scholarly journals Comparison of Tests Used in Malnutrition in Hospitalized Geriatric Patients, Relationship with Anthropometric Measurements and Hand Grip Strength

2020 ◽  
Vol 2 (1) ◽  
pp. 3-8
Author(s):  
Hakan Yavuzer ◽  
Tuğçe Emiroğlu ◽  
Erol Demir ◽  
Abdulkadir Erçalışkan ◽  
Alper Döventaş ◽  
...  
Author(s):  
Uta Ferrari ◽  
Ralf Schmidmaier ◽  
Theresa Jung ◽  
Martin Reincke ◽  
Sebastian Martini ◽  
...  

Abstract Context Definition of etiological subgroups of sarcopenia may help to develop targeted treatments. Insulin like growth factor (IGF-I), IGF-binding protein 3 (IGFBP3) and acid labile subunit (ALS) build a ternary complex that mediates growth hormone (GH) effects on peripheral organs, such as muscle. Low GH binding protein (GHBP) as a marker of GH receptor number would hint towards GH resistance. Objective Analysis of the association of IGF-I, IGFBP3, and ALS with sarcopenia Study Participants and setting 131 consecutively recruited patients of a geriatric ward for a mono-center cross-sectional analysis, non-sarcopenic patients served as controls. Methods Sarcopenia status by hand grip strength measurement and Skeletal Muscle Index (SMI); IGF-I, IGFBP3, ALS, GH, GH binding protein (GHBP); body mass index (BMI), Activity of Daily Living (ADL), mini mental state test (MMST), routine laboratory parameters, statistical regression modelling. Results Compared to controls, sarcopenic patients did not differ regarding age, sex, ADL, MMST, C reactive protein, glomerular filtration rate and albumin serum concentrations. However, sarcopenic patients had significantly lower IGF-I, IGFBP3 and ALS. IGF I and ALS associated significantly with sarcopenia and low hand grip strength, even after adjustment for age, sex, BMI and albumin, but not with low SMI. GHBP serum was low in sarcopenic patients, but normal in geriatric patients without sarcopenia. Over 60% of patients with IGF-I/ALS deficiency patients showed GH resistance. Conclusions Our data suggest that in geriatric patients low IGF-I/IGFBP3/ALS could be evaluated for causative connection of the sarcopenia spectrum. Low GHBP points towards potential GH resistance as one possible explanation of this deficiency.


Author(s):  
Serdar Gür ◽  
Mehmet Soyal

This study aims to examine the effects of elite female basketball players’ hand anthropometric measurements, hand-grip strength and balance skills on their shooting performance. The age, height, weight, body mass index and hand anthropometric values, hand-grip strength and balance of the athletes were measured, and Aahperd shot tests were applied. Data analysis was performed through SPSS 24 package program. Data analyses included the Shapiro-Wilk Test applied to determine whether there is a normal distribution, and Pearson correlation analysis used to evaluate the correlation status of the parameters with the normal distribution of the data. The average age of the 12 female athletes participating in the study was 21.83 ± 4.407 years, the average height was 171.50 ± 6.95 cm, the average body weight was 68.60 ± 17.96 kg and the mean Body Mass Index was 23.99 ± 4.72. has been determined. It was determined that the average right hand grip strength of 12 female athletes participating in the study was 35.92 ± 6.127 kg and the average left hand grip strength was 32.92 ± 5.807 kg. Among the balance parameters, the balance mean deviation value was determined as 07 ±, 048, the balance average speed value as 42 ± 119, the balance path length value as 12.19 ± 3.473 and the balance area value as 02 ±. The Aahperd shot test mean value was also determined to be 18.67 ± 2.425. The analyses regarding the hand anthropometrics parameter of the 12 athletes indicate that there is no significant correlation between shot performance and hand length, width, palm length, third finger length, hand shape index, finger index and hand surface area. Besides, it is determined that there is no significant correlation between the hand grip strength and balance test results and shooting performance. The data revealed that the dominant hand measurements, test values and shooting performance of the athletes are not significantly correlated. <p> </p><p><strong> Article visualizations:</strong></p><p><img src="/-counters-/edu_01/0770/a.php" alt="Hit counter" /></p>


Cancers ◽  
2021 ◽  
Vol 13 (13) ◽  
pp. 3363
Author(s):  
Kristian Kirkelund Bentsen ◽  
Olfred Hansen ◽  
Jesper Ryg ◽  
Ann-Kristine Weber Giger ◽  
Stefan Starup Jeppesen

The Geriatric 8 (G-8) is a known predictor of overall survival (OS) in older cancer patients, but is mainly based on nutritional aspects. This study aimed to assess if the G-8 combined with a hand-grip strength test (HGST) in patients with NSCLC treated with stereotactic body radiotherapy can predict long-term OS better than the G-8 alone. A total of 46 SBRT-treated patients with NSCLC of stage T1-T2N0M0 were included. Patients were divided into three groups: fit (normal G-8 and HGST), vulnerable (abnormal G-8 or HGST), or frail (abnormal G-8 and HGST). Statistically significant differences were found in 4-year OS between the fit, vulnerable, and frail groups (70% vs. 46% vs. 25%, p = 0.04), as well as between the normal and abnormal G-8 groups (69% vs. 39%, p = 0.02). In a multivariable analysis of OS, being vulnerable with a hazard ratio (HR) of 2.03 or frail with an HR of 3.80 indicated poorer OS, but this did not reach statistical significance. This study suggests that there might be a benefit of adding a physical test to the G-8 for more precisely predicting overall survival in SBRT-treated patients with localized NSCLC. However, this should be confirmed in a larger study population.


Hand ◽  
2021 ◽  
pp. 155894472110172
Author(s):  
Kaisa Jokinen ◽  
Arja Häkkinen ◽  
Toni Luokkala ◽  
Teemu Karjalainen

Background Modern multistrand repairs can withstand forces present in active flexion exercises, and this may improve the outcomes of flexor tendon repairs. We developed a simple home-based exercise regimen with free wrist and intrinsic minus splint aimed at facilitating the gliding of the flexor tendons and compared the outcomes with the modified Kleinert regimen used previously in the same institution. Methods We searched the hospital database to identify flexor tendon repair performed before and after the new regimen was implemented and invited all patients to participate. The primary outcome was total active range of motion, and secondary outcomes were Disabilities of Arm, Shoulder, and Hand; grip strength; globally perceived function; and the quality of life. Results The active range of motion was comparable between the groups (mean difference = 14; 95% confidence interval [CI], −8 to 36; P = .22). Disabilities of Arm, Shoulder, and Hand; grip strength; global perceived function; and health-related quality of life were also comparable between the groups. There was 1 (5.3%) rupture in the modified Kleinert group and 4 (15.4%) in the early active motion group (relative risk = 0.3; 95% CI, 0.04-2.5; P = .3). Conclusions Increasing active gliding with a free wrist and intrinsic minus splint did not improve the clinical outcomes after flexor tendon injury at a mean of 38-month follow-up.


Author(s):  
Francisco Pradas ◽  
Alejandro García-Giménez ◽  
Víctor Toro-Román ◽  
Nicolae Ochiana ◽  
Carlos Castellar

Research on the acute physiological response to a padel match is limited. The present study aimed to: (a) evaluate neuromuscular, urinary, and hematological responses after simulated padel competition (SC) and (b) analyze possible gender differences. In this study, 28 high-level padel players participated (men = 13, age = 26.83 ± 6.57 years; women = 15, age = 30.07 ± 4.36 years). The following parameters were analyzed before and after SC: neuromuscular (hand grip strength, squat jump (SJ), countermovement jump (CMJ), and Abalakov jump (ABK)), hematological (red blood cells, hemoglobin, and hematocrit), and urinary (pH, specific gravity, microalbuminuria, and red blood cells). Significant gender differences were found in neuromuscular and hematological responses, with men obtaining higher values (p < 0.05). For the SC influence, changes were noted in ABK and microalbuminuria (p < 0.05). The percentages of change in hand grip strength, SJ (height and watts), CMJ (height), and ABK (height) were higher for men than women (p < 0.05). SC negatively influenced the neuromuscular parameters to a greater extent in women. Our results could be related to gender differences in game actions, the temporal structure, and anthropometric and physiological characteristics. Game dynamics and a different organic response between male and female padel playing were confirmed.


Sign in / Sign up

Export Citation Format

Share Document