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Clinical impact of the finger‐circle test in patients with liver diseases
Author(s) -
Nishikawa Hiroki,
Yoh Kazunori,
Enomoto Hirayuki,
Nishimura Takashi,
Nishiguchi Shuhei,
Iijima Hiroko
Publication year - 2021
Publication title -
hepatology research
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.123
H-Index - 75
eISSN - 1872-034X
pISSN - 1386-6346
DOI - 10.1111/hepr.13639
Subject(s) - sarcopenia , waist , grip strength , medicine , cirrhosis , circumference , anthropometry , chronic liver disease , gastroenterology , body mass index , liver disease , surgery , mathematics , geometry
Aim To elucidate the relationship between the finger‐circle test (Yubi‐wakka [in Japanese] test; three levels of bigger, just‐fits, and smaller) and sarcopenia‐related factors and anthropometric parameters in patients with chronic liver disease ( n = 202, 99 men, mean age 61 years). Methods Patients with both grip strength decline (<26 kg for men and <18 kg for women) and skeletal muscle index (SMI) decline (<7.0 kg/m 2 in men and <5.7 kg/m 2 in female) were diagnosed as sarcopenia. Results Liver cirrhosis was found in 56 patients (27.7%). The proportions of bigger, just‐fits, and smaller in liver cirrhosis versus non‐liver cirrhosis patients were 51.8%, 21.4%, and 26.8% versus 77.4%, 11.4%, and 8.2% ( p < 0.01). The proportions of grip strength decline in patients with bigger, just‐fits, and smaller were 12.0% (77/142), 21.2% (7/33), and 40.7% (11/27; overall p < 0.01). The proportions of SMI decline in patients with bigger, just‐fits, and smaller were 9.9% (14/142), 45.5% (15/33), and 77.8% (21/27; overall p < 0.01). The proportions of sarcopenia in patients with bigger, just‐fits, and smaller were 3.5% (5/142), 18.2% (6/33), and 33.3% (9/27; overall p < 0.01). In both sexes, arm circumference, triceps skinfold thickness, calf circumference, and waist circumference were significantly stratified according to the finger‐circle test. In the multivariate analysis, smaller was an independent predictor for SMI decline ( p < 0.01, risk ratio 8.188, bigger as a reference), and body mass index was an independent predictor for both SMI decline and sarcopenia. Conclusion The finger‐circle test can be helpful for the screening of sarcopenia in chronic liver disease and is closely linked to body composition.