Grip strength in a cohort of older medical inpatients in Malaysia: A pilot study to describe the range, determinants and association with length of hospital stay

Keevil, Victoria L.; Razali, Rizah Mazzuin; Chin, Ai-Vyrn; Jameson, Karen; Sayer, Avan Aihie; Roberts, Helen

doi:10.1016/j.archger.2012.10.005

Cited by 25 publications

(17 citation statements)

References 25 publications

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“…In addition, hand grip strength is often used as a functional index of nutritional status (Jurimae et al, 2009;Kaur, 2009;Tsunawake et al, 2003) and physical performance (Samson et al, 2000). Studies on hand grip strength in Malaysia have been carried out by a number of researchers in different fields (Taha and Nazaruddin, 2005;Keevil et al, 2013;Kamarul et al, 2006;Shahar et al, 2007).…”

Section: Introductionmentioning

confidence: 98%

The relationship between anthropometry and hand grip strength among elderly Malaysians

Shahida

Zawiah

Case

2015

International Journal of Industrial Ergonomics

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Section: Introductionmentioning

confidence: 98%

The relationship between anthropometry and hand grip strength among elderly Malaysians

Shahida

Zawiah

Case

2015

International Journal of Industrial Ergonomics

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“…The main differences occur in the detail, with different cut-points suggested in each definition for the different parameters. This is partly due to variation in normative ranges between populations, particularly with respect to muscle strength and muscle mass (45,(47)(48)(49)(50) . However, there is also ongoing debate about how to define valid cut-points.…”

Section: Sarcopeniamentioning

confidence: 99%

Ageing well: a review of sarcopenia and frailty

2015

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Conference on 'Nutrition and age-related muscle loss, sarcopenia and cachexia' 'Ageing well' has been declared a global health priority by the World Health Organisation and the role of sarcopenia and frailty in late-life health is receiving increasing attention. Frailty is the decline in an individual's homeostatic function, strength and physiologic reserves leading to increased vulnerability, while sarcopenia describes the loss of muscle mass and function with age. The conceptual definitions of these conditions have been widely agreed but there is a lack of consensus on how to measure them. We review the different operational definitions described in the literature and the evidence that, whatever definition used, the prevalence and clinical impact of these conditions is high. We also consider the commonality of low physical function to both conditions, a feature which could provide a pragmatic way forward in terms of identifying those at risk. Objective measures of physical function such as usual walking speed are simple and feasible measures, extensively validated against health outcomes. Additionally, clinical applications of sarcopenia and frailty are reviewed with particular consideration to their potential role in the management of older people undergoing surgery. Frailty appears to outperform traditional anaesthetic and surgical risk scores in terms of its association with post-operative complications, length of hospital stay, institutionalisation and mortality. However, even within this sub-specialty area there is wide variation in the approaches used to measure frailty and there is an urgent need for studies to utilise established, validated and reproducible methods to identify sarcopenia and frailty in their study participants, in order to expedite scientific development. Sarcopenia: Frail elderly: AgeingBy 2050 the proportion of the world's population aged ⩾60 years is projected to be 22 %, double the proportion recorded at the turn of the new millennium (1) . Although population ageing is in one way a great public health success story, with mortality rates among older people continuing to fall (2) , in another way it presents significant challenges. For example, in the UK 60 % of people admitted to hospital are ⩾65 years old despite this age-group only comprising 17 % of the total UK population (3) . This disproportionate use of healthcare services by older people not only demonstrates the significant economic implications of an ageing population (4) , but also the morbidity experienced by many older people, reducing quality of life. However, it is not inevitable that *Corresponding author: Dr V. L. Keevil, fax +44 (0)1223 748676, email vlk20@cam.ac.uk Abbreviations: CGA, comprehensive geriatric assessment; FI, frailty index; PFP, physical frailty phenotype.

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“…(5) A pilot study conducted on a cohort of older inpatients in a geriatric ward in Malaysia revealed that after adjustment for gender, age and height, HGS of the patients was negatively associated with length of hospital stay. (8) HGS may, therefore, have the potential to be a prognostic indicator for acute hospital episodes, with the possibility of wider application. (9) As HGS measurement is simple, noninvasive and relatively inexpensive, it may also be used to help determine appropriate interventions, measure response to therapy and manage healthcare resources.…”

Section: Introductionmentioning

confidence: 99%

Normative data for hand grip strength and key pinch strength, stratified by age and gender for a multiethnic Asian population

Lam¹,

Goh²,

Kamaruzzaman³

et al. 2016

smedj

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INTRODUCTIONHand strength is a good indicator of physical fitness and frailty among the elderly. However, there are no published hand strength references for Malaysians aged > 65 years. This study aimed to establish normative data for hand grip strength (HGS) and key pinch strength (KPS) for Malaysians aged ≥ 60 years, and explore the relationship between hand strength and physical ability. RESULTS 362 subjects aged 60-93 years were recruited. The men were significantly stronger than the women in both HGS and KPS (p < 0.001). The hand strength of the study cohort was lower than that of elderly Western populations. Significant correlations were observed between hand strength, and residential area (p < 0.001), FRT (r = 0.236, p = 0.028), TUG (r = −0.227, p = 0.009) and JTHFT (r = −0.927, p < 0.001). METHODSCONCLUSION This study established reference ranges for the HGS and KPS of rural and urban elderly Malaysian subpopulations. These will aid the use of hand strength as a screening tool for frailty among elderly persons in Malaysia. Future studies are required to determine the modifiable factors for poor hand strength.

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Grip strength in a cohort of older medical inpatients in Malaysia: A pilot study to describe the range, determinants and association with length of hospital stay

Cited by 25 publications

References 25 publications

The relationship between anthropometry and hand grip strength among elderly Malaysians

The relationship between anthropometry and hand grip strength among elderly Malaysians

Ageing well: a review of sarcopenia and frailty

Normative data for hand grip strength and key pinch strength, stratified by age and gender for a multiethnic Asian population

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