Meskers CGM, Reijnierse EM, Numans ST, Kruizinga RC, Pierik VD, van Ancum JM, Slee-Valentijn M, Scheerman K, Verlaan S, Maier AB. Association of Handgrip Strength and Muscle Mass with Dependency in (Instrumental) Activities of Daily Living in Hospitalized Older Adults -The EMPOWER Study.
J Nutr Health Aging 2019;
23:232-238. [PMID:
30820510 PMCID:
PMC6399821 DOI:
10.1007/s12603-019-1170-5]
[Citation(s) in RCA: 28] [Impact Index Per Article: 5.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/12/2018] [Accepted: 08/27/2018] [Indexed: 11/30/2022]
Abstract
OBJECTIVES
Handgrip strength (HGS) and muscle mass are strong predictors for dependency in Activities of Daily Living (ADL) and Instrumental Activities of Daily Living (IADL) in community dwelling older adults. Whether this also applies to older hospitalized patients is yet unknown. We studied the association between HGS and muscle mass with ADL and IADL dependency at admission and change of ADL and IADL dependency at three months after discharge in older hospitalized patients.
DESIGN
Observational longitudinal inception cohort (EMPOWER) including 378 patients aged 70 years and older.
SETTING
Four different clinical wards of a university teaching hospital, The Netherlands.
MEASUREMENTS
HGS and muscle mass were measured within 48 hours after admission using hand dynamometry and Bio-electrical Impedance Analysis respectively. ADL dependency was assessed using the Katz score (0-6 points) and IADL dependency using the Lawton and Brody score (0-8 points) within 48 hours after admission and three months after discharge.
RESULTS
At admission, lower HGS was associated with ADL dependency in both males and females. Lower muscle mass was associated with ADL dependency in males. Lower HGS was associated with IADL dependency, but only in males. Lower HGS at admission in males was associated with an increase in ADL dependency three months after discharge.
CONCLUSION
In hospitalized older patients, HGS is associated with ADL and IADL and muscle mass measures with ADL in male patients only. HGS should be explored as predictive marker for outcome of hospitalized older patients after discharge.
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