HANDGRIP STRENGTH AS A SIMPLE INDICATOR OF MALNUTRITION IN HEMODIALYSIS PATIENTS

Handgrip strength is a simple, easily performed bedside test that has been shown to correlate with lean body mass in patients close to inception of dialysis. Objective: To assess the usefulness of handgrip strength (HGS) as a simple screening instrument for assessing malnutrition among patients on M...

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Main Authors: Shazia Gowhar, S.H Gayathri.G, Hemamalini A.J
Format: Article
Language:English
Published: The Korean Society of Nephrology 2012-06-01
Series:Kidney Research and Clinical Practice
Online Access:http://www.sciencedirect.com/science/article/pii/S2211913212004214
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author Shazia Gowhar
S.H Gayathri.G
Hemamalini A.J
author_facet Shazia Gowhar
S.H Gayathri.G
Hemamalini A.J
author_sort Shazia Gowhar
collection DOAJ
description Handgrip strength is a simple, easily performed bedside test that has been shown to correlate with lean body mass in patients close to inception of dialysis. Objective: To assess the usefulness of handgrip strength (HGS) as a simple screening instrument for assessing malnutrition among patients on Maintenance Hemodialysis and correlate it with Subjective Global Assessment score (SGA). Methods: 50 subjects on Maintenance Hemodialysis were randomly assessed using SGA scores and their Hand Grip Strength using the HGS instrument once after the dialysis. Results: The study comprised of subjects in 3 different stages of CKD, stage III (22%), stage IV (44%), stage V (34%) among which 78% (39) were men with mean age of 51.46±13.21yr and 22% (11) were women with mean age of 60.36±14.62yr. The SGA classification showed that all the subjects (6) in severely malnourished category were of stage V whereas Very mild risk to well nourished category (15) comprised of stage III and IV. Similarly, the HGS scores were found to be 25.18±5.036 kg and 18.87±5.365 kg in CKD stage III and CKD stage V respectively. HGS was found to be directly correlated with SGA score, with statistical significance of p<0.01. Conclusion: HGS is a complementary tool for screening malnutrition in patients on Maintenance Hemodialysis.
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spelling doaj.art-32112d47f5ea454e85c1d006afbfce352022-12-21T23:57:05ZengThe Korean Society of NephrologyKidney Research and Clinical Practice2211-91322012-06-01312A3210.1016/j.krcp.2012.04.388HANDGRIP STRENGTH AS A SIMPLE INDICATOR OF MALNUTRITION IN HEMODIALYSIS PATIENTSShazia GowharS.H Gayathri.GHemamalini A.JHandgrip strength is a simple, easily performed bedside test that has been shown to correlate with lean body mass in patients close to inception of dialysis. Objective: To assess the usefulness of handgrip strength (HGS) as a simple screening instrument for assessing malnutrition among patients on Maintenance Hemodialysis and correlate it with Subjective Global Assessment score (SGA). Methods: 50 subjects on Maintenance Hemodialysis were randomly assessed using SGA scores and their Hand Grip Strength using the HGS instrument once after the dialysis. Results: The study comprised of subjects in 3 different stages of CKD, stage III (22%), stage IV (44%), stage V (34%) among which 78% (39) were men with mean age of 51.46±13.21yr and 22% (11) were women with mean age of 60.36±14.62yr. The SGA classification showed that all the subjects (6) in severely malnourished category were of stage V whereas Very mild risk to well nourished category (15) comprised of stage III and IV. Similarly, the HGS scores were found to be 25.18±5.036 kg and 18.87±5.365 kg in CKD stage III and CKD stage V respectively. HGS was found to be directly correlated with SGA score, with statistical significance of p<0.01. Conclusion: HGS is a complementary tool for screening malnutrition in patients on Maintenance Hemodialysis.http://www.sciencedirect.com/science/article/pii/S2211913212004214
spellingShingle Shazia Gowhar
S.H Gayathri.G
Hemamalini A.J
HANDGRIP STRENGTH AS A SIMPLE INDICATOR OF MALNUTRITION IN HEMODIALYSIS PATIENTS
Kidney Research and Clinical Practice
title HANDGRIP STRENGTH AS A SIMPLE INDICATOR OF MALNUTRITION IN HEMODIALYSIS PATIENTS
title_full HANDGRIP STRENGTH AS A SIMPLE INDICATOR OF MALNUTRITION IN HEMODIALYSIS PATIENTS
title_fullStr HANDGRIP STRENGTH AS A SIMPLE INDICATOR OF MALNUTRITION IN HEMODIALYSIS PATIENTS
title_full_unstemmed HANDGRIP STRENGTH AS A SIMPLE INDICATOR OF MALNUTRITION IN HEMODIALYSIS PATIENTS
title_short HANDGRIP STRENGTH AS A SIMPLE INDICATOR OF MALNUTRITION IN HEMODIALYSIS PATIENTS
title_sort handgrip strength as a simple indicator of malnutrition in hemodialysis patients
url http://www.sciencedirect.com/science/article/pii/S2211913212004214
work_keys_str_mv AT shaziagowhar handgripstrengthasasimpleindicatorofmalnutritioninhemodialysispatients
AT shgayathrig handgripstrengthasasimpleindicatorofmalnutritioninhemodialysispatients
AT hemamaliniaj handgripstrengthasasimpleindicatorofmalnutritioninhemodialysispatients