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Relationship between lung function and grip strength in older hospitalized patients: a pilot study
Sarah J Holmes1, Stephen C Allen2,3, Helen C Roberts4,5
1Medicine and Elderly Care, Hampshire Hospitals NHS Foundation Trust, Winchester.
Summary
Grip strength is linked to lung function in older adults. In women, grip strength correlated with peak expiratory flow rate and slow vital capacity, suggesting potential misclassification of COPD.
Area of Science:
- Geriatric Medicine
- Pulmonology
- Physiology
Background:
- Reduced respiratory muscle strength in older adults can lead to misdiagnosis of COPD using spirometry.
- Assessing grip strength may offer insights into respiratory function in this population.
Purpose of the Study:
- To investigate the relationship between lung function and grip strength in hospitalized older patients without pre-existing airway diseases.
Main Methods:
- Recruited patients aged 70+ without respiratory disease, with normal cognitive function, and able to perform spirometry and grip strength tests.
- Collected data on lung function (FEV1, FVC, PEFR, SVC), grip strength, age, height, and weight.
- Analyzed data using descriptive statistics and linear regression, with and without adjustments for covariates.
Main Results:
- In men, grip strength was associated with FEV1, but this link weakened after adjusting for age, height, and weight.
- In women, grip strength showed a robust positive association with PEFR and SVC, even after adjustments.
Conclusions:
- Stronger grip strength in women may indicate higher intrathoracic pressure generation during spirometry.
- Weaker grip strength in older adults might contribute to spirometric results suggestive of COPD, potentially leading to misclassification.
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