P1074 - HANDGRIP STRENGTH WAS ASSOCIATED WITH NUTRITIONAL RISK BY NRS IN SURGICAL PATIENTS

P1074

HANDGRIP STRENGTH WAS ASSOCIATED WITH NUTRITIONAL RISK BY NRS IN SURGICAL PATIENTS

V. A. Leandro-Merhi^1,*, L. R. Mazzini², V. A. C. Barbieri², R. I. Seccacci ², J. P. Teixeira², L. S. Stopiglia²

¹Postgraduate Program in Health Sciences, ²School of Life Sciences, Pontifical Catholic University of Campinas (PUC Campinas), Campinas-SP, Brazil

Rationale: An alternative to contribute to nutritional diagnosis in addition to estimating muscle mass refers to the assessment of handgrip strength (HGS), which is an accessible instrument for use in the hospital environment and could be used in conjunction with other instruments and anthropometric indicators in the assessment of hospitalized patients. Thus, this study investigated clinical and nutritional variables and HGS in comparison with nutritional risk during hospitalization.

Methods: A cross-sectional study was conducted with 160 hospitalized adult patients in surgical wards, investigating clinical and nutritional variables and HGS in relation to the nutritional risk score by the nutritional risk screening-2002 (NRS). Data were analyzed using the Chi-square test or Fisher's exact test, Mann-Whitney test and simple and multiple logistic regression.

Results: The study population consisted of 62.5% (n=100) male patients and 37.5% (n=60) female patients, with a hospital stay of 18.46±22.19 days and a mean age of 59.31±16.14 years. It was observed that 56.9% (n=91) of patients were at nutritional risk according to the NRS, 60.6% (n=97) had recent weight loss and 57.5% (n=92) had reduced HGS values. There was a statistical difference between the nutritional risk according to the NRS and age (p=0.0010), recent weight loss (p<.0001), disease (p=0.007), body mass index (p<.0001), mean HGS (p=0.0210) and classified HGS (p=0.0018). The regression analysis showed that each unit lower in HGS increased nutritional risk by NRS by 4.6% (OR=1.046).

Conclusion: The findings showed that HGS was a factor associated with nutritional risk by NRS and could complement the assessment of hospitalized adult patients.

-Funding: Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP) (Process nº.  2023/01435-2).

Disclosure of Interest: None declared