Handgrip strength and diameter–product–derived psoas area estimate in end–stage liver cirrhosis: an exploratory single–center analysis
Eugen Malamutmann, Christina Neuhaus, Lale Umutlu, Sophia T. Schmitz, Miroslav Jalc, Christian G. Klein, Jan Bednarsch, Ulf Neumann, Arzu Oezcelik · 2026
Read Handgrip strength and diameter–product–derived psoas area estimate in end–stage liver cirrhosis: an exploratory single–center analysis by Eugen Malamutmann, Christina Neuhaus, Lale Umutlu, Sophia T. Schmitz, Miroslav Jalc, Christian G. Klein, Jan Bednarsch, Ulf Neumann, Arzu Oezcelik (2026) in the Tower of Babel, a free online library of public-domain works preserved in clean, searchable text. No sign-up. The full text is served as a plain-text file at a predictable URL, where text is present: https://antarctic-labs.com/tower-of-babel/PMC13421185.txt.
Description
Malamutmann and colleagues tested in 2026 whether a simple handgrip test can estimate muscle bulk in patients awaiting liver transplant. Muscle loss, called sarcopenia, worsens outcomes in end-stage liver cirrhosis. The team studied 96 transplant candidates in Essen, Germany, measuring handgrip strength, walking speed, and psoas muscle area from CT scans.
Handgrip strength correlated modestly but significantly with total psoas area across the cohort. A bedside prediction model built from grip and other measures detected sarcopenia with moderate accuracy only. Higher psoas index, meaning more muscle for body size, predicted lower death risk both on the waiting list and after transplant. Each step up in psoas index cut waiting-list death risk by about a sixth. The authors conclude grip testing can flag patients who need a confirmatory scan or closer nutrition follow-up.
Catalog record
| CREATOR | Eugen Malamutmann, Christina Neuhaus, Lale Umutlu, Sophia T. Schmitz, Miroslav Jalc, Christian G. Klein, Jan Bednarsch, Ulf Neumann, Arzu Oezcelik |
|---|---|
| YEAR | 2026 |
| COLLECTION | PAPERS |
| FORMAT | TXT |
| FILE SIZE | 36 KB |
| LICENSE | https://creativecommons.org/licenses/by/4.0 |
| RIGHTS | CC BY |
| SOURCE | Europe PMC |