Handgrip Strength as a Simple Indicator of Possible Malnutrition and Inflammation in Men and Women on Maintenance Hemodialysis
Autor(a) principal: | |
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Data de Publicação: | 2011 |
Outros Autores: | , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Institucional da UFBA |
Texto Completo: | http://repositorio.ufba.br/ri/handle/ri/16649 |
Resumo: | Texto completo: acesso restrito. p. 235–245 |
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Silva, Luciana FerreiraMatos, Cácia MendesLopes, Gildete BarretoMartins, Maria Tereza SilveiraMartins, Márcia SilvaArias, Luzdivina UchaPisoni, Ronald L.Lopes, Antonio Alberto da SilvaSilva, Luciana FerreiraMatos, Cácia MendesLopes, Gildete BarretoMartins, Maria Tereza SilveiraMartins, Márcia SilvaArias, Luzdivina UchaPisoni, Ronald L.Lopes, Antonio Alberto da Silva2014-11-24T15:12:47Z20111051-2276http://repositorio.ufba.br/ri/handle/ri/16649v. 85, n. 1Texto completo: acesso restrito. p. 235–245Objective: To assess the validity of handgrip strength (HGS) as a simple screening instrument for malnutrition and inflammation in patients on maintenance hemodialysis (MHD) by correlating it with malnutrition-inflammation score (MIS). Design: Cross-sectional analysis of the Prospective Study of the Prognosis in Chronic Hemodialysis Patients (PROHEMO). Setting: Satellite dialysis units in the city of Salvador, Brazil. Patients: The sample included 274 men and 162 women on MHD. Main Predictor Variable: HGS was chosen as the main predictor variable in this study. Main Outcome Measure: An MIS ≥6. Results: As compared with men, women were found to have lower HGS values (19.38 ± 6.48 kg vs. 29.07 ± 8.67 kg; P < .001) and higher MIS (6.38 ± 3.84 vs. 5.57 ± 3.39; P = .032). HGS was found to be inversely correlated with MIS among women (Spearman’s ρ = −.360; P < .001) as well as men (Spearman’s ρ = −0.384; P < .001); this inverse correlation was observed in patients with and without diabetes, different racial groups, younger and older subjects, incident (<3 months) and prevalent patients, in the case of both genders. Among both men and women, every one standard deviation lower of HGS was associated with more than two-fold higher odds for MIS ≥6, after adjusting for age, race, duration of dialysis, and Kt/V. These associations remained statistically significant after more extensive adjustments. The optimized cutoff point of HGS for MIS ≥6 was 28.3 kg for men (sensitivity = 70.0%; specificity = 66.0%) and 23.4 kg for women (sensitivity = 87.0%; specificity = 43.0%). Conclusions: Lower HGS values were independently associated with higher MIS among patients on MHD across several subgroups. These results suggest that HGS is a valid screening instrument for malnutrition and inflammation in patients on MHD.Submitted by Edileide Reis (leyde-landy@hotmail.com) on 2014-04-01T10:49:18Z No. of bitstreams: 1 Luciana Ferreira Silva.pdf: 123921 bytes, checksum: 877aaebdaaf906d0bfffe35de0e856bd (MD5)Approved for entry into archive by Flávia Ferreira (flaviaccf@yahoo.com.br) on 2014-11-24T15:12:47Z (GMT) No. of bitstreams: 1 Luciana Ferreira Silva.pdf: 123921 bytes, checksum: 877aaebdaaf906d0bfffe35de0e856bd (MD5)Made available in DSpace on 2014-11-24T15:12:47Z (GMT). No. of bitstreams: 1 Luciana Ferreira Silva.pdf: 123921 bytes, checksum: 877aaebdaaf906d0bfffe35de0e856bd (MD5) Previous issue date: 2011http://dx.doi.org.ez10.periodicos.capes.gov.br/10.1053/j.jrn.2010.07.004reponame:Repositório Institucional da UFBAinstname:Universidade Federal da Bahia (UFBA)instacron:UFBAMalnutritionInflammationRenal DialysisHandgrip Strength as a Simple Indicator of Possible Malnutrition and Inflammation in Men and Women on Maintenance HemodialysisJournal of Renal Nutritioninfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/article10000-01-01info:eu-repo/semantics/openAccessengORIGINALLuciana Ferreira Silva.pdfLuciana Ferreira Silva.pdfapplication/pdf123921https://repositorio.ufba.br/bitstream/ri/16649/1/Luciana%20Ferreira%20Silva.pdf877aaebdaaf906d0bfffe35de0e856bdMD51LICENSElicense.txtlicense.txttext/plain1345https://repositorio.ufba.br/bitstream/ri/16649/2/license.txt0d4b811ef71182510d2015daa7c8a900MD52TEXTLuciana Ferreira Silva.pdf.txtLuciana Ferreira Silva.pdf.txtExtracted texttext/plain42654https://repositorio.ufba.br/bitstream/ri/16649/3/Luciana%20Ferreira%20Silva.pdf.txtb516e74abcb366d7133cfbaeb4f36dd3MD53ri/166492022-07-05 14:03:16.217oai:repositorio.ufba.br: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Repositório InstitucionalPUBhttp://192.188.11.11:8080/oai/requestopendoar:19322022-07-05T17:03:16Repositório Institucional da UFBA - Universidade Federal da Bahia (UFBA)false |
dc.title.pt_BR.fl_str_mv |
Handgrip Strength as a Simple Indicator of Possible Malnutrition and Inflammation in Men and Women on Maintenance Hemodialysis |
dc.title.alternative.pt_BR.fl_str_mv |
Journal of Renal Nutrition |
title |
Handgrip Strength as a Simple Indicator of Possible Malnutrition and Inflammation in Men and Women on Maintenance Hemodialysis |
spellingShingle |
Handgrip Strength as a Simple Indicator of Possible Malnutrition and Inflammation in Men and Women on Maintenance Hemodialysis Silva, Luciana Ferreira Malnutrition Inflammation Renal Dialysis |
title_short |
Handgrip Strength as a Simple Indicator of Possible Malnutrition and Inflammation in Men and Women on Maintenance Hemodialysis |
title_full |
Handgrip Strength as a Simple Indicator of Possible Malnutrition and Inflammation in Men and Women on Maintenance Hemodialysis |
title_fullStr |
Handgrip Strength as a Simple Indicator of Possible Malnutrition and Inflammation in Men and Women on Maintenance Hemodialysis |
title_full_unstemmed |
Handgrip Strength as a Simple Indicator of Possible Malnutrition and Inflammation in Men and Women on Maintenance Hemodialysis |
title_sort |
Handgrip Strength as a Simple Indicator of Possible Malnutrition and Inflammation in Men and Women on Maintenance Hemodialysis |
author |
Silva, Luciana Ferreira |
author_facet |
Silva, Luciana Ferreira Matos, Cácia Mendes Lopes, Gildete Barreto Martins, Maria Tereza Silveira Martins, Márcia Silva Arias, Luzdivina Ucha Pisoni, Ronald L. Lopes, Antonio Alberto da Silva |
author_role |
author |
author2 |
Matos, Cácia Mendes Lopes, Gildete Barreto Martins, Maria Tereza Silveira Martins, Márcia Silva Arias, Luzdivina Ucha Pisoni, Ronald L. Lopes, Antonio Alberto da Silva |
author2_role |
author author author author author author author |
dc.contributor.author.fl_str_mv |
Silva, Luciana Ferreira Matos, Cácia Mendes Lopes, Gildete Barreto Martins, Maria Tereza Silveira Martins, Márcia Silva Arias, Luzdivina Ucha Pisoni, Ronald L. Lopes, Antonio Alberto da Silva Silva, Luciana Ferreira Matos, Cácia Mendes Lopes, Gildete Barreto Martins, Maria Tereza Silveira Martins, Márcia Silva Arias, Luzdivina Ucha Pisoni, Ronald L. Lopes, Antonio Alberto da Silva |
dc.subject.por.fl_str_mv |
Malnutrition Inflammation Renal Dialysis |
topic |
Malnutrition Inflammation Renal Dialysis |
description |
Texto completo: acesso restrito. p. 235–245 |
publishDate |
2011 |
dc.date.issued.fl_str_mv |
2011 |
dc.date.accessioned.fl_str_mv |
2014-11-24T15:12:47Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
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info:eu-repo/semantics/article |
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article |
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publishedVersion |
dc.identifier.uri.fl_str_mv |
http://repositorio.ufba.br/ri/handle/ri/16649 |
dc.identifier.issn.none.fl_str_mv |
1051-2276 |
dc.identifier.number.pt_BR.fl_str_mv |
v. 85, n. 1 |
identifier_str_mv |
1051-2276 v. 85, n. 1 |
url |
http://repositorio.ufba.br/ri/handle/ri/16649 |
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eng |
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info:eu-repo/semantics/openAccess |
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openAccess |
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reponame:Repositório Institucional da UFBA instname:Universidade Federal da Bahia (UFBA) instacron:UFBA |
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Universidade Federal da Bahia (UFBA) |
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