The Associations between Asymmetric Handgrip Strength and Chronic Disease Status in American Adults: Results from the National Health and Nutrition Examination Survey

Klawitter, Lukus; Bradley, Adam; Hackney, Kyle J.; Tomkinson, Grant R.; Christensen, Bryan; Kraemer, William J.; McGrath, Ryan

doi:10.3390/jfmk6040079

Cited by 8 publications

(4 citation statements)

References 22 publications

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“…The prevalence of grip strength asymmetry in Chinese middle-aged and older adults is slightly lower than in foreign studies. The increase in the majority of grip strength asymmetry with age is consistent with similar foreign studies [18][19][20] . Maximum grip strength values decrease with age, with a downward trend at around 50 and 80 [21] .…”

Section: Relationship Grip Asymmetry and Adlsupporting

confidence: 91%

Grip strength asymmetry and Activities of daily living in middle-aged and elderly Chinese Relevance studies

Yue

Jia

Wang

2022

Preprint

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Objective To investigate the association between grip strength asymmetry and the ability to perform daily activities in middle-aged and elderly Chinese.Methods Baseline data (2011) and second follow-up data from the China Health and Aging Tracking Survey (CHARLS) included people aged 45 years or older in the study population. The survey included handgrip strength asymmetry, demographic, and health behaviour variables. Generalised estimating equationsanalysedd the longitudinal association between grip strength asymmetry and ADL.Results There were 8529 respondents at baseline, of which 4054 (47.53%) were male, and the mean age of the respondents was (58.64 ± 8.87) years, with the oldest being 101 years and the youngest 45 years. Seven thousand five hundred fifty-six cases (88.59%) with spouses and 5,078 patients (67.06%) of the respondents lived in rural areas. Regarding educational attainment, 72.24% of the respondents had primary school education or above. Table 2 presents the grip strength asymmetries of daily activity functioning. From baseline to the second follow-up visit, grip asymmetry increased from 40.46% to 41.76%, and the percentage of ADL impairment rose from 14.60% to 20.46%. Using a generalised estimating equation including baseline and second follow-up data to analyse the longitudinal relationship between grip asymmetry and ADL, the interaction term between grip asymmetry and time was statistically significant after accounting for all confounding variables, indicating that the association between grip asymmetry and ADL at baseline and second follow-up differed. After gender stratification, the interaction term for grip asymmetry and time to follow-up remained statistically significant in males and females, with a 1.22-fold increase in the odds of ADL impairment in those with grip asymmetry compared to those with grip asymmetry and a 1.30-fold increase in the odds of ADL impairment in males with grip asymmetry in the gender stratification at, a difference that was also significant in females (OR=1.17,p< 0.05). Regression results for covariates indicated that location of residence, literacy, alcohol consumption, falls, and gender was significantly associated with daily activity dysfunction. In contrast, literacy and smoking were not statistically significantly associated with ADL.Conclusion Older adults with grip asymmetry are at increased risk of ADL impairment; Grap asymmetry can be used as a valid screening tool for middle-aged and older Chinese adults to help identify those at higher risk of ADL impairment.

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Section: Relationship Grip Asymmetry and Adlsupporting

confidence: 91%

Grip strength asymmetry and Activities of daily living in middle-aged and elderly Chinese Relevance studies

Yue

Jia

Wang

2022

Preprint

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“…Interestingly, in addition to association with overall mortality, more recent studies have also demonstrated an association between asymmetric handgrip strength and multimorbidity. Klawitter et al studied handgrip strengths, which were asymmetric by >10% between dominant and nondominant of individuals aged 40 years and greater [48]. They found asymmetric handgrip strength to be linked to chronic morbidity status, with these individuals demonstrating 1.31 (95% confidence interval (CI): 1.03 -1.67) greater odds for multimorbidity, as well as 1.22 (CI: 1.04 -1.44) greater odds for accumulating morbidities compared to individuals without handgrip asymmetry.…”

Section: Grip Strength As a Measure Of Healthmentioning

confidence: 99%

A Review of Handgrip Strength and its Role as a Herald of Health

Minasian¹,

Kuschner²,

Lane³

2022

TOORTHJ

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Measurement of grip strength using a handheld dynamometer is frequently performed as part of an orthopedic upper extremity examination. We review the technique of grip strength measurement and evaluation of the possible submaximal effort. What constitutes normal grip strength in one part of the world is not necessarily normal elsewhere. Additionally, there is considerable evidence, most of which is outside the orthopedic literature, that diminished grip strength is a proxy for poor health and a predictor of increased mortality.

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“…Several studies have suggested that HGS asymmetry is a potent biomarker of impaired muscular function. 6,7 A widespread aging-related complication among adults throughout the world, 6,8,9 HGS has been linked to an increased incidence of geriatric hip fracture 10 and a variety of other negative health outcomes, including a range of psychiatric and neurological conditions, 9,11,12 chronic morbidity, 13,14 fall risk, 15,16 reduced ability to complete tasks required for basic self-care tasks, 6 and multi-morbidity. 17 Previous studies have sought to clarify how HGS asymmetry relates to all-cause mortality rates in older adults.…”

Section: Introductionmentioning

confidence: 99%

Low handgrip strength with or without asymmetry is associated with elevated all‐cause mortality risk in older Chinese males

Cai,

Zhang,

Wang

2023

Geriatrics Gerontology Int

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AimThis study aimed to examine the link between handgrip strength (HGS) asymmetry and mortality risk among older Chinese adults.MethodsThese analyses were conducted using data from adults aged 60 years and older from the 2011–2013 waves of the China Health and Retirement Longitudinal Study, using baseline participant data collected in 2011. Proxy‐reported information was used to assess the mortality outcomes of the participants over a 2‐year follow‐up. The highest recorded HGS values for each hand were used to compute the HGS asymmetry ratio (non‐dominant HGS/dominant HGS) and HGS weakness (Male<26 kg, Female<16 kg). Covariate‐adjusted Cox models were employed to gauge the relationship between abnormal HGS and mortality risk.ResultsOverall, 5083 adults were enrolled in this study, of whom 50.15% (2549/5083) were male. The proportions of low HGS alone, HGS asymmetry alone, and asymmetric and low HGS were 6.43%, 30.95%, and 9.22%, respectively, in males, and 4.81%, 35.87%, and 9.55%, respectively, in females. A total of 96 and 78 deaths were recorded for male (3.77%) and female (3.08%) participants, respectively, over the 2‐year follow‐up period. Significant differences in mortality were observed between the different HGS groups for both sexes. An adjusted Cox regression analysis model confirmed that only low HGS (P = 0.047, hazard ratio [HR] = 1.949, 95% confidence interval [95% CI]: 1.008–3.768) and low HGS with asymmetry (P = 0.007, HR = 2.152, 95% CI: 1.231–3.764) were significantly associated with mortality risk in older males.ConclusionsThe results revealed that low HGS with or without asymmetry was associated with a higher risk of death over a 2‐year follow‐up interval in older Chinese males. Geriatr Gerontol Int 2023; ••: ••–••.

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The Associations between Asymmetric Handgrip Strength and Chronic Disease Status in American Adults: Results from the National Health and Nutrition Examination Survey

Cited by 8 publications

References 22 publications

Grip strength asymmetry and Activities of daily living in middle-aged and elderly Chinese Relevance studies

Grip strength asymmetry and Activities of daily living in middle-aged and elderly Chinese Relevance studies

A Review of Handgrip Strength and its Role as a Herald of Health

Low handgrip strength with or without asymmetry is associated with elevated all‐cause mortality risk in older Chinese males

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