The Correlation of Hand Grip Strength and Nutritional Status with Functional Ability among the Elderly Women

Rationale: The progressive decline in skeletal muscle strength and function during aging can lead to disability and premature death. It is of interest to evaluate the potential of bioimpedance phase angle (PhA) as an instrumental marker of sarcopenia in clinical practice.Aim: To identify an association between the phase angles determined by the bioimpedance analysis of body composition, with functional activity parameters in elderly women with multiple comorbidities.Materials and methods: The study included 146 elderly women (aged 75 to 84 years, mean age 79.44±2.56 years). Assessments consisted of the Charlson comorbidity index, “Vozrast ne pomekha” (Age is not a hindrance) questionnaire, the Barthel index, the sit-to-stand five-repeat test, the standardized 4-meter walking speed test, and bioimpedance analysis of body composition (ABC02, Medass, Russia). Muscle strength parameters were assessed by wrist dynamometry with a mechanical wrist dynamometer. The hand dynamometry index was calculated by dividing the hand grip strength by the patient's squared height. According to the EWGSOP2 guidelines for the critical cur-off for hand dynamometry, the patients were divided into two groups: those with the hand grip strength>16 kg (n=41) and those with<16 kg (n=105).Results: There were significant correlations of PhA with age (r=-0.369; p=0.017), the results of the screening questionnaire “Vozrast ne pomekha” (Age is not a hindrance) (r=-0.359; p=0.023), Barthel index (r=0.375; p=0.018), hand dynamometry (r=0.395; p=0.014), hand dynamometry index (r=0.340; p=0.021), lean body mass (r=0.414; p=0.009), musculoskeletal mass (r=0.819; p<0.001), proportion of musculoskeletal mass (r=0.796; p<0.001), walking speed (r=0.670; p<0.001), and the results of the sit-to-stand test (r=-0.541; p<0.001). Sarcopenia was diagnosed in 61 women (41.8%). There were also significant differences in age, hand dynamometry results, hand dynamometry index, walking speed and results of the sit-to-stand test between the two groups depending on their hand grip strength.Conclusion: The use of hand dynamometry, physical activity tests, and bioimpedance phase angle can be used in clinical practice to diagnose sarcopenia.

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Physical function tests predict incident falls: A prospective study of 2969 men in the Swedish Osteoporotic Fractures in Men study

Scandinavian Journal of Public Health ◽

10.1177/1403494818801628 ◽

2018 ◽

Vol 48 (4) ◽

pp. 436-441 ◽

Cited By ~ 3

Author(s):

Marcus E. Cöster ◽

Magnus Karlsson ◽

Claes Ohlsson ◽

Dan Mellström ◽

Mattias Lorentzon ◽

...

Keyword(s):

Grip Strength ◽

Osteoporotic Fractures ◽

The Elderly ◽

Population Based ◽

Hand Grip Strength ◽

Test Time ◽

Physical Test ◽

Walking Test ◽

Hand Grip ◽

Physical Tests

Aims: Falls are common in the elderly population, and fall-related injuries are a major health issue. We investigated the ability of simple physical tests to predict incident falls. Methods: The Swedish Osteoporotic Fractures in Men (MrOS) study includes 3014 population-based men aged 69–81 years at the start of the study. These men performed five different physical tests at baseline: right-hand grip strength, left-hand grip strength, timed stand test, 6 m walking test (time and steps) and narrow walking test. During the first study year, we asked participants to fill out questionnaires regarding falls 4, 8 and 12 months after baseline. A total of 2969 men completed at least one questionnaire and were included in this study. We used generalised estimating equations and logarithmic regression models to estimate odds ratios for fallers and recurrent fallers (more than one fall during the one-year examination period) in each quartile of men for each physical test. Results: The proportions of fallers and recurrent fallers were higher in the lowest quartile of the physical tests than in the other three quartiles combined for all physical tests. A reduction of one standard deviation in respective physical test resulted in a 13–21% higher risk of becoming a faller and a 13–31% higher risk of becoming a recurrent faller. Conclusions: Low results on simple physical tests is a risk factor for incident falls in elderly Swedish men and may facilitate identification of high-risk individuals suitable for fall-intervention programs.

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An Association of Nutritional Status and Hand Grip Strength in Female Labourers of North India

The Anthropologist ◽

10.1080/09720073.2010.11891162 ◽

2010 ◽

Vol 12 (4) ◽

pp. 237-243 ◽

Cited By ~ 3

Author(s):

Navdeep Kaur ◽

Shyamal Koley

Keyword(s):

Nutritional Status ◽

Grip Strength ◽

Hand Grip Strength ◽

North India ◽

Hand Grip

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The Relationship Between Hand Grip Strength and Nutritional Status Determined by Malnutrition Inflammation Score and Biochemical Parameters in Hemodialysis Patients

Journal of Renal Nutrition ◽

10.1053/j.jrn.2020.01.026 ◽

2020 ◽

Vol 30 (6) ◽

pp. 548-555 ◽

Cited By ~ 1

Author(s):

Hasan Bakkal ◽

Oguzhan Sıtkı Dizdar ◽

Selahattin Erdem ◽

Sinan Kulakoğlu ◽

Berkan Akcakaya ◽

...

Keyword(s):

Nutritional Status ◽

Grip Strength ◽

Biochemical Parameters ◽

Hemodialysis Patients ◽

Hand Grip Strength ◽

Hand Grip ◽

The Relationship ◽

Inflammation Score

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Associations of Body Composition and Physical Activity with Balance and Walking Ability in the Elderly

Journal of Physical Activity and Health ◽

10.1123/jpah.2.3.298 ◽

2005 ◽

Vol 2 (3) ◽

pp. 298-306 ◽

Cited By ~ 7

Author(s):

Maija Hassinen ◽

Pirjo Komulainen ◽

Timo A. Lakka ◽

Sari B. Väisänen ◽

Rainer Rauramaa

Keyword(s):

Physical Activity ◽

Body Composition ◽

Waist Circumference ◽

Grip Strength ◽

Field Tests ◽

The Elderly ◽

Hand Grip Strength ◽

Walking Ability ◽

Muscular Fitness ◽

Hand Grip

Background:The epidemic of sedentary lifestyle and obesity increases the risk of disability with aging. We studied the relationships of body composition, physical activity, and muscular fitness with balance and walking ability.Methods:Men and women, age 70 to 74 y (n = 146), were randomly selected from the Finnish population register. Body composition [body weight, body-mass index (BMI), waist circumference], physical activity (questionnaire), muscular fitness (hand-grip strength), balance (commonly used field tests), and walking ability (20 m walking test) were assessed.Results:BMI (r = –0.287, P < 0.001), waist circumference (r = –0.260, P = 0.002), physical activity (r = 0.206, P = 0.013), and hand-grip strength (r = 0.244, P = 0.003) correlated with balance. BMI (r = 0.330, P < 0.001), waist circumference (r = 0.237, P = 0.004), physical activity (r = –0.252, P = 0.002), and hand-grip strength (r = –0.307, P < 0.001) also correlated with walking time.Conclusions:Overweight and central obesity as well as low muscular fitness associate with impaired balance and walking ability in the elderly.

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

Arquivos de Gastroenterologia ◽

10.1590/s0004-28032016000100007 ◽

2016 ◽

Vol 53 (1) ◽

pp. 31-35 ◽

Cited By ~ 2

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.

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Association between type II diabetes mellitus and hand grip strength in the elderly

Journal of Physics Conference Series ◽

10.1088/1742-6596/1073/4/042035 ◽

2018 ◽

Vol 1073 ◽

pp. 042035

Author(s):

F J Umam ◽

S Setiati

Keyword(s):

Diabetes Mellitus ◽

Grip Strength ◽

Type Ii Diabetes ◽

The Elderly ◽

Type Ii Diabetes Mellitus ◽

Hand Grip Strength ◽

Type Ii ◽

Hand Grip

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

The Journal of Laryngology & Otology ◽

10.1017/s0022215115001486 ◽

2015 ◽

Vol 129 (7) ◽

pp. 706-709 ◽

Cited By ~ 2

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.

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