Articles
 

Handgrip Strength Test as a Complementary Tool in Monitoring Asthma in Daily Clinical Practice in Children

Abstract

The aim of this study was to demonstrate that handgrip strength test can discriminate the presence/absence of asthma and between intermittent and moderate persistent asthma in children. 140 children (70 healthy and 70 with asthma) completed the Pediatric Asthma Quality of Life Questionnaire (PAQLQ) and performed the handgrip strength test. Forty-eight hours later, subjects performed spirometry. The results showed Handgrip strength was significantly lower (p<0.001) in children with asthma compared with healthy ones. There were also significant differences (p= 0.024) according to the severity of the disease; children with moderate persistent asthma performed worse than children with intermittent asthma. Binary logistic regression analysis and ROC curve analysis revealed that the result in handgrip strength test was a predictive factor for asthma (cut-off at 16.84 kg) and for severity of pathology (cut-off at 15.06 kg). Handgrip strength was reduced in children with asthma. Handgrip strength was positively associated with lung capacity and quality of life. The fact that the handgrip strength test was able to discriminate between presence/absence of asthma and between intermittent and moderate persistent asthma in children suggested that this test could be used as a complementary tool in the monitoring of asthma in daily clinical practice.

1. Kathiresan G. Effect of aerobic training on airflow obstruction, VO2 max, EIB in stable asthmatic children. Health 2010; 2(5):458-64.
2. Welsh L, Kemp JG, Roberts RG. Effects of Physical Conditioning on Children and Adolescents with Asthma. Sports Med 2005; 35(2):127-41.
3. Fanelli A, Cabral ALB, Neder JA, Martins MA, Carvalho CRF. Exercise training on disease control and quality of life in asthmatic children. Med Sci Sports Ex 2007;39(9):1474-80.
4. Neder JA, Nery LE, Silva AC, Cabral AL, Fernades AL.Short term effects of aerobic training in the clinical management of moderate to severe asthma in children. Thorax 1999; 54(3):202-6.
5. Black MH, Smith N, Porter AH, Jacobsen SJ, Koebnick C. Higher Prevalence of Obesity Among Children With Asthma. Obesity 2012; 20(5):1041–7.
6. Villa F, Castro APBM, Pastorino AC, Santarém JM, Martins MA, Jacob CM, et al. Aerobic capacity and skeletal muscle function in children with asthma. Arch Dis Child 2011; 96(6):554-9.
7. Engelen MP, Schols AM, Does JD, Wouters EF. Skeletal muscle weakness is associated with wasting of extremity fat-free mass but not with airflow obstruction in patients with chronic obstructive pulmonary disease. Am J Clin Nutr 2000; 71(3):733–8.
8. Aparicio VA, Ortega FB, Heredia JM, Carbonell-Baeza A, Sjöström M, Delgado-Fernandez M. Handgrip strength test as a complementary tool in the assessment of fibromyalgia severity in women. Arch Phys Med Rehabil 2011; 92(1):83-8.
9. Frohnhofen H, Hagen O. Handgrip strength measurement as a predictor for successful dry powder inhaler treatment. Z Gerontol Geriatr 2011; 44(4):245-9.
10. Global Initiative for Asthma (GINA). Global strategy for asthma management and prevention 2006. Available from www..ginasthma.org Date last updated 2006..
11. Bossard MK. Monitoring Asthma With Electronic Devices: A Review of the PiKo-1 and PiKo-6 Monitoring Devices. J Asthma Allergy Educ 2011; 2(6): 318-320.
12. Frith P, Crockett J, Beilby J, Marshall D, Attewell R,Ratnanesan A, et al. Simplified COPD screening:validation of the PiKo-6 in primary care. Prim Care Respir J 2011; 20(2):190-8.
13. Tauler E, Vilagut G, Grau G, González A, Sánchez E, Figueras G, et al. The Spanish version of the paediatric asthma quality of life questionnaire (PAQLQ): metric characteristics and equivalence with the original version. Qual Life Res 2001; 10(1):81-91.
14. Masoli M, Fabian D, Holt S, Beasley R, Global Initiative for Asthma (GINA) Program. The global burden of asthma: executive summary of the GINA Dissemination Committee report. Allergy 2004; 59(5):469-78.
15. Morato Rodríguez MD1, González Pérez-Yarza E,Emparanza Knörr JI, Pérez Legorburu A, Aguirre Conde A, Delgado Rubio A. Valores espirométricos en niños sanos de un área urbana de la Comunidad Autónoma Vasca. An Esp Pediatr 1999; 51(1):17-21.
16. Standardization of spirometry--1987 update. Statement of the American Thoracic Society. Am Rev Respir Dis 1987; 136(5):1285-98.
17. Sanchis J, Casan P, Castillo J, González N, Palenciano L, Roca J. Normativa para la espirometría forzada. Recomendaciones SEPAR. Arch Bronconeumol 1989;25:132-42.
18. Marrodán Serrano MD, Romero Collazos JF, Moreno Romero S, Mesa Santurino MS, Cabañas Armesilla MD, et al. Dinamometría en niños y jóvenes de entre 6 y 18 años: valores de referencia, asociación con tamaño y composición corporal. An Pediatr 2009:70(4):340-8.
19. Counil FP, Varray A, Karila C, Hayot M, Voisin M, Préfaut C. Wingate test performance in children with asthma: aerobic or anaerobic limitation? Med Sci Sports Exerc 1997; 29(4):430-5.
20. Cortopassi F, Divo M, Pinto-Plata V, Celli B. Resting Handgrip force and impaired cardiac function at rest and during exercise in COPD patients. Respir Med 2011;105(5):748-54.
21. Sirguroh A, Ahmed S. Hand grip strength in patients with chronic obstructive pulmonary disease. Int J Curr Res Rev 2012: 4(19):168-73.
22. Marino DM, Marrara KT, Ike D, De Oliveira AD Jr,Jamami M, Di Lorenzo VA. Study of peripheral muscle strength and severity indexes in individuals with chronic obstructive pulmonary disease. Physiother Res Int 2010;15(3):135-43.
23. Sherman MF, Road JD, McKenzie DC, Sheel AW.Preserved muscle metaboreflex in chronic obstructive pulmonary disease. Appl Physiol Nutr Metab 2011;36(6):821-31.
24. Cheung CL, Nguyen US, Au E, Tan KC, Kung AW.Association of Handgrip strength with chronic diseases and multimorbidity: A cross-sectional study. Age 2013;35(3):929-941.
25. Jürimäe T, Hurbo T, Jürimäe J. Relationship of handgrip strength with anthropometric and body composition variables in prepubertal children. Homo 2009; 60(3):225-38.
26. Bazán-Riverón GE, Prat-Santaolaria R, Torres-Velázquez LE, Sandoval Navarrete J, Forns Serrallonga D. Asma pediátrica: calidad de vida del paciente relacionada con el impacto familiar. Neumol Cir Torax 2010; 69(2):75-83.
27. Nogueira KT, Silva JR, Lopes CS. Quality of life of asthmatic adolescents: assessment of asthma severity, comorbidity, and life style. J Pediatr 2009; 85(6):523-30.
28. Gomes de Souza P, Couto Sant'anna CB, Pombo M.Quality of life in children with asthma in Rio de Janeiro, Brazil. Indian J Pediatr 2013; 80(7):544-8.
29. Goldbeck L, Koffmane K, Lecheler J, Thiessen K, Fegert JM. Disease severity, mental health, and quality of life of children and adolescents with asthma. Pediatr Pulmonol 2007; 42(1):15-22.
30. Cheng BL, Huang Y, Shu C, Lou XL, Fu Z, Zhao J. A cross-sectional survey of participation of asthmatic children in physical activity. World J Pediatr 2010;6(3):238-43.
31. Degens H, Sanchez Horneros JM, Heijdra YF, Dekhuijzen PNR, Hopman MT. Skeletal muscle contractility is preserved in COPD patients with normal fat-free mass. Acta Phys Scand 2005; 184(3):235-42.

Files
IssueVol 13, No 6 (2014) QRcode
SectionArticles
Keywords
Asthma Children Dynamometry Quality of life Rehabilitation

Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
How to Cite
1.
Latorre-Román P Ángel, Navarro-Martínez AV, Mañas-Bastidas A, García-Pinillos F. Handgrip Strength Test as a Complementary Tool in Monitoring Asthma in Daily Clinical Practice in Children. Iran J Allergy Asthma Immunol. 1;13(6):396-403?.