168
views
0
recommends
+1 Recommend
1 collections
    0
    shares
      • Record: found
      • Abstract: found
      • Article: found
      Is Open Access

      Estandarización de la fuerza de prensión manual en adultos chilenos sanos mayores de 20 años Translated title: Hand grip strength values in normal Chilean subjects

      research-article

      Read this article at

      Bookmark
          There is no author summary for this article yet. Authors can add summaries to their articles on ScienceOpen to make them more accessible to a non-specialist audience.

          Translated abstract

          Background: A low hand grip strength is a prognostic factor both in healthy people and hospitalized subjects. Local normal hand grip strength values are needed to define cutoff points of abnormality. Aim: To measure handgrip strength in Chilean people aged 20 to 70 years and propose normal values for healthy people in this age range. Material and Methods: Handgrip strength was measured using a JAMAR hydraulic dynamometer in 436 males and 465 females aged 20 to 70 years and who were free of disease. They were recruited from waiting rooms in several public and private hospitals and outpatient clinics, under self-evaluation of inclusion criteria. Results: The variability of the handgrip strength in women was smaller in than men. Tables containing handgrip strength values by age and sex and the ranges between three standard deviations were prepared. Conclusions: This study contributes with normal handgrip strength values in Chile to be used for the diagnosis and management of various conditions, such sarcopenia, obesity, oncological patients, Intensive Care Unit acquired weakness (ICU-aw) and weaning of mechanical ventilation.

          Related collections

          Most cited references16

          • Record: found
          • Abstract: not found
          • Article: not found

          Muscular strength as a predictor of all-cause mortality in apparently healthy population: a systematic review and meta-analysis of data from approximately 2 million men and women

            Bookmark
            • Record: found
            • Abstract: found
            • Article: not found

            Acquired weakness, handgrip strength, and mortality in critically ill patients.

            ICU-acquired paresis (ICUAP) is common in survivors of critical illness. There is significant associated morbidity, including prolonged time on the ventilator and longer hospital stay. However, it is unclear whether ICUAP is independently associated with mortality, as sicker patients are more prone and existing studies have not adjusted for this. To test the hypothesis that ICUAP is independently associated with increased mortality. Secondarily, to determine if handgrip dynamometry is a concise measure of global strength and is independently associated with mortality. A prospective multicenter cohort study was conducted in intensive care units (ICU) of five academic medical centers. Adults requiring at least 5 days of mechanical ventilation without evidence of preexisting neuromuscular disease were followed until awakening and were then examined for strength. We measured global strength and handgrip dynamometry. The primary outcome was in-hospital mortality and secondary outcomes were hospital and ICU-free days, ICU readmission, and recurrent respiratory failure. Subjects with ICUAP (average MRC score of < 4) had longer hospital stays and required mechanical ventilation longer. Handgrip strength was lower in subjects with ICUAP and had good test performance for diagnosing ICUAP. After adjustment for severity of illness, ICUAP was independently associated with hospital mortality (odds ratio [OR], 7.8; 95% confidence interval [CI], 2.4-25.3; P = 0.001). Separately, handgrip strength was independently associated with hospital mortality (OR, 4.5; 95% CI, 1.5-13.6; P = 0.007). ICUAP is independently associated with increased hospital mortality. Handgrip strength is also independently associated with poor hospital outcome and may serve as a simple test to identify ICUAP. Clinical trial registered with www.clinicaltrials.gov (NCT00106665).
              Bookmark
              • Record: found
              • Abstract: found
              • Article: not found

              Muscular strength as a strong predictor of mortality: A narrative review.

              Muscular strength, an important component of physical fitness, has an independent role in the prevention of chronic diseases whereas muscular weakness is strongly related to functional limitations and physical disability. Our purpose was to investigate the role of muscular strength as a predictor of mortality in health and disease. We conducted a systematic search in EMBASE and MEDLINE (1980-2014) looking for the association between muscular strength and mortality risk (all-cause and cause-specific mortality). Selected publications included 23 papers (15 epidemiological and 8 clinical studies). Muscular strength was inversely and independently associated with all-cause mortality even after adjusting for several confounders including the levels of physical activity or even cardiorespiratory fitness. The same pattern was observed for cardiovascular mortality; however more research is needed due to the few available data. The existed studies failed to show that low muscular strength is predictive of cancer mortality. Furthermore, a strong and inverse association of muscular strength with all-cause mortality has also been confirmed in several clinical populations such as cardiovascular disease, peripheral artery disease, cancer, renal failure, chronic obstructive pulmonary disease, rheumatoid arthritis and patients with critical illness. However, future studies are needed to further establish the current evidence and to explore the exact independent mechanisms of muscular strength in relation to mortality. Muscular strength as a modifiable risk factor would be of great interest from a public health perspective.
                Bookmark

                Author and article information

                Contributors
                Role: ND
                Role: ND
                Role: ND
                Role: ND
                Role: ND
                Role: ND
                Journal
                rmc
                Revista médica de Chile
                Rev. méd. Chile
                Sociedad Médica de Santiago (Santiago, , Chile )
                0034-9887
                June 2019
                : 147
                : 6
                : 741-750
                Affiliations
                [4] Santiago Santiago de Chile orgnameUniversidad de Chile orgdiv1Facultad de Medicina orgdiv2Departamento de Educación en Ciencias de la Salud Chile
                [2] Santiago orgnameClínica Creni Chile
                [3] Santiago Santiago de Chile orgnameUniversidad Finis Terrae orgdiv1Facultad de Medicina orgdiv2Unidad de Investigación Clínica Alemana Chile
                [1] Santiago Santiago de Chile orgnameUniversidad del Desarrollo orgdiv1Facultad de Medicina Clínica Alemana orgdiv2Clínica Alemana de Santiago Chile
                Article
                S0034-98872019000600741
                fee40eb1-6c46-4b77-9456-a722cb5650e7

                This work is licensed under a Creative Commons Attribution 4.0 International License.

                History
                : 03 December 2018
                : 20 June 2019
                Page count
                Figures: 0, Tables: 0, Equations: 0, References: 22, Pages: 10
                Product

                SciELO Chile

                Categories
                ARTICULOS DE INVESTIGACION

                Hand Strength,Reference Values,Rehabilitation
                Hand Strength, Reference Values, Rehabilitation

                Comments

                Comment on this article