肥胖症患者的绝对动态值和调整动态值

4区医学 Q3 Nursing

Endocrinologia, Diabetes y Nutricion Pub Date : 2025-03-12 DOI:10.1016/j.endinu.2025.501560

Elena González Arnáiz , Juan José López Gómez , Diana Ariadel Cobo , Brisamar Estébanez , María García Duque , Carmen Dameto Pons , David Barajas Galindo , Diana García Sastre , Ana Urioste Fondo , María J. Cuevas , María D. Ballesteros Pomar

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引用次数: 0

摘要

手握力是营养评估的重要工具，特别是在体重或肌肉质量明显下降之前检测肌肉减少症。对于肥胖的人来说，握力可以帮助识别由于高体重而不明显的肌肉无力。本研究的目的是描述肥胖患者的体重、身高、体重指数（BMI）和阑尾骨骼肌质量（ASMM）的绝对握力值和调整后的握力值。它还旨在确定这组患者中肌肉力量低下的患病率，并将这些结果与健康人群中获得的结果进行比较。材料与方法前瞻性观察性研究，包括肥胖患者和健康志愿者。测量肥胖患者的体重、身高、BMI和阑尾肌质量的绝对握力值和调整后的握力值，并与健康志愿者的结果进行比较。肌肉力量根据Sánchez-Torralvo， Dodds和<；−2个健康参考人群的SD分界点。结果健康志愿者的绝对握力值（30.7±10.5 kg）高于肥胖患者（26.6±9.7 kg）；P & lt;.008。经身高、体重、BMI和ASMM调整后的握力值，健康志愿者的握力值(18.0±5.5比15.9±5.4,P <；.014;0.05±0.10 vs. 0.2±0.06,P <；措施;1.4±0.4比0.6±0.2,P <；措施;1.5±0.2 vs. 0.9±0.3,P <；措施)。从性别上看，男性的绝对握力值和调整后的握力值在肥胖患者和健康志愿者中都明显更高。根据使用的分界点，肥胖患者中肌肉力量不足的患病率从14.5%上升到23.4%，与Sánchez-Torralvo的分界点相比更高。根据性别分布，肥胖男性的绝对握力值和肌肉力量较低的患病率高于女性，这些差异仅在Sánchez-Torralvo的分界点上具有统计学意义。在调整过的握力值后的低肌力患病率方面，变化的百分比较多（3.2% ~ 96.8%），性别差异不明显。结论肥胖患者的握力和握力值根据绝对测量值或调整测量值而变化。与健康人群相比，肥胖患者的绝对握力值和调整后的握力值较低。然而，需要更多的研究来确定肥胖患者握力的具体分界点。

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Valores de dinamometría absolutos y ajustados en pacientes con obesidad

Background

Hand grip strength — measured by dynamometry — is an essential tool in nutritional assessment, particularly for detecting sarcopenia, even before weight or muscle mass loss is evident. In individuals with obesity, hand grip strength can help identify muscle weakness that may not be apparent due to high body mass. The purpose of this study is to describe the absolute and adjusted hand grip strength values for weight, height, body mass index (BMI), and appendicular skeletal muscle mass (ASMM) in obese patients. It also aims to determine the prevalence of low muscle strength in this group of patients and to compare these results with those obtained in a healthy population.

Material and Methods

Prospective observational study including patients with obesity and healthy volunteers. Absolute and adjusted hand grip strength values for weight, height, BMI and appendicular muscle mass were determined in patients with obesity and compared with the results of healthy volunteers. Muscle strength was measured by hand grip strength according to Sánchez-Torralvo, Dodds, and < −2 SD cut-off points of healthy reference population.

Results

The results obtained show that the absolute hand grip strength values are higher in healthy volunteers (30.7 ± 10.5 kg) vs patients with obesity (26.6 ± 9.7 kg); P < .008. As for hand grip strength values adjusted for height, weight, BMI and ASMM, they are also statistically significantly higher in healthy volunteers (18.0 ± 5.5 vs. 15.9 ± 5.4, P < .014; 05 ± 0.10 vs. 0.2 ± 0.06, P < .001; 1.4 ± 0.4 vs. 0.6 ± 0.2, P < .001; 1.5 ± 0.2 vs. 0.9 ± 0.3, P < .001). According to sex, men had significantly higher absolute and adjusted hand grip strength values in both obese patients and healthy volunteers. The prevalence of low muscle strength in patients with obesity goes from 14.5% up and 23.4% depending on the cut-off points used, being higher with those of Sánchez-Torralvo's cut-off points. Based on sex distribution, obese men had a higher prevalence of low muscle strength with absolute hand grip strength values vs women, being these differences statistically significant only with the Sánchez-Torralvo's cut-off points. In terms of the prevalence of low muscle strength with adjusted hand grip strength values, more variable percentages (3.2%-96.8%) were observed without clear differences across sexes.

Conclusions

Hand grip strength values in obese patients vary according to absolute or adjusted measurements. Obese patients have lower absolute and adjusted hand grip strength values vs the healthy population. However, more studies are needed to establish specific cut-off points for hand grip strength in patients with obesity.

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来源期刊

Endocrinologia, Diabetes y Nutricion Nursing-Nutrition and Dietetics

CiteScore

2.10

自引率

0.00%

发文量

169

审稿时长

35 days

期刊介绍： Endocrinología, Diabetes y Nutrición is the official journal of the Spanish Society of Endocrinology and Nutrition (Sociedad Española de Endocrinología y Nutrición, SEEN) and the Spanish Society of Diabetes (Sociedad Española de Diabetes, SED), and was founded in 1954. The aim of the journal is to improve knowledge and be a useful tool in practice for clinical and laboratory specialists, trainee physicians, researchers, and nurses interested in endocrinology, diabetes, nutrition and related disciplines. It is an international journal published in Spanish (print and online) and English (online), covering different fields of endocrinology and metabolism, including diabetes, obesity, and nutrition disorders, as well as the most relevant research produced mainly in Spanish language territories. The quality of the contents is ensured by a prestigious national and international board, and by a selected panel of specialists involved in a rigorous peer review. The result is that only manuscripts containing high quality research and with utmost interest for clinicians and professionals related in the field are published. The Journal publishes Original clinical and research articles, Reviews, Special articles, Clinical Guidelines, Position Statements from both societies and Letters to the editor. Endocrinología, Diabetes y Nutrición can be found at Science Citation Index Expanded, Medline/PubMed and SCOPUS.