Predictors of Handgrip Strength Changes in Elderly Patients

Introduction. The increasing elderly population throughout the world has been related to the increased prevalence of sarcopenia and frailty. Handgrip strength is a component of sarcopenia, one of frailty syndrome phenotypes. Previous studies have assessed the association of age, sex, nutritional sta...

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Autores principales:	Ummi Ulfah Madina, Siti Setiati, Purwita Wijaya Laksmi, Arif Mansjoer
Formato:	article
Lenguaje:	ID
Publicado:	Department of Internal Medicine, Faculty of Medicine Universitas Indonesia-Cipto Mangunkusumo Hospital 2021
Materias:	comorbidity elderly handgrip strength nutritional status Internal medicine RC31-1245
Acceso en línea:	http://dx.doi.org/10.7454/jpdi.v8i3.529 https://doaj.org/article/35c34c7b837a4005b380f35c70623bb0
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spelling	oai:doaj.org-article:35c34c7b837a4005b380f35c70623bb02021-11-17T13:51:58ZPredictors of Handgrip Strength Changes in Elderly Patientshttp://dx.doi.org/10.7454/jpdi.v8i3.5292406-89692549-0621https://doaj.org/article/35c34c7b837a4005b380f35c70623bb02021-09-01T00:00:00Zhttp://jurnalpenyakitdalam.ui.ac.id/index.php/jpdi/article/view/529/278https://doaj.org/toc/2406-8969https://doaj.org/toc/2549-0621Introduction. The increasing elderly population throughout the world has been related to the increased prevalence of sarcopenia and frailty. Handgrip strength is a component of sarcopenia, one of frailty syndrome phenotypes. Previous studies have assessed the association of age, sex, nutritional status, functional status, mental status, and comorbidity, but varied results. No longitudinal study has been done to determine the correlation of handgrip strength changes with age, sex, nutritional status, functional status, mental status, and comorbidity in Indonesia. The aim of this study was to determine the correlation between age, sex, nutritional status, functional status, depressive symptoms, comorbidity, and handgrip strength changes in elderly patients. Methods. A prospective cohort study using secondary data of elderly patients who were routinely visiting Geriatric Out-Patients Clinic at Cipto Mangunkusumo Hospital, Jakarta, from the INA-FRAGILE register observed for one year (2013-2014). The multivariate logistic regression analysis was used to assess the correlation between sex, age, nutritional status (MNA score), functional status (ADL score), depressive symptoms (GDS-SF score), comorbidities (CIRS score), and handgrip strength changes. Results. From 162 subjects which were included in the study, the mean age was 72.9 (SD 5.9) years, predominantly female (57.41%), with good nutrition (83.9%), independent (median 9- 20), not depressed (median 0-11), has average comorbidity index 11.8 (SD 3.7), and 53.1% experienced decreased handgrip strength. Nutritional status (OR = 2.7, p = 0.033) and comorbidity (OR 0.3, p <0.002) correlated with handgrip strength changes. Conclusion. Nutritional status and comorbidity correlate with handgrip strength changes in the elderly.Ummi Ulfah MadinaSiti SetiatiPurwita Wijaya LaksmiArif MansjoerDepartment of Internal Medicine, Faculty of Medicine Universitas Indonesia-Cipto Mangunkusumo Hospitalarticlecomorbidityelderlyhandgrip strengthnutritional statusInternal medicineRC31-1245IDJurnal Penyakit Dalam Indonesia, Vol 8, Iss 3, Pp 112-118 (2021)
institution	DOAJ
collection	DOAJ
language	ID
topic	comorbidity elderly handgrip strength nutritional status Internal medicine RC31-1245
spellingShingle	comorbidity elderly handgrip strength nutritional status Internal medicine RC31-1245 Ummi Ulfah Madina Siti Setiati Purwita Wijaya Laksmi Arif Mansjoer Predictors of Handgrip Strength Changes in Elderly Patients
description	Introduction. The increasing elderly population throughout the world has been related to the increased prevalence of sarcopenia and frailty. Handgrip strength is a component of sarcopenia, one of frailty syndrome phenotypes. Previous studies have assessed the association of age, sex, nutritional status, functional status, mental status, and comorbidity, but varied results. No longitudinal study has been done to determine the correlation of handgrip strength changes with age, sex, nutritional status, functional status, mental status, and comorbidity in Indonesia. The aim of this study was to determine the correlation between age, sex, nutritional status, functional status, depressive symptoms, comorbidity, and handgrip strength changes in elderly patients. Methods. A prospective cohort study using secondary data of elderly patients who were routinely visiting Geriatric Out-Patients Clinic at Cipto Mangunkusumo Hospital, Jakarta, from the INA-FRAGILE register observed for one year (2013-2014). The multivariate logistic regression analysis was used to assess the correlation between sex, age, nutritional status (MNA score), functional status (ADL score), depressive symptoms (GDS-SF score), comorbidities (CIRS score), and handgrip strength changes. Results. From 162 subjects which were included in the study, the mean age was 72.9 (SD 5.9) years, predominantly female (57.41%), with good nutrition (83.9%), independent (median 9- 20), not depressed (median 0-11), has average comorbidity index 11.8 (SD 3.7), and 53.1% experienced decreased handgrip strength. Nutritional status (OR = 2.7, p = 0.033) and comorbidity (OR 0.3, p <0.002) correlated with handgrip strength changes. Conclusion. Nutritional status and comorbidity correlate with handgrip strength changes in the elderly.
format	article
author	Ummi Ulfah Madina Siti Setiati Purwita Wijaya Laksmi Arif Mansjoer
author_facet	Ummi Ulfah Madina Siti Setiati Purwita Wijaya Laksmi Arif Mansjoer
author_sort	Ummi Ulfah Madina
title	Predictors of Handgrip Strength Changes in Elderly Patients
title_short	Predictors of Handgrip Strength Changes in Elderly Patients
title_full	Predictors of Handgrip Strength Changes in Elderly Patients
title_fullStr	Predictors of Handgrip Strength Changes in Elderly Patients
title_full_unstemmed	Predictors of Handgrip Strength Changes in Elderly Patients
title_sort	predictors of handgrip strength changes in elderly patients
publisher	Department of Internal Medicine, Faculty of Medicine Universitas Indonesia-Cipto Mangunkusumo Hospital
publishDate	2021
url	http://dx.doi.org/10.7454/jpdi.v8i3.529 https://doaj.org/article/35c34c7b837a4005b380f35c70623bb0
work_keys_str_mv	AT ummiulfahmadina predictorsofhandgripstrengthchangesinelderlypatients AT sitisetiati predictorsofhandgripstrengthchangesinelderlypatients AT purwitawijayalaksmi predictorsofhandgripstrengthchangesinelderlypatients AT arifmansjoer predictorsofhandgripstrengthchangesinelderlypatients
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Predictors of Handgrip Strength Changes in Elderly Patients

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