Evaluation of Handgrip Strength and Nutritional Risk of Congregate Nutrition Program Participants in Florida

Springstroh, Kelly A.; Gal, Nancy J.; Ford, Amanda; Whiting, Susan J.; Dahl, Wendy J.

doi:10.1080/21551197.2016.1209146

Cited by 16 publications

(10 citation statements)

References 43 publications

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“…These findings differ from those reported in clinical settings where HS can be a sensitive method for the diagnosis of malnutrition ( 3 , 65 ). Yet they are consistent with the results of Springstroh and colleagues who found that HS was weakly associated with nutritional risk in community-dwelling older adults ( 66 ). While low hemoglobin has been reported to contribute to low HS independent of inflammatory markers and age ( 67 ), in our sample there were no differences in the percent of the population with nutritional anemia when comparing the lower to upper HS tertile.…”

Section: Discussionsupporting

confidence: 92%

Dietary Protein Intake and Overall Diet Quality are Associated with Handgrip Strength in African American and White Adults

Kuczmarski

Pohlig

Shupe

et al. 2018

The Journal of nutrition, health and aging

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ObjectiveTo determine the association of handgrip strength (HS) with protein intake, diet quality, and nutritional and cardiovascular biomarkers in African American and White adults.DesignCross-sectional wave 3 (2009–2013) of the cohort Healthy Aging in Neighborhoods of Diversity across the Life Span (HANDLS) study.ParticipantsSocioeconomically diverse urban population of 2,468 persons aged 33 to 71 years.MeasurementsSocio-demographic correlates, dietary intakes and biomarkers, HS, physical performance measures were collected. HS was measured using a dynamometer with the dominant hand. Functional measures included chair, tandem, and single leg stands. Two 24-hour recalls were collected using the US Department of Agriculture Automated Multiple Pass Method. The total protein intake and diet quality, evaluated by adherence to the DASH eating plan and Healthy Eating Index-2010, were calculated. Biomarkers included nutritional anemia, and serum levels of albumin, cholesterol, magnesium, and glucose.ResultsThe mean ±SE age of the sample was 52.3±0.2 years. Approximately 61% were African American and 57% were women. The mean ±SE HS of women was 29.1±0.2kg and for men was 45.9±0.4 kg. Protein, gm, per kg body weight for the women was 0.94±0.02 compared to 1.16 ±0.02 for men. After adjusting for socio-demographic factors, hypertension, and diabetes, HS/BMI ratio was significantly associated with protein intake per kg body weight (p<0.001) and diet quality, assessed by either the DASH adherence (p=0.009) or Health Eating Index-2010 (p=0.031) scores. For both men and women, participants in the upper tertile of HS maintained a single leg and tandem stances longer and completed 5 and 10 chair stands in shorter time compared to individuals in the lower HS tertile. Of the nutritional status indicators, the percent of men in the upper HS tertile with low serum magnesium and albumin, was significantly lower than those in the lower HS tertile [magnesium,7.4% vs 16.1%; albumin, 0.4% vs 4.5%]. The only difference observed for women was a lower percent of diabetes (14.4% for the upper HS tertile compared to 20.5% for the lower HS tertile.ConclusionsThe findings confirm the role of protein and a healthful diet in the maintenance of muscle strength. In this community sample, HS was significantly associated with other physical performance measures but did not appear to be strongly associated with indicators of nutritional risk. These findings support the use of HS as a proxy for functional status and indicate the need for research to explore its role as a predictor of nutritional risk.

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Section: Discussionsupporting

confidence: 92%

Dietary Protein Intake and Overall Diet Quality are Associated with Handgrip Strength in African American and White Adults

Kuczmarski

Pohlig

Shupe

et al. 2018

The Journal of nutrition, health and aging

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“…Hand grip strength (HGS) is recognized as a general indicator of overall muscular strength [4], as well as an important biomarker of health and disease status [5]. HGS has been reported to be associated with various chronic diseases, including cardiovascular disease, diabetes, and metabolic syndrome [6,7,8,9].…”

Section: Introductionmentioning

confidence: 99%

Higher Diet Quality is Associated with Lower Odds of Low Hand Grip Strength in the Korean Elderly Population

Kim

Kwon

2019

Nutrients

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Single nutrients or food groups have been associated with physical performance. However, little is known about the association of overall diet quality with hand grip strength (HGS), a predictive parameter in the prognosis of chronic disease morbidity and mortality, or quality of life. This study examined the association between HGS and three indices—the Korean Healthy Eating Index (KHEI), the Alternate Mediterranean Diet (aMED), and Dietary Approaches to Stop Hypertension (DASH)—using data obtained on Korean elderly persons aged ≥65 years (n = 3675) from a nationally representative database. The cross-sectional data was collected as part of the Korea National Health and Nutrition Examination Survey (KNHANES, 2014–2016). Dietary intake data from the 24-h recall method were used to calculate diet quality scores. The cutoff value for low HGS was defined as the value corresponding to the lowest 20th percentile of HGS of the study population (men, 28.6 kg; women, 16.5 kg). Higher index scores for diet quality were associated with 32%–53% lower odds of low HGS. Better overall diet quality may be associated with higher HGS in the elderly Korean population.

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“…(1) It is an indicator of overall muscular strength, nutritional status, muscle mass, and walking performance (234). Recently, HGS has been used as important index of low muscle strength to diagnose sarcopenia because low HGS is a clinical marker of poor mobility and a better predictor of clinical outcome of low muscle mass (567).…”

Section: Introductionmentioning

confidence: 99%

Mean Hand Grip Strength and Cut-off Value for Sarcopenia in Korean Adults Using KNHANES VI

2017

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The purpose of this study was to report age- and gender-specific distribution of the hand grip strength (HGS) using data from the Korea National Health and Nutrition Examination Survey (KNHANES) VI-3 (2015) survey and determine cut-off values for low muscle strength of HGS of Koreans. Of a total of 7,380 participants, 4,553 were subjected to measurements of HGS, including 1,997 men and 2,556 women with a mean age of 49.3 years (range, 19–80 years). The mean ages of men and women were 49.0 and 49.5 years, respectively. HGS was measured using a digital hand dynamometer. It was defined as maximal measured grip strength of the dominant hand. The cut-off value for low muscle strength was defined as the lower 20th percentile of HGS of the study population. Maximum grip strength of men was significantly higher than that of women (40.2 kg in men vs. 24.2 kg in women, P < 0.001). The mean HGS was increased from the age of 19 to 39 years. It was peaked in the age of 35 to 39 years range for both men and women. It was then decreased after 39 years. The cut-off values of HGS in male and female elderly healthy populations were 28.6 and 16.4 kg, respectively. These data might be used as reference values when evaluating sarcopenia and assessing hand injuries.

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Evaluation of Handgrip Strength and Nutritional Risk of Congregate Nutrition Program Participants in Florida

Cited by 16 publications

References 43 publications

Dietary Protein Intake and Overall Diet Quality are Associated with Handgrip Strength in African American and White Adults

Dietary Protein Intake and Overall Diet Quality are Associated with Handgrip Strength in African American and White Adults

Higher Diet Quality is Associated with Lower Odds of Low Hand Grip Strength in the Korean Elderly Population

Mean Hand Grip Strength and Cut-off Value for Sarcopenia in Korean Adults Using KNHANES VI

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