以质量求发展,以服务铸品牌

Journal of Nursing ›› 2020, Vol. 27 ›› Issue (6): 1-4.doi: 10.16460/j.issn1008-9969.2020.06.001

    Next Articles

Influence Factors of Handgrip Strength in Patients with Malignant Tumors

LU Ting, YING Yan-ping, ZHAO Hui-han, LI Qian, XU Yi, LING Yin   

  1. The First Affiliated Hospital of Guangxi Medical University, Nanning 530021, China
  • Received:2019-12-13 Online:2020-03-25 Published:2020-07-13

Abstract: Objective To explore the factors affecting the handgrip strength of patients with malignant tumors. Methods A cross-sectional survey was used to collect clinical data of 156 patients with malignant tumors in the Oncology Department of a tertiary grade A hospital in Guangxi Province, and measure their handgrip strength, anthropometric indexes, and laboratory indexes. Nutritional Risk Screening-2002 (NRS2002) was used to analyze nutritional risk. Pearson correlation analysis was used to correlate handgrip strength with nutrition-related anthropometric indicators, laboratory tests, and NRS2002 nutrition score and multivariate linear regression to analyze the factors affecting the handgrip strength of patients with malignant tumors. Results The results of Pearson correlation analysis showed that the handgrip strength of patients with malignant tumors was positively correlated with height, weight, body mass index, arm circumference, calf circumference, serum albumin, hemoglobin, and blood creatinine (P<0.05), but negatively with the NRS2002 nutrition score (P<0.05). The results of multiple linear regression analysis showed that gender, age, serum albumin, and NRS2002 nutrition scores entered the regression equation, explaining 66.7% of the total variation (P<0.05). Conclusion Gender, age, serum albumin, and NRS2002 nutrition scores are factors affecting handgrip strength in patients with malignant tumors.

Key words: handgrip strength, malignant tumor, nutrition evaluation

CLC Number: 

  • R473.73
[1] Chen SC, Chung WS, Wu PY, et al.Associations among Geriatric Nutrition Risk Index, Bone Mineral Density, Body Composition and Handgrip Strength in Patients Receiving Hemodialysis[J]. Nutrition, 2019(65):6-12. DOI:10.1016/j.nut.2019.02.013.
[2] 代凤,苏迅,王蕾,等. 握力大小对留置PICC肿瘤患者腋静脉血流动力学的影响[J].护理学报,2019,26(1):8-11. DOI:10.16460/j.issn1008-9969.2019.01.008
[3] Valente KP, Almeida BL, Lazzarini TR, et al.Association of Adductor Pollicis Muscle Thickness and Handgrip Strength with Nutritional Status in Cancer Patients[J]. PLoS One, 2019,14(8):e0220334. DOI:10.1371/journal.pone.0220334.
[4] Norman K, Stobäus N, Gonzalez MC, et al.Hand Grip Strength: Outcome Predictor and Marker of Nutritional Status[J]. Clin Nutr, 2011,30(2):135-142. DOI:10.1016/j.clnu.2010.09.010.
[5] Alkan SB, Artaç M, Rak1c1oğlu N. The Relationship Between Nutritional Status and Handgrip Strength in Adult Cancer Patients: A Cross-Sectional Study[J]. Support Care Cancer, 2018,26(7):2441-2451. DOI:10.1007/s00520-018-4082-8.
[6] Ozorio GA, Barão K, Forones NM. Cachexia Stage, Patient-generated Subjective Global Assessment, Phase Angle, and Handgrip Strength in Patients with Gastrointestinal Cancer[J]. Nutr Cancer, 2017,69(5):772-779. DOI:10.1080/01635581.2017.1321130.
[7] Vodičar J, Pajek J, Hadžić V, et al.Relation of Lean Body Mass and Muscle Performance to Serum Creatinine Concentration in Hemodialysis Patients[J]. Biomed Res Int, 2018, 2018:4816536. DOI:10.1155/2018/4816536.
[8] 殷莹,郑璇,刘双玉,等. 不同握力方式对前臂预行动静脉内瘘血管条件的影响[J].护理研究,2018,32(1):99-102.
[9] 胡美玲. 维持性血液透析患者握力水平与营养状况的相关性分析[D].百色:右江民族医学院,2019.
[10] 董文,蔡开灿,蔡瑞君,等.营养风险筛查量表及其在食管癌患者中的应用进展[J].护理学报,2017,24(14):31-35.DOI:10.16460/j.issn1008-9969.2017.14.031.
[11] Kondrup J, Rasmussen HH, Hamberg O, et al.Nutritional Risk Screening (NRS 2002): A New Method Based on An Analysis of Controlled Clinical Trials[J]. Clin Nutr, 2003,22(3):321-336.DOI:10.1016/s0261-5614(02)00214-5.
[12] 郑雯雯,谢红浪,吕桂兰,等. 握力在老年糖尿病肾病病人营养评估中的应用价值[J].护理研究,2019,33(20):3474-3477.
[13] 林英,张静,时珍,等. 福州市养老机构老年人握力水平及影响因素[J].中国老年学杂志,2019,39(5):1226-1230.
[14] Auyeung TW, Lee SW, Leung J, et al.Age-associated Decline of Muscle Mass, Grip Strength and Gait Speed: A 4-year Longitudinal Study of 3018 Community-dwelling Older Chinese[J]. Geriatr Gerontol Int, 2014,14(Suppl 1):76-84. DOI:10.1111/ggi.12213.
[15] Lauretani F, Russo CR, Bandinelli S, et al.Age-associated Changes In Skeletal Muscles and their Effect on Mobility: An Operational Diagnosis of Sarcopenia[J]. J Appl Physiol (1985), 2003,95(5):1851-1860. DOI:10.1152/japplphysiol.00246.2003.
[16] Li B, Liu HY, Guo SH, et al.Impact of Early Enteral and Parenteral Nutrition on Prealbumin and High-sensitivity C-reactive Protein after Gastric Surgery[J].Genet Mol Res, 2015,14(2):7130-7135. DOI:10.4238/2015.June.29.6.
[17] 王洁,莫永珍,李咏阳,等. 社区老年人群握力与2型糖尿病的相关性分析[J].护理学报,2018,25(17):69-71. DOI:10.16460/j.issn1008-9969.2018.17.069.
[18] Zhang L, Lu Y, Fang Y.Nutritional Status and Related Factors of Patients with Advanced Gastrointestinal Cancer[J]. Br J Nutr,2014,111(7):1239-1244.DOI:10.1017/S000711451300367X.
[19] White JV, Guenter P, Jensen G, et al.Consensus Statement of the Academy of Nutrition and Dietetics/American Society for Parenteral and Enteral Nutrition:Characteristics Recommended for the Identification and Documentation of Adult Malnutrition (Undernutrition)[J]. J Acad Nutr Diet, 2012,112(5):730-738. DOI:10.1016/j.jand.2012.03.012.
[20] Barata AT, Santos C, Cravo M, et al.Handgrip Dynamometry and Patient-generated Subjective Global Assessment in Patients with Nonresectable Lung Cancer[J]. Nutr Cancer, 2017,69(1):154-158.DOI:10.1080/01635581.2017.1250923.
[21] Lidoriki I, Schizas D, Mpaili E, et al.Associations Between Skeletal Muscle Mass Index, Nutritional and Functional Status of Patients with Oesophago-gastric Cancer[J]. Clin Nutr ESPEN, 2019,34:61-67. DOI:10.1016/j.clnesp.2019.08.012.
[22] Riviati N, Setiati S, Laksmi PW, et al.Factors Related with Handgrip Strength in Elderly Patients[J]. Acta Med Indones, 2017,49(3):215-219.
[23] Knudsen AW, Naver A, Bisgaard K, et al.Nutrition Impact Symptoms, Handgrip Strength and Nutritional Risk in Hospitalized Patients with Gastroenterological and Liver Diseases[J]. Scand J Gastroenterol, 2015,50(10):1191-1198. DOI:10.3109/00365521.2015.1028994.
[24] Zhang XS, Liu YH, Zhang Y, et al.Handgrip Strength as a Predictor of Nutritional Status in Chinese Elderly Inpatients at Hospital Admission[J]. Biomed Environ Sci, 2017,30(11):802-810. DOI:10.3967/bes2017.108.
[25] Zhou J, Hiki N, Mine S, et al.Role of Prealbumin as a Powerful and Simple Index for Predicting Postoperative Complications after Gastric Cancer Surgery[J]. Ann Surg Oncol,2017,24(2):510-517.DOI:10.1245/s10434-016-5548-x.
[26] Olguín T, Bunout D, de la Maza MP, et al. Admission Handgrip Strength Predicts Functional Decline in Hospitalized Patients[J]. Clin Nutr Espen, 2017,17:28-32. DOI:10.1016/j.clnesp.2016.12.001.
[1] DU hui,QIN Hui-ying,SUN Zhong-wen,HUANG Chun-li. Influence Factors of Uncertainty in Illness among Family Members of Cancer Patients in ICU [J]. , 2016, 23(21): 34-37.
[2] LAN Lv-qin,JIANG Fa-ye,CHEN Xiu-mei,LIU Rui. Radiation Detection and Protection for Hepatocellular Carcinoma Patients Undergoing Radioactive I125 Seeds Implantation [J]. , 2016, 23(18): 1-5.
[3] SUN Li,XIONG Li-juan,LIU Lian,WANG Yu-mei,PENG Li,LIU Li-na,HU Jie,LI Zheng. Reliability and Validity of OH Pressure Sore Assessment Scale in Patients with Malignant Tumor [J]. Journal of Nursing, 2015, (13): 1-3.
[4] LI Yu-fang,ZOU Jian-ying,LUO Jian,XIE Xiu-ying,YUAN Ai-dong,LIU Mei-mei. Attitude of Medical Staff and Patients Toward Advance Directives and Its Influence Factors [J]. Journal of Nursing, 2014, (16): 21-24.
[5] . Application of Exercise Signboard in Health Education for Preventing Deep Venous Thrombosis of Patients Undergone Gynecologic Malignant Surgeries [J]. Journal of Nursing, 2013, (7): 48-51.
[6] ZHANG Miao,WANG Wei-li,HU Shao-hua,LI Cheng. Influence of Self-management on Disease-related Symptoms and Quality of Life in Patients with Digestive System Malignant Tumor [J]. Journal of Nursing, 2013, 20(11): 1-5.
[7] . Effects of Empathy Nursing Ward-round on Post-traumatic Growth of Malignant Tumor Patients after Operation [J]. Journal of Nursing, 2013, (1): 71-73.
Viewed
Full text


Abstract

Cited

  Shared   
[1] ZHAO Di, ZHAO Meng-Lu, WANG Na, FU Ming-Jing, LIANG Feng, ZHANG Wei, WANG Ai-Min. Current Status of Social Isolation of Community-dwelling Elderly People in Qingdao and Its Influencing Factors[J]. Journal of Nursing, 2020, 27(11): 6 -10 .
[2] . [J]. Journal of Nursing, 2020, 27(11): 11 -15 .
[3] XIE Yan-zhen, LI Zhuang-miao, ZHANG Jia-yu, JI Qiu-lu, WU Yu-xin. Bibliometric Analysis of Moxibustion for Hemiplegia after Stroke[J]. Journal of Nursing, 2020, 27(11): 16 -20 .
[4] . [J]. Journal of Nursing, 2020, 27(11): 21 -25 .
[5] YE Dong-ting, ZHANG Qin-lian, JING Shuang, GUO Jia, XING Yan-fen. Psychological Experience of Family Members of ICU Patients during ICU Transfer: A Meta-synthesis[J]. Journal of Nursing, 2020, 27(11): 33 -39 .
[6] GUO Xiao-yu, SHI Dong-li, ZHANG Zheng-mei, LI Na, ZHANG Pei-feng, YANG Li-juan. Best Evidence Summary for Early Removal of Urinary Catheters in Male Patients after Lumbar Spine Surgery under General Anethesia[J]. Journal of Nursing, 2020, 27(11): 46 -51 .
[7] . [J]. Journal of Nursing, 2020, 27(11): 52 -56 .
[8] . [J]. Journal of Nursing, 2020, 27(11): 66 -70 .
[9] LI Xi-zhen, CAO Mei-chang, DENG Ju-ying, ZENG Man-ping, OU Li-fang. Effect of Narrative Therapy on Fear of Cancer Recurrence and Level of Hope in Patients with Nasopharyngeal Carcinoma[J]. Journal of Nursing, 2020, 27(11): 71 -74 .
[10] . [J]. Journal of Nursing, 2020, 27(11): 75 -78 .