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Journal of Parenteral and Enteral Nutrition
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Hand Grip Strength—A Simple Prognostic Indicator In Surgical Patients

Deborah R. Hunt, M.S., R.D.

Department of Surgery, The University of Texas Medical School at Houston

Brian J. Rowlands, M.D., F.R.C.S., F.A.C.S.

Department of Surgery, The University of Texas Medical School at Houston

Dennis Johnston, PH.D.

Department of Biomathematics, The University of Texas System Cancer Center, Houston Texas

This study evaluates hand grip strength as an indicator of nutritional status and a predictor of postoperative complications. Hand grip strength and other parameters of nutritional status, namely, midarm muscle circumference, forearm muscle circumference, triceps skinfold, percentage ideal body weight, serum albumin, and percent usual weight were determined preoperatively in 205 patients. Complications occurred in 28 patients (14%). Patients with at least one abnormal nutritional parameter had a higher incidence of postoperative complications. Their length of total and postoperative hospitalization was greater by 6.2 and 4.6 days, respectively (p < 0.01). Grip strength was the most sensitive single parameter, but forearm muscle circumference and percentage ideal body weight were the most specific indices. Hand grip strength is a simple measure of nutritional status and an accurate prognostic indicator that requires further clinical evaluation. (Journal of Parenteral and Enteral Nutrition 9:701-704, 1985)

Journal of Parenteral and Enteral Nutrition, Vol. 9, No. 6, 701-704 (1985)
DOI: 10.1177/0148607185009006701
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