Exploring the association between handgrip, lower limb muscle strength, and physical function in older adults: A narrative review

Tatangelo, Toni; Muollo, Valentina; Ghiotto, Laura; Schena, Federico; Rossi, Andrea

doi:10.1016/j.exger.2022.111902

Cited by 27 publications

(15 citation statements)

References 63 publications

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“…Furthermore, maximal isometric handgrip strength has been widely used to evaluate physical function and frailty in older adults (16). In our study, no significant improvement in handgrip strength was found in IG following the exercise training program, even though improvements were observed in other physical function parameters, as indicated by the TUG and CST improved scores, suggesting that maximal handgrip strength may not be a definitive tool for measuring overall muscle strength and physical function in these patients (41).…”

Section: Discussioncontrasting

confidence: 60%

Effect of a 36-Week Supervised Exercise Training Program on Physical and Cognitive Function in Older Patients With Dementia

BARDOPOULOU,

PATSAKI,

CHONDRONIKOLA

et al. 2023

In Vivo

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Background/Aim: To investigate the effects of an exercise training program on physical and cognitive function in older patients with dementia. Patients and Methods: Thirtyeight patients with early-middle dementia (31 females and seven males), aged 80.6±6.9 years, residents in an Elderly Care Unit, either completed a 36-week structured exercise program (Intervention Group, IG; n=19), or received the usual medical care (Control Group, CG; n=19). Before and after the 36-week intervention, cognitive function was evaluated in both groups by Mini-Mental State Examination (MMSE) and depression by Geriatric Depression Scale (GDS); physical function was assessed using handgrip test, Timed Up to Go (TUG), Berg Balance Scale (BBS) and Chair-Stand Test (CST), and daily living functionality by Functional Rating Scale for Symptoms of Dementia (FRSSD). Results: As a result of exercise intervention, participants scored better in all functional and cognitive test assessments compared to the control group, as reflected by absolute and relative (%)

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Section: Discussioncontrasting

confidence: 60%

Effect of a 36-Week Supervised Exercise Training Program on Physical and Cognitive Function in Older Patients With Dementia

BARDOPOULOU,

PATSAKI,

CHONDRONIKOLA

et al. 2023

In Vivo

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show abstract

“…Although handgrip strength is more commonly tested in older adults, no sufficient evidence is available to support a definitive tool for measuring overall muscular strength and physical function [ 44 ]. Furthermore, other research suggests that lower-limb muscular strength is a better predictor of overall muscle strength or an alternative for people with hand disabilities [ 45 ]. The STST used in this study is yet another proxy for lower-extremity strength and muscular performance.…”

Section: Discussionmentioning

confidence: 99%

Cognitive Function, and Its Relationships with Comorbidities, Physical Activity, and Muscular Strength in Korean Older Adults

Kim

2023

Behavioral Sciences

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Background: Little is known regarding how much physical activity (PA) and lower-body muscle strength (LBMS) together can help to reduce the negative effect of comorbidities on cognitive function. This study examined the moderating effects of PA and LBMS in determining the relationship between comorbidities and cognitive function in older Korean adults. Materials and Methods: This is a population-based cross-sectional study. Data for this study were taken from the 2020 Korea Longitudinal Study on Aging (KLoSA) in South Korea using a computer-assisted personal interview. The 2020 KLoSA survey included a total of 10,097 older individuals aged 65 and older (6062 females and 4035 men). Comorbidities were determined based on physician-diagnosed chronic conditions. PA and LBMS were measured with a self-reported questionnaire and a sit-to-stand test, respectively. Cognitive function was assessed using the Korean version of the Mini-Mental Status Examination for dementia screening. Results: Multimorbidity was correlated with an increased risk (odds ratio, OR = 1.415, p < 0.001) of cognitive impairment. Insufficient PA and weak LBMS were correlated with an increased risk of cognitive impairment (OR = 1.340, p < 0.001; OR = 1.719, p < 0.001, respectively). Particularly, PA modulates the negative impact of comorbidities on cognitive function (β = −0.3833; 95% CI = −0.4743 to −0.2023) independent of all measured covariates. Weak LBMS was found to be an independent predictor of cognitive function (β = −2.5078, p < 0.001) regardless of comorbidities. Conclusions: The study findings suggest that a lifestyle intervention targeting regular PA and muscular fitness should be a therapeutic means against cognitive decline associated with normal aging and/or chronic diseases.

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“…Second, the KNHANES VII did not include measurements of muscle mass and physical performance, so we could not formally diagnose sarcopenia. However, handgrip strength is a practical indicator of whole muscle strength and physical function (44) , and we were able to define low muscle strength based on handgrip strength cut-offs recommended by the Asian Working Group for Sarcopenia 2019 consensus (2) . Nonetheless, the applicability of these cut-offs derived from older adult data is yet to be confirmed.…”

Section: Discussionmentioning

confidence: 99%

Association between nut consumption and low muscle strength among Korean adults

Jun,

Shin

2023

Br J Nutr

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Nuts are an important component of a healthy diet, but little has been known about their effects on muscle health. Therefore, this study examined the association between nut consumption and low muscle strength among Korean adults. This cross-sectional analysis was conducted using single 24-hour recall and handgrip strength data from 3,962 younger adults 19-39y, 6,921 middle-aged adults 40-64y, and 3,961 older adults ≥65y participated in the seventh cycle (2016-2018) of the Korea National Health and Examination Survey (KNHANES). Low muscle strength was defined as handgrip strength <28 kg for men and <18 kg for women. Sex-specific odds ratios (ORs) were obtained for younger, middle-aged, and older adults using multivariable logistic regression analyses. About one in four Korean adults were consuming nuts (using a culinary definition) with peanut being the most frequently consumed type. After adjustment for age, body mass index, total energy intake, household income, alcohol consumption, smoking, resistance exercise, medical history, and dietary protein intake, nut consumption was associated with the lower risk of low muscle strength among older adults ≥65y (men: OR 0.55, 95% CI 0.38, 0.79; women: OR 0.69, 95% CI 0.51, 0.93); however, this association was not observed among younger adults 19-39y or middle-aged adults 40-64y. Our results suggest that consuming nuts might be beneficial in lowering the risk of low muscle strength among Korean older adults.

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Exploring the association between handgrip, lower limb muscle strength, and physical function in older adults: A narrative review

Cited by 27 publications

References 63 publications

Effect of a 36-Week Supervised Exercise Training Program on Physical and Cognitive Function in Older Patients With Dementia

Effect of a 36-Week Supervised Exercise Training Program on Physical and Cognitive Function in Older Patients With Dementia

Cognitive Function, and Its Relationships with Comorbidities, Physical Activity, and Muscular Strength in Korean Older Adults

Association between nut consumption and low muscle strength among Korean adults

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