Hand Grip Strength in Elderly Rheumatoid Arthritis Patients

Year 2019, Volume: 21 Issue: 3, 210 - 213, 30.12.2019

Aslı Çalışkan Uçkun , Ayşegül Altun Güvenir Fatma Gül Yurdakul , Tuba Güler , Filiz Sivas , Hatice Bodur

https://doi.org/10.18678/dtfd.630806

Cited By: 3

Abstract

Aim: Previous studies have shown that rheumatoid arthritis and aging are independent risk factors for decreased hand grip strength. However, little is known about how coexisting rheumatoid arthritis would affect the reduced hand grip strength in the elderly population. Therefore, the aims of this study were to compare the hand grip strength of elderly female rheumatoid arthritis patients with controls and to investigate the factors associated with hand grip strength in the patients with rheumatoid arthritis.

Material and Methods: This cross-sectional study included 45 elderly women with rheumatoid arthritis and 43 age-matched controls. All subjects were provided with self-reported questionnaires measuring physical disability, anxiety and depression, sleep quality, cognitive impairment, and fatigue severity. Hand grip strength was measured with hand dynamometer. The disease activity was assessed by the Disease Activity Score.

Results: There were no significant differences in values of age, body mass index, physical disability, anxiety and depression, sleep quality, cognitive impairment, fatigue severity, and grip strength between the groups. Disease period, physical disability, and disease activity were variables which showed statistically significant negative correlation with grip strength in rheumatoid arthritis patients. In further linear regression analysis, it is found that only long disease duration was associated with decreased grip strength.

Conclusion: Rheumatoid arthritis does not seem to significantly affect aging-related muscle strength loss. Disease duration was found to be the only independent factor associated with hand grip strength in elderly rheumatoid arthritis patients.

Keywords

Hand strength, rheumatoid arthritis, sarcopenia

Yaşlı Romatoid Artrit Hastalarında El Kavrama Gücü

Abstract

Amaç: Önceki çalışmalar romatoid artritin ve yaşlanmanın, azalmış el kavrama gücü için bağımsız risk faktörleri olduğunu göstermiştir. Bununla birlikte, bir arada var olan romatoid artritin yaşlı popülasyondaki azalmış el kavrama gücünü nasıl etkileyeceği konusunda çok az şey bilinmektedir. Bu nedenle, bu çalışmanın amaçları, yaşlı kadın romatoid artritli hastaların el kavrama gücünü kontrollerle karşılaştırmak ve romatoid artrit hastalarında el kavrama gücü ile ilişkili faktörleri araştırmaktır.

Gereç ve Yöntemler: Bu kesitsel çalışmaya 45 romatoid artritli yaşlı kadın ve 43 yaşa göre eşleştirilmiş kontrol dahil edildi. Tüm deneklere fiziksel özürlülük, anksiyete ve depresyon, uyku kalitesi, bilişsel bozulma ve yorgunluk şiddetini ölçen kendi kendine bildirilen anketler verildi. El kavrama gücü, el dinamometresi ile ölçüldü. Hastalık aktivitesi, Hastalık Aktivite Skoru ile değerlendirildi.

Bulgular: Gruplar arasında yaş, vücut kitle indeksi, fiziksel özürlülük, anksiyete ve depresyon, uyku kalitesi, bilişsel bozulma, yorgunluk şiddeti ve kavrama gücü değerleri açısından anlamlı fark yoktu. Hastalık süresi, fiziksel özürlülük ve hastalık aktivitesi romatoid artrit hastalarında kavrama kuvveti ile istatistiksel olarak anlamlı düzeyde negatif korelasyon gösteren değişkenlerdi. Sonraki doğrusal regresyon analizinde, sadece uzun hastalık süresinin kavrama kuvvetinin azalması ile ilişkili olduğu bulundu.

Sonuç: Romatoid artrit, yaşlanmaya bağlı kas kuvveti kaybını önemli ölçüde etkilemiyor gibi görünmektedir. Hastalık süresi, yaşlı romatoid artrit hastalarında el kavrama gücü ile ilişkili tek bağımsız faktör olarak bulunmuştur.

Keywords

El gücü, romatoid artrit, sarkopeni

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