Association between Hand Grip Strength and Risk of Malnutrition in Elderly at Out-Patient Clinic, Faculty of Medicine, Vajira Hospital
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Creator 1. Thanakorn Witsawaphaisan
2. Wilailuk Teepprasan
Title Association between Hand Grip Strength and Risk of Malnutrition in Elderly at Out-Patient Clinic, Faculty of Medicine, Vajira Hospital
Publisher Text and Journal Publication
Publication Year 2564
Journal Title Vajira Medical Journal
Journal Vol. 65
Journal No. 4
Page no. 288-299
Keyword lderly, nutritional status, hand grip strength
URL Website https://tci-thaijo.org/index.php/VMED
Website title Vajira Medical Journal (วชิรเวชสาร)
ISSN 0125-1252
Abstract Objectives: To study the optimal cut-off point of hand grip strength for evaluation risk of malnutrition, and factors associated with malnutrition in elderly out-patient clinic, Faculty of Medicine Vajira Hospital. Methods: This research is cross-sectional study in volunteers aged 60 years and over, who came to family medicine out-patient clinic Vajira Hospital. The total number of volunteers were 243 patients, male 68 patients, female 175 patients. All volunteers have been taking history, screening for MNA and hand grip strength. Results: Optimal cut-off point for hand grip strength in male patients is 28.75 kgF, which sensitivity 100%, specificity 44%. Optimal cut-off point for hand grip strength in female patients is 17.22 kgF, which sensitivity 66%, specificity 54%. In male, there were 3 factors associated with risk of malnutrition; over ages 80-89 years (p-value 0.030), psychiatric disease (p-value 0.004), right hand grip strength below 23.07 ? 4.48 (p-value 0.015). In female, there were 4 factors associated with risk of malnutrition; no education (p-value 0.025), cardiovascular disease (p value 0.042), low BMI < 18.5 (p value 0.003) and left hand grip strength below 15.88 ? 4.3 p value 0.027). Conclusion: Optimal cut-off point for hand grip strength in male patients is 28.75 kgF. Optimal cut-off point for hand grip strength in female patients is 17.22 kgF. It can be use in screening for patients who are at risk of malnutrition.
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