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HANDGRIP STRENGTH AND SOME RELATED FACTORS IN OLDER PATIENTS WITH PARKINSON DISEASE
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Abstract
Objective: to determine the rate of decreased handgrip strength and some related factors in older patients with Parkinson's disease. Methods: A cross-sectional descriptive study in 120 patients with Parkinson's disease ³ 60 years old. Handgrip strength was measured using the Jamar TM Hydraulic Hand Dynamometer. Geriatric syndromes were assessed: polypharmacy, nutritional status, cognitive function, depression, fall risk, and sleep disorder. Results: The rate of decrease in handgrip strength was 63.3%, 68% in men, and 60% in women. The proportion of patients with reduced handgrip strength in the age group ≥70 years was statistically significantly higher than that in the age group 60-69 years. The proportion of patients with reduced handgrip strength in Parkinson's disease stage 3-5, with spastic symptoms, was statistically significantly higher than in Parkinson's disease stage 1-2, without stiffness symptoms. The proportion of patients with decreased handgrip strength in the group with depression, at risk of malnutrition/malnutrition, and with cognitive impairment was statistically significantly higher than the group without the above geriatric syndromes. In summary, the rate of decline in handgrip strength in the elderly with Parkinson's disease is quite high. Conclusion: there is an association between decreased handgrip strength and advanced age, Parkinson's disease stage 3-5, symptoms of spasticity, risk of malnutrition/malnutrition, depression, and cognitive decline.
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References
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