Evaluating Hand Grip Strength in CAPD and Hemodialysis Population

Hand grip strength is a simple tool to measure the muscle function and thereby nutrition in dialysis patients. We enrolled 30 Chronic Peritoneal Dialysis(CPD) patients and 50 maintenance Hemodialysis(MHD) patients and assessed hand grip strength. The study population consisted of 50 patients undergoing MHD (men - 78%) with a mean age of 53.62 ±12.45 years and 30 CPD (men - 63%) patients with a mean age of 58.6±11.52 years. Of these MHD population 30(60%) were diabetic and in CPD 20(66.7%) were diabetic. Other demographic and clinical details were collected. The hand grip strength was significantly different between men and women in the group on MHD (p=0.020) and CPD (p=0.016). The hand grip strength was also significantly higher among the employed patients (p<0.001). lt was not significantly different between vegetarians and non-vegetarians (13=0.655). The hand grip strength was significantly lower in patients with a Hb <10g/di, (p=0.023) The hand grip strength was not significantly associated with serum albumin level (p=0.219) or diabetic status W=0.908). To conclude, hand grip strength is a simple tool used to measure the muscle function and malnutrition in dialysis patient. In our centre Hemodialysis patient have more muscle mass strength compared to peritoneal dialysis patients.