Does socio-economic status predict grip strength in older Europeans? Results from the SHARE study in non-institutionalised men and women aged 50+

Hairi, Farizah Mohd; Mackenbach, Johan P.; Andersen‐Ranberg, Karen; Avendaño, Mauricio

doi:10.1136/jech.2009.088476

Cited by 73 publications

(67 citation statements)

References 41 publications

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“…Participants were sampled representatively using a heuristic study design, which was a factorial cross of four factors ( 15,18,19 Race and SES are highly intertwined and both are independently and strongly associated with grip strength. 2,8,13 Disentangling the effects of race and SES has been difficult because racial minorities typically belong to the low SES group. 15,18 While the confounding of race and SES is normally addressed by using multivariable modeling, this may be inadequate due to the small number of participants in some of the race/SES groups.…”

Section: Study Populationmentioning

confidence: 99%

“…[1][2][3][4][5][6][7][8][9][10] Based on the disablement process, 11 poor grip strength is considered an impairment that precedes functional limitations and disability. Moreover, because poor grip strength is associated with several adverse health outcomes, 4 some investigators have proposed this measure as a clinical indicator of health decline 4,12 as well as an early marker of age-related functional decline that is amenable to interventions.…”

Section: Introductionmentioning

confidence: 99%

“…Although a growing body of research examines grip strength and its relationship to physical function, [1][2][3][4] little work has focused on race and SES-related disparities in grip strength. 2,13,14 Using data from the Survey of Health, Aging and Retirement in Europe, educational status and wealth was associated with grip strength in middle-to older-aged men and women.…”

Section: Introductionmentioning

confidence: 99%

“…2,13,14 Using data from the Survey of Health, Aging and Retirement in Europe, educational status and wealth was associated with grip strength in middle-to older-aged men and women. 2 That is, stronger grip strength was observed in men and women who had more education or wealth. These associations were especially apparent in the lowest quintiles of SES.…”

Section: Introductionmentioning

confidence: 99%

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Association between Race, Poverty Status and Grip Strength in Middle to Old Age Adults.

Thorpe¹,

Simonsick

Zonderman

et al. 2016

Ethn Dis

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Background: Poor grip strength is an indicator of frailty and a precursor to functional limitations. Although poor grip strength is more prevalent in older disabled African American women, little is known about the association between race and poverty-related disparities and grip strength in middle-aged men and women.Methods: We examined the cross-sectional relationship between race, socioeconomic status as assessed by household income, and hand grip strength in men and women in the Healthy Aging in Neighborhoods of Diversity across the Life Span study. General linear models examined grip strength (maximum of two trials on both sides) by race and household income adjusted for age, weight, height, hand pain, education, insurance status, family income, and two or more chronic conditions.Results: Of 2,091 adults, 422(45.4%) were male, 509(54.8%) were African American, and 320 (34.5%) were living in households with incomes below 125% of the federal poverty level (low SES). In adjusted models, African American women had greater grip strength than White women independent of SES (low income household: 29.3 vs 26.9 kg and high income household: 30.5 vs. 28.3kg; P<.05 for both); whereas in men, only African Americans in the high income household group had better grip strength than Whites (46.3 vs. 43.2; P<.05).Conclusions: The relationship between grip strength, race and SES as assessed by household income varied in this cohort. Efforts to develop grip strength norms and cut points that indicate frailty and sarcopenia may need to be race- and income-specific.Ethn Dis. 2016;26(4):493-500; doi:10.18865/ ed.26.4.493

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Section: Study Populationmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Association between Race, Poverty Status and Grip Strength in Middle to Old Age Adults.

Thorpe¹,

Simonsick

Zonderman

et al. 2016

Ethn Dis

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“…Few studies have used the objective outcomes of physical function as signs of occupational musculoskeletal deterioration though objective measures have been suggested to be less biased than self-reports (7). Hand-grip strength (HGS) is a simple objective measure of muscle strength and a well-known predictor of morbidity and disability among older people (8)(9)(10) and of mortality among both younger (11) and older age groups (8,12,13).…”

Section: Physical Exposures At Work Affecting Midlife Hand-grip Strengthmentioning

confidence: 99%

Does a history of physical exposures at work affect hand-grip strength in midlife? A retrospective cohort study in Denmark

Møller

Reventlow²,

Hansen³

et al. 2013

Scand J Work Environ Health

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This retrospective cohort study evaluates the associations between physical exposures throughout working life and late midlife hand-grip strength (HGS). Exposure to lifting, standing/walking, and kneeling were analyzed in multiple regression models. Physical exposures in working life were associated with a slightly higher HGS among men but no associations between physical exposures and HGS were seen among women.

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Coming to grips with economic development: Variation in adult hand grip strength during health transition in Vanuatu

Olszowy

Little

Lee

et al. 2018

American J Phys Anthropol

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ObjectivesTo determine whether (1) maximal handgrip strength (HGS) is associated with inter‐island level of economic development in Vanuatu, (2) how associations between island of residence and HGS are mediated by age, sex, body size/composition, and individual sociodeomographic variation, and (3) whether HGS is predictive of hypertension.Material and methodsHGS was collected from 833 adult (aged 18 and older) men and women on five islands representing a continuum of economic development in Vanuatu. HGS was measured using a handheld dynamometer. Participants were administered in an extensive sociobehavioral questionnaire and were also assessed for height, weight, percent body fat, forearm skinfold thickness, forearm circumference, and blood pressure.ResultsHGS was significantly greater in men than in women regardless of island of residence. HGS was also significantly positively associated with inter‐island level of economic development. Grip strength‐to‐weight ratio was not different across islands except in older individuals, where age‐related decline occurred primarily on islands with greater economic development. HGS significantly declined with age in both men and women.ConclusionHGS is positively associated with modernization in Vanuatu, but the relationship between HGS and modernization is largely due to an association of both variables with increased body size on more modernized islands. Further research on the role of individual variation in diet and physical activity are necessary to clarify the relationship between HGS and modernization.

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Does socio-economic status predict grip strength in older Europeans? Results from the SHARE study in non-institutionalised men and women aged 50+

Abstract: Old-age socio-economic and financial circumstances as measured by wealth are associated with grip strength, particularly among the least wealthy, while circumstances defined earlier in life as measured by education, income and occupation do not consistently predict grip strength.

Cited by 73 publications

References 41 publications

Association between Race, Poverty Status and Grip Strength in Middle to Old Age Adults.

Association between Race, Poverty Status and Grip Strength in Middle to Old Age Adults.

Does a history of physical exposures at work affect hand-grip strength in midlife? A retrospective cohort study in Denmark

Coming to grips with economic development: Variation in adult hand grip strength during health transition in Vanuatu

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