Association between Hand Grip Strength and Risk of Malnutrition in Elderly at Out-Patient Clinic, Faculty of Medicine, Vajira Hospital

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Thanakorn Witsawaphaisan
Wilailuk Teepprasan

Abstract

Objectives: To study the optimal cut-off point of hand grip strength for evaluation risk of malnutrition, and factors associated with malnutrition in elderly out-patient clinic, Faculty of Medicine Vajira Hospital.


Methods: This research is cross-sectional study in volunteers aged 60 years and over, who came to family medicine out-patient clinic Vajira Hospital. The total number of volunteers were 243 patients, male 68 patients, female 175 patients. All volunteers have been taking history, screening for MNA and hand grip strength.


Results: Optimal cut-off point for hand grip strength in male patients is 28.75 kgF, which sensitivity 100%, specificity 44%. Optimal cut-off point for hand grip strength in female patients is 17.22 kgF, which sensitivity 66%, specificity 54%. In male, there were 3 factors associated with risk of malnutrition; over ages 80-89 years (p-value 0.030), psychiatric disease (p-value 0.004), right hand grip strength below 23.07 ± 4.48 (p-value 0.015). In female, there were 4 factors associated with risk of malnutrition; no education (p-value 0.025), cardiovascular disease (p value 0.042), low BMI < 18.5 (p value 0.003) and left hand grip strength below 15.88 ± 4.3 p value 0.027).


Conclusion: Optimal cut-off point for hand grip strength in male patients is 28.75 kgF. Optimal cut-off point for hand grip strength in female patients is 17.22 kgF. It can be use in screening for patients who are at risk of malnutrition.

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