“…Factors reportedly related to low handgrip strength include old age, female sex, low level of education, unemployment, alcohol consumption, cognitive impairment, depression, low level of daily living activities, and poor health status (Kawamoto, Ninomiya, Senzaki, & Kumagi, 2018; Oh et al, 2017; Shiozu et al, 2015). In addition, factors associated with muscle strength, such as education level, health status, body size, and physical activity, are more likely to negatively affect women and the elderly compared with men and younger individuals, respectively (Bai et al, 2016; HongSon et al, 2010; Jakobsen et al, 2010; Oh et al, 2017; Oksuzyan, Maier, Mcgue, Vaupel, & Christensen, 2010). Loss of muscle mass in elderly individuals shows sex-based differences in both onset and prevalence (Sternäng et al, 2015; Tanimoto et al, 2013).…”