Handgrip strength as an instrument for assessing the risk of malnutrition and inflammation in hemodialysis patients

Autor: Caroline Finger Sostisso, Mayara Olikszechen, Melissa Nihi Sato, Miriam de Aguiar Souza Cruz Oliveira, Scheila Karam
Jazyk: English<br />Portuguese
Rok vydání: 2020
Předmět:
Zdroj: Brazilian Journal of Nephrology, Vol 42, Iss 4, Pp 429-436 (2020)
Druh dokumentu: article
ISSN: 2175-8239
DOI: 10.1590/2175-8239-jbn-2019-0177
Popis: Abstract Indroduction: Establishing which parameters to use for diagnosing malnutrition in hemodialysis patients is a challenge in clinical practice. The handgrip strength (HGS) has stood out as a method of assessing nutritional status. Thus, the aim of this study was to determine the cut-off point for HGS in the assessment of the risk of malnutrition and inflammation in HD patients, and its association with other parameters. Methods: Study carried out in hemodialysis units in the city of Curitiba, Brazil. We obtained the cut-off point of the HGS through the ROC curve, using the malnutrition and inflammation score (MIS) as a reference. We checked the relationship (Odds ratio) between the variables “MIS” and “HGS” with the other study variables using the multivariate analysis (logistic regression). Results: We assessed 238 patients (132 men), between 18 and 87 years of age (median = 59). The HGS cut-off point for diagnosing malnutrition and inflammation according to the reference used was
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