Nutrition and handgrip strength of older adults in rural Malawi

Chilima, D. M.; Ismail, Suraiya

doi:10.1079/phn200050

Cited by 91 publications

(84 citation statements)

References 17 publications

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“…The results of this study are in agreement with the findings that handgrip strength is positively associated with nutritional status as reported earlier (Guo et al, 1996;Manandhar, 1999;Chilima & Ismail, 2001). Even when controlling for other variables in the regression analysis, poor nutritional status emerged as a significant determinant of handgrip strength in both sexes.…”

Section: Handgrip Strength Related To Nutritional Statussupporting

confidence: 92%

“…The present study showed poorer performance in older age groups with a more marked decrease above age 70. This is not only in agreement with cross-sectional studies in Malawi and India (Chilima & Ismail, 2001;Manandhar, 1999), but also with Western longitudinal studies that found a significant decline with age in functional performance, and at an accelerating rate at more advanced ages (Kallman et al, 1990;Grimby, 1995).…”

Section: Handgrip Strengthsupporting

confidence: 87%

“…Similar sex differences were seen in other studies carried out in developing as well as in industrialised countries (Manandhar, 1999;Chilima & Ismail, 2001;Varakamin et al, 1998;Bassey, 1998;Lehman & Bassey, 1996;Bassey & Harries, 1993). The sex difference was not entirely explained by muscle mass as women had significantly lower strength per cm 2 arm muscle area.…”

Section: Handgrip Strengthsupporting

confidence: 84%

“…Similar figures of undernutrition were found among older Rwandan refugees (Pieterse et al, 1998). The nutritional status of older people has been related to functional ability and strength (Chilima & Ismail, 2001;Manandhar, 1999;Pieterse, 1999). Functional ability is not only important in terms of having control over one's life, but also in terms of the ability to contribute to household and economic activities.…”

Section: Introductionmentioning

confidence: 87%

“…Handgrip strength is the most common assessment method for upper extremity muscle strength (Vespa, 1992). It has been used successfully to predict postoperative complications and death (Klidjian et al, 1980;Milne & Maule, 1984;Phillips, 1986;Guo et al, 1996) and has been directly related to nutritional status (Chilima & Ismail, 2001;Manandhar, 1999;Pieterse, 1999). A decline in handgrip strength is also associated with other measures of decreased functional ability (Gosman-Hedström et al, 1988;Jette et al, 1990).…”

Section: Introductionmentioning

confidence: 99%

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The association between nutritional status and handgrip strength in older Rwandan refugees

Manandhar²,

2002

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Objectives: To investigate the association between nutritional status and handgrip strength in older Rwandan refugees. Design: Cross-sectional study. Setting: Rwandan refugee camp located in Karagwe district in the north-west of Tanzania. The study was carried out in the postemergency phase. The response rate was 85%. Subjects: A total of 413 men and 415 women aged 50 -92 y participated in the study. Methods: Weight, height, mid-upper-arm circumference (MUAC) and triceps skinfold were obtained using standard techniques. For people with visible kyphosis, height was estimated from armspan using regression equations developed from nonkyphotic subjects within the sample. Handgrip was measured using a mechanical handgrip dynamometer. Information regarding physical activity and health status was obtained by interview and clinical screening. Results: Handgrip strength (kg) was significantly higher in men than in women (30.3 AE 6.7 vs 22.3 AE 5.1), and significantly lower in each older age group in both sexes. Handgrip strength was positively correlated to BMI (body mass index) and AMA (arm muscle area). The relative risk of impaired handgrip strength in individuals with poor nutritional status (BMI < 18.5 kg=m 2 ) compared with those of adequate nutritional status was 1.75. After controlling for potential confounders (sex, age and height), BMI remained a significant contributor to the variation in handgrip strength. Conclusion: Poor nutritional status is associated with poor handgrip strength independent of sex, age and height, in this refugee population. This may indicate that underweight older people are likely to have more difficulties in functioning independently in the community. Research is needed to investigate if improving nutritional status can lead to better functional ability.

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Section: Handgrip Strength Related To Nutritional Statussupporting

confidence: 92%

Section: Handgrip Strengthsupporting

confidence: 87%

Section: Handgrip Strengthsupporting

confidence: 84%

Section: Introductionmentioning

confidence: 87%

Section: Introductionmentioning

confidence: 99%

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The association between nutritional status and handgrip strength in older Rwandan refugees

Manandhar²,

2002

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Digit ratio and hand grip strength are associated with male competition outcomes: A study among traditional populations of the Yali and Hadza

Misiak

Butovskaya

Oleszkiewicz

et al. 2019

American J Hum Biol

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Objectives Indirect measures of physiological features, such as digit ratio and hand grip strength (HGS), are associated with the outcome of male competition activities. However, most of the studies were conducted in developed and industrialized societies. We tested the hypothesis that both digit ratio and HGS are associated with performance in male‐specific activities in two traditional preindustrial societies: Yali and Hadza. Methods To measure masculine behavioral traits, we determined warriorship status (Yali; n = 49) and assessed hunting skills (Yali n = 47 and Hadza n = 49). We also assessed the digit ratio and HGS of each male. We conducted our analyses using the Bayesian approach. Results Bayesian regression models indicated that greater hand grip strength is associated with better hunting outcomes among Hadza males. We did not find a similar link for the Yali. We found anecdotal evidence for the link between left hand digit ratio and the number of birds hunted by Hadza. We found no evidence for the link between digit ratio and performance in male‐male competition. Conclusions Our results suggest that male‐male competition outcomes are determined by upper body strength, but only in the Hadza population. We also found limited support for the hypothesis that digit ratio is associated with hunting success among the Hadza. We found no support for the hypothesis concerning the digit ratio or HGS among the Yali. Our research provides partial support for the evolutionary hypotheses based on studies conducted in industrialized populations.

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Normative data for three physical frailty parameters in an aging, rural Indian population

Sundarakumar

Raviteja

Muñiz‐Terrera

et al. 2022

Health Science Reports

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Introduction Physical frailty is associated with multiple adverse health outcomes. Since physical characteristics markedly vary with different populations, population‐specific norms for physical frailty parameters are necessary. Such norms are lacking for the Indian population, especially for older, rural Indians. We aimed to develop normative values for three quantitative, frailty parameters—handgrip strength, “Timed Up‐and‐Go” (TUG) test time, and physical activity in an aging, rural Indian population. Methods The study sample is from an ongoing, prospective, cohort (Srinivaspura NeuoSenescence and COGnition, SANSCOG) comprised of rural, community‐dwelling, cognitively healthy, aging Indians. Subjects are recruited through area sampling strategy, from villages of Srinivaspura, Kolar district, Karnataka state, India. Three physical frailty parameters of Fried's phenotype—handgrip strength (n = 1787), TUG time (n = 1863), and physical activity (n = 1640) were assessed using digital hand dynamometry, TUG test, and General Physical Activity Questionnaire (GPAQ), respectively. Results The 10th, 25th, 50th, 75th, 90th percentiles for the three frailty parameters were: right‐hand grip strength (kg): males—13.9, 18.6, 23.8, 28.7, 33.7 and females—7.8, 10.6, 14.2, 17.9, 21.3; left‐hand grip strength (kg): males—13.3, 18.3, 23.6, 28.9, 32.9 and females—7.9, 10.5, 14.3, 17.8, 21.2; TUG time (s): males—9.1, 10.1, 11.4, 13.4, 15.5 and females—9.5, 10.7, 12.4, 14.5, 16.6; physical activity (MET‐minutes/week): males—1680; 4320; 8880; 15,840; 23,352 and females—1680; 4320; 9240; 15,120; 20,160. Discussion Our findings show that from 45 years onwards, overall grip strength decreases and TUG time increases, with women performing significantly poorer than men across all age groups, except >75 years, where no differences were seen. Physical activity did not show any consistent trend according to age or gender. Reference values for this aging, rural Indian population were substantially lower for grip strength and higher for TUG time than aging populations in several Western and other Asian countries.

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Nutrition and handgrip strength of older adults in rural Malawi

Cited by 91 publications

References 17 publications

The association between nutritional status and handgrip strength in older Rwandan refugees

The association between nutritional status and handgrip strength in older Rwandan refugees

Digit ratio and hand grip strength are associated with male competition outcomes: A study among traditional populations of the Yali and Hadza

Normative data for three physical frailty parameters in an aging, rural Indian population

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