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Grip Strength: A Useful Marker for Composite Hepatic Events in Patients with Chronic Liver Diseases
oleh: Kazunori Yoh, Hiroki Nishikawa, Hirayuki Enomoto, Yoshinori Iwata, Naoto Ikeda, Nobuhiro Aizawa, Takashi Nishimura, Hiroko Iijima, Shuhei Nishiguchi
Format: | Article |
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Diterbitkan: | MDPI AG 2020-04-01 |
Deskripsi
Here we sought to clarify the prognostic impact of sarcopenia-related markers (grip strength (GS), muscle mass using bioimpedance analysis and patient quality of life as assessed by the 36-Item Short-Form Health Survey (SF36)) in patients with chronic liver diseases (CLDs, <i>n</i> = 411; 160 liver cirrhosis patients; median age, 64 years) on the incidence of composite hepatic events (CHEs). A GS decrease was defined as <26 kg in men and <18 kg in women, while a skeletal muscle mass index (SMI) decrease was defined as <7.0 kg/m<sup>2</sup> in men and <5.7 kg/m<sup>2</sup> in women based on the current guidelines. The physical and metal component summary scores on the SF36 were also included into the analysis. Sixty-two patients (15.1%) had the first incidence of CHEs. The three-year cumulative incidence rates of CHEs in patients with GS decrease or non-decrease were 24.51% and 12.44% (<i>p</i> = 0.0057). The three-year cumulative incidence rates of CHEs in patients with an SMI decrease or non-decrease were 19.65% and 12.99% (<i>p</i> = 0.0982). Multivariate analysis revealed that GS decrease (<i>p</i> = 0.0350) and prothrombin time (<i>p</i> = 0.0293) were significantly associated with the incidence of CHEs. In conclusion, GS can be an independent predictor for CHE development in patients with CLDs.