J.Jpn. Surg. Soc.. 87(12): 1511-1525, 1986
Original article
MUSCLE STRENGTH IN PATIENTS WITH GASTROINTESTINAL CARCINOMA
ーAN IMPORTANT ROLE OF MUSCLE STRENGTH AS A NUTRITIONAL PARAMETERー
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First Department of Surgery, Niigata University School of Medicine, Niigata, Japan Nobuaki Sato |
Muscle strength was determined by measurements of %grip strength and respiratory muscle strength expressed as %maximal expiratory and inspiratory pressure (%MEP and %MIP).
The results were as follows:
1) %GS was significantly low in the patients who showed low values in body weight (%ideal body weight: %IBW), mid-arm muscle circumference (%AMC), serurn albumin (Alb), serum prealbumin (PA), total peripheral lymphocyte count (TLC), and/or nutritional surgical risk index (NRI).
2) %MEP was significantly low in the patients who showed low values in %IBW, %AMC, triceps skin fold, Alb, PA, retinol binding protein, NRI, and/or nutritinal assessment index (NAI).
3) %MIP was significantly low in the patients who showed low values in %IBW, %AMC, creatinine height index, Alb, PA, NRI, and/or NAI.
4) %MEP and %MIP were significantly correlated with %GS.
5) Preoperative %GS value was significantly low in the esophageal cancer patients with postoperative pulmonary complications.
6) It was suggested that %GS was a simple and useful nutritional parameter for detecting depletion of the muscle mass and visceral proteins, for respiratory muscle strength, and for functional capacity of muscle.
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