Kemala Sari Nina, Stepvia Stepvia, Ilyas Muhana Fawwazy
Geriatric Division, Department of Internal Medicine, Dr. Cipto Mangunkusumo National Referral Hospital, Faculty of Medicine, Universitas Indonesia, Jakarta 10430, Indonesia.
Faculty of Medicine, Universitas Sebelas Maret, Surakarta 57126, Indonesia.
J Clin Med. 2024 Aug 10;13(16):4697. doi: 10.3390/jcm13164697.
: Hand grip strength (HGS) is a crucial measure for evaluating muscle function and general physical ability, and it may be associated with several diseases. Previous studies have demonstrated inconsistent associations between anthropometric measurement and body composition with HGS. This study aims to investigate the association between anthropometric measurement and body composition with HGS in the elderly population residing in Indonesia. : This is a cross-sectional study on older adults aged between 60 and 82 years who live in the community. Anthropometric parameters assessed in this study comprised the body mass index (BMI), mid-upper arm circumference (MUAC), calf circumference (CC), and waist circumference (WC). Subsequently, body composition measurements, including fat mass (FM), fat-free mass (FFM), muscle mass (MM), skeletal muscle mass (SMM), and the appendicular skeletal mass index (ASMI), were assessed using a body composition analyzer. Last, the measurement of HGS was conducted using a hand dynamometer. : A total of 109 participants were involved in this study. Our study demonstrates a significant association between anthropometric parameters, namely CC and HGS. Subsequently, several body composition parameters, including FFM, SMM, ASMI, and MM in the four extremities, are also significantly associated with HGS. However, in a multivariate analysis, only CC and FFM were able to significantly predict HGS. : Improving CC and maintaining FFM may enhance muscle strength in older adults. This suggests that targeted exercise and nutrition programs could increase muscle mass and strength, thereby mitigating age-related decline and improving quality of life.
握力(HGS)是评估肌肉功能和总体身体能力的关键指标,它可能与多种疾病相关。先前的研究表明,人体测量指标和身体成分与握力之间的关联并不一致。本研究旨在调查印度尼西亚老年人群中人体测量指标和身体成分与握力之间的关联。
这是一项针对居住在社区的60至82岁老年人的横断面研究。本研究评估的人体测量参数包括体重指数(BMI)、上臂中段周长(MUAC)、小腿周长(CC)和腰围(WC)。随后,使用身体成分分析仪评估身体成分测量值,包括脂肪量(FM)、去脂体重(FFM)、肌肉量(MM)、骨骼肌量(SMM)和四肢骨骼肌肉量指数(ASMI)。最后,使用握力计进行握力测量。
共有109名参与者参与了本研究。我们的研究表明,人体测量参数,即小腿周长和握力之间存在显著关联。随后,包括去脂体重、骨骼肌量、四肢骨骼肌肉量指数和四肢肌肉量在内的几个身体成分参数也与握力显著相关。然而,在多变量分析中,只有小腿周长和去脂体重能够显著预测握力。
改善小腿周长并维持去脂体重可能会增强老年人的肌肉力量。这表明,有针对性的运动和营养计划可以增加肌肉量和力量,从而减轻与年龄相关的衰退并改善生活质量。