Please use this identifier to cite or link to this item: https://doi.org/10.1007/s12603-019-1170-5
Title: Association of Handgrip Strength and Muscle Mass with Dependency in (Instrumental) Activities of Daily Living in Hospitalized Older Adults -The EMPOWER Study
Authors: Meskers, CGM
Reijnierse, EM
Numans, ST
Kruizinga, RC
Pierik, VD
Van Ancum, JM
Slee-Valentijn, M
Scheerman, K
Verlaan, S
Maier, AB 
Keywords: Science & Technology
Life Sciences & Biomedicine
Geriatrics & Gerontology
Nutrition & Dietetics
Muscles
muscle mass
muscle strength
handgrip strength
activities of daily living
hospitalization
outcome assessment
aged
SKELETAL-MUSCLE
PHYSICAL-DISABILITY
SARCOPENIA
ILLNESS
HEALTH
RISK
BODY
MALNUTRITION
PREVALENCE
PREDICTOR
Issue Date: 1-Mar-2019
Publisher: SPRINGER FRANCE
Citation: Meskers, CGM, Reijnierse, EM, Numans, ST, Kruizinga, RC, Pierik, VD, Van Ancum, JM, Slee-Valentijn, M, Scheerman, K, Verlaan, S, Maier, AB (2019-03-01). Association of Handgrip Strength and Muscle Mass with Dependency in (Instrumental) Activities of Daily Living in Hospitalized Older Adults -The EMPOWER Study. JOURNAL OF NUTRITION HEALTH & AGING 23 (3) : 232-238. ScholarBank@NUS Repository. https://doi.org/10.1007/s12603-019-1170-5
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.
Source Title: JOURNAL OF NUTRITION HEALTH & AGING
URI: https://scholarbank.nus.edu.sg/handle/10635/234923
ISSN: 1279-7707
1760-4788
DOI: 10.1007/s12603-019-1170-5
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