Nutrición Hospitalaria 02977 /
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Trabajo Original

Using relative handgrip strength to identify children at risk of sarcopenic obesity

Seryozha Gontarev, Mirko Jakimovski, Georgi Georgiev

Prepublicado: 2020-05-14
Publicado: 2020-07-01

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Background: identifying children at risk of developing childhood sarcopenic obesity often requires specialized equipment and expensive testing procedures, so cheaper and quicker methods would be advantageous, especially in field-based settings. Objective: the purpose of this study was to determine the relationships between the muscle-to-fat ratio (MFR) and relative handgrip strength, and to determine the ability of handgrip strength relative to body mass index (grip-to-BMI) to identify children who are at risk of developing sarcopenic obesity. Material and method: grip-to-BMI was measured in 4021 Macedonian children (6 to 10 yrs). Bioelectrical impedance was used to estimate body fat mass and skeletal muscle mass, from which the MFR was calculated. Results: the area under the curve (AUC) was 0.771 (95 % CI, 0.752 to 0.789, p < 0.001) in girls 6-10 years old and 0.843 (95 % CI, 0.826 to 0.859, p < 0.001) in boys 6-10 years old. Calculated using the grip-to-BMI ratio, the OR (95 % CI) for girls to be at risk of sarcopenic obesity identified by MFR was 20.182 (10.728-37.966, p < 0.001) and was 16.863 (10.782-26.371, p < 0.001) for boys. Conclusion: the grip-to-BMI ratio can be used to predict the presence of sarcopenic obesity in children, which can play a role in pediatric health interventions.

Palabras Clave: Bioelectrical impedance. Fat-free mass. Skeletal muscle mass. Muscle fat ratio.

Zembura, Marcela, Matusik, Paweł (2022) Sarcopenic Obesity in Children and Adolescents: A Systematic Review. Frontiers in Endocrinology
Öztelcan Gündüz, Bahar, Duyan Çamurdan, Aysu, Yıldız, Mücahit, Baran Aksakal, F. Nur, Ünsal, Emine Nüket (2024) Assessing Sarcopenic Obesity Risk in Children During the COVID-19 Pandemic: Grip-to-BMI Ratio. Medical Research Reports
Fuentes Barría, Héctor, Aguilera Eguía, Raúl Alberto, González Wong, Catalina (2022) Handgrip strength - Importance of its evaluation in children and adolescents at risk of sarcopenic obesity. Nutrición Hospitalaria
Bianco A, Jemni M, Thomas E, Patti A, Paoli A, Roque JR, Palma A, Mammina C, Tabacchi G. A systematic review to determine reliability and usefulness of the field-based test batteries for the assessment of physical fitness in adolescents-The ASSO Project. Int J Occup Med Environ Health. 2015;28(3):445.
DOI: 10.13075/ijomeh.1896.00393
Wind AE, Takken T, Helders PJ, Engelbert RH. Is grip strength a predictor for total muscle strength in healthy children, adolescents, and young adults?. Eur J Pediatr. 2010;169(3):281-7.
DOI: 10.1007/s00431-009-1010-4
Cohen DD, Gómez-Arbeláez D, Camacho PA, Pinzon S, Hormiga C, Trejos-Suarez J, Duperly J, Lopez-Jaramillo P. Low muscle strength is associated with metabolic risk factors in Colombian children: the ACFIES study. PloS one. 2014;9(4):e93150.
DOI: 10.1371/journal.pone.0093150
Peterson MD, McGrath R, Zhang P, Markides KS, Al Snih S, Wong R. Muscle weakness is associated with diabetes in older Mexicans: the Mexican health and aging study. J Am Med Dir Assoc. 2016;17(10):933-8.
DOI: 10.1016/j.jamda.2016.06.007
Matsudo VK, Matsudo SM, Rezende LF, Raso V. Handgrip strength as a predictor of physical fitness in children and adolescents. Rev. Bras. Cineantropom. Desempenho hum.2015;17(1):1-0.
Norman K, Stobäus N, Gonzalez MC, Schulzke JD, Pirlich M. Hand grip strength: outcome predictor and marker of nutritional status. Clin Nutr. 2011;30(2):135-42.
DOI: 10.1016/j.clnu.2010.09.010
Russell MK. Functional assessment of nutrition status. Nutr Clin Pract. 2015; 30: 211–218.
DOI: 10.1177/0884533615570094
Seferian AM, Moraux A, Canal A, Decostre V, Diebate O, Le Moing AG, Gidaro T, Deconinck N, Van Parys F, Vereecke W, Wittevrongel S. Upper limb evaluation and one-year follow up of non-ambulant patients with spinal muscular atrophy: an observational multicenter trial. PloS one. 2015;10(4):e0121799.
DOI: 10.1371/journal.pone.0121799
Febrer A, Rodriguez N, Alias L, Tizzano E. Measurement of muscle strength with a handheld dynamom eter in patients with chronic spinal muscular atrophy. J Rehabil Med. 2010; 42: 228–231.
DOI: 10.2340/16501977-0507
Seferian AM, Moraux A, Annoussamy M, Canal A, Decostre V, Diebate O, Le Moing AG, Gidaro T, Deconinck N, Van Parys F, Vereecke W. Upper limb strength and function changes during a one-year follow-up in non-ambulant patients with Duchenne muscular dystrophy: an observational multicenter trial. PLoS One. 2015 Feb 2;10(2):e0113999.
DOI: 10.1371/journal.pone.0113999
Cruz-Jentoft AJ, Baeyens JP, Bauer JM, Boirie Y, Cederholm T, Landi F, Martin FC, Michel JP, Rolland Y, Schneider SM, Topinková E. Sarcopenia: European consensus on definition and diagnosisReport of the European Working Group on Sarcopenia in Older PeopleA. J. Cruz-Gentoft et al. Age and ageing. 2010;39(4):412-23.
DOI: 10.1093/ageing/afq034
Rosenberg IH. Epidemiologic and methodologic problems in determining nutritional status of older persons.(Summary comments). Am J Cli Nutr. 1989;50:1231-3.
DOI: 10.1093/ajcn/50.5.1231
Biolo G, Cederholm T, Muscaritoli M. Muscle contractile and metabolic dysfunction is a common feature of sarcopenia of aging and chronic diseases: from sarcopenic obesity to cachexia. Clin Nutr. 2014;33(5):737-48.
DOI: 10.1016/j.clnu.2014.03.007
Lobstein T, Baur L, Uauy R. Obesity in children and young people: a crisis in public health. Obes Rev. 2004;5:4-85.
DOI: 10.1111/j.1467-789X.2004.00133.x
Cauley JA. An overview of sarcopenic obesity. J Clin Densitom.2015;18(4):499-505.
DOI: 10.1016/j.jocd.2015.04.013
Stenholm S, Harris TB, Rantanen T, Visser M, Kritchevsky SB, Ferrucci L. Sarcopenic obesity-definition, etiology and consequences. Curr Opin Clin Nutr Metab Care. 2008;11(6):693.
DOI: 10.1097/MCO.0b013e328312c37d
Fielding RA, Vellas B, Evans WJ, Bhasin S, Morley JE, Newman AB, van Kan GA, Andrieu S, Bauer J, Breuille D, Cederholm T. Sarcopenia: an undiagnosed condition in older adults. Current consensus definition: prevalence, etiology, and consequences. International working group on sarcopenia. J Am Med Dir Assoc. 2011;12(4):249-56.
DOI: 10.1016/j.jamda.2011.01.003
Morley JE, Anker SD, von Haehling S. Prevalence, incidence, and clinical impact of sarcopenia: facts, numbers, and epidemiology—update 2014. J Cachexia Sarcopenia Muscle. 2014; 5: 253–259.
DOI: 10.1007/s13539-014-0161-y
McCarthy HD, Samani‐Radia D, Jebb SA, Prentice AM. Skeletal muscle mass reference curves for children and adolescents. Pediatr obes. 2014; 9(4):249-59.
DOI: 10.1111/j.2047-6310.2013.00168.x
Park BS, Yoon JS. Relative skeletal muscle mass is associated with development of metabolic syndrome. Diabetes Metab. 2013; 37(6):458-64.21.
DOI: 10.4093/dmj.2013.37.6.458
Kim K, Hong S, Kim EY. Reference values of skeletal muscle mass for Korean children and adolescents using data from the Korean National Health and nutrition examination survey 2009-2011. PLoS One. 2016;11(4):e0153383.
DOI: 10.1371/journal.pone.0153383
McLean RR, Shardell MD, Alley DE, Cawthon PM, Fragala MS, Harris TB, Kenny AM, Peters KW, Ferrucci L, Guralnik JM, Kritchevsky SB. Criteria for clinically relevant weakness and low lean mass and their longitudinal association with incident mobility impairment and mortality: the foundation for the National Institutes of Health (FNIH) sarcopenia project. J Gerontol Series A: Biomedical Sciences and Medical Sciences. 2014; 69(5):576-83.
DOI: 10.1093/gerona/glu012
Pietrobelli A, Rubiano F, St-Onge MP, Heymsfield SB. New bioimpedance analysis system: improved phenotyping with whole-body analysis. Eur J Clin Nutr.2004;58(11):1479.
DOI: 10.1038/sj.ejcn.1601993
Weiner JS, Lourie JA. Practical human biology. Academic Pr; 1981.
Heyward, V.H. (2006). Advanced fitness as sessment and exercise prescription 5-th edition. Champaign: Human Kinetics Publishers.
Fess EE. Clinical assessment recommendations. American Society of Hand Therapists. 1981:6-8.
Akobeng AK. Understanding diagnostic tests 3: receiver operating characteristic curves. Acta Paediatr. 2007; 96(5):644-7.
DOI: 10.1111/j.1651-2227.2006.00178.x
Coles N, Birken C, Hamilton J. Emerging treatments for severe obesity in children and adolescents. BMJ. 2016;354:i4116.
DOI: 10.1136/bmj.i4116
Legrand D, Adriaensen W, Vaes B, Matheï C, Wallemacq P, Degryse J. The relationship between grip strength and muscle mass (MM), inflammatory biomarkers and physical performance in community-dwelling very old persons. Arch Gerontol Geriatr. 2013;57(3):345-51.27.
DOI: 10.1016/j.archger.2013.06.003
Ertem K, Inan M, Yologlu S, Elmali N, Harma A, Sahin S, Bora A. Effects of dominance, body mass index and age on grip and pinch strength. Isokinet Exerc Sci.2003;11(4):219-23.
DOI: 10.3233/IES-2003-0150
Ploegmakers JJ, Hepping AM, Geertzen JH, Bulstra SK, Stevens M. Grip strength is strongly associated with height, weight and gender in childhood: a cross sectional study of 2241 children and adolescents providing reference values. J Physiother. 2013; 59(4):255-61.
DOI: 10.1016/S1836-9553(13)70202-9
Steffl M, Chrudimsky J, Tufano JJ. Using relative handgrip strength to identify children at risk of sarcopenic obesity. PloS one. 2017;12(5):e0177006.
DOI: 10.1371/journal.pone.0177006
Janssen I, Heymsfield SB, Baumgartner RN, Ross R. Estimation of skeletal muscle mass by bioelectrical impedance analysis. J Appl Physiol. 2000; 89(2):465-71.
DOI: 10.1152/jappl.2000.89.2.465

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