To read this content please select one of the options below:

Association between neutrophil to lymphocyte ratio, handgrip strength and nutritional status in geriatric patients

Elif Epçaçan (Department of Pulmonary Medicine, Trakya University Hospital, Edirne, Turkey)
İdil Gönül (Department of Nutrition and Dietetics, Trakya University, Edirne, Turkey)
Hatice Merve Bayram (Department of Nutrition and Dietetics, Istanbul Gelisim University, Istanbul, Turkey)
Murat Gürbüz (Department of Nutrition and Dietetics, Trakya University, Edirne, Turkey)

Nutrition & Food Science

ISSN: 0034-6659

Article publication date: 10 May 2023

Issue publication date: 18 October 2023

95

Abstract

Purpose

This study aims to examine the relationship between neutrophil to lymphocyte ratio (NLR), handgrip strength (HGS) and nutritional status in non-critically ill patients and outpatients.

Design/methodology/approach

A cross-sectional study was conducted on 80 geriatric patients. Nutritional status was evaluated using the Mini Nutritional Assessment Short Form, Geriatric Nutritional Risk Index, some anthropometric and biochemical parameters. NLR was calculated from the complete blood count results. Data were analyzed using SPSS 24.0.

Findings

While 38.3% of patients were malnourished or at risk of malnutrition, 61.7% had normal nutritional status. Mini Nutritional Assessment Short Form was not correlated with NLR, whereas it showed a weak positive correlation with HGS. According to the logistic regression analysis, age, HGS, hemoglobin and platelet to lymphocyte ratio were significant independent factors for predicting malnutrition or risk of malnutrition. The receiver operator characteristic curve analysis showed that the optimum HGS cut-off point for patients with malnourished or at risk of malnutrition was 13.2. In conclusion, HGS was associated with the nutritional status. NLR was not associated with nutritional status but associated with nutritional risk.

Originality/value

It is well known that malnutrition is a serious health problem among older adults, and it is important to assess the nutritional status of older adults because of the adverse health effects. In addition, to the best of the authors’ knowledge, this is the first study to determine the relationship between NLR, HGS and nutritional status in non-critically ill patients and outpatients.

Keywords

Acknowledgements

This research did not receive any specific grant from funding agencies in the public, commercial or not-for-profit sectors.

Declaration of competing interest: The authors declare that they have no competing interests.

Citation

Epçaçan, E., Gönül, İ., Bayram, H.M. and Gürbüz, M. (2023), "Association between neutrophil to lymphocyte ratio, handgrip strength and nutritional status in geriatric patients", Nutrition & Food Science, Vol. 53 No. 7, pp. 1192-1206. https://doi.org/10.1108/NFS-10-2022-0343

Publisher

:

Emerald Publishing Limited

Copyright © 2023, Emerald Publishing Limited

Related articles