Indian Journal of Nephrology About us |  Subscription |  e-Alerts  | Feedback | Login   
  Print this page Email this page   Small font sizeDefault font sizeIncrease font size
 Home | Current Issue | Archives| Ahead of print | Search |Instructions |  Editorial Board  

Users Online:951

Official publication of the Indian Society of Nephrology
Ahead of Print

Hand grip strength in patients on maintenance hemodialysis: An observational cohort study from India

1 Department of Nephrology, Yashoda Hospitals, Secunderabad, Telangana, India
2 Department of Nutrition and Dietetics, Yashoda Hospitals, Secunderabad, Telangana, India

Correspondence Address:
Urmila Anandh,
Senior Consultant and Head, Department of Nephrology, Yashoda Hospitals, Secunderabad, Telangana
Login to access the Email id

Source of Support: None, Conflict of Interest: None

DOI: 10.4103/ijn.IJN_251_18

Introduction: Malnutrition is a common manifestation in patients with dialysis and is a major cause of mortality in these patients. Various biochemical parameters are used to detect and monitor malnutrition in these patients. Confounding variables present in hemodialysis have an effect on the sensitivity and specificity of these tests. Methods: We studied hand grip strength (HGS) as a monitoring tool for protein malnutrition in these patients. Results: In a prospective observational study over 18 months, 83 patients (60 males) consented to be part of the study. The biochemical parameters showed the mean (±sd) of haemoglobin and albumin as 10.(±1.9) gm/dl and 3.5 (±0.5) gm/dl respectively. Majority of the patients (54/83) were well nourished according to subjective global assessment (SGA). The hand grip score in the cohort was weak in the majority of patients. It is interesting to note that majority of the males have weak HGS as compared with the general population of the same age group. The female patients had HGS which were in the normal range of values that of the population. A multiple regression analysis showed that there was a significant association with serum creatinine and HGS. Conclusions: No correlation between albumin and HGS was noted. Of the anthropometric variables a significant correlation was noted between mid arm muscle circumference and HGS.

Print this article
  Search Pubmed for
    -  Birajdar N
    -  Anandh U
    -  Premlatha S
    -  Rajeshwari G
 Citation Manager
 Article Access Statistics
 Reader Comments
 * Requires registration (Free)

 Article Access Statistics
    PDF Downloaded1    

Recommend this journal

Indian Journal of Nephrology
Published by Wolters Kluwer - Medknow
Online since 20th Sept '07