Título:	What is the most appropriate handgrip strength testing protocol for sarcopenia screening in older adults with cognitive impairment?
Autor(es):	Garcia, Patrícia Azevedo Sampaio, Raphaela Xavier Moura, Júlia Araújo de Souza, Phylipi Figuêiredo de Costa, Ludmille Bezerra da Mendes, Felipe Augusto dos Santos
ORCID:	https://orcid.org/0000-0002-9043-1386 https://orcid.org/0000-0002-9941-7214
Afiliação do autor:	Universidade de Brasilia, Postgraduate Program in Rehabilitation Sciences Universidade de Brasilia, Postgraduate Program in Rehabilitation Sciences Universidade de Brasilia, Postgraduate Program in Rehabilitation Sciences Universidade de Brasilia, Graduation in Physical Therapy Universidade de Brasilia, Graduation in Physical Therapy Universidade de Brasilia, Postgraduate Program in Rehabilitation Sciences
Assunto:	Sarcopenia Fraqueza muscular Dinamometria Idosos - saúde e higiene
Data de publicação:	Jul-2024
Editora:	Elsevier BV
Referência:	GARCIA, Patrícia Azevedo; SAMPAIO, Raphaela Xavier; MOURA, Júlia Araújo de; SOUZA, Phylipi Figuêiredo de; COSTA, Ludmille Bezerra da; MENDES, Felipe Augusto dos Santos. What is the most appropriate handgrip strength testing protocol for sarcopenia screening in older adults with cognitive impairment?. Brazilian Journal of Physical Therapy, v. 28, n. 4, p. 101104, 2024. DOI: https://doi.org/10.1016/j.bjpt.2024.101104. Disponível em: https://doi.org/10.1016/j.bjpt.2024.101104
Abstract:	Background: Handgrip strength (HGS) testing is a highly recommended method for screening for sarcopenia in older adults. However, there is no consensus on the optimal protocol and number of trials for screening sarcopenia in older adults with cognitive impairment. Objective: To investigate the use of the first trial (FT), the mean of three trials (MT), and the highest value (HT) from three trials of the HGS test to screen for sarcopenia in older adults with cognitive impairment. Additionally, to analyze the consistency, agreement, and measurement error in the diagnosis of muscle weakness. Methods: 176 older adults with cognitive impairment were evaluated. The HGS test was repeated three times. Analyses were performed using the Friedman repeated measures test with Wilcoxon post-hoc, intraclass correlation coefficient (ICC), Standard Error of Measurement (SEM), Minimal Detectable Change (MDC95), and Kappa index tests. Results: There was no significant difference between the first trial (FT) and the mean of three trials (MT) (d = 0.17 [95 % CI: 0.08, 0.42]), but both differed significantly from the highest value (HT) (p < 0.001). The ICC indicated a reliability of 0.97 (95 % CI: 0.95, 0.98) across all participants, while the kappa index demonstrated over 80 % agreement. The SEM for the first measure of HGS ranged from 0.59 to 2.12 kgf. The MDC95 ranged from 1.64 to 5.87 kgf. Conclusion: For HGS testing, there was excellent consistency between the FM and MT. All three testing methods demonstrated excellent agreement in diagnosing muscle weakness. The measurement errors confirm that FT can be reliably used to monitor changes during rehabilitation.
Unidade Acadêmica:	Faculdade de Ciências e Tecnologias em Saúde (FCTS) – Campus UnB Ceilândia
Programa de pós-graduação:	Programa de Pós-Graduação em Ciências da Reabilitação
DOI:	https://doi.org/10.1016/j.bjpt.2024.101104
Versão da editora:	https://www.sciencedirect.com/science/article/pii/S1413355524005148
Aparece nas coleções:	Artigos publicados em periódicos e afins

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