Malnutrition and Handgrip Strength are Correlated in Community Dwelling Elderly

Öz

Aim: Hand grip strength (HGS) is a useful tool to assess the nutritional status of the elderly. The aim of the study is to explore the relationship between nutritional status and hand grip strength in the elderly. Method: 195 patients over the age of 65 were included. 60 were malnourished, 65 were at the risk of malnutrition and 70 were well–nourished. Patients Underwent Mini Nutritional Assessment–Short Form (MNA–SF), Katz Index of Independence in Activities of Daily Living (Katz Index ADL) and Lawton&Brody Instrumental Activities of Daily Living Scale (Lawton&Brody IADL). One way ANOVA was used to compare more than two independent samples with normal distribution. To be able to reveal a linear relationship between variables Pearson’s correlation was used. Results: Well–nourished elderly had higher scores in HGS (p=0.003), Katz Index ADL (p=0.004) and Lawton&Brody IADL (p=0.003). A moderate to high positive correlation was observed between HGS and MNA–SF (p=0.001, r:0.654), a weak to moderate correlation was between MNA–SF and Body Mass Index (BMI) (p=0.001, r:0.346). Conclusion: Handgrip strength should be an essential part of the physical examination in the elderly.

Anahtar Kelimeler

• activities of daily living
• aged
• hand strength
• malnutrition

Toplum İçinde Yaşayan Yaşlılarda Malnütrisyon ve El Kavrama Gücü İlişkilidir

Öz

Amaç: El kavrama gücü (EKG), yaşlıların beslenme durumunu değerlendirmek için yararlı bir araçtır. Çalışmanın amacı yaşlılarda beslenme durumu ile el kavrama gücü arasındaki ilişkiyi araştırmaktır. Yöntem: 65 yaş üstü 195 hasta çalışmaya dahil edilmiştir. Hastaların 60'ı malnütrisyonlu, 65'i malnütrisyon riski altında ve 70'i iyi beslenmişti. Hastalara Mini Nutrisyonel Değerlendirme-Kısa Formu (MNA-SF), Katz Günlük Yaşam Aktivitelerinde Bağımsızlık Endeksi (Katz İndeksi GYA) ve Lawton&Brody Enstrümantal Günlük Yaşam Aktiviteleri Ölçeği (Lawton&Brody EGYA) uygulandı. Normal dağılıma sahip ikiden fazla bağımsız örneklemi karşılaştırmak için tek yönlü ANOVA kullanılmıştır. Değişkenler arasında doğrusal bir ilişkiyi ortaya koyabilmek için Pearson korelasyonu kullanılmıştır. Bulgular: İyi beslenen yaşlıların EKG (p=0,003), Katz İndeksi GYA (p=0,004) ve Lawton&Brody EGYA (p=0,003) puanları daha yüksekti. El gücü ile MNA-SF arasında orta ile yüksek düzeyde bir pozitif korelasyon (p=0,001, r:0,654), MNA-SF ile Beden Kütle İndeksi (BKİ) arasında zayıf ile orta bir korelasyon (p=0,001, r:0,346) gözlenmiştir. Sonuç: El kavrama gücü yaşlılarda fizik muayenenin önemli bir parçası olmalıdır.

Anahtar Kelimeler

• günlük yaşam aktiviteleri
• yaşlı
• el kavrama gücü
• malnütrisyon

Kaynakça

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