot study of cycling during haemodialysis. Methods: Patients underwent a progressive submaximal individualised cycling exercise, 3× a week during haemodialysis for 4 months using bed-cycle ergometers. Body composition was measured by multifrequency segmental bioimpedance and muscle function by 6-min walking test, and hand grip strength and pinch strength. Results: In total, 56% of patients in a dialysis centre fulfilled exercise study inclusion criteria and 13 (72.2%) of 18 patients completed the exercise programme, with the mean age of 64.0 ± 16.6 years and 76.9% being male. The 6-min walking test increased following exercise from 349 ± 105 to 398 ± 94.2 m, p < 0.05, as did both hand grip strength and pinch strength, with 20.4 ± 9.1 versus 23.4 ± 9.9 kg, p < 0.01, and 4.3 ± 1.8 versus 5.9 ± 2.4 kg, p < 0.05, respectively. There were no changes in appendicular muscle mass or other body composition detected with bioimpedance in either the exercise group, or 21 control patients, propensity matched for body composition, comorbidity and frailty. Muscle strength did not change in the control group. Haemodialysis sessional Kt/Vurea was greater at the end of the exercise programme compared to controls (1.63 ± 0.63 vs 1.21 ± 0.12, p < 0.01). Conclusion: The majority of dialysis centre patients met our exercise study entry criteria and could potentially benefit from cycling during haemodialysis. We found that muscle function and strength improved after a 4-month, thrice weekly cycling exercise programme.

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Food Consumption Pattern and Nutritional Health Status of Hill Farm Women

Journal of Krishi Vigyan ◽

10.5958/2349-4433.2014.01245.8 ◽

2014 ◽

Vol 3 (1) ◽

pp. 33

Author(s):

Chanderkanta Vats

Keyword(s):

Health Status ◽

Food Consumption ◽

Farm Women ◽

Consumption Pattern ◽

Nutritional Health ◽

Food Consumption Pattern

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Assessment of Government Feeding Programme on Improved Nutritional Health Status of Secondary School Students in Maiduguri, Borno State

Journal of Food Technology Research ◽

10.18488/journal.58.2017.42.32.39 ◽

2017 ◽

Vol 4 (2) ◽

pp. 32-39

Author(s):

Tijjani Sumayya Abdulkarim ◽

Balami Adamu ◽

Abdulkadir Kamar

Keyword(s):

Health Status ◽

Secondary School ◽

Secondary School Students ◽

School Students ◽

Nutritional Health

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Measurement of Muscle Strength in Haemodialysis Patients by Pinch and Hand Grip Strength and Comparison to Lean Body Mass Measured by Multifrequency Bio-Electrical Impedance

Annals of Nutrition and Metabolism ◽

10.1159/000447023 ◽

2016 ◽

Vol 68 (4) ◽

pp. 268-275 ◽

Cited By ~ 14

Author(s):

Yukie Omichi ◽

Methavee Srivareerat ◽

Kwanpeemai Panorchan ◽

George H.B. Greenhall ◽

Sanjana Gupta ◽

...

Keyword(s):

Muscle Strength ◽

Grip Strength ◽

Cell Mass ◽

Hand Grip Strength ◽

Whole Body ◽

Pinch Strength ◽

Segmental Body ◽

Hand Grip ◽

Total Body ◽

Venous Fistula

Background: Muscle weakness is a risk factor for mortality in haemodialysis (HD) patients; we wished to determine whether measuring the composition of the arm with bioimpedance was associated with arm muscle strength. Methods: We measured pinch strength (PS) and hand grip strength (HGS) in 250 adult HD patients with corresponding post-dialysis multifrequency bioelectrical assessments with segmental body analysis. Results: Mean age 64.0 ± 15.6, 66% male and 45.6% diabetic. The maximum HGS in the dominant or non-fistula arm was 18.9 ± 9.2 kg and PS 4.09 ± 1.96 kg respectively, with a correlation of r = 0.80, p < 0.001. HGS was associated with body cell mass (β 0.37, p < 0.001) and PS with appendicular muscle mass (β 0.06, p < 0.001). Both HGS and PS were independently associated with the ratio of extracellular water (ECW) to total body water (TBW); β -139.5, p = 0.024, β -44.8, p < 0.001 in the arm. The presence of an arterio-venous fistula increased the ECW/TBW ratio in the arm from 0.383 ± 0.009 to 0.390 ± 0.012, p < 0.05. Conclusion: Muscle strength measured by HGS and PS was associated with both markers of whole body and segmental body composition within the arm, particularly ECW/TBW. Bioimpedance measurements and assessment of muscle strength should be measured in the non-fistula arm.

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Associations between hand function and electrophysiological measurements in hand osteoarthritis patients of different ages with or without carpal tunnel syndrome

Scientific Reports ◽

10.1038/s41598-020-74795-2 ◽

2020 ◽

Vol 10 (1) ◽

Author(s):

Young Hoon Kim ◽

Eun Young Han ◽

Jinseok Kim ◽

Kyu-Bum Seo ◽

Young Tae Jeon ◽

...

Keyword(s):

Carpal Tunnel Syndrome ◽

Carpal Tunnel ◽

Nerve Conduction ◽

Hand Function ◽

Sensory Nerve ◽

Male Gender ◽

Pinch Strength ◽

Hand Osteoarthritis ◽

Hand Grip ◽

Tunnel Syndrome

Abstract Osteoarthritis is a common degenerative disease that most frequently involves the hand. The objective was to compare clinical functional outcome measures including hand grip, pinch strength, and dexterity with various electrophysiological measures in patients of different ages with hand osteoarthritis with or without the presence of carpal tunnel syndrome (CTS). Patients with hand osteoarthritis (208 patients, 404 hands) who underwent hand-function tests and motor and sensory nerve conduction studies (NCS) between June 2015 and June 2016 were enrolled. The patients’ hands were assigned to carpal tunnel syndrome (CTS) (206 hands; mean age, 56.37 ± 10.52; male:female, 46:160) or control groups (198 hands; mean age, 57.88 ± 9.68; male:female, 55:143). The strength of hand grip and lateral pinch, the time required to complete the nine-hole pegboard test (9HPT), and motor and sensory nerve conduction parameters were measured and compared across age groups and between hands with or without CTS. The CTS group showed significantly lower hand grip and lateral pinch strength, and a longer time to complete the 9HPT in comparison with the control group. Female patients showed significantly lower hand grip and lateral pinch strength than male patients. However, there was no difference in the 9HPT completion time between genders. Multivariate regression analysis identified the amplitude of the median compound muscle action potential (CMAP), age, and male gender as independent predictors of grip strength (adjusted R2 = 0.679), and amplitude of median CMAP and male gender as independent predictors of KP strength (adjusted R2 = 0.603). Velocity of median CMAP, amplitude of median sensory nerve action potential, and age were identified as independent predictors of 9HPT time (adjusted R2 = 0.329). Nerve conduction measurements were significantly related to hand-function test results, and CTS induced significant deficits in strength and performance of the affected hand.

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Assessment of Physiological Health Status in Relations to Different Anthropometric and Cardio-Respiratory Measures of Head-Supported Load Carrying Male Porters of Sikkim, India

International Journal of Pharmaceutical and Clinical Research ◽

10.25258/ijpcr.v9i2.8291 ◽

2017 ◽

Vol 9 (2) ◽

Author(s):

Koushik Bhattacharya ◽

Mahuya Patra Budiati

Keyword(s):

Health Status ◽

Intervention Strategy ◽

Physiological Status ◽

Hand Grip ◽

Effective Intervention Strategy ◽

Hilly Region ◽

Significant Difference ◽

Load Carrying ◽

Seeking Behavior ◽

Heavy Loads

Background: Carrying heavy loads in the hilly region, porters face extreme ranges in terrain condition, sloped path that is very steep and lack of oxygen due to altitude. The porters in Sikkim, India, routinely carry head-supported loads, which often exceed their body weight, over long distances up and down the steep mountain footpaths which prompted us to assess occupational health status of these head supported load carrying porters. Objective: We aimed our study to evaluate physical and physiological status of male porters of Gangtok, Sikkim. Methods: Seventeen male porters and twenty one healthy as well as age matched (Age: 37 – 52 years) control subjects were selected for the study. Different physical, anthropometric and physiological parameters were studied. Students “t” test was performed to find out the significant difference (P less than 0.05), if any, between the selected variables. Results: Results of this study on male porters suggest that they are physically healthy but having spinal shrinkage along with lower hand grip strength and PEFR. Conclusion: This study supports the hypothesis that the male porters are associated with decreased lung function and increased spinal shrinkage. To develop an effective intervention strategy, the treatment seeking behavior of individuals would also need to be improved through awareness program

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