Normative reference values for hand grip dynamometry in Spain. Association with lean mass.

Sánchez-Torralvo, Francisco José; Porras, Nuria; Fernández, José Abuín; Torres, Francisca García; Tapia, María José; Lima, Fuensanta; Soriguer, Federico; Gonzalo, Montserrat; Rojo-Martínez, Gemma; Olveira, Gabriel

doi:10.20960/nh.1052

Cited by 34 publications

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“…42.3% (52) were supplemented with calcium and 55.3% (68) with vitamin D. 52.2% (64) had vitamin D levels greater than 30 mcg/dl, 27.8% 34 between 20–30 mcg/dl and 20% 25 less than 20 mcg/dl. In addition, we analyzed the levels of calcium and phosphorus and no patient presented alterations in the levels of these (Table 3).…”

Section: Resultsmentioning

confidence: 99%

“…The software used was EnCore 12.3 ( iDXA and Prodigy Advance ). The prevalence of low lean mass was assessed using the fat free mass index (FFMI: kg of lean mass/height 2 ) according to ESPEN (European Society of Parenteral and Enteral Nutrition) criteria (<15 women or <17 men kg/m 2 ) 34 . Muscle strength was assessed using Jamar handgrip dynamometry (Asimow Engineering Co ., Los Angeles , CA ), expressing the data in absolute figures and defining low strength values below the population 10th percentile 13,34,35 .…”

Section: Methodsmentioning

confidence: 99%

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Osteopenia and Osteoporosis in Patients with Bronchiectasis: Association with Respiratory Parameters, Body Composition, Muscle Strength and Bone Remodeling Biomarkers

Contreras-Bolívar

Olveira

Porras

et al. 2019

Sci Rep

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The prevalence of osteopenia/osteoporosis has not been sufficiently studied in people with bronchiectasis not due to cystic fibrosis (BC), nor has its relationship with other variables (clinical, body composition and bone turnover and inflammation markers) been sufficiently studied. Our aim was to determine the prevalence of osteopenia and osteoporosis and related factors in patients with BC. We did a cross-sectional study in people with BC in a clinically stable state. Spirometric parameters, annual exacerbations and analysis with bone turnover markers (BTM) and inflammation markers were evaluated. Densitometry (DXA) was performed for body composition, bone mineral density (BMD) and handgrip strength. 123 patients were studied (65% women, mean age 49.6 ± 18.8, Body Mass Index (BMI) 24.8 ± 4.7 kg/m2). 62.8% and 62.5% of men and women, respectively, had normal bone mineral density, 30.2% and 22.2% osteopenia and 7% and 15% osteoporosis. 52 patients (56.2%) had low fat-free mass: 68.9% women and 28.6% men. Patients with decreased bone mass had significantly lower muscle strength, maximum expiratory volume in the first second (FEV1%), vitamin D, higher levels of C-terminal telopeptide of type 1 collagen (CTX) and total osteocalcin and underarboxylated osteocalcin (ucOC). We observed significant and negative correlations between BMD and the number of serious exacerbations per year CTX and undercarboxylated osteocalcin. We observed significant positive correlations between BMD, fat free mass index (FFMI) and handgrip dynamometry. The study suggest that the prevalence of osteoporosis was high in relation to the demographic characteristics. Respiratory parameters, body composition, muscle strength and bone remodeling markers were associated with a lower bone mineral density.

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Section: Resultsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Osteopenia and Osteoporosis in Patients with Bronchiectasis: Association with Respiratory Parameters, Body Composition, Muscle Strength and Bone Remodeling Biomarkers

Contreras-Bolívar

Olveira

Porras

et al. 2019

Sci Rep

View full text Add to dashboard Cite

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“…They were told to perform three consecutive contractions one minute apart from each other, and the mean value was calculated. Results were expressed in absolute figures, and values under the fifth percentile of the Spanish normative reference data [20] were considered as low strength.…”

Section: Methodsmentioning

confidence: 99%

GLIM Criteria Using Hand Grip Strength Adequately Predict Six-Month Mortality in Cancer Inpatients

et al. 2019

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Protein-calorie malnutrition is very frequent in cancer patients and is associated with an increase in morbidity and mortality. Recently, the Global Leadership Initiative on Malnutrition (GLIM) criteria were proposed to standardize the diagnosis of malnutrition. Nevertheless, these criteria were not validated in prospective studies. Our objective is to determine the prevalence of malnutrition in cancer inpatients using different diagnostic classifications, including GLIM criteria, and to establish their association with length of stay and mortality. Hence, we designed a prospective study. Within the first 24 hours of admission to the Inpatient Oncology Unit, subjective global assessment (SGA) was carried out, and anthropometric data (body mass index (BMI), mid-arm circumference (MAC), arm muscle circumference (AMC), fat-free mass index (FFMI)) and hand grip strength (HGS) were obtained to assess the reduction of muscle mass according to GLIM criteria. Length of stay, biomarkers (albumin, prealbumin, C-reactive protein (CRP)), and in-hospital and six-month mortality were evaluated. Regarding the 282 patients evaluated, their mean age was 60.4 ± 12.6 years, 55.7% of them were male, and 92.9% had an advanced-stage tumor (17.7% stage III, 75.2% stage IV). According to SGA, 81.6% of the patients suffered from malnutrition (25.5% moderate malnutrition, and 56.1% severe malnutrition), and, based on GLIM criteria, malnutrition rate was between 72.2 and 80.0% depending on the used tool. Malnourished patients (regardless of the tool used) showed significantly worse values concerning BMI, length of stay, and levels of CRP/albumin, albumin, and prealbumin than normally nourished patients. In logistic regression, adjusted for confounding variables, the odds ratio of death at six months was significantly associated with malnutrition by SGA (odds ratio 2.73, confidence interval (CI) 1.35–5.52, p = 0.002), and by GLIM criteria calculating muscle mass with HGS (odds ratio 2.72, CI 1.37–5.40, p = 0.004) and FFMI (odds ratio 1.87, CI 1.01–3.48, p = 0.047), but not by MAC or AMC. The prevalence of malnutrition in advanced-stage cancer inpatients is very high. SGA and GLIM criteria, especially with HGS, are useful tools to diagnose malnutrition and have a similar predictive value regarding six-month mortality in cancer inpatients.

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“…Patients were told to perform three consecutive contractions one minute apart from each other, and mean value was calculated. Results were expressed in absolute gures and compared with the reference population [14]. Values under the fth percentile were considered as low strength.…”

Section: Phenotypic Criteriamentioning

confidence: 99%

Relation Between Malnutrition and the Presence of Symptoms of Anxiety and Depression in Hospitalized Cancer Patients

Sánchez-Torralvo

Bolívar

Vico

et al. 2021

Preprint

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BackgroundAnxiety and depression are a common issue in patients with cancer, yet understudied among hospitalized patients. The aim of this study was to estimate the prevalence of anxiety and depression symptomatology in cancer inpatients and its relationship with malnutrition. MethodsCross-sectional study in hospitalized cancer patients. A nutritional assessment was done using GLIM criteria to diagnose malnutrition. Data regarding anxiety and depression symptomatology was obtained with the Hospital Anxiety and Depression Scale (HADS).ResultsA total of 282 inpatients were assessed. GLIM criteria found 20% (66) of well-nourished and 80% (216) with malnutrition. HADS presented an average score of 8.3±4.4 with respect to anxiety and an average score of 7.7 ± 4.6 with respect to depression. 54 % showed a possible presence of anxiety and 45.3% showed a possible presence of depression.In malnourished patients, HADS score tended to be higher with respect to anxiety (8.5±4.3 in malnourished vs 7.1 ± 4.6 in well-nourished; p=0.06) and was significantly higher with respect to depression (8.2 ± 4.6 in malnourished vs 5.3 ± 4.0 in well-nourished; p<0.001).After controlling for potential confounders, malnourished patients were 1.98 times more likely to present anxious symptomatology (95% CI 1.01-3.98; p=0.049) and 6.29 times more likely to present depressive symptomatology (95% CI 1.73-20.47; p=0.005).ConclusionsThe presence of anxiety and depression symptomatology in oncological inpatients is high. There is an association between malnutrition and presenting anxious and depressive symptomatology in hospitalized cancer patients.

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Normative reference values for hand grip dynamometry in Spain. Association with lean mass.

Abstract: Dynamometry reference values in the Spanish population are presented. We recommend the use of the Jamar type dynamometer versus the Collin type dynamometer. Hand grip dynamometry is associated with lean mass, which confirms its usefulness in nutritional assessment.

Cited by 34 publications

References 0 publications

Osteopenia and Osteoporosis in Patients with Bronchiectasis: Association with Respiratory Parameters, Body Composition, Muscle Strength and Bone Remodeling Biomarkers

Osteopenia and Osteoporosis in Patients with Bronchiectasis: Association with Respiratory Parameters, Body Composition, Muscle Strength and Bone Remodeling Biomarkers

GLIM Criteria Using Hand Grip Strength Adequately Predict Six-Month Mortality in Cancer Inpatients

Relation Between Malnutrition and the Presence of Symptoms of Anxiety and Depression in Hospitalized Cancer Patients

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