Grip Strength in Patients with Gastrointestinal Diseases

We sought to elucidate factors contributing to the grip strength (GS) decline in patients with gastrointestinal diseases (Ga-Ds, n = 602, 379 males, median age = 72 years). The GS decline in males and females was defined as

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Veröffentlicht in:Journal of clinical medicine 2022-04, Vol.11 (8), p.2079
Hauptverfasser: Asaishi, Ken, Matsui, Masahiro, Nishikawa, Hiroki, Goto, Masahiro, Asai, Akira, Ushiro, Kosuke, Ogura, Takeshi, Takeuchi, Toshihisa, Nakamura, Shiro, Kakimoto, Kazuki, Miyazaki, Takako, Fukunishi, Shinya, Ohama, Hideko, Yokohama, Keisuke, Yasuoka, Hidetaka, Higuchi, Kazuhide
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container_issue 8
container_start_page 2079
container_title Journal of clinical medicine
container_volume 11
creator Asaishi, Ken
Matsui, Masahiro
Nishikawa, Hiroki
Goto, Masahiro
Asai, Akira
Ushiro, Kosuke
Ogura, Takeshi
Takeuchi, Toshihisa
Nakamura, Shiro
Kakimoto, Kazuki
Miyazaki, Takako
Fukunishi, Shinya
Ohama, Hideko
Yokohama, Keisuke
Yasuoka, Hidetaka
Higuchi, Kazuhide
description We sought to elucidate factors contributing to the grip strength (GS) decline in patients with gastrointestinal diseases (Ga-Ds, n = 602, 379 males, median age = 72 years). The GS decline in males and females was defined as
doi_str_mv 10.3390/jcm11082079
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The GS decline in males and females was defined as <28 kg and <18 kg, respectively, following the current Asian guidelines. The median GS (male) was 28.8 kg, and GS decline (male) was found in 169 patients (44.6%). The median GS (female) was 17.5 kg, and GS decline (female) was found in 122 patients (54.7%). Advanced cancer was identified in 145 patients (24.1%). In terms of the univariate analysis of parameters of the GS decline, age (p < 0.0001), gender (p = 0.0181), body mass index (BMI, p = 0.0002), ECOG-PS (p < 0.0001), SARC-F score (p < 0.0001), hemoglobin value (p < 0.0001), total lymphocyte count (p < 0.0001), serum albumin value (p < 0.0001), C reactive protein (CRP) value (p < 0.0001), and estimated glomerular filtration rate were statistically significant. In terms of the multivariate analysis, age (p < 0.0001), BMI (p = 0.0223), hemoglobin value (p = 0.0186), serum albumin value (p = 0.0284), the SARC-F score (p = 0.0003), and CRP value (p < 0.0001) were independent parameters. In conclusion, the GS decline in patients with Ga-Ds is closely associated with not only the primary factor (i.e., aging) but also secondary factors such as inflammatory factors and nutritional factors.]]></description><identifier>ISSN: 2077-0383</identifier><identifier>EISSN: 2077-0383</identifier><identifier>DOI: 10.3390/jcm11082079</identifier><identifier>PMID: 35456173</identifier><language>eng</language><publisher>Switzerland: MDPI AG</publisher><subject>Body mass index ; Cancer ; Cardiovascular disease ; Clinical medicine ; Gastrointestinal diseases ; Males ; Mortality ; Musculoskeletal system ; Patients ; Respiratory diseases ; Sarcopenia</subject><ispartof>Journal of clinical medicine, 2022-04, Vol.11 (8), p.2079</ispartof><rights>2022 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). 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The GS decline in males and females was defined as <28 kg and <18 kg, respectively, following the current Asian guidelines. The median GS (male) was 28.8 kg, and GS decline (male) was found in 169 patients (44.6%). The median GS (female) was 17.5 kg, and GS decline (female) was found in 122 patients (54.7%). Advanced cancer was identified in 145 patients (24.1%). In terms of the univariate analysis of parameters of the GS decline, age (p < 0.0001), gender (p = 0.0181), body mass index (BMI, p = 0.0002), ECOG-PS (p < 0.0001), SARC-F score (p < 0.0001), hemoglobin value (p < 0.0001), total lymphocyte count (p < 0.0001), serum albumin value (p < 0.0001), C reactive protein (CRP) value (p < 0.0001), and estimated glomerular filtration rate were statistically significant. 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The GS decline in males and females was defined as <28 kg and <18 kg, respectively, following the current Asian guidelines. The median GS (male) was 28.8 kg, and GS decline (male) was found in 169 patients (44.6%). The median GS (female) was 17.5 kg, and GS decline (female) was found in 122 patients (54.7%). Advanced cancer was identified in 145 patients (24.1%). In terms of the univariate analysis of parameters of the GS decline, age (p < 0.0001), gender (p = 0.0181), body mass index (BMI, p = 0.0002), ECOG-PS (p < 0.0001), SARC-F score (p < 0.0001), hemoglobin value (p < 0.0001), total lymphocyte count (p < 0.0001), serum albumin value (p < 0.0001), C reactive protein (CRP) value (p < 0.0001), and estimated glomerular filtration rate were statistically significant. In terms of the multivariate analysis, age (p < 0.0001), BMI (p = 0.0223), hemoglobin value (p = 0.0186), serum albumin value (p = 0.0284), the SARC-F score (p = 0.0003), and CRP value (p < 0.0001) were independent parameters. In conclusion, the GS decline in patients with Ga-Ds is closely associated with not only the primary factor (i.e., aging) but also secondary factors such as inflammatory factors and nutritional factors.]]></abstract><cop>Switzerland</cop><pub>MDPI AG</pub><pmid>35456173</pmid><doi>10.3390/jcm11082079</doi><orcidid>https://orcid.org/0000-0002-2915-7875</orcidid><orcidid>https://orcid.org/0000-0001-9882-8719</orcidid><orcidid>https://orcid.org/0000-0002-1882-824X</orcidid><orcidid>https://orcid.org/0000-0002-5211-4021</orcidid><oa>free_for_read</oa></addata></record>
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subjects Body mass index
Cancer
Cardiovascular disease
Clinical medicine
Gastrointestinal diseases
Males
Mortality
Musculoskeletal system
Patients
Respiratory diseases
Sarcopenia
title Grip Strength in Patients with Gastrointestinal Diseases
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