Association of Handgrip Strength and Muscle Mass with Dependency in (Instrumental) Activities of Daily Living in Hospitalized Older Adults -The EMPOWER Study

The Journal of Nutrition, Health & Aging
Carel G M MeskersAndrea B Maier

Abstract

Handgrip strength (HGS) and muscle mass are strong predictors for dependency in Activities of Daily Living (ADL) and Instrumental Activities of Daily Living (IADL) in community dwelling older adults. Whether this also applies to older hospitalized patients is yet unknown. We studied the association between HGS and muscle mass with ADL and IADL dependency at admission and change of ADL and IADL dependency at three months after discharge in older hospitalized patients. Observational longitudinal inception cohort (EMPOWER) including 378 patients aged 70 years and older. Four different clinical wards of a university teaching hospital, The Netherlands. HGS and muscle mass were measured within 48 hours after admission using hand dynamometry and Bio-electrical Impedance Analysis respectively. ADL dependency was assessed using the Katz score (0-6 points) and IADL dependency using the Lawton and Brody score (0-8 points) within 48 hours after admission and three months after discharge. At admission, lower HGS was associated with ADL dependency in both males and females. Lower muscle mass was associated with ADL dependency in males. Lower HGS was associated with IADL dependency, but only in males. Lower HGS at admission in males was assoc...Continue Reading

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Citations

Jan 12, 2021·Journal of the American Medical Directors Association·Jesse J AardenUNKNOWN Hospital-ADL study group
Sep 19, 2020·Clinical Nutrition : Official Journal of the European Society of Parenteral and Enteral Nutrition·Eric M MathesonNicolaas E Deutz
Sep 13, 2020·Clinical Nutrition : Official Journal of the European Society of Parenteral and Enteral Nutrition·Naoki AkazawaHideki Moriyama
May 20, 2021·Mechanisms of Ageing and Development·Jeewanadee HettiarachchiAndrea Britta Maier

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Software Mentioned

MYOAGE
EMPOWER
SPSS
Statistical Package for the Social Sciences

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