Research Article

Handgrip Strength Cut-Off Values for the Undernutrition Risk Screening among Elderly Men and Women in Bosnia and Herzegovina

Table 1

Sociodemographic and clinical characteristics of study participants.

VariableCommunity-dwellersNursing home residents
Men (n = 141)Women (n = 159)Men (n = 54)Women (n = 92)

Age, years (SD)73.78 (6.74)72.69 (5.60)81.30 (6.93)81.80 (6.18)<0.001
Education, n (%)
 Primary102 (53)198 (79)40 (74)75 (82)<0.001
 High school73 (37)50 (20)11 (20)16 (17)
 University20 (10)3 (1)3 (6)1 (1)
Chronic diseases, n (SD)2.30 (1.71)2.20 (1.70)2.93 (1.16)3.17 (1.03)<0.001
Medical visits, n (SD)9.38 (3.98)9.58 (4.47)4.89 (2.56)5.03 (2.43)<0.001
Hospitalizations, n (SD)0.46 (1.13)0.40 (0.77)0.43 (0.81)0.43 (0.70)0.034
Medications, n (SD)3.82 (2.23)3.94 (2.28)6.61 (2.46)7.32 (2.16)<0.001
Body mass index (kg/m2)26.92 (3.85)28.84 (5.25)26.07 (4.91)25.47 (4.93)<0.001
Weight (kgF)82.15 (13.08)75.08 (13.97)73.35 (15.00)64.91 (13,78)<0.001
Height (cm)174.61 (7.35)161.55 (7.13)167.70 (9.31)159.5 (8.01)<0.001
Waist circumference (cm)100.95 (12.10)94.96 (12.93)95.38 (14.66)90.18 (11.24)<0.001
Skinfold measurement (mm)14.86 (7.27)18.64 (6.72)15.79 (2.64)14.93 (2.85)<0.001
Calf circumference (cm)32.53 (4.13)32.66 (6.29)29.52 (3.12)28.12 (2.89)<0.001
Mid-arm muscle circumference (cm)27.60 (3.50)27.49 (3.67)25.29 (2.65)25.44 (3.33)<0.001
SCREEN II
 High risk of undernutrition121 (86)127 (80)54 (100)92 (100)<0.001
 Moderate risk of undernutrition18 (13)26 (16)00
 Without risk2 (1)6 (4)00
MNA
 Without undernutrition82 (58)96 (60)2 (4)7 (8)<0.001
 With risk of undernutrition59 (42)62 (39)48 (89)72 (78)
 Undernutrition0 (0)1(1)4 (7)13 (14)
6-CIT test
 No cognitive Impairments96 (49)109 (43)10 (19)32 (26)<0.001
 Cognitive impairments99 (51)142 (57)44 (81)60 (64)
Timed up and go test (sec)12.67 (7.77)12.89 (7.72)28.15 (8.71)28.58 (7.68)<0.001
Functional reach test (cm)31.73 (11.97)29.62 (10.47)16.69 (6.66)15.91 (6.01)<0.001
Katz index, score (SD)5.99 (0.08)5.99 (0.07)3.70 (1.84)3.82 (1.95)<0.001
HGS-left arm (kgF)21.38 (6.61)17.54 (4.82)15.44 (6.20)14.41 (6.70)<0.001
HGS-right arm (kgF)24.05 (8.15)20.23 (4.95)19.81 (6.23)18.55 (7.19)<0.001
Albumin (g/l)45.80 (2.36)46.00 (7.17)44.23 (4.89)43.65 (4.35)0.047
Ferritin (ng/mmol)192.19 (142.54)99.58 (70.22)212.47 (164.99)149.14 (114.27)0.028
Total cholesterol (mmol/l)5.34 (1.06)5.55 (1.07)5.41 (0.96)5.10 (1.22)0.236
Hemoglobin (g/l)145.73 (13.58)131.76 (12.08)131.55 (19.61)120.21 (15.31)<0.001

Data for continuous variables are presented as mean ± SD. Categorical variables are presented as numbers and percentages. Screen II-seniors in the community: risk evaluation for eating and nutrition, version II among octogenarians. MNA-SF, Mini Nutritional Assessment-Short Form. 6-CIT, Six-Item Cognitive Impairment Test HGS-handgrip strength. Significant values are in bold.