Hand grip strength is strongly associated with lower limb strength but only weakly with postural control in community-dwelling older adults

Strandkvist, Viktor; Larsson, Agneta; Pauelsen, Mascha; Nyberg, Lars; Vikman, Irene; Lindberg, Anne; Gustafsson, Thomas; Röijezon, Ulrik

doi:10.1016/j.archger.2021.104345

Cited by 46 publications

(45 citation statements)

References 30 publications

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“…For example, a study among 70 years older adults showed handgrip is a valid method for lower limb muscle strength. 6 Therefore, this practical measurement of handgrip strength is widely used as a single indicator of overall muscle strength, especially in older adults. 7 , 8 At the same time, the link was established between HGS and health, including non-communicable diseases (NCDs).…”

Section: Introductionmentioning

confidence: 99%

Factors Associated with Handgrip Strength Among Older Adults in Malaysia

Shah¹,

Safian²,

Mohammad³

et al. 2022

JMDH

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Purpose Handgrip strength (HGS) is indicative of overall physical health among older adults. A decrease in HGS may be associated with an increased risk of disease. The aim of this study is to determine the factors associated with HGS among older adults in Malaysia. Patients and Methods One thousand two hundred four (1204) participants from urban and rural areas in Selangor state, Malaysia, were recruited. Sociodemographic and health-related conditions were gathered through a comprehensive face-to-face interview, followed by HGS assessments by a handgrip dynamometer. Subsequently, multiple linear regression was used to test the main association with the HGS. Results A total of 691 participants (57.4%) were male, and 513 (42.6%) were female. Males had a mean HGS of 30.0 (SD 7.53) kg, and females had a mean HGS of 19.4 (SD 5.28) kg. Males’ handgrip strength was significantly reduced with increasing age, physically inactive, and diabetes (all at the level p<0.001) after adjusting for social-demographic characteristics and health-related variables. Meanwhile, for females, the HGS was significantly decreased with age (p<0.001), physically inactive (p<0.001) and hypertension (p=0.03). However, female HGS was positively related to BMI (p<0.001). Conclusion The study contributed to a better understanding of factors associated with HGS, and thus, the HGS is recommended as a section in the health evaluation among high-risk older adults as the strategy of disease control and prevention.

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Section: Introductionmentioning

confidence: 99%

Factors Associated with Handgrip Strength Among Older Adults in Malaysia

Shah¹,

Safian²,

Mohammad³

et al. 2022

JMDH

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“…Grip strength has been used as an overall marker of strength given its association with lower-limb strength 26 and the ability to predict functional limitation and disability in adults and older adults 27 . Therefore, grip strength was included as a potentially relevant clinical variable to determine if it is independently associated with RTD and MTS measures of the knee extensor muscles.…”

Section: Methodsmentioning

confidence: 99%

Normative Reference Values for Knee Extensor Muscle Rate of Torque Development and Torque Steadiness in Adolescents and Adults

et al. 2022

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ObjectiveThe aim of this study was to establish reference values for rate of torque development (RTD) and muscle torque steadiness (MTS) of knee extensors across the lifespan, and evaluate if these measures are independently associated with Osteoarthritis Research Society International (OARSI)–recommended performance-based measures (6-minute walk test, 30-second chair stand test, stair climb test) and other clinical variables.MethodsIn this cross-sectional observational study, knee extensor strength of 764 participants (12–89 years) from the 1000 Norms Project was assessed via fixed dynamometry. Age- and sex-stratified normative RTD (Nms−1 kg−1) and MTS (Nm kg−1) values were presented as means and 95% confidence intervals. Correlations and multiple regression analyses were calculated to identify factors (age, sex, height, weight, OARSI-recommended performance-based measures, Knee Injury and Osteoarthritis Outcome Score, vertical jump, long jump, grip strength, basic gait-related knee biomechanics) independently associated with RTD or MTS.ResultsAge- and sex-stratified normative RTD and MTS reference values were generated. Male subjects exhibited higher RTD but poorer MTS (less steady) than female subjects across all age groups. Better performance in OARSI-recommended performance-based measures, vertical jump, long jump, and grip strength were associated with greater RTD but poorer MTS. Thirty-second chair stand test, stair climb test, vertical jump, long jump, and grip strength were independent determinants of RTD and MTS.ConclusionsThe RTD and MTS demonstrated associations with clinical variables relevant to knee osteoarthritis. The normative reference values generated may help identify the presence and extent of impairments in RTD and MTS associated with knee osteoarthritis and assist in developing responsive outcome measures for therapeutic trials.

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“…They found a positive relationship between grip strength z‐score and cortical bone mineral content, cross‐sectional area and cross-sectional muscle area 3 . Strandkvist et al 4 measured the hand grip strength and lower limb strength of forty-five individuals over 70 years of age. They found that lower limb strength explained 74.4% of the variance in hand grip strength; so they highlight that lower limb strength and hand grip strength were strongly associated and support that hand grip strength is a valid method to estimate lower limb strength among older adults.…”

Section: Introductionmentioning

confidence: 99%

Reproducibility and agreement between three positions for handgrip assessment

Vargas-Pinilla

Rodríguez-Grande

2021

Sci Rep

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The protocol established for taking hand grip dynamometry measurements determines that the patient must be in a sitting position. This protocol cannot be applied due to the patient’s conditions in some cases, such as abdominal surgery, musculoskeletal spine or hip injuries. The purpose was to determine the reproducibility and level of agreement between the Handgrip dynamometry in supine position with the elbow flexed or extended, and the one measured in the sitting position, the design was a descriptive cross-sectional study. The population were young apparently healthy between 18 and 30 years of age (N = 201). Handgrip measurement was performed on both upper limbs in a sitting position with a flexed elbow, a supine position with a flexed elbow, and supine position with the elbow extended. Reproducibility was nearly perfect in all positions (ICC 0.95–0.97). Regarding the level of agreement for the comparison between sitting and supine positions with a flexed elbow, an average difference of − 0.406. For supine position with an extended elbow and supine position with a flexed elbow, the average difference was − 1.479. Considering the results, clinicians or researchers can choose any of the positions evaluated herein and obtain reliable results as long as the standardization process is followed.

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Hand grip strength is strongly associated with lower limb strength but only weakly with postural control in community-dwelling older adults

Cited by 46 publications

References 30 publications

Factors Associated with Handgrip Strength Among Older Adults in Malaysia

Factors Associated with Handgrip Strength Among Older Adults in Malaysia

Normative Reference Values for Knee Extensor Muscle Rate of Torque Development and Torque Steadiness in Adolescents and Adults

Reproducibility and agreement between three positions for handgrip assessment

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