The Diabetes Epidemic in the South Pacific: A Pilot StudyUtilising Hand Grip Strength in Tonga by Maria Eleni Zioupos in Archives of Diabetes & Obesity (ADO)- Lupine Publishers
Background: Hand-grip strength (HGS) has been shown recently
to help in predicting disease outcomes and assessing health
risk, particularly in cardiovascular and metabolic disease. Studies
confirming its link to diabetes (T2DM) suggest there is potential
for its use as simple screening tool. This study examined this
possibility in a developing-world population, in a cohort of Tongan
diabetics.
Methods: HGS was measured in a randomly selected cohort of patients, comprising in total 149 patients, of which 91 with and
58 without T2DM. Other measurements recorded included patient demographics, blood pressure and date of diabetes diagnosis.
Results: HGS was found to reduce significantly with age in all groups and it also related to BMI in males. Binary logistics
regression models were produced using ‘HGS,’ ‘Age’ and ‘BMI’ which had a sensitivity of 82-84% (M/F) and specificity of 50-57%.
Conclusion: This study uses one of the well-known effects and
complications of T2DM, affected hand grip strength of sufferers,
as a parameter in a ‘tool’ to predict the presence of the disease
showing very good sensitivity. Further research is needed into the
more general utility of the tool, while further work may help identify
among the diagnosed those who would benefit from specialist
treatment.
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