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  • Association of handgrip strength with malnutrition-inflammation score as an assessment of nutritional status in hemodialysis patients

    Author(s)
    Hasheminejad, Naser
    Namdari, Mina
    Mahmoodi, Mohammad Reza
    Bahrampour, Abbas
    Azmandian, Jalal
    Griffith University Author(s)
    Bahrampour, Abbas
    Year published
    2016
    Metadata
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    Abstract
    Introduction: Protein-energy wasting (PEW) is very common in patients with chronic kidney disease and those undergoing maintenance dialysis. Reduced handgrip strength is associated with PEW and considered as a reliable nutritional parameter that reflects loss of muscle mass. This study aimed to evaluate the handgrip strength and its relationship with the Malnutrition-Inflammation Score (MIS) among Iranian dialysis patients. Materials and Methods: The study population consisted of 83 randomly selected hemodialysis patients from the dialysis centers in Kerman, Iran. Handgrip strength was measured using a dynamometer according ...
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    Introduction: Protein-energy wasting (PEW) is very common in patients with chronic kidney disease and those undergoing maintenance dialysis. Reduced handgrip strength is associated with PEW and considered as a reliable nutritional parameter that reflects loss of muscle mass. This study aimed to evaluate the handgrip strength and its relationship with the Malnutrition-Inflammation Score (MIS) among Iranian dialysis patients. Materials and Methods: The study population consisted of 83 randomly selected hemodialysis patients from the dialysis centers in Kerman, Iran. Handgrip strength was measured using a dynamometer according to the recommendations of the American Society of Hand Therapists. All the patients were interviewed and the MIS of the patients were recorded. Results: The PEW was prevalent in Kerman hemodialysis patients, with 83% and 17% having mild and moderate PEW based on MIS, respectively. Handgrip strength was significantly associated with age, sex, height, weight, and diabetes mellitus. After adjustment for age, handgrip strength was significantly associated with nutritional assessment markers on the basis of the MIS. Conclusions: Handgrip strength can be incorporated as a reliable tool for assessing nutrition status in clinical practice. However, further research is needed to determine the reference values and cutoff points both in healthy people and in hemodialysis patients to classify muscle wasting.
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    Journal Title
    Iranian Journal of Kidney Diseases
    Volume
    10
    Issue
    1
    Publisher URI
    http://www.ijkd.org/index.php/ijkd/article/view/2092
    Subject
    Clinical sciences
    Health services and systems
    Public health
    Science & Technology
    Life Sciences & Biomedicine
    Urology & Nephrology
    handgrip strength
    malnutrition
    Publication URI
    http://hdl.handle.net/10072/410030
    Collection
    • Journal articles

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