Assessment of Relationship Between Nutritional Status and Handgrip Strength in Hemodialysis Patients

Abstract

In hemodialysis patients, the prevalence of malnutrition is high; a decrease in muscle strength is observed.
 The objective of the research was to evaluate the nutritional status of hemodialysis patients and the relationship between the nutritional status and muscle strength.
 Materials and Methods. Sixty hemodialysis patients (38 males, 22 females) were chosen from among volunteers. Food consumption, biochemical values, anthropometric measurements, body composition, physical activity status, subjective global assessment, and handgrip strength in individuals were examined.
 Results. According to subjective global assessment, 73.3% of patients were well-nourished, 26.7% of patients were moderately malnourished. In male patients, a moderate positive correlation was determined between handgrip strength and lean body mass (r=0.359, p<0.05), albumin level (r=0.408, p<0.05), energy intake (r=0.437, p<0.05), protein intake (r=0.345, p<0.05). In female patients, a moderate positive correlation was determined between handgrip strength and body weight (r=0.470, p<0.05), body mass index (r=0.472, p<0.05), triceps skinfold thickness (r=0.530, p<0.05), mid-upper arm circumference (r=0.515, p<0.05), mid-upper arm muscle circumference (r=0.557, p<0.05), lean body mass (r=0.470, p<0.05), body fat content (%) (r=0.588, p<0.05), albumin level (r=0.565, p<0.05).
 Conclusions. Handgrip strength alongside with more than one method of food consumption, biochemical parameters, subjective global assessment, anthropometric measurements, and body composition should be used for assessing the nutritional status in hemodialysis patients.

Evaluation of the relationship between dietary energy and protein intakes and anthropometric measurements in hemodialysis patients

“…According to the SGA scores of the patients participating in the study, 78.4% were in the well-nourished group and 21.6% were in the moderate malnutrition group. Similarly, in a study conducted by Yilmaz and Rakicioğlu, [23] 73.3% of the patients were well-nourished and 26.7% were moderately malnourished according to SGA. Gencer et al [24] reported that 85.5% of the patients were well-nourished, and 14.5% were moderately malnourished.…”

“…In the evaluation of hand grip strength of these patients, reference values of healthy individuals are used. [23] Pekcan and Kılıç, [28] reported the reference hand grip strength values for healthy individuals as 42.3 ± 7.3 kg for the right hand and 41.5 ± 7.3 kg for the left hand in males; 24.7 ± 5.2 kg for the right hand and 23.2 ± 5.0 kg for the left hand in females. In our study, hand grip strength was 19.39 ± 5.70 kg and 12.40 ± 5.58 [17.60 (12.70-35.80); 12.15 (6.00-28.40)] kg for male and female patients.…”

“…In our study, MHD patients had very low hand grip strength values compared to the reference values for healthy individuals. In a study conducted by Yilmaz and Rakicioğlu [23] to evaluate the nutritional status of MHD patients and the relationship between nutritional status and muscle strength, hand grip strength was determined as 24.6 (8.2–42.8) and 11.6 (5.4–22.8) kg in male and female patients, respectively. Hand grip strength (kg) values of well-nourished female and male patients were higher than those of moderately malnourished female and male patients in our study.…”