[Handgrip strength as a predictor of hospital stay and mortality in young adult patients].

IF 1.3 4区医学 Q3 BUSINESS

Nutricion hospitalaria Pub Date : 2026-07-30 DOI:10.20960/nh.06820

Elizabeth Pérez-Cruz, Luis Fernando Huayllani-Gutiérrez, Karen Ivette Gómez-Alaniz, Alejandro Altamirano-Jiménez, Ada Berenice Vargas-Ortiz

{"title":"[Handgrip strength as a predictor of hospital stay and mortality in young adult patients].","authors":"Elizabeth Pérez-Cruz, Luis Fernando Huayllani-Gutiérrez, Karen Ivette Gómez-Alaniz, Alejandro Altamirano-Jiménez, Ada Berenice Vargas-Ortiz","doi":"10.20960/nh.06820","DOIUrl":null,"url":null,"abstract":"Introduction: handgrip strength (HFS) has been used to evaluate muscle efficiency, although predominantly in geriatric subjects.Objective: to determine HFS in hospitalized young adults and to evaluate its predictive validity for length of hospital stay (LS) and mortality.Methods: prospective cohort study. Nutritional risk was determined, and HFS was measured upon admission and weekly until discharge. Pearson correlation coefficients were determined for the relationship between LS and HFS. Multiple linear regression was used to evaluate the independent effect of HFS, and Kaplan-Meier curves were generated.Results: were analyzed 111 subjects, the majority were male (59,5 %). The risk of moderate and severe malnutrition was 81.1 % and 9.9 %, respectively. Subjects in clinical areas presented a higher risk compared to surgical areas (p = 0.002). Initial handgrip strength (HFS) was measured at 20.41 ± 9.3 kg, with 60.4 % of the population exhibiting probable sarcopenia. Of these, 41.5 % were in clinical areas vs. 18.9 % in surgical areas (p = 0.006). Hospital stay (HS) was 14 days in both groups, and HFS decreased at discharge by Δ - 0.53 (p < 0.05). A correlation coefficient (r) of - 0.109 (p = 0.256) was identified between HFS and HS. The loss of HFS during hospitalization was associated with mortality (p = 0.024).Conclusion: the loss of HFS, as determined by the difference between discharge and admission, exhibited a significant association with mortality.","PeriodicalId":19385,"journal":{"name":"Nutricion hospitalaria","volume":" ","pages":""},"PeriodicalIF":1.3000,"publicationDate":"2026-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Nutricion hospitalaria","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.20960/nh.06820","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"BUSINESS","Score":null,"Total":0}

引用次数: 0

Abstract

Introduction: handgrip strength (HFS) has been used to evaluate muscle efficiency, although predominantly in geriatric subjects.

Objective: to determine HFS in hospitalized young adults and to evaluate its predictive validity for length of hospital stay (LS) and mortality.

Methods: prospective cohort study. Nutritional risk was determined, and HFS was measured upon admission and weekly until discharge. Pearson correlation coefficients were determined for the relationship between LS and HFS. Multiple linear regression was used to evaluate the independent effect of HFS, and Kaplan-Meier curves were generated.

Results: were analyzed 111 subjects, the majority were male (59,5 %). The risk of moderate and severe malnutrition was 81.1 % and 9.9 %, respectively. Subjects in clinical areas presented a higher risk compared to surgical areas (p = 0.002). Initial handgrip strength (HFS) was measured at 20.41 ± 9.3 kg, with 60.4 % of the population exhibiting probable sarcopenia. Of these, 41.5 % were in clinical areas vs. 18.9 % in surgical areas (p = 0.006). Hospital stay (HS) was 14 days in both groups, and HFS decreased at discharge by Δ - 0.53 (p < 0.05). A correlation coefficient (r) of - 0.109 (p = 0.256) was identified between HFS and HS. The loss of HFS during hospitalization was associated with mortality (p = 0.024).

Conclusion: the loss of HFS, as determined by the difference between discharge and admission, exhibited a significant association with mortality.

查看原文本刊更多论文

[握力作为年轻成人患者住院时间和死亡率的预测因子]。

简介：握力（HFS）已被用于评估肌肉效率，虽然主要是在老年受试者。目的：测定住院青壮年的HFS，并评价其对住院时间和死亡率的预测效度。方法：前瞻性队列研究。确定营养风险，并在入院时和出院前每周测量HFS。测定了LS与HFS之间的Pearson相关系数。采用多元线性回归评价HFS的独立效应，并生成Kaplan-Meier曲线。结果：共分析111例，以男性居多（59.5%）。中度和重度营养不良的风险分别为81.1%和9.9%。临床区受试者的风险高于外科区受试者（p = 0.002）。初始握力（HFS）测量为20.41±9.3 kg， 60.4%的人群表现出可能的肌肉减少症。其中41.5%发生在临床领域，18.9%发生在外科领域（p = 0.006）。两组患者住院时间（HS）均为14 d，出院时HFS降低Δ - 0.53 （p < 0.05）。HFS与HS的相关系数r为- 0.109 （p = 0.256）。住院期间HFS的丧失与死亡率相关（p = 0.024）。结论：HFS的丧失，由出院和入院的差异决定，显示出与死亡率显著相关。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Nutricion hospitalaria 医学-营养学

CiteScore

1.90

自引率

8.30%

发文量

181

审稿时长

3-6 weeks

期刊介绍： The journal Nutrición Hospitalaria was born following the SENPE Bulletin (1981-1983) and the SENPE journal (1984-1985). It is the official organ of expression of the Spanish Society of Clinical Nutrition and Metabolism. Throughout its 36 years of existence has been adapting to the rhythms and demands set by the scientific community and the trends of the editorial processes, being its most recent milestone the achievement of Impact Factor (JCR) in 2009. Its content covers the fields of the sciences of nutrition, with special emphasis on nutritional support.