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Diagnostic Accuracy of Handgrip Strength as a Screening Tool of Nutritional Status in Community-Living Elderly

机译:Communition-Livers老年人营养状况筛选工具的诊断准确性

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Using Mini Nutritional Assessment (MNA) to assess nutritional status in elderly may spend longer time and not quite simple when used in community setting. Moreover, it should be performed by healthcare professional. A simpler and easier tool such as handgrip strength (HS) seem appropriateto be used in this setting. However, there is no published article which investigate the performance of this method to assess elderly nutritional status. This study aimed to verify the cut-off point and assess this method’s performance to detect malnutrition among community-living elderly.A crossectional study was conducted at Posbindu in Pulogadung, East Jakarta, January–February 2017. Subjects were men and women ≥60 years old. Cutoff point malnutrition was investigated by the ROC curve. Diagnostic accuracy of HS was calculated. The area under the curve (AUC) valueof the HS in elderly men and women were 90.5% (95% CI 82.0–99.0) and 79.6% (95% CI 71.7–87.6). Cutoff point of HS for the diagnosis of malnutrition according to the reference standard were ≤25 kg for men and ≤18 kg for women, with the sensitivity, specificity, PPV, NPV were87.5% and 77.8%, 80.0% and 65.0%, 66.7% and 55.6%, 93.3% and 83.9%, 4,4 and 2,2, 0,1 and 0,3 for men and women, respectively. Cutoff point of HS for diagnosis of malnutrition were ≤25 kg for men and ≤18 kg for women. Diagnostic accuracy of HS for diagnosis malnutrition in elderly menand women were good and moderate.
机译:使用迷你营养评估(MNA)以评估老年人的营养状况可能会花费较长的时间,并且在社区环境中使用时不太简单。此外,它应该由医疗保健专业人员进行。在此设置中使用更简单和更简单的工具,如Handgries强度(HS)似乎适用。但是,没有出版的文章调查了这种方法的表现,以评估老年营养状况。本研究旨在验证截止点并评估这种方法,检测社区生活老年人的营养不良的性能。在2017年1月至2017年1月至2月的Pulogadung的Posbindu进行了讲学研究。受试者是男女≥60岁老的。 ROC曲线调查了截止点营养不良。计算HS的诊断准确性。曲线(AUC)曲线(AUC)的地区均为60.5%(95%CI 82.0-99.0)和79.6%(95%CI 71.7-87.6)。根据参考标准诊断营养不良的HS的截止点≤25kg为男性≤25kg,患有敏感性,特异性,PPV,NPV为87.5%和77.8%,80.0%和65.0%,男性和女性的66.7%和55.6%,93.3%和83.9%,4,4和2,2,0.1和0,3。营养不良诊断的截止点≤25公斤男性和≤18公斤女性。老年人患者诊断营养不良的HS诊断准确性良好,中度。

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