Messung der Muskelkraft als ernährungsmedizinische Zielgröße
| Autor: | N. Stobäus, M. Pirlich, K. Norman, H. Lochs |
|---|---|
| Rok vydání: | 2009 |
| Předmět: |
medicine.medical_specialty
Nutrition and Dietetics Adult patients business.industry Disease related malnutrition Medicine (miscellaneous) Nutritional status Muscle mass medicine.disease Intervention studies Grip strength Malnutrition Physical medicine and rehabilitation Ambulatory Physical therapy Medicine business |
| Zdroj: | Aktuelle Ernährungsmedizin. 34:263-268 |
| ISSN: | 1438-9916 0341-0501 |
| DOI: | 10.1055/s-0029-1223344 |
| Popis: | Muscle function has gained attention as an indicator of functional as well as nutritional status. Loss of muscle strength is a key phenomenon in disease related malnutrition. However, the decrease in muscle function frequently precedes alterations of body composition. Therefore, muscle function is likely related to further factors than pure muscle mass, such as electrolytes, energy rich phosphates and membrane potential. This sensitivity might account for the prognostic power of muscle function - and hand grip strength in particular - in regard to morbidity and mortality in both acute and long-term settings. The assessment of voluntary hand grip strength with a dynamometer is a feasible and reliable bed side method suitable for the clinical and ambulatory setting. Hand grip strength has been investigated in numerous nutrition intervention studies. Muscle function responds earlier to nutritional deprivation and restoration, and is therefore an early marker of malnutrition as well as a useful tool for monitoring nutritional intervention in adult patients. In the elderly, however, nutritional intervention is not always successful in improving hand grip strength. A systematic and standardized measurement of hand grip strength is necessary in order to obtain valid results. For the evaluation of baseline grip strength values, age and gender specific reference data must be considered. |
| Databáze: | OpenAIRE |
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