Evidence map›Paper›PMID 39325780›Full record

ArticlePloS one2024

Validity of handgrip strength for assessing cognition and psychotic symptoms in hospitalized patients with stable schizophrenia.

Jianlin Pu, Binyou Wang, Yilin Wang

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Article in PloS one, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

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4citing papers in PubMed
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1 · What the graph read from it

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3 · Its place in the literature

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4 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

3 authors.

Jianlin PuDepartment of Psychiatry, Zigong Mental Health Center, The Zigong Affiliated Hospital of Southwest Medical University, Zigong, Sichuan Province, China.
Binyou WangDepartment of Psychiatry, Zigong Mental Health Center, The Zigong Affiliated Hospital of Southwest Medical University, Zigong, Sichuan Province, China.
Yilin WangDepartment of Psychiatry, Zigong Mental Health Center, The Zigong Affiliated Hospital of Southwest Medical University, Zigong, Sichuan Province, China.ORCID 0000-0001-5320-0274

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

objectivesA correlation between low handgrip strength (HGS), HGS asymmetry, and low cognitive performance has been demonstrated. However, it remains unclear whether low HGS is associated with psychotic symptoms and whether HGS asymmetry is associated with cognitive and psychotic symptoms in hospitalized patients with schizophrenia. This study aimed to investigate the validity of HGS as a measure for assessing cognition and psychotic symptoms in hospitalized patients with stable schizophrenia.

methodsA total of 235 inpatients with stable schizophrenia were recruited between August 1, 2023, and August 31, 2023. The highest HGS values from three tests on the dominant hand were used to determine low HGS (male < 28 kg, female < 18 kg), and HGS asymmetry was identified when the non-dominant HGS/dominant HGS ratio was outside 0.9-1.1. Cognition and psychotic symptoms were assessed using the Chinese Montreal Cognitive Assessment (MoCA-C) and Positive and Negative Syndrome Scale (PANSS). Generalized linear model analyses examined the relationship between HGS and scale scores.

resultsCovariate-adjusted generalized linear models confirmed a strong association between low HGS alone and the MoCA-C score (OR = 0.819, 95% CI = 0.710‒0.945, p = 0.006) and PANSS score (OR = 1.113, 95% CI = 1.036‒1.239, p = 0.006). Similarly, the combination of low and asymmetric HGS was strongly associated with both MoCA-C (OR = 0.748, 95% CI = 0.653‒0.857, p<0.001) and PANSS scores (OR = 1.118, 95% CI = 1.032‒1.211, p = 0.006).

conclusionsThe results suggest that hospitalized patients with schizophrenia and low HGS, with or without asymmetry, are likely to have lower MoCA-C scores and higher PANSS scores. Screening stable schizophrenia patients with low HGS, with or without asymmetry, could be a valuable and straightforward approach to identifying those with lower cognition and severe psychotic symptoms.

Indexed as

CognitionHand StrengthSchizophreniaAdultFemaleHospitalizationHumansInpatientsMaleMiddle AgedPsychotic DisordersSchizophrenic Psychology

Identifiers

PMID39325780
PMCPMC11426447

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