Assessment of Hand Grip Strength Using Jamar Dynamometer

NCT ID: NCT05939908

Last Updated: 2023-07-11

Basic Information

• Recruitment Status: UNKNOWN
• Total Enrollment: 5000 participants
• Study Classification: OBSERVATIONAL
• Study Start Date: 2023-07-01
• Study Completion Date: 2025-01-30

Brief Summary

Hand grip strength will be measured for all the type 2 diabetic patients. Measurement of maximal grip strength will be performed using Jamar dynamometers, which estimate the muscle strength primarily generated by the flexor muscles of the hand and the forearm. The Jamar displays grip force in both pounds and kilograms, with a maximum of 200 lb (90 kg). It has a peak-hold needle that automatically retains the highest reading until reset. The Jamar test is isometric, with no perceptible motion of the handle, regardless of the grip strength applied. The participants will be encouraged to produce their maximal grip strength. Three trials will be recorded, consisting of a 2-4-second maximal contraction, with a 30-second rest period between each trial. The average of the three readings will be taken.

Detailed Description

Sarcopenia is an age related, progressive, and generalized skeletal muscle disorder involving the accelerated loss of muscle mass and function and physical performance below a defined threshold1. It is associated with increased adverse outcomes including increased risk falls, physical frailty, prolonged hospitalization, dependency, physical disability and impairment, limitation of mobility, decreased quality of life and increased mortality. Sarcopenia is known to be more prevalent in older populations, but the decline in muscle mass starts from ~40 years onwards2.

Sarcopenia not only affects the ability to lead an active lifestyle but also contributes to increased obesity, type 2 diabetes (T2DM) reduced quality of life, osteoporosis, and metabolic health1.

Hand grip strength (HGS) is considered as an important value when diagnosing sarcopenia. Lower muscle strength using HGS is mandatory to diagnose sarcopenia. EWGSOP group recommends that the mean reference cut-off value of hand grip is < 30 kg in men and < 20 kg in women.

There is evidence that strength could be an important risk factor for diabetes. Low hand-grip strength has been predictive of incident diabetes in prospective cohort studies3. Lower grip strength was associated with higher prevalence of diabetes, independent of confounding factors, across all ethnicities in both men and women. Diabetes prevalence was approximately three- to fourfold higher in South Asian participants across all levels of grip strength3 .

However, there are no studies in India assessing sarcopenia in type 2 diabetic patients.

Conditions

Type2diabetes

Study Design

• Observational Model Type: OTHER
• Study Time Perspective: OTHER

Interventions

Using Jamar Dynamometer for Grip Strength.

Hand grip strength as a marker by using JAMAR hand grip dynamometer in patients with T2DM.

Intervention Type: OTHER

Eligibility Criteria

Inclusion Criteria

All patients with Type 2 diabetes of any duration coming for first time in OPD

Exclusion Criteria

1. Patients with hand fracture

2. Thyroid dysfunction

3. Any musculoskeletal condition causing difficulty in holding the dynamometer

4. Patients with type1 diabetes (T1DM) and gestational diabetes (GDM)

• Minimum Eligible Age: 20 Years
• Maximum Eligible Age: 60 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: Yes

Sponsors

National Diabetes Obesity and Cholesterol Foundation

OTHER

Sponsor Role: collaborator

Diabetes Foundation, India

OTHER

Sponsor Role: lead

Responsible Party

Dr Anoop Misra

Director

Responsibility Role: PRINCIPAL_INVESTIGATOR

Principal Investigators

Anoop Misra, MD

Role: PRINCIPAL_INVESTIGATOR

Fortis CDOC Hospital

Locations

Fortis CDOC Hospital

Delhi, , India

Site Status: RECRUITING

Countries

India

Central Contacts

Anoop Misra, MD

Role: CONTACT

anoopmisra@gmail.com

01149101222

Bhavya Arora, M.Sc

Role: CONTACT

bhavyam_1010@yahoo.co.in

01149101222

Facility Contacts

Anoop Misra, MD

Role: primary

anoopmisra@gmail.com

01149101222

Other Identifiers

HGS

Identifier Type: -

Identifier Source: org_study_id