Hand grip strength measurement in different epidemiologic studies using various methods for diagnosis of sarcopenia: a systematic review

Ha, Yong‐Chan; Hwang, Sun‐Chul; Song, Sang-Youn; Lee, ChangHan; Park, Ki-Soo; Yoo, Jun‐Il

doi:10.1007/s41999-018-0050-6

Cited by 23 publications

(21 citation statements)

References 50 publications

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“…Associated with this, the method chosen for the evaluation of HGS, based on the American Society of Hand Therapists ( Fess, 1992 ) and using an average of three evaluations, may have contributed to this difference. In a systematic review carried out by Ha et al (2018) it can be observed that there are several ways to measure HGS in epidemiological studies, therefore, the lack of a consensus for this assessment contributes to heterogeneous cut-off values.…”

Section: Discussionmentioning

confidence: 99%

Cut-off points to screening for sarcopenia in community-dwelling older people residents in Brazil

Fernandes

Andrade

Gonçalves

et al. 2021

PeerJ

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Background At a time when the world’s population is aging, one of the most important challenges for the healthcare field is to control the decline of the musculoskeletal system. This decline consists of a reduction in muscle mass and function, which is called sarcopenia and is associated with adverse health outcomes. Although there has been an increase in the number of publications on sarcopenia and its consequences, the reported prevalence varies widely, since these depend on the characteristics of the population studied, the definitions found in the literature and the cut-off points adopted. In this perspective, the heterogeneity in the classification and the different reference values has a critical impact on the epidemiology of sarcopenia, since neither the procedures, the components and the cut-off points are consistent. Objectives To develop cut-off points for the screening of sarcopenia in community-dwelling older people residents in the northeast of Brazil and compare the prevalences between the values defined by the consensus and the values of the population studied. Methods Community-dwelling older men and women living in three cities in the countryside of Rio Grande do Norte were evaluated. Cutoff points were defined for the variables used to screen for sarcopenia (handgrip strength, SMI, gait speed and SPPB) using the 20th percentile of their population distributions. Results The sample was composed of 1,290 older people (62.5% female and 37.5% male), with an average of 69.5 (± 6.05) years of age. Regarding the cutoff points, the handgrip values were defined as 25.3 kg and 16 kg for men and women, respectively. Considering the SMM adjusted according to their height, the values of 7.88 kg/m2 were adopted for men and 5.52 kg/m2 for women. When adjusting by BMI we obtained 0.73 kg/BMI for men and 0.41 kg/BMI for women. For gait speed it was defined 0.71 m/s for men and 0.63 m/s for women. In the case of SPPB, the result was the same for both genders (≤8). When applying the values found in the studied population, a variation in prevalence was observed for both men and women, depending on the cut-off points and consensus used. Conclusion The cutoff values found in our population were lower than those adopted by international consensus (EWGSOP2, IWGS and FNIH), except for HGS in woman and SMI/m2 for men. Therefore, using specific cutoff points for different populations can provide an accurate assessment of the presence of sarcopenia and better target health prevention strategies for the older people living in the community.

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Section: Discussionmentioning

confidence: 99%

Cut-off points to screening for sarcopenia in community-dwelling older people residents in Brazil

Fernandes

Andrade

Gonçalves

et al. 2021

PeerJ

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“…Ha et al[6] conducted a systematic review of the standardized protocol by which the various methods for measuring hand grip strength are compared and analyzed. They stated that a standardized method is needed to enable more consistent measurement of grip strength, and found that other epidemiologic studies measured the hand grip strength in various ways.…”

Section: Discussionmentioning

confidence: 99%

“…They stated that a standardized method is needed to enable more consistent measurement of grip strength, and found that other epidemiologic studies measured the hand grip strength in various ways. For consistent measurement and accurate diagnosis of sarcopenia, this study adopted the method suggested by Ha et al[6] in which the subject uses the Smedley-type dynamometer while in a standing position, achieving maximum grip strength 3 times with both the left and right hands.…”

Section: Discussionmentioning

confidence: 99%

“…The selection of the 2 most commonly used postures (sitting and standing) was based on the review of the related literature. [46] In the sitting position, the elbow was flexed at 90 degrees with the shoulder attached to the torso, with the wrist maintaining a neutral posture (0 degrees) and the grip with maximal strength was measured (Fig. 2).…”

Section: Methodsmentioning

confidence: 99%

“…[3] However, the measurement results of the hand grip strength are influenced by the subjects' conditions such as the measurement posture, the dominant side of the hand, the size of the hand, the number of repeated measurements, their height and weight, etc. [4567] In addition, various measuring methods can be used, such as digital, analog, hydraulic, and Smedley types. This difference among the measurement methods and measuring machines can induce a discrepancy among the results.…”

Section: Introductionmentioning

confidence: 99%

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Measurement of Uncertainty Using Standardized Protocol of Hand Grip Strength Measurement in Patients with Sarcopenia

Yoo

Park

et al. 2018

J Bone Metab

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BackgroundThe aim of this study was to determine the accuracy and error range of hand grip strength measurement using various methods.MethodsMethods used for measurement of hand grip strength in 34 epidemiologic studies on sarcopenia were analyzed. Maximum grip strength was measured in a sitting position with the elbow flexed at 90 degrees, the shoulder in 0 degrees flexion, and the wrist in neutral position (0 degrees). Maximum grip strength in standing position was measured with the shoulder in 180 degrees flexion, the elbow fully extended, and the wrist in neutral position (0 degrees). Three measurements were taken on each side at 30 sec intervals. The uncertainty of measurement was calculated.ResultsThe combined uncertainty in sitting position on the right and left sides was 1.14% and 0.38%, respectively, and the combined uncertainty in standing position on the right and left sides was 0.35 and 1.20, respectively. The expanded uncertainty in sitting position on the right and left sides was 2.28 and 0.79, respectively, and the expanded uncertainty in standing position on the right and left sides was 0.71 and 2.41, respectively (k=2).ConclusionsUncertainty of hand grip strength measurement was identified in this study, and a significant difference was observed between measurement. For more precise diagnosis of sarcopenia, dynamometers need to be corrected to overcome uncertainty.

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Cross-sectional analysis of myosteatosis and physical function in pretreatment head and neck cancer patients

Shaver

Noyes

Platek

et al. 2022

Support Care Cancer

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Hand grip strength measurement in different epidemiologic studies using various methods for diagnosis of sarcopenia: a systematic review

Cited by 23 publications

References 50 publications

Cut-off points to screening for sarcopenia in community-dwelling older people residents in Brazil

Cut-off points to screening for sarcopenia in community-dwelling older people residents in Brazil

Measurement of Uncertainty Using Standardized Protocol of Hand Grip Strength Measurement in Patients with Sarcopenia

Cross-sectional analysis of myosteatosis and physical function in pretreatment head and neck cancer patients

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