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The journal of nutrition, health & aging
Published in: The journal of nutrition, health & aging 3/2019

Open Access 01-03-2019 | Addiction

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

Authors: C. G. M. Meskers, E. M. Reijnierse, S. T. Numans, R. C. Kruizinga, V. D. Pierik, J. M. van Ancum, M. Slee-Valentijn, K. Scheerman, S. Verlaan, Andrea B. Maier

Published in: The journal of nutrition, health & aging | Issue 3/2019

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Abstract

Objectives

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.

Design

Observational longitudinal inception cohort (EMPOWER) including 378 patients aged 70 years and older.

Setting

Four different clinical wards of a university teaching hospital, The Netherlands.

Measurements

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.

Results

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 associated with an increase in ADL dependency three months after discharge.

Conclusion

In hospitalized older patients, HGS is associated with ADL and IADL and muscle mass measures with ADL in male patients only. HGS should be explored as predictive marker for outcome of hospitalized older patients after discharge.
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Metadata
Title
Association of Handgrip Strength and Muscle Mass with Dependency in (Instrumental) Activities of Daily Living in Hospitalized Older Adults -The EMPOWER Study
Authors
C. G. M. Meskers
E. M. Reijnierse
S. T. Numans
R. C. Kruizinga
V. D. Pierik
J. M. van Ancum
M. Slee-Valentijn
K. Scheerman
S. Verlaan
Andrea B. Maier
Publication date
01-03-2019
Publisher
Springer Paris
Published in
The journal of nutrition, health & aging / Issue 3/2019
Print ISSN: 1279-7707
Electronic ISSN: 1760-4788
DOI
https://doi.org/10.1007/s12603-019-1170-5

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