Predictors for Grip Strength Loss in Patients With Chronic Liver Diseases

In Vivo. 2021 Jan-Feb;35(1):363-371. doi: 10.21873/invivo.12267.

Abstract

Background/aim: To elucidate factors associated with secular changes of grip strength (GS) in patients with chronic liver diseases (CLDs) (n=241, 102 males, median age=63 years, 87 liver cirrhosis cases).

Materials and methods: ΔGS (kg/year) was defined as [GS value (second time) - GS value (first time)]/[time interval between the first and second time]. GS loss (GSL) was defined as ΔGS <0 kg/year.

Results: The median ΔGS in patients with non-LC, Child-Pugh A (n=70) and Child-Pugh B (n=17) were 0.3, -0.2 and -1.6 kg/year (overall p<0.0001). In the multivariate analysis of factors linked to the GSL for all cases, extracellular water (ECW) to total body water (TBW) ratio was significant (p=0.0007). In the multivariate analysis in male, no significant factor was found, while in female, ECW to TBW ratio was significant (p=0.0024).

Conclusion: Liver functional parameters can be closely linked to the GSL especially in female CLD patients.

Keywords: Chronic liver disease; grip strength loss; liver function; secular change.

MeSH terms

  • Body Water*
  • Extracellular Space
  • Female
  • Hand Strength
  • Humans
  • Liver Cirrhosis* / complications
  • Male
  • Middle Aged
  • Water

Substances

  • Water