Matos et al used handgrip strength at hospital admission to screen an adult for risk of malnutrition. Malnutrition is associated with a number of adverse outcomes. The authors are from University of Porto, Hospital Geral de Santo Antonio and Hospital Pedro Hispano.
Patient selection: adult at hospital admission
Exam: handgrip strength by dynamometer
Handgrip strength
(1) tends to be lower in females than males
(2) declines with age, especially if >= 65 years
(3) is affected by malnutrition
Percentage
Male
Female
0 to 25% (first quartile)
0 to 10 kg
0 kg
25 to 50% (2nd quartile)
10 to 19 kg
0.1 to 6 kg
50 to 75% (3rd quartile)
19 to 26 kg
6 to 11.5 kg
75 to 100% (4th quartile)
> 26 kg
> 11.5 kg
Quartile
Adjusted OR Nutritionally at Risk
OR with Different Perspective
1st
1.0 (reference)
5.3
2nd
0.30
1.6
3rd
0.33
1.7
4th
0.19
1.0 Reference
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