Pinch grip strength as an alternative assessment to hand grip strength for assessing muscle strength in patients with chronic kidney disease treated by haemodialysis: a prospective audit.

作者: S. El-Katab , Y. Omichi , M. Srivareerat , A. Davenport

DOI: 10.1111/JHN.12331

关键词:

摘要: Muscle weakness and wasting are prevalent in haemodialysis (HD) patients, substantially increase mortality. Convenient, readily applicable screening tests for routine clinical practice required. Hand grip strength (HGS) has been validated HD patients but cannot be measured during a session. On the other hand, pinch (PS) can session, we aimed to compare two methods of assessing muscle strength.We hand 209 adult patients. The mean three measurements was taken.The (SD) HGS 15.3 (7.1) kg, compared PS 2.9 (1.5) kg (P < 0.0001). weaker arteriovenous fistula (AVF) arm than non-AVF [14.01 (6.9) versus 16.4 0.001)], as [AVF 2.63 (1.30) 3.08 (1.65) 0.001)]. We found strong correlation between (r = 0.82, P 0.001. Comparing PS, difference 12.08 (Bland-Altman analysis), although absolute smaller with lower HGS.We highly correlated HGS, more convenient because could performed may provide an easier tool dialysis further validation studies

参考文章(12)
Xiaonan H. Wang, William E. Mitch, Mechanisms of muscle wasting in chronic kidney disease Nature Reviews Nephrology. ,vol. 10, pp. 504- 516 ,(2014) , 10.1038/NRNEPH.2014.112
Jwa-Kyung Kim, Sun Ryoung Choi, Myung Jin Choi, Sung Gyun Kim, Young Ki Lee, Jung Woo Noh, Hyung Jik Kim, Young Rim Song, Prevalence of and factors associated with sarcopenia in elderly patients with end-stage renal disease. Clinical Nutrition. ,vol. 33, pp. 64- 68 ,(2014) , 10.1016/J.CLNU.2013.04.002
Antje Fürstenberg, Andrew Davenport, Assessment of body composition in peritoneal dialysis patients using bioelectrical impedance and dual-energy x-ray absorptiometry. American Journal of Nephrology. ,vol. 33, pp. 150- 156 ,(2011) , 10.1159/000324111
Nancy G. Kutner, Rebecca Zhang, Yijian Huang, William M. McClellan, Janice Lea, Quinlyn A. Soltow, Risk factors for frailty in a large prevalent cohort of hemodialysis patients. The American Journal of the Medical Sciences. ,vol. 348, pp. 277- 282 ,(2014) , 10.1097/MAJ.0000000000000250
Cácia Mendes Matos, Luciana Ferreira Silva, Ludmilla Dias Santana, Larissa S. Santos, Bruno M. Protásio, Mateus Teixeira Rocha, Vanessa Lima Ferreira, Matheus Freitas Azevedo, Márcia Tereza Silva Martins, Gildete Barreto Lopes, Antonio Alberto Lopes, Handgrip Strength at Baseline and Mortality Risk in a Cohort of Women and Men on Hemodialysis: A 4-Year Study Journal of Renal Nutrition. ,vol. 24, pp. 157- 162 ,(2014) , 10.1053/J.JRN.2013.12.005
Olof Heimbürger, Abdul Rashid Qureshi, William S. Blaner, Lars Berglund, Peter Stenvinkel, Hand-grip muscle strength, lean body mass, and plasma proteins as markers of nutritional status in patients with chronic renal failure close to start of dialysis therapy American Journal of Kidney Diseases. ,vol. 36, pp. 1213- 1225 ,(2000) , 10.1053/AJKD.2000.19837
Mostafa Mohammadian, Alireza Choobineh, Aliakbar Haghdoost, Naser Hasheminejad, None, Normative Data of Grip and Pinch Strengths in Healthy Adults of Iranian Population Iranian Journal of Public Health. ,vol. 43, pp. 1113- 1122 ,(2014)
I. H. Fahal, Uraemic sarcopenia: aetiology and implications Nephrology Dialysis Transplantation. ,vol. 29, pp. 1655- 1665 ,(2014) , 10.1093/NDT/GFT070
Matthias Klum, Maya B. Wolf, Peter Hahn, Franck M. Leclère, Thomas Bruckner, Frank Unglaub, Normative Data on Wrist Function The Journal of Hand Surgery. ,vol. 37, pp. 2050- 2060 ,(2012) , 10.1016/J.JHSA.2012.06.031