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2021, Number 3

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Rev Med UAS 2021; 11 (3)

Utility of the measurement of hand strength as a screening of disease-associated malnutrition in hospitalized patients

Contreras-Sánchez S, Aguilar-Ide BP, Dehesa-López E

Language: Spanish
References: 12
Page: 189-197
PDF size: 94.29 Kb.


ABSTRACT

Objective: To determine the diagnostic performance of the Hand Strength (HS) for the diagnosis of Disease-Related Malnutrition (DAM) in hospitalized patients. Material and methods: Cross-sectional study. We studied 86 adult patients (68.6% male) hospitalized with an average age of 59 ± 18 years. At the admission, the risk of malnutrition was evaluated with the NRS2002 questionnaire, we measured the bioelectrical impedance and the HS in the dominant hand. The sensitivity, specificity, Positive Predictive Value (PPV), Negative Predictive Value (NPV) and accuracy of the HS for the diagnosis of DAM were calculated with contingency tables, using the bioelectric impedance vector as the gold standard for the diagnosis of DAM. Results: According to VIBE, 24.4% (n = 21) had a diagnosis of DAM at admission. The body composition evaluated by bioimpedance between patients with and without malnutrition, evidenced that the malnourished patients had lower Fat-Free Body Index (FFBI) (15.9 ± 2.2 vs. 20.3±2.7; p = ‹ 0.01), Kg / muscle (42.63±6.70 vs 57.46±42.63; p = ‹ 0.01) and Body Mass Index (BMI) (21.7±5.7 vs. 27.6±5.5; p = ‹ 0.01) compared to patients without malnutrition. According to nutritional status, HGS was lower in patients with DAM (14.9 ± 9.6 vs. 21.6 ± 10.3; p = 0.01). The results for the 50th percentile (p50) of the HS was: 100% sensitivity, 21% specificity, 25% PPV, 100% NPV and 26.7% accuracy. Conclusions: HGS can be an accessible, non-invasive, inexpensive and easily applied tool for screening DAM in hospitalized patients.


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