Reduced Hand Grip Strength in Overweight and Obese Chronic Hepatitis C Patients

Bruch, Juliana Paula; Álvares‐da‐Silva, Mário Reis; Alves, Bruna Cherubini; Dall’Alba, Valesca

doi:10.1590/s0004-28032016000100007

Cited by 10 publications

(5 citation statements)

References 32 publications

(37 reference statements)

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“…(29) This outcome was contrary to the one previous study done by Juliana Paula BRUCH, et all which concluded that those who were overweight or obese had weak HGS than those who were of a healthy weight. (30) Gender and age are the two main factors that influence handgrip strength, while gender accounting for the majority of the total variation. (11) Association of age and HGS of dominant and non-dominant hand had also been evaluated in this study.…”

Section: Discussionmentioning

confidence: 99%

Association of Hand Grip Strength with BMI in Cardiovascular Disease Patients

Gulzar¹,

Waheed²,

Islam³

et al. 2022

PJMHS

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Background: The strength of one's grip is a good determining factor of their overall muscularity. Grip strength can be utilized in a variety of circumstances to assess and monitor a variety of health-related conditions. Objective: To evaluate the association of hand grip strength with BMI in cardiovascular disease patients. Methodology: An analytical cross sectional study was done on a population basis. A total of 256 patients of cardiovascular diseases were included in this study. Data were collected through purposive sampling technique. A proforma used to get demographic data including name, age, height, weight and occupation. Their BMI was also calculated. Hand grip strength was measured through handheld dynamometer of both hands. Three trials were performed by the patients from both hands. Results: Out of 256 total participants, 133 (52%) were males and 123 (48%) were females. Their mean age was 51.12 (SD = 12.513) and mean BMI was 26.533 (SD = 5.1012). Hand grip strength (HGS) and body mass index (BMI) had a negative and statistically significant association, for dominant hand (pearson’s r = -0.309, p = 0) and for non-dominant hand (pearson’s r = -0.308, p = 0). Mean hand grip strength of dominant hand was 24.677 (SD = 9.0567) and of non-dminant hand was 21.861 (SD = 8.8035). Age and duration of diseases also had a negative and statistically significant association with the hand grip strength of both hands of the patients with p value 0. Conclusion: It was concluded that the BMI had a great impact on HGS. Presence of CVD and the duration of this disease also affect HGS. With increasing age and obesity hand grip strength decreases. Keywords: Body mass index, Hand grip strength, Cardiovascular diseases.

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Section: Discussionmentioning

confidence: 99%

Association of Hand Grip Strength with BMI in Cardiovascular Disease Patients

Gulzar¹,

Waheed²,

Islam³

et al. 2022

PJMHS

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“…After a verbal command, three repetitions are performed for each hand, with as much strength as possible with a 30-second-interval between each attempt for the same hand. For the analysis, it is considered the highest value obtained from the dominant hand, normalized by body weight [37]. 6-Minute Walk Test: The participants' aerobic functional capacity is measured indirectly by the submaximal six-minute walk test, which is performed on a 30-meter flat course.…”

Section: Physical Testsmentioning

confidence: 99%

Randomized controlled trial protocol: A quanti-quali approach for analyzing the results of an intervention on the waiting list for bariatric surgery

et al. 2019

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Objective This article aims to describe the protocol of a randomized clinical trial and the baseline results of the study of a one-year interdisciplinary intervention in users of the public health system in the bariatric surgery waiting list. Methods A randomized, single-blind clinical trial will be conducted including 88 participants recruited on an outpatient clinic of the public health system. Participants were randomized into the control group (n=44), receiving the usual treatment; and into the intervention group (n=44), participating in the educational intervention. Participants had their food intake, negative affectivity and physical inactivity/sedentary behavior assessed, as well as anthropometric and body composition measurements; their blood samples were collected; and also had different physical capacity tests. Results Of the 157 participants invited, 27 had severe functional limitations, one was under-age, and four declined the study due to associated diseases. Eighty-eight participants were randomized: 44 for the Control Group and 44 for the Intervention Group. When comparing the demographic and biochemical characteristics, there were no differences between groups except for serum glucose (GC=110.4±46.8mg/dL and GI93.1±16.9mg/dL, p=0.039). Conclusion This study protocol describes the methodology used in the study of educational intervention for the promotion of health care of patients on the waiting list for bariatric surgery. It shows that there is similarity between the baseline comparison groups. Registro Brasileiro de Ensaios Clínicos (Brazilian Clinical Trials Registry), RBR-775y3d.

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“…Additionally, even patients with chronic liver disease who are not cirrhotic can have malnutrition. In this group of patients, malnutrition may be masked by obesity[ 5 ]. Due to the increasing prevalence of non-alcoholic fatty liver disease, overweight and obesity are becoming more common in cirrhotic patients.…”

Section: Introductionmentioning

confidence: 99%

Nutritional assessment in patients with liver cirrhosis

Ali¹,

Sneineh²,

Hasweh³

2022

World J Hepatol

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Malnutrition is a liver cirrhosis complication affecting more than 20%-50% of patients. Although the term can refer to either nutrient deficiency or excess, it usually relates to undernutrition in cirrhosis settings. Frailty is defined as limited physical function due to muscle weakness, whereas sarcopenia is defined as muscle mass loss and an advanced malnutrition stage. The pathogenesis of malnutrition in liver cirrhosis is multifactorial, including decreased oral intake, maldigestion/malabsorption, physical inactivity, hyperammonemia, hypermetabolism, altered macronutrient metabolism and gut microbiome dysbiosis. Patients with chronic liver disease with a Body Mass Index of < 18.5 kg/m 2 and/or decompensated cirrhosis or Child-Pugh class C are at the highest risk of malnutrition. For patients at risk of malnutrition, a detailed nutritional assessment is required, typically including a history and physical examination, laboratory testing, global assessment tools and body composition testing. The latter can be done using anthropometry, cross-sectional imaging including computed tomography or magnetic resonance, bioelectrical impedance analysis and dual-energy X-ray absorptiometry. A multidisciplinary team should screen for and treat malnutrition in patients with cirrhosis. Malnutrition and sarcopenia are associated with an increased risk of complications and a poor prognosis in patients with liver cirrhosis; thus, it is critical to diagnose these conditions early and initiate the appropriate nutritional therapy. In this review, we describe the prevalence and pathogenesis of malnutrition in liver cirrhosis patients and discuss the best diagnostic approach to nutritional assessment for them.

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Reduced Hand Grip Strength in Overweight and Obese Chronic Hepatitis C Patients

Cited by 10 publications

References 32 publications

Association of Hand Grip Strength with BMI in Cardiovascular Disease Patients

Association of Hand Grip Strength with BMI in Cardiovascular Disease Patients

Randomized controlled trial protocol: A quanti-quali approach for analyzing the results of an intervention on the waiting list for bariatric surgery

Nutritional assessment in patients with liver cirrhosis

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