Handgrip strength is associated with functioning in patients with mental disorders: A two-center cross-sectional study

IF 3.7 2区 医学 Q1 PSYCHIATRY
Saulo de Lima Silva , Viviane Derhon , Ana Carla Lima Nunes , Maria Eduarda Adornes Guimarães , Julia Amaral Teixeira , Ana Leticia Alves Andrade , Felipe Barreto Schuch , Fabianna Resende de Jesus-Moraleida
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Abstract

Physical and mental health are intricated, however, there is a paucity of studies investigating the association between self-reported global functioning and handgrip strength and functional capacity in people with mental disorders. This study investigated the association between functioning, handgrip strength, and functional capacity in outpatients with a range of mental disorders. This was a two-center, cross-sectional study. Functioning was assessed with the World Health Organization Disability Assessment Schedule 2.0 (WHODAS 2.0). Handgrip strength was assessed with a hand dynamometer, and functional exercise capacity through the 2-min walk test (2 MW T). Multiple linear regression analysis was used to identify the association between WHODAS 2.0, handgrip strength, and functional capacity, adjusted for study site, age, educational level, and severity of psychiatric symptoms. A total of 91 outpatients (mean age = 40.16 ± 13.49, 63.7% females) participated in the study. The mean functioning score was 26.77 (±8.74) out of 60 points, while the mean distance walked was 142.20 ± 34.40 m and the mean handgrip strength was 30.62 ± 11.17 kgf. The adjusted multiple linear regression analysis revealed that only handgrip strength (p = 0.008, 95%CI = −0.327 to −0.050) was associated with functioning. Thus, our results revealed that muscular strength is associated with functioning in patients with mental disorders. This study suggests the importance of incorporating physical health assessment into mental health care for a comprehensive assessment of functioning levels, which is usually restricted to mental symptoms.
握力与精神障碍患者的功能相关:一项双中心横断面研究
身体健康和心理健康息息相关,然而,很少有研究调查精神障碍患者自我报告的整体功能和手握力与功能能力之间的关系。本研究调查了一系列精神障碍门诊患者的功能、手握力和功能能力之间的关联。这是一项在两个中心进行的横断面研究。功能用世界卫生组织残疾评估表 2.0(WHODAS 2.0)进行评估。手部握力通过手部测力计进行评估,功能锻炼能力通过2分钟步行测试(2 MW T)进行评估。采用多元线性回归分析确定 WHODAS 2.0、手握力和功能能力之间的关联,并对研究地点、年龄、教育水平和精神症状严重程度进行调整。共有 91 名门诊患者(平均年龄 = 40.16 ± 13.49,女性占 63.7%)参与了研究。在 60 分的满分中,平均功能评分为 26.77(±8.74)分,平均行走距离为 142.20 ± 34.40 米,平均握力为 30.62 ± 11.17 千克力。调整后的多元线性回归分析显示,只有握力(p = 0.008,95%CI = -0.327至-0.050)与功能相关。因此,我们的研究结果表明,肌肉力量与精神障碍患者的功能相关。这项研究表明,将身体健康评估纳入精神健康护理以全面评估功能水平非常重要,而身体健康评估通常仅限于精神症状。
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来源期刊
Journal of psychiatric research
Journal of psychiatric research 医学-精神病学
CiteScore
7.30
自引率
2.10%
发文量
622
审稿时长
130 days
期刊介绍: Founded in 1961 to report on the latest work in psychiatry and cognate disciplines, the Journal of Psychiatric Research is dedicated to innovative and timely studies of four important areas of research: (1) clinical studies of all disciplines relating to psychiatric illness, as well as normal human behaviour, including biochemical, physiological, genetic, environmental, social, psychological and epidemiological factors; (2) basic studies pertaining to psychiatry in such fields as neuropsychopharmacology, neuroendocrinology, electrophysiology, genetics, experimental psychology and epidemiology; (3) the growing application of clinical laboratory techniques in psychiatry, including imagery and spectroscopy of the brain, molecular biology and computer sciences;
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