Handgrip strength by dynamometry does not identify malnutrition in individual preoperative outpatients

Clinical Nutrition

Volumn 31, Issue 5, 2012, Pages 647-651

  Haverkort, Elizabeth B ^a,b   Binnekade, Jan M ^b   de Haan, Rob J ^b   van Bokhorst de van der Schueren, Marian A E ^a  

^a VU UNIVERSITY MEDICAL CENTER   (Netherlands)

^b UNIVERSITY OF AMSTERDAM   (Netherlands)

Author keywords

Diagnostic accuracy; Handgrip strength dynamometry; Malnutrition; Surgery

Indexed keywords

ACCURACY; ADULT; AGED; ALGORITHM; ARTICLE; BODY MASS; CONTROLLED STUDY; CROSS-SECTIONAL STUDY; DIAGNOSTIC ACCURACY; DIAGNOSTIC TEST ACCURACY STUDY; DYNAMOMETER; DYNAMOMETRY; FALSE NEGATIVE RESULT; FALSE POSITIVE RESULT; FEMALE; GRIP STRENGTH; HUMAN; MAJOR CLINICAL STUDY; MALE; MALNUTRITION; OUTPATIENT; PREDICTIVE VALUE; PREOPERATIVE EVALUATION; SENSITIVITY AND SPECIFICITY; WEIGHT REDUCTION;

ADULT; AGED; AGED, 80 AND OVER; ALGORITHMS; BODY MASS INDEX; CROSS-SECTIONAL STUDIES; FEMALE; HAND STRENGTH; HUMANS; MALE; MALNUTRITION; MIDDLE AGED; NUTRITION ASSESSMENT; OUTPATIENTS; PREDICTIVE VALUE OF TESTS; PREOPERATIVE PERIOD; PREVALENCE; SENSITIVITY AND SPECIFICITY; YOUNG ADULT;

EID: 84866613942     PISSN: 02615614     EISSN: 15321983     Source Type: Journal    
DOI: 10.1016/j.clnu.2012.01.010     Document Type: Article

References (30)

1. Neelemaat F., Kruizenga H.M., de Vet H.C., Seidell J.C., Butterman M., van Bokhorst-de van der Schueren M.A. Screening malnutrition in hospital outpatients. Can the SNAQ malnutrition screening tool also be applied to this population?. Clin Nutr 2008, 27:439-446.
2. Leistra E., Neelemaat F., Evers A.M., van Zandvoort M.H., Weijs P.J., van Bokhorst-de van der Schueren M.A., et al. Prevalence of undernutrition in Dutch hospital outpatients. Eur J Intern Med 2009, 20:509-513.
3. Wilson M.M., Vaswani S., Liu D., Morley J.E., Miller D.K. Prevalence and causes of undernutrition in medical outpatients. Am J Med 1998, 104:56-63.
4. Bozzetti F., Gavazzi C., Miceli R., Rossi N., Mariani L., Cozzaglio L., et al. Perioperative total parenteral nutrition in malnourished, gastrointestinal cancer patients: a randomized, clinical trial. JPEN J Parenter Enteral Nutr 2000, 24:7-14.
5. Halfens R.J.G., Meijers J.M.M., Du Moulin M.F.M.T., van Nie N.C., Neyens J.C.L., Schols J.M.G.A. Landelijke prevalentiemeting zorgproblemen Universiteit Maastricht 2010, 978 94 90411 02 2Dutch.
6. Baldwin C., Weekes C.E. Dietary advice with or without oral nutritional supplements for disease-related malnutrition in adults (Review). Cochrane Database Syst Rev 2011, Issue 9. Art. No.: CD002008.
7. Naber T.H., Schermer T., de Bree A., Nusteling K., Eggink L., Kruimel J.W., et al. Prevalence of malnutrition in nonsurgical hospitalized patients and its association with disease complications. Am J Clin Nutr 1997, 66:1232-1239.
8. McWhirter J.P., Pennington C.R. Incidence and recognition of malnutrition in hospital. BMJ 1994, 308:945-948.
9. Smedley F., Bowling T., James M., Stokes E., Goodger C., O'Connor O., et al. Randomized clinical trial of the effects of preoperative and postoperative oral nutritional supplements on clinical course and cost of care. Br J Surg 2004, 91:983-990.
10. Windsor J.A., Hill G.L. Weight loss with physiologic impairment. A basic indicator of surgical risk. Ann Surg 1988, 207:290-296.
11. Windsor J.A., Hill G.L. Grip strength: a measure of the proportion of protein loss in surgical patients. Br J Surg 1988, 75:880-882.
12. Watters D.A., Haffejee A.A., Angorn I.B., Duffy K.J. Nutritional assessment by hand grip dynamometry. S Afr Med J 1985, 68:585-587.
13. Matos L.C., Tavares M.M., Amaral T.F. Handgrip strength as a hospital admission nutritional risk screening method. Eur J Clin Nutr 2007, 61:1128-1135.
14. Norman K., Schütz T., Kemps M., Josef Lübke H., Lochs H., Pirlich M. The subjective global assessment reliably identifies malnutrition-related muscle dysfunction. Clin Nutr 2005, 24:143-150.
15. Klidjian A.M., Foster K.J., Kammerling R.M., Cooper A., Karran S.J. Relation of anthropometric and dynamometric variables to serious postoperative complications. Br Med J 1980, 281:899-901.
16. Guo C.B., Zhang W., Ma D.Q., Zhang K.H., Huang J.Q. Hand grip strength: an indicator of nutritional state and the mix of postoperative complications in patients with oral and maxillofacial cancers. Br J Oral Maxillofac Surg 1996, 34:325-327.
17. Corish C.A. Pre-operative nutritional assessment. Proc Nutr Soc 1999, 58:821-829.
18. Jakobsen L.H., Rask I.K., Kondrup J. Validation of handgrip strength and endurance as a measure of physical function and quality of life in healthy subjects and patients. Nutrition 2010, 26:542-550.
19. Álvares-da-Silva M.R., Reverbel da Silveira T. Comparison between handgrip strength, subjective global assessment, and prognostic nutritional index in assessing malnutrition and predicting clinical outcome in cirrhotic outpatients. Nutrition 2005, 21:113-117.
20. Webb A.R., Newman L.A., Taylor M., Keogh J.B. Hand grip dynamometry as a predictor of postoperative complications reappraisal using age standardized grip strengths. JPEN J Parenter Enteral Nutr 1989, 13:30-33.
21. Meijers J.M., van Bokhorst-de van der Schueren M.A., Schols J.M., Soeters P.B., Halfens R.J. Defining malnutrition. Mission or mission impossible?. Nutrition 2010, 26:432-440.
22. Lochs H., Allison S.P., Meier R., Pirlich M., Kondrup J., Schneider S., et al. Introductory to the ESPEN guidelines on enteral nutrition: terminology, definitions and general topics. Clin Nutr 2006, 25:180-186.
23. Stratton R.J.E.M., Green C.J. Scientific criteria for defining malnutrition. Disease- related malnutrition 2003, 1-22. CABI Publishing, Wallingford, UK. 1st ed.
24. Soeters P.B., Reijven P.L., van Bokhorst-de van der Schueren M.A., Schols J.M., Halfens R.J., Meijers J.M., et al. A rational approach to nutritional assessment. Clin Nutr 2008, 27:706-716.
25. Norman K., Pichard C., Lochs H., Pirlich M. Prognostic impact of disease-related malnutrition. Clin Nutr 2008, 27:5-15.
26. CBO guideline perioperative nutrition 2007, Dutch Institute for Healthcare Improvement, Utrecht, The Netherlands, Available at, [Accessed 2007]. http://www.cbo.nl/Downloads/114/rl_periovoed_07.pdf.
27. Mathiowetz V., Kashman N., Volland G., Weber K., Dowe M., Rogers S. Grip and pinch strength: normative data for adults. Arch Phys Med Rehabil 1985, 66:69-74.
28. Mathiowetz V., Weber K., Volland G., Kashman N. Reliability and validity of grip and pinch strength evaluations. J Hand Surg Am 1984, 9:222-226.
29. Bohannon R.W., Peolsson A., Massy-Westropp N., Desrosiers J., Bear-Lehman J.B. Reference values for adult grip strength measured with a Jamar dynamometer: a descriptive meta-analysis. Physiotherapy 2006, 92:11-15.
30. Vaz M., Thangam S., Prabhu A., Shetty P.S. Maximal voluntary contraction as a functional indicator of adult chronic undernutrition. Br J Nutr 1996, 76:9-15.