The use of hand grip strength as a predictor of nutrition status in hospital patients

被引:157
作者
Flood, Anna [1 ]
Chung, Alexis [1 ]
Parker, Hayley [2 ]
Kearns, Victoria [2 ]
O'Sullivan, Therese A. [1 ]
机构
[1] Edith Cowan Univ, Sch Exercise & Hlth Sci, Joondalup, WA 6027, Australia
[2] Dietet Dept, Joondalup, WA, Australia
关键词
Hand grip strength; PG-SGA; Malnutrition; Nutrition status; Hospital; ASSESSMENT PG-SGA; MALNUTRITION; DYNAMOMETRY; DEFINITION; PREVALENCE; TOOL;
D O I
10.1016/j.clnu.2013.03.003
中图分类号
R15 [营养卫生、食品卫生]; TS201 [基础科学];
学科分类号
100403 ;
摘要
Background & aims: Hand grip strength (HGS) has been found to respond to nutrition deprivation and repletion but few studies have investigated its use as an independent nutrition assessment tool. We conducted an observational study to determine if HGS can predict nutrition status independently of other factors. Methods: The Patient Generated Subjective Global Assessment (PG-SGA) was used to determine nutrition status. PG-SGA and HGS measures were collected from 217 well nourished and malnourished hospital patients for cross-sectional analysis. Of the 217, 18 patients had these assessments repeated two weeks (+/- 3 days) later to assess change. Correlation, and multiple linear and binary regression analyses were conducted. Results: HGS and PG-SGA score were significantly correlated (r = 0.292, P < 0.01). HGS was a significant independent predictor of PG-SGA score and category (P < 0.01), accounting for 4% and 9% of variability respectively. Change-in-HGS was an independent predictor of change-in-PG-SGA score (P = 0.04) and category (P = 0.06) over two weeks, accounting for 47% and 42% of variability respectively. Conclusions: Our results suggest that HGS can independently predict nutrition status and change in nutrition status defined by PG-SGA score and category, although future longer term research is required to confirm the use of HGS as an early detection tool for malnutrition risk. (C) 2013 Elsevier Ltd and European Society for Clinical Nutrition and Metabolism. All rights reserved.
引用
收藏
页码:106 / 114
页数:9
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