Agreement between maximum and mean handgrip strength measurements in cancer patients.

<h4>Background and aim</h4>Handgrip strength (HGS) can be used to identify probable sarcopenia, by measuring maximum strength and/or through the average of three measurements. This study analyzed the agreement between maximum and mean HGS measurements in identifying probable sarcopenia i...

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Main Authors: Rayne de Almeida Marques, Vanusa Felício de Souza, Thainá Cezini do Rosario, Maria Rita Pereira da Silva Garcia, Taísa Sabrina Silva Pereira, José Luiz Marques-Rocha, Valdete Regina Guandalini
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2022-01-01
Series:PLoS ONE
Online Access:https://doi.org/10.1371/journal.pone.0270631
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author Rayne de Almeida Marques
Vanusa Felício de Souza
Thainá Cezini do Rosario
Maria Rita Pereira da Silva Garcia
Taísa Sabrina Silva Pereira
José Luiz Marques-Rocha
Valdete Regina Guandalini
author_facet Rayne de Almeida Marques
Vanusa Felício de Souza
Thainá Cezini do Rosario
Maria Rita Pereira da Silva Garcia
Taísa Sabrina Silva Pereira
José Luiz Marques-Rocha
Valdete Regina Guandalini
author_sort Rayne de Almeida Marques
collection DOAJ
description <h4>Background and aim</h4>Handgrip strength (HGS) can be used to identify probable sarcopenia, by measuring maximum strength and/or through the average of three measurements. This study analyzed the agreement between maximum and mean HGS measurements in identifying probable sarcopenia in cancer patients.<h4>Methods</h4>Adult individuals of both sexes diagnosed with malignant neoplasm were evaluated. HGS (kg/f) was measured in both hands and nutritional status defined by the Patient-Generated Subjective Global Assessment (PG-SGA). Bland-Altman, Intraclass Correlation Coefficient (ICC), and Cronbach's Alpha tests were applied to assess the agreement between measurements.<h4>Results</h4>One hundred forty-one patients aged 60.0 ± 14.2 years were evaluated. There was a predominance of elderly (57.4%), male (53.2%), and non-white (58.2%) individuals, with tumors located in the lower gastrointestinal tract (GIT) (36.9%) and with suspected or some degree of malnutrition (61.0%). For men, the Bland-Altman test showed a mean error of 1.37 (95% CI-1.03 to 3.80) for dominant HGS (DHGS) and 1.50 (95% CI-1.60 to 4.60) for non-dominant HGS (NDHGS), while for women the values were 1.34 (95% CI-0.27 to 2.95) and 1.14 (95% CI-1.10 to 3.39), respectively. The ICC showed excellent reproducibility (> 0.90) and the Cronbach's Alpha was satisfactory (0.99).<h4>Conclusion</h4>Despite the satisfactory agreement observed between maximum and mean HGS values, in this study, individuals of both sexes with probable sarcopenia were better identified through mean values.
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spelling doaj.art-b058078c90bc40d5b23c07a19b9f9c452022-12-22T00:58:55ZengPublic Library of Science (PLoS)PLoS ONE1932-62032022-01-01177e027063110.1371/journal.pone.0270631Agreement between maximum and mean handgrip strength measurements in cancer patients.Rayne de Almeida MarquesVanusa Felício de SouzaThainá Cezini do RosarioMaria Rita Pereira da Silva GarciaTaísa Sabrina Silva PereiraJosé Luiz Marques-RochaValdete Regina Guandalini<h4>Background and aim</h4>Handgrip strength (HGS) can be used to identify probable sarcopenia, by measuring maximum strength and/or through the average of three measurements. This study analyzed the agreement between maximum and mean HGS measurements in identifying probable sarcopenia in cancer patients.<h4>Methods</h4>Adult individuals of both sexes diagnosed with malignant neoplasm were evaluated. HGS (kg/f) was measured in both hands and nutritional status defined by the Patient-Generated Subjective Global Assessment (PG-SGA). Bland-Altman, Intraclass Correlation Coefficient (ICC), and Cronbach's Alpha tests were applied to assess the agreement between measurements.<h4>Results</h4>One hundred forty-one patients aged 60.0 ± 14.2 years were evaluated. There was a predominance of elderly (57.4%), male (53.2%), and non-white (58.2%) individuals, with tumors located in the lower gastrointestinal tract (GIT) (36.9%) and with suspected or some degree of malnutrition (61.0%). For men, the Bland-Altman test showed a mean error of 1.37 (95% CI-1.03 to 3.80) for dominant HGS (DHGS) and 1.50 (95% CI-1.60 to 4.60) for non-dominant HGS (NDHGS), while for women the values were 1.34 (95% CI-0.27 to 2.95) and 1.14 (95% CI-1.10 to 3.39), respectively. The ICC showed excellent reproducibility (> 0.90) and the Cronbach's Alpha was satisfactory (0.99).<h4>Conclusion</h4>Despite the satisfactory agreement observed between maximum and mean HGS values, in this study, individuals of both sexes with probable sarcopenia were better identified through mean values.https://doi.org/10.1371/journal.pone.0270631
spellingShingle Rayne de Almeida Marques
Vanusa Felício de Souza
Thainá Cezini do Rosario
Maria Rita Pereira da Silva Garcia
Taísa Sabrina Silva Pereira
José Luiz Marques-Rocha
Valdete Regina Guandalini
Agreement between maximum and mean handgrip strength measurements in cancer patients.
PLoS ONE
title Agreement between maximum and mean handgrip strength measurements in cancer patients.
title_full Agreement between maximum and mean handgrip strength measurements in cancer patients.
title_fullStr Agreement between maximum and mean handgrip strength measurements in cancer patients.
title_full_unstemmed Agreement between maximum and mean handgrip strength measurements in cancer patients.
title_short Agreement between maximum and mean handgrip strength measurements in cancer patients.
title_sort agreement between maximum and mean handgrip strength measurements in cancer patients
url https://doi.org/10.1371/journal.pone.0270631
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