{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T11:00:04Z","timestamp":1790852404573,"version":"4.1.0"},"reference-count":32,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2022,7,8]],"date-time":"2022-07-08T00:00:00Z","timestamp":1657238400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2022,7,8]],"date-time":"2022-07-08T00:00:00Z","timestamp":1657238400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["aspenjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Nut in Clin Prac"],"published-print":{"date-parts":[[2024,4]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Rapid nutrition screening (NS) is vital for apt management in patients with alcoholic liver cirrhosis (ALC).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>To identify a quick method of NS having high reliability and prognostic significance.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>NS of patients with ALC was assessed using mid\u2010upper arm circumference (MUAC), handgrip strength (HGS), fat\u2010free mass index (FFMI), and the Royal Free Hospital\u2010Global Assessment (RFH\u2010GA). Baseline clinical and biochemical information were recorded along with 90\u2010day survival data. The classification and regression tree method was used to classify HGS, MUAC, and FFMI values as well nourished (WN), moderately malnourished (MM), and severely malnourished (SM), and their concordance with RFH\u2010GA categories was assessed using Kendall tau\u2010b coefficient. The prognostic proficiency of each method was tested by Cox regression analysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      According to the RFH\u2010GA, of 140 male patients with ALC, 13 of 140 (9.3%) were WN, 93 of 140 (66.4%) were MM, and 34 of 140 (26.8%) were SM. HGS has the strongest association with the RFH\u2010GA (Kendall tau\u2010b\u2009=\u20090.772; diagnostic accuracy \u221281.4%). HGS was found to be the independent predictor of 90\u2010day mortality (26 of 140 [18.6%]; hazard ratio, 0.93; 95% CI, 0.88\u20130.98;\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u20090.002) after adjusting for age, body mass index, and disease severity. The hazard of mortality was 8.5\u2010times higher in patients with ALC with HGS\u2009&lt;\u200922\u2009kg as compared with those with HGS\u2009&gt;\u200929.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>HGS is a reliable tool for rapid NS. HGS\u2009&lt;\u200922\u2009kg suggests a high risk for severe malnutrition and is strongly associated with short\u2010term mortality in male patients with ALC.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/ncp.10882","type":"journal-article","created":{"date-parts":[[2022,7,8]],"date-time":"2022-07-08T07:58:19Z","timestamp":1657267099000},"page":"475-484","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Handgrip strength: Best practice for a rapid nutrition screening and risk stratification in male patients with alcoholic liver cirrhosis, a classification and regression tree analysis study"],"prefix":"10.1002","volume":"39","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7588-0255","authenticated-orcid":false,"given":"Varsha","family":"Shasthry","sequence":"first","affiliation":[{"name":"Department of Clinical Nutrition Institute of Liver and Biliary Sciences  New Delhi 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