Handgrip strength and its dialysis determinants in hemodialysis patients

Leal, Viviane O.; Stockler‐Pinto, Milena Barcza; Farage, Najla Elias; Aranha, Luciana Nicolau; Fouque, Denis; Anjos, Luiz Antônio dos

doi:10.1016/j.nut.2010.12.012

Cited by 62 publications

(73 citation statements)

References 30 publications

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“…Confirming our findings, in the study by Leal et al, HGS was negatively correlated with body fat ratio and it was not associated with BMI (22). This issue may be explained by the fact that BMI is not a reliable indicator of body composition, in other words it cannot differentiate muscle mass from hypervolemia or fat mass (23).…”

Section: Türk Nefroloji Diyaliz Ve Transplantasyon Dergisi Turkish Nesupporting

confidence: 85%

Handgrip Strength and Serum Uric Acid Levels are Associated with Dialysis-Malnutrition Scores in Chronic Hemodialysis Patients

Başçı¹,

Özkök²,

Kacar³

et al. 2017

Turk Neph Dial Transpl

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OBJECTIVE: Protein-energy-wasting (PEW) is common and contributes to increased mortality in hemodialysis (HD) patients. Herein we aimed to investigate the relationships between the parameters of malnutrition including dialysis malnutrition score (DMS), bioimpedance analysis (BIA), handgrip strength (HGS) in chronic HD patients. MATERIAL and METHODS:Forty chronic HD patients (mean age:58±18 years; males:22) were enrolled. Mid-arm circumference (MAC) measurements and BIA were performed. HGS was measured by a Jamar hydraulic hand dynamometer. RESULTS:HGS, MAC and uric acid levels were higher in patients with mild malnutrition compared to severe malnutrition group. Postdialysis creatinine was associated with lean body ratio (LBR) (r=0.56, p=0.002), DMS (r=-0.57, p=<0.001), HGS (r=0.73, p<0.001) and MAC (r=0.51, p=0.001). DMS was inversely correlated with HGS (r= -0.63, p<0.001), MAC (r= -0.48, p=0.002), total protein (r=-0.36, p=0.02) and uric acid levels (r=-0.54, p<0.001). In linear regression analysis (R 2 =0.58; p<0.001), HGS and uric acid were found to independently predict DMS. HGS was associated with MAC, LBR, uric acid and post-HD urea. HGS was negatively correlated with age, DMS, fat tissue ratio (FTR) and Kt/V. In linear regression analysis (R 2 =0.71; p<0.001), gender, DMS and MAC were found to independently predict HGS.CONCLUSION: HGS and uric acid were significantly associated with dialysis-malnutrition scores. HGS is an easy and reliable test for the evaluation of malnutrition in HD patients.KEy wORDS: Malnutrition, Hemodialysis, Handgrip strength, Dialysis malnutrition score, Uric acid Öz AMAÇ: Protein-enerji tükenmesi sendromu, hemodiyaliz (HD) hastalarında sıktır ve artmış mortalite ile ilişkilidir. Burada, el-sıkma gücünün (ESG); diyaliz malnütrisyon skoru (DMS) ve biyoimpedans analizi (BİA) gibi diğer malnütrisyon parametreleri ile ilişkisinin araştırılması amaçlanmıştır. GEREÇ ve yÖNTEMLER:Kırk kronik HD hastası (ortalama yaş: 58±18 yıl; erkek :22) çalışmaya katıldı. Orta-kol çevresi (OKÇ) ve BİA ölçümleri yapıldı. ESG, Jamar hidrolik el dinamometresi ile ölçüldü.BULGULAR: ESG, OKÇ ve ürik asit seviyeleri, hafif malnütrisyon grubunda, ciddi malnütrisyon grubuna göre daha yüksek saptandı. Postdiyaliz kreatinin seviyeleri, yağsız vücut oranı (YVO) (r=0,56, p=0,002), DMS(r= -0,57, p=<0,001), ESG(r=0,73, p<0,001) ve OKÇ(r=0,51, p=0,001) ile anlamlı olarak ilişkili bulundu. DMS ise ESG 63, p<0,001),48, p=0,002),36, p=0,02) ve ürik asit seviyeleri (r=-0,54, p<0,001) ile ters-ilişkili bulundu. Lineer regresyon analizinde (R 2 =0,58; p<0,001), ESG ve ürik asitin DMS'nin bağımsız öngörücüleri olduğu bulundu. ESG ile OKÇ, YVO, ürik asit ve post-HD üre değerleri ilişkiliydi. Buna karşın ESG; yaş, DMS, yağ doku oranı ve Kt/V ile ters ilişkili bulundu. Lineer regresyon analizinde (R 2 =0,71; p<0,001), cinsiyet, DMS ve OKÇ'nin ESG'nin bağımsız öngörücüleri oldukları gösterildi. SONUÇ: ESG ve ürik asit seviyeleri, diyaliz-malnütrisyon skorlarıyla anlamlı olarak ilişkilidir. ESG, HD hastalarında malnütr...

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Section: Türk Nefroloji Diyaliz Ve Transplantasyon Dergisi Turkish Nesupporting

confidence: 85%

Handgrip Strength and Serum Uric Acid Levels are Associated with Dialysis-Malnutrition Scores in Chronic Hemodialysis Patients

Başçı¹,

Özkök²,

Kacar³

et al. 2017

Turk Neph Dial Transpl

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“…Leal et al 27 , ao avaliar 43 pacientes submetidos a HD, encontrou que a FPM em homens foi significativamente maior do que em mulheres, não havendo diferença estatística em fazer o teste antes ou depois da sessão de HD. Concluiu também, diferentemente do presente estudo, que apesar da alta prevalência de diminuição da FPM, este achado não teve relação com variáveis bioquímicas e fatores de diálise como KT/V e URR.…”

Section: Discussionunclassified

Comparação do nível de atividade física e força de preensão manual com o perfil bioquímico de doentes renais crônicos

2017

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“…In the malnourished and nourished patients according to BMI, SGA and NRS 2002, regardless of confounding factors (age and gender), only BMI was associated with HGS, that is, the mean HGS of the malnourished individuals according to BMI were significantly lower than those of the nourished individuals, which is in agreement with Norman et al 9 and Schlüssel et al 11 . Meanwhile, a study done with hemodialysis patients found that the mean BMI of patients above and within the tenth percentile for HGS did not differ 4 .…”

Section: Discussionmentioning

confidence: 97%

“…However, in the absence of a gold standard, scientists tried to identify new methods capable of accurately diagnosing malnutrition [2][3][4] . Many tools have been used; however, their validity is still controversial 5 .…”

Section: Introductionmentioning

confidence: 99%

Relationship between hand grip strength and nutritional assessment methods used of hospitalized patients

et al. 2013

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OBJECTIVE: This study verified the association between hand grip strength and body mass index, subjective global assessment and nutritional risk screening 2002. METHODS: This cross-sectional study calculated the body mass index, measured hand grip strength and administered the subjective global assessment and nutritional risk screening 2002 to 118 patients hospitalized at the University Hospital of the Universidade Federal de Santa Catarina, Florianópolis, Brazil. Hand grip strength was compared with the reference values for the Brazilian population according to gender and age. The statistical analyses included the Student's t-test or Mann-Whitney test and multiple linear regression. The results were considered significant when p<0.05. RESULTS: The prevalences of nutritional risk or malnutrition according to body mass index, global subjective assessment, nutritional risk screening 2002 and hand grip strength were 3.5%, 50.9%, 33.9% and 35.6%, respectively. Malnourished individuals according to body mass index had, on average, 11.0kg less hand grip strength than the nourished individuals (p=0.008). There was no association between hand grip strength and the subjective global assessment (malnourished individuals had -2.8kg; p=0.078) and nutritional risk screening 2002 (malnourished individuals had -1.5kg; p=0.352). CONCLUSION: Hand grip strength was associated with body mass index but not with the subjective global assessment or nutritional risk screening 2002.

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Handgrip strength and its dialysis determinants in hemodialysis patients

Abstract: Patients using HD presented a high prevalence of MF loss as assessed by HGS, and it was not influenced by dialysis variables. HGS may be used as a reliable nutritional marker in HD, measured before or after HD sessions.

Cited by 62 publications

References 30 publications

Handgrip Strength and Serum Uric Acid Levels are Associated with Dialysis-Malnutrition Scores in Chronic Hemodialysis Patients

Handgrip Strength and Serum Uric Acid Levels are Associated with Dialysis-Malnutrition Scores in Chronic Hemodialysis Patients

Comparação do nível de atividade física e força de preensão manual com o perfil bioquímico de doentes renais crônicos

Relationship between hand grip strength and nutritional assessment methods used of hospitalized patients

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