Handgrip measurement as a useful benchmark for locomotive syndrome in patients with type 2 diabetes mellitus: A KAMOGAWA‐DM cohort study

Abstract

Aims/Introduction To carry out a cross‐sectional single‐center study in a Japanese hospital to determine the diagnostic value of handgrip measurement to detect locomotive syndrome (LS). Materials and Methods Consecutive outpatients underwent an LS risk test, which comprised a stand‐up test and a two‐step test, and a handgrip measurement, along with general diabetes‐related tests. We calculated the prevalence of LS, and evaluated the association between handgrip strength and LS. Results We enrolled 234 patients in this study. The prevalence of LS in the stand‐up and two‐step tests was 51.5 and 79.0%, respectively. The prevalence of LS in the stand‐up or two‐step tests increased with age both in men and women. Using the stand‐up and two‐step tests, 107 patients (46.7%) were diagnosed with LS. The area under the receiver operating characteristic curve, used to assess our identification of LS in terms of grip strength in men and women, showed 95% confidence intervals of 0.703 (0.563–0.813) and 0.698 (0.500–0.842), respectively. The odds ratios of grip strength for LS were 0.90 (95% confidence interval 0.83–0.97) and 0.87 (95% confidence interval 0.76–0.98) in men and women, respectively. Conclusions Our findings showed that handgrip measurement was useful in detecting LS, and LS should be considered when evaluating patients with type 2 diabetes mellitus.

Evaluation of Sit-to-Stand Movement in Older Adults with Locomotive Syndrome Using the Nintendo Wii Balance Board

“…The relationship between simple physical functional tests and the STS score in older adults was also examined. Consistent with previous studies [ 55 , 56 , 57 , 58 , 59 ], this study showed significant differences in the TUG time, OLS time, and handgrip strength among the groups. A clinical prediction rule using these physical tests to assess the severity of LS in older adults was previously proposed [ 56 ].…”

Faktor yang Berhubungan dengan Locomotive Syndrome pada Lansia

“…Seperti pada penelitian sebelumnya yang dilaukan oleh Kitagawa et al, bahwa hand grip strength dapat digunakan untuk mendeteksi LS. 15…”

Sarcopenia in elderly diabetes

“…Several studies showed that the muscle mass index and muscle strength were lower in older patients with diabetes than those without diabetes 5 . Older adults with diabetes have been reported to have lower handgrip strength 6 . Greater loss in thigh muscle was also observed in older women with diabetes compared with the non‐diabetes population 7 .…”