The optimal management of sarcopenia requires appropriate endpoint measures to determine intervention efficacy. While hand grip strength is a predictor of morbidity and mortality, lower extremity strength may be better associated with functional activities in comparison to hand grip strength. The purpose of our study was to examine the comparative association of upper and lower extremity strength with common measures of physical performance in older adults. Thirty community-dwelling men, aged 62.5 ± 9.2 years, completed body composition analysis, quantitative strength testing, and performance-based tests of functional status. Hand grip force values were not significantly associated with knee extensor or flexor torque values (p > 0.05). Hand grip force was only associated with fast gait speed, while knee extensor torque at 60°/s was the only variable significantly associated across all functional outcome measures: customary gait speed, fast gait speed, sit to stand time, and the Physical Performance Test (p < 0.02). Hand grip strength was not a proxy measure of lower extremity strength as assessed in this study. Overall, lower extremity muscle strength values had the strongest associations with participant functional performance. Lower extremity strength testing may provide additional value as an endpoint measure in the assessment and clinical management of sarcopenia.
Technology-facilitated gender-based violence (GBV) is a pervasive issue. Yet, most research focuses on high-income countries and few studies comprehensively summarize its prevalence, manifestations, and implications in the Global South. This scoping review sought to examine technology-facilitated GBV in low- and middle-income countries across Asia, specifically focusing on trends, common behaviors, and characteristics of perpetrators and survivors. A comprehensive search of peer-reviewed and gray literature published between 2006 and 2021 yielded 2,042 documents, of which 97 articles were included in the review. Across South and Southeast Asia, findings indicate that technology-facilitated GBV is a widespread phenomenon, with increased incidence during the COVID-19 pandemic. Technology-facilitated GBV comprises various forms of behaviors and prevalence varies by type of violence. Women, girls, and sexual and gender minorities, especially those with other intersecting marginalized identities, are often more vulnerable to experiencing online violence. Alongside these findings, the review revealed gaps in the literature including a lack of evidence from Central Asia and the Pacific Islands. There is also limited data on prevalence which we attribute to underreporting, in part due to disjointed, outdated, or nonexistent legal definitions. Findings from the study can be leveraged by key stakeholders such as researchers, practitioners, governments, and technology companies to develop prevention, response, and mitigation efforts.
Technology-facilitated gender-based violence (GBV) has become an increasing issue in recent years, especially during the COVID-19 pandemic which prompted a significant rise in online activity. In addition to amplifying traditional forms of abusive behaviours such as stalking, bullying and sexual harassment, information and communication technologies have facilitated new manifestations of violence such as image-based abuse, doxing, gendertrolling, impersonation and hacking, among others. Women, children, sexual, religious and ethnic minorities, and other vulnerable groups are particularly vulnerable to elevated risks of experiencing violence. Based on findings from a scoping review, this article discusses how certain key stakeholders – identified as technology companies, government and legal systems, and social support systems – are used in the help-seeking process by those who have experienced technology-facilitated GBV. We seek to highlight particular nuances which key actors must consider when addressing technology-facilitated GBV and summarise gaps and propose recommendations to inform policy and programming efforts in low- and middle-income countries across Asia.
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