Relationship Between Respiratory Muscle Strength, Handgrip Strength, and Muscle Mass in Hospitalized Patients

2019 ◽  
Vol 44 (5) ◽  
pp. 831-836 ◽  
Author(s):  
Sarah J. Peterson ◽  
Jessica Park ◽  
Hillary K. Zellner ◽  
Olivia A. Moss ◽  
Arianna Welch ◽  
...  
Keyword(s):  
Muscle Strength ◽  
Muscle Mass ◽  
Respiratory Muscle ◽  
Handgrip Strength ◽  
Hospitalized Patients ◽  
Respiratory Muscle Strength

scholarly journals Respiratory Muscle Weakness as a Risk Factor for Pneumonia in Older People

Gerontology ◽  
2021 ◽  
pp. 1-10
Author(s):  
Tatsuma Okazaki ◽  
Yoshimi Suzukamo ◽  
Midori Miyatake ◽  
Riyo Komatsu ◽  
Masahiro Yaekashiwa ◽  
...  
Keyword(s):  
Risk Factor ◽  
Muscle Strength ◽  
Older People ◽  
Serum Albumin ◽  
Muscle Mass ◽  
Muscle Weakness ◽  
Fat Mass ◽  
Respiratory Muscle ◽  
Respiratory Muscle Strength ◽  
Respiratory Muscle Weakness

Introduction: The respiratory muscle strength regulates the effectiveness of coughing, which clears the airways and protects people from pneumonia. Sarcopenia is an aging-related loss of muscle mass and function, the worsening of which is associated with malnutrition. The loss of respiratory and swallowing muscle strength occurs with aging, but its effect on pneumonia is unclear. This study aimed to determine the risks of respiratory muscle weakness on the onset and relapse of pneumonia in older people in conjunction with other muscle-related factors such as malnutrition. Methods: We conducted a longitudinal study with 47 pneumonia inpatients and 35 non-pneumonia controls aged 70 years and older. We evaluated the strength of respiratory and swallowing muscles, muscle mass, and malnutrition (assessed by serum albumin levels and somatic fat) during admission and confirmed pneumonia relapse within 6 months. The maximal inspiratory and expiratory pressures determined the respiratory muscle strength. Swallowing muscle strength was evaluated by tongue pressure. Bioelectrical impedance analysis was used to evaluate the muscle and fat mass. Results: The respiratory muscle strength, body trunk muscle mass, serum albumin level, somatic fat mass, and tongue pressure were significantly lower in pneumonia patients than in controls. Risk factors for the onset of pneumonia were low inspiratory respiratory muscle strength (odds ratio [OR], 6.85; 95% confidence interval [CI], 1.56–30.11), low body trunk muscle mass divided by height2 (OR, 6.86; 95% CI, 1.49–31.65), and low serum albumin level (OR, 5.46; 95% CI, 1.51–19.79). For the relapse of pneumonia, low somatic fat mass divided by height2 was a risk factor (OR, 20.10; 95% CI, 2.10–192.42). Discussion/Conclusions: Respiratory muscle weakness, lower body trunk muscle mass, and malnutrition were risk factors for the onset of pneumonia in older people. For the relapse of pneumonia, malnutrition was a risk factor.

SENSITIVITY AND SPECIFICITY OF THE HANDGRIP STRENGTH IN THE PREDICTION OF LOW MUSCLE MASS IN HOSPITALIZED OLDER PATIENTS

2012 ◽  
pp. 1-4
Author(s):  
V. Zanandrea ◽  
A.P. Rossi ◽  
M. Bertocchi ◽  
M. Zamboni
Keyword(s):  
Muscle Strength ◽  
Length Of Stay ◽  
Hospital Stay ◽  
Muscle Mass ◽  
Acute Care ◽  
Sensitivity And Specificity ◽  
Older Patients ◽  
Handgrip Strength ◽  
Hospitalized Patients ◽  
Acute Care Unit

To the Editor: In the article entitled “Potential prognosticvalue of handgrip strength in older hospitalized patients”published in the first issue of The Journal of Frailty & Aging(1), Savino and colleagues presented the handgrip strength as apredictor of hospitalization length of stay in older patientsadmitted to an acute care unit. Authors reported an inverseassociation between muscle strength at the admission andsubsequent duration of the hospital stay, even after adjustmentfor potential confounders.

Differences in Respiratory Muscle Strength in Well-nourished versus Malnourished Hospitalized Patients

2017 ◽  
Vol 117 (9) ◽  
pp. A22
Author(s):  
H. Zellner ◽  
O. Moss ◽  
S. Hicks-McGarry ◽  
E. Moran ◽  
E. Becker ◽  
...  
Keyword(s):  
Muscle Strength ◽  
Respiratory Muscle ◽  
Hospitalized Patients ◽  
Respiratory Muscle Strength

Differences in Respiratory Muscle Strength Measures in Well-Nourished and Malnourished Hospitalized Patients

2019 ◽  
Vol 119 (5) ◽  
pp. 831-839 ◽  
Author(s):  
Hillary K. Zellner ◽  
Olivia A. Moss ◽  
Sarah J. Peterson ◽  
Stephanie Hicks-McGarry ◽  
Ellen Moran ◽  
...  
Keyword(s):  
Muscle Strength ◽  
Respiratory Muscle ◽  
Hospitalized Patients ◽  
Respiratory Muscle Strength

Relationship Between Respiratory Muscle Strength and Physical Performance in Elderly Hospitalized Patients

2014 ◽  
Vol 17 (4) ◽  
pp. 366-371 ◽  
Author(s):  
Renato Giua ◽  
Claudio Pedone ◽  
Simone Scarlata ◽  
Irma Carrozzo ◽  
Francesca Flavia Rossi ◽  
...  
Keyword(s):  
Muscle Strength ◽  
Physical Performance ◽  
Respiratory Muscle ◽  
Hospitalized Patients ◽  
Respiratory Muscle Strength ◽  
Elderly Hospitalized Patients

Pneumonien bei älteren Menschen: Risikofaktor Atemmuskelschwäche

2021 ◽  
pp. 1-2
Author(s):  
Helmut Frohnhofen
Keyword(s):  
Muscle Strength ◽  
Serum Albumin ◽  
Muscle Mass ◽  
Fat Mass ◽  
Respiratory Muscle ◽  
Serum Albumin Level ◽  
Albumin Level ◽  
Trunk Muscle ◽  
Tongue Pressure ◽  
Respiratory Muscle Strength

<b>Introduction:</b> The respiratory muscle strength regulates the effectiveness of coughing, which clears the airways and protects people from pneumonia. Sarcopenia is an aging-related loss of muscle mass and function, the worsening of which is associated with malnutrition. The loss of respiratory and swallowing muscle strength occurs with aging, but its effect on pneumonia is unclear. This study aimed to determine the risks of respiratory muscle weakness on the onset and relapse of pneumonia in older people in conjunction with other muscle-related factors such as malnutrition. <b>Methods:</b> We conducted a longitudinal study with 47 pneumonia inpatients and 35 non-pneumonia controls aged 70 years and older. We evaluated the strength of respiratory and swallowing muscles, muscle mass, and malnutrition (assessed by serum albumin levels and somatic fat) during admission and confirmed pneumonia relapse within 6 months. The maximal inspiratory and expiratory pressures determined the respiratory muscle strength. Swallowing muscle strength was evaluated by tongue pressure. Bioelectrical impedance analysis was used to evaluate the muscle and fat mass. <b>Results:</b> The respiratory muscle strength, body trunk muscle mass, serum albumin level, somatic fat mass, and tongue pressure were significantly lower in pneumonia patients than in controls. Risk factors for the onset of pneumonia were low inspiratory respiratory muscle strength (odds ratio [OR], 6.85; 95% confidence interval [CI], 1.56–30.11), low body trunk muscle mass divided by height<sup>2</sup> (OR, 6.86; 95% CI, 1.49–31.65), and low serum albumin level (OR, 5.46; 95% CI, 1.51–19.79). For the relapse of pneumonia, low somatic fat mass divided by height<sup>2</sup> was a risk factor (OR, 20.10; 95% CI, 2.10–192.42). <b>Discussion/Conclusions:</b> Respiratory muscle weakness, lower body trunk muscle mass, and malnutrition were risk factors for the onset of pneumonia in older people. For the relapse of pneumonia, malnutrition was a risk factor.

scholarly journals Relationship between handgrip strength and pulmonary capacity in patients on hemodialysis

2020 ◽  
Vol 33 ◽  
Author(s):  
Davi de Souza Francisco ◽  
Fernanda Roberta Faria ◽  
Catherine Corrêa Peruzzolo ◽  
Wellington Pereira Yamaguti ◽  
Elaine Paulin
Keyword(s):  
Chronic Kidney Disease ◽  
Kidney Disease ◽  
Muscle Strength ◽  
Pulmonary Function ◽  
Respiratory Muscle ◽  
Handgrip Strength ◽  
Respiratory Muscle Strength ◽  
Lung Capacity ◽  
Peripheral Muscle ◽  
Lung Expansion

Abstract Introduction: Chronic kidney disease (CKD) is defined as loss of kidney function, but its progression leads to systemic changes that compromise the quality of life of patients on dialysis. As such, the decline in lung capacity in this population may be one of the factors related to reduced peripheral muscle strength. Objective: Assess the relationship between handgrip strength (HGS), pulmonary function and respiratory muscle strength in patients with CKD on hemodialysis. Method: Thirty patients with CKD were assessed in terms of anthropometric data, pulmonary function, respiratory muscle strength and HGS. Results: A moderate association was observed between HGS and the variables forced vital capacity (r=0.54; p=0.002), maximum voluntary ventilation (r=0.51; p=0.004) and maximum expiratory pressure (r=0.59; p=0.001), and a weak association with forced expiratory volume in 1 second (FEV1) (r=0.46; p=0.009) and maximum inspiratory pressure (r=0.38; p=0.03). Additionally, about 67% of the sample (n=20) exhibited some degree of restrictive ventilatory defect in the pulmonary function test. With respect to muscle strength, 40% of the sample (n=12) displayed below-normal handgrip strength, as well as low mean MIP and MEP. Conclusion: Decreased lung capacity may be related to a decline in HGS in patients with chronic kidney disease on hemodialysis. Thus, therapeutic strategies aimed at lung expansion and respiratory muscle training may contribute to facilitating and favoring rehabilitation in this population.

scholarly journals Respiratory Muscle Strengths and Their Association with Lean Mass and Handgrip Strengths in Older Institutionalized Individuals

2020 ◽  
Vol 9 (9) ◽  
pp. 2727
Author(s):  
Francisco Miguel Martínez-Arnau ◽  
Cristina Buigues ◽  
Rosa Fonfría-Vivas ◽  
Omar Cauli
Keyword(s):  
Muscle Strength ◽  
Peak Expiratory Flow ◽  
Lean Mass ◽  
Biochemical Parameters ◽  
Respiratory Muscle ◽  
Handgrip Strength ◽  
Respiratory Muscle Strength ◽  
Mass Content ◽  
Skeletal Mass ◽  
Expiratory Flow

The study of reduced respiratory muscle strengths in relation to the loss of muscular function associated with ageing is of great interest in the study of sarcopenia in older institutionalized individuals. The present study assesses the association between respiratory muscle parameters and skeletal mass content and strength, and analyzes associations with blood cell counts and biochemical parameters related to protein, lipid, glucose and ion profiles. A multicenter cross-sectional study was performed among patients institutionalized in nursing homes. The respiratory muscle function was evaluated by peak expiratory flow, maximal respiratory pressures and spirometry parameters, and skeletal mass function and lean mass content with handgrip strength, walking speed and bioimpedance, respectively. The prevalence of reduced respiratory muscle strength in the sample ranged from 37.9% to 80.7%. Peak expiratory flow significantly (p < 0.05) correlated to handgrip strength and gait speed, as well as maximal inspiratory pressure (p < 0.01). Maximal expiratory pressure significantly (p < 0.01) correlated to handgrip strength. No correlation was obtained with muscle mass in any of parameters related to reduced respiratory muscle strength. The most significant associations within the blood biochemical parameters were observed for some protein and lipid biomarkers e.g., glutamate-oxaloacetate transaminase (GOT), urea, triglycerides and cholesterol. Respiratory function muscle parameters, peak expiratory flow and maximal respiratory pressures were correlated with reduced strength and functional impairment but not with lean mass content. We identified for the first time a relationship between peak expiratory flow (PEF) values and GOT and urea concentrations in blood which deserves future investigations in order to manage these parameters as a possible biomarkers of reduced respiratory muscle strength.

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