Hand-grip strength predicts incident disability in non-disabled older men

Giampaoli, Simona; Ferrucci, Luigi; Cecchi, Francesca; Noce, Cinzia Lo; Poce, A; Dima, Francesco; Santaquilani, A; Vescio, Maria Fenicia; Menotti, Alessandro

doi:10.1093/ageing/28.3.283

Cited by 364 publications

(284 citation statements)

References 15 publications

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“…Em contrapartida, Rantanen et al (3) , em estudo clássico, utilizando como amostra 6089 homens com idades entre 45 e 68 anos, verificaram que a FPM serviu como boa marcadora para limitações funcionais e incapacidades de forma geral. Resultados similares foram relatados por Giampaoli et al (25) , em uma amostra sensivelmente mais idosa composta por 140 sujeitos com idades entre 71 a 91 anos. Enfim, Avlund et al (26) verificaram, em 480 sujeitos septuagenários, que a FPM se correlacionava de maneira com o desempenho nas atividades do dia a dia.…”

Section: Discussionunclassified

A força de preensão manual é boa preditora do desempenho funcional de idosos frágeis: um estudo correlacional múltiplo

Geraldes

Oliveira

Albuquerque

et al. 2008

Rev Bras Med Esporte

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A força de preensão manual (FPM) associa-se com a funcionalidade de idosos, mas há dúvidas sobre o valor dessa relação em todas as situações. O estudo observou a correlação entre FPM de idosos residentes em instituições de cuidados permanentes (asilos) e o desempenho funcional (DF) em tarefas específicas e inespecíficas para as mãos. Participaram 12 homens (70±6 anos; 64±9 kg; 160±10 cm) e sete mulheres (77±11 anos; 49±10 kg; 147±10 cm). A FPM foi medida com dinamômetro hidráulico. As tarefas motoras propostas foram: caminhar 10 m na velocidade máxima (C10), timed up & go test (TUGT), colocar e retirar chave de fechadura (TCCF) e tirar e recolocar lâmpada em um bocal (TCLB). O teste de Wilcoxon revelou que os homens apresentaram melhores desempenhos que as mulheres em todos as medidas, exceto IMC, TCCF e TCLB (p<0,05). Os coeficientes de Spearman revelaram que três testes apresentaram correlações significativas com a FPM: TRLB (ρ = -0,54; p = 0,018); TUGT (ρ = -0,67; p = 0,002) e C10 (ρ = -0,69; p = 0,001). A correlação múltipla entre a FPM e o conjunto dos testes revelou-se igualmente significativa (R-múltiplo = 0,66; p<0,04). Conclui-se que a FPM pode ser uma boa preditora do desempenho em tarefas motoras em idosos frágeis, investindo-se de potencial para apreciação da funcionalidade como um todo, enquanto variável de exposição epidemiológica.Palavras-chave: envelhecimento, saúde, autonomia, aptidão física, força muscular. ABSTRACTHand-grip strength (HGS) has been used to predict functional limitation in the elderly. However, this relationship in all situations is doubtful. The purpose of the study was to observe the association between HGS and functional performance (FP), in specific and not specific tasks among 19 long-term home elderly residents, 12 men (70±6 yrs; 64±9 kg; 160±10 cm) and 7 women (77±11 yrs; 49±10 kg; 147±10 cm). HGS was measured by a hydraulic hand dynamometer. The FP was measured by the time to perform the following tasks: 1) habitual gait speed (HGS); 2) timed up & go test (TUGT); 3) opening a lock with a key (OLK); 4) to take off and put in a light bulb (TPB). The Wilcoxon test revealed that men were better than women in all measurements except for the IMC, OLK and TPL (p<0.05). The Spearman coefficients showed significant correlation between HGS and three FP tests: TPL (ρ=-.54; p=.018); TUGT (ρ=-.67; p=.002) and HGS (ρ=-.69; p=.001). The multiple correlation showed good correlation between the HGS and all FP tests (R=.66; R²=.44; p<.04). These results suggest that HGS may be a good predictor for FP, especially for fragile and institutionalized elderly subjects, having a good potential as an epidemiologic exposition variable to forecast functional performance. Keywords INTRODUÇãODe forma geral, os idosos que apresentam força de preensão manual (FPM) reduzida são sedentários, possuem déficits de massa corporal, apresentam problemas de saúde e limitações funcionais em atividades que exigem a participação dos membros superiores e inferiores (1) . Isso explica em parte, o fato de, a despeit...

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Section: Discussionunclassified

A força de preensão manual é boa preditora do desempenho funcional de idosos frágeis: um estudo correlacional múltiplo

Geraldes

Oliveira

Albuquerque

et al. 2008

Rev Bras Med Esporte

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“…Moreover, handgrip strength has been found to be associated with disability at older ages (Giampaoli et al 1999;Rantanen et al 1999;Taekema et al 2010), cognitive decline (Alfaro-Acha et al 2006), and hospitalization (Cawthon et al 2009). While there is compelling evidence that men outperform women on handgrip tests at all ages and across all continents (Bohannon et al 2006;Dodds et al 2014;Leong et al 2015), the magnitude of the male advantage appears to vary across national populations, ethnicities, and age groups.…”

Section: Sex Differences In Physical Performance Testsmentioning

confidence: 99%

Sex Differences in Health and Survival

Oksuzyan

Gumà

Doblhammer

2018

A Demographic Perspective on Gender, Family and Health in Europe

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“…In clinical practice, handgrip strength is often used as a surrogate measure representative of the sarcopenic condition, as measuring handgrip strength is a simple, accessible, and inexpensive method to use (Cruz-Jentoft et al 2010). Handgrip strength has been shown to associate with several adverse health outcomes in the elderly, including functional impairment (Femia et al 1997;Giampaoli et al 1999;Hairi et al 2010;Rantanen et al 1994), morbidity (Rantanen et al 1998), hospitalization (Cawthon et al 2009) and mortality (Laukkanen et al 1995;Newman et al 2006;Rantanen et al 2003).…”

Section: Introductionmentioning

confidence: 99%

Comparison of quadriceps strength and handgrip strength in their association with health outcomes in older adults in primary care

Chan

Houwelingen

Gussekloo

et al. 2014

AGE

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Sarcopenia is thought to play a major role in the functional impairment that occurs with old age. In clinical practice, sarcopenia is often determined by measuring handgrip strength. Here, we compared the lower limb quadriceps strength to the handgrip strength in their association with health outcomes in older adults in primary care. Our study population consisted of older adults (n=764, 68.2 % women, median age 83) that participated in the Integrated Systemic Care for Older People (ISCOPE) study. Participants were visited at baseline to measure quadriceps strength and handgrip strength. Data on health outcomes were obtained at baseline and after 12 months (including life satisfaction, disability in daily living, GP contact-time and hospitalization). Quadriceps strength and handgrip strength showed a weak association (β=0.42 [95 % CI 0.33-0.50]; R 2 =0.17). Quadriceps strength and handgrip strength were independently associated with health outcomes at baseline, including quality of life, disability in daily living, GP contact-time, hospitalization, and gait speed. Combined weakness of the quadriceps and handgrip distinguished a most vulnerable subpopulation that presented with the poorest health outcomes. At followup, handgrip strength showed an association with quality of life (β=0.05; P=0.002) and disability in daily living (β=−0.5; P=0.004). Quadriceps weakness did not further contribute to the prediction of the measured health outcomes. We conclude that quadriceps strength is only moderately associated with handgrip strength in an older population and that the combination of quadriceps strength and handgrip strength measurements may aid in the identification of older adults in primary care with the poorest health outcomes. In the prediction of poor health outcomes, quadriceps strength measurements do not show an added value to the handgrip strength.

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Hand-grip strength predicts incident disability in non-disabled older men

Cited by 364 publications

References 15 publications

A força de preensão manual é boa preditora do desempenho funcional de idosos frágeis: um estudo correlacional múltiplo

A força de preensão manual é boa preditora do desempenho funcional de idosos frágeis: um estudo correlacional múltiplo

Sex Differences in Health and Survival

Comparison of quadriceps strength and handgrip strength in their association with health outcomes in older adults in primary care

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