Grip Strength and Depression Symptoms Among Middle-Age and Older Adults

Marques, Adilson; Matos, Margarida Gaspar de; Henriques‐Neto, Duarte; Tesler, Riki; Martins, João; Gómez-Baya, Diego

doi:10.1016/j.mayocp.2020.02.035

Cited by 34 publications

(39 citation statements)

References 35 publications

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“…14 Another study of adults aged 50 years and older reported that both females and males had a significantly reduced risk of depression in all grip strength quartiles, 2, 3, and 4, compared to those in the lowest quartiles. 15 In addition, a study with a larger sample of individuals aged >50 years from different countries found that participants with weak handgrip strength had a higher risk of depression (OR=1.45, 95% CI: 1.12-1.88), 13 which is in line with our study. Moreover, the authors used the definition of European Working Group on Sarcopenia in Older People, indicating weak handgrip strength as <30 kg for men and <20 kg for women.…”

Section: Discussionsupporting

confidence: 90%

“…Many cross-sectional studies have found that adults with low handgrip strength were at increased risk of depression. [13][14][15][16] Furthermore, three prospective cohort studies conducted in different countries have also reported similar results: high handgrip strength can reduce the risk of depression. [17][18][19] Meanwhile, a recent meta-analysis showed that muscle strength has a positive impact on reducing depression, with a pooled OR of 0.85 (95% CI: 0.80-0.89).…”

Section: Introductionmentioning

confidence: 65%

“…Our study suggested that low handgrip strength is associated with a higher risk of depression, independent of The impact of handgrip strength on depression has been examined in several studies, mainly focusing on community dwelling adults from various countries. [13][14][15][16] In a crosssectional study with a total of 24,109 Chinese adults, the authors reported that male participants with the highest grip strength were not at a reduced risk of depression (OR=0.91; 95% CI: 0.78-1.07) compared to male participants with the lowest grip strength; however, this association of a reduced risk of depression was found in females. 14 Another study of adults aged 50 years and older reported that both females and males had a significantly reduced risk of depression in all grip strength quartiles, 2, 3, and 4, compared to those in the lowest quartiles.…”

Section: Discussionmentioning

confidence: 99%

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Handgrip Strength and Depression Among Older Chinese Inpatients: A Cross-Sectional Study

Zhang¹,

Jiao²,

Cao³

et al. 2021

NDT

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Objective There have been studies exploring the association between handgrip and depression among community-dwelling adults; however, evidence for this association among hospitalized older adults is scarce. We aimed to use a larger-scale population from multiple centers to explore the association between low handgrip strength and depression. Methods This was a cross-sectional study that included hospitalized patients aged 65 years or older from different hospitals in China. Depression was assessed by a short-form Chinese Geriatric Depression Scale (GDS-15) with a cutoff value of 5 points or more. Dominant hand handgrip strength was assessed by a dynamometer. A generalized additive model and multivariable regression analysis were conducted. Results There were 9,368 participants, with an average age of 72.4 (SD=5.7) in the final analysis. The prevalence of low handgrip strength and depressive symptoms among older Chinese hospitalized patients was 50.3% and 16.3%, respectively. There seemed to be a nonlinear relationship between handgrip strength and depression, and curve fitting and threshold analyses indicated that when handgrip strength was less than 35.6 kg, the depression risk decreased significantly with increasing handgrip strength. However, this association between handgrip strength and depression was not significant when the handgrip strength was greater than 35.6 kg. In addition, after adjusting for potential confounders, older patients with low handgrip strength had an increased risk of depression compared to those with normal handgrip strength (OR=1.46; 95% CI=1.27–1.68). The subgroup analysis found the results were unchanged. Conclusion Our study indicates that low handgrip strength was associated with a higher risk of depression among older Chinese hospitalized patients, implying that early patient screening for handgrip strength and initiating effective intervention programs, such as resistance training and nutritional supplements, could be helpful for older patients.

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Section: Discussionsupporting

confidence: 90%

Section: Introductionmentioning

confidence: 65%

Section: Discussionmentioning

confidence: 99%

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Handgrip Strength and Depression Among Older Chinese Inpatients: A Cross-Sectional Study

Zhang¹,

Jiao²,

Cao³

et al. 2021

NDT

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“…This correlation has been reported in the elderly and patients with chronic diseases. As grip strength has been associated with anxiety [ 30 ] and depression [ 16 ] in the elderly, it has attracted attention in the evaluation of frailty. Grip strength is also correlated with the mental status of patients with chronic diseases, including middle-aged adults [ 31 ].…”

Section: Discussionmentioning

confidence: 99%

“…Since PICS is considered to originate from damage to the body, physical dysfunction may be associated with mental illness. Grip strength is often coordinated with mental status, which is reported in the healthy individuals [ 16 ].…”

Section: Introductionmentioning

confidence: 99%

Grip Strength Correlates with Mental Health and Quality of Life after Critical Care: A Retrospective Study in a Post-Intensive Care Syndrome Clinic

Nakamura

Kawasaki

Suzuki

et al. 2021

JCM

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Post-intensive care syndrome (PICS) is characterized by several prolonged symptoms after critical care, including physical and cognitive dysfunctions as well as mental illness. In clinical practice, the long-term follow-up of PICS is initiated after patients have been discharged from the intensive care unit, and one of the approaches used is a PICS clinic. Although physical dysfunction and mental illness often present in combination, they have not yet been examined in detail in PICS patients. Grip strength is a useful physical examination for PICS, and is reported to be associated with mental status in the elderly. We herein investigated the relationship between grip strength and the mental status using data from our PICS clinic. We primarily aimed to analyze the correlation between grip strength and the Hospital Anxiety and Depression Scale (HADS) score. We also analyzed the association between grip strength and the EuroQol 5 Dimension (EQ5D) score as quality of life (QOL). Subjects comprised 133 patients who visited the PICS clinic at one month after hospital discharge between August 2019 and December 2020. Total HADS scores were 7 (4, 13) and 10 (6, 16) (p = 0.029) and EQ5D scores were 0.96 (0.84, 1) and 0.77 (0.62, 0.89) (p ≤ 0.0001) in the no walking disability group and walking disability group, respectively. Grip strength negatively correlated with HADS and EQ5D scores. Correlation coefficients were r = −0.25 (p = 0.011) and r = −0.47 (p < 0.0001) for HADS and EQ5D scores, respectively. Grip strength was a useful evaluation that also reflected the mental status and QOL.

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Relationship between handgrip strength, depression and cognitive functioning among older adults: Evidence from longitudinal ageing study in India

Muhammad

Maurya

2022

Int J Geriat Psychiatry

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Background Handgrip strength (HGS) is a frequent and general indicator of muscle strength and it may affect several aspects of mental health among older people. This study explored the association of HGS with depression and cognitive impairment among community‐dwelling older adults in resource‐constrained setting of India. Method Data were drawn from the Longitudinal Ageing Study in India (LASI), and the analysis was conducted on 27,707 older adults aged 60 years and above. Outcome measures included depression (assessed by the Short Form Composite International Diagnostic Interview (CIDI‐SF) and the Center for Epidemiological Studies‐Depression (CES‐D) scales) and cognitive impairment. Descriptive statistics and mean scores of HGS were reported and multivariable linear regression analyses were conducted to test the research hypotheses of the study. Results Mean score of HGS was 24.33 (SD: 7.22) for males and 15.94 (SD: 5.14) for females. Mean age was 68.86 (SD: 7.19) and 68.40 (SD: 7.31) years among males and females respectively. Older participants who had weak HGS were significantly more likely to be depressed in CIDI‐SF scale (B: 0.06, CI: 0.01–0.13) and CES‐D scale (B: 0.02, CI: 0.01–0.03) in comparison to those who had strong HGS after adjusting for a large number of confounders. Older participants who had weak HGS were significantly more likely (B: 0.92, CI: 0.76–1.07) to have cognitive impairment compared to those who had strong HGS. Conclusion The findings highlight the independent association of HGS with major depression, depressive symptoms and cognitive impairment that have implications on promoting resistance‐training programs among aged population.

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Grip Strength and Depression Symptoms Among Middle-Age and Older Adults

Cited by 34 publications

References 35 publications

Handgrip Strength and Depression Among Older Chinese Inpatients: A Cross-Sectional Study

Handgrip Strength and Depression Among Older Chinese Inpatients: A Cross-Sectional Study

Grip Strength Correlates with Mental Health and Quality of Life after Critical Care: A Retrospective Study in a Post-Intensive Care Syndrome Clinic

Relationship between handgrip strength, depression and cognitive functioning among older adults: Evidence from longitudinal ageing study in India

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