Handgrip strength and associated sociodemographic and lifestyle factors: A systematic review of the adult population

Lima, Tiago Rodrigues de; Silva, Diego Augusto Santos; Castro, João Antônio Chula de; Christofaro, Diego Giulliano Destro

doi:10.1016/j.jbmt.2016.08.017

Cited by 43 publications

(34 citation statements)

References 36 publications

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“…My results on men’s grip strength are consistent with previous cross-sectional evidence, which showed much smaller education gaps in men’s than in women’s grip strength (Botoseneanu et al 2015 ; de Lima et al 2017 ; Strand et al 2016 ). These studies have speculated that differences in grip strength among men might be suppressed because of manual work and excess body weight of lower-educated men—two health risks that are associated with higher levels of grip strength.…”

Section: Discussionsupporting

confidence: 90%

Health Measurement and Health Inequality Over the Life Course: A Comparison of Self-rated Health, SF-12, and Grip Strength

Leopold

2019

Demography

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The cumulative (dis)advantage hypothesis predicts education differences in health to increase with age. All previous tests of this hypothesis were based on self-reported health measures. Recent research has suggested that self-reported health measures may not adequately capture differences in key analytical constructs, including education, age, cohort, and gender. In this study, I tested the cumulative (dis)advantage hypothesis using a self-reported subjective measure (self-rated health), a self-reported semi-objective measure (PCS based on SF-12), and an objective measure (grip strength) of general physical health. Hierarchical linear models applied to five waves of panel data (SOEP, 2006–2014, N = 3,635 individuals aged 25 to 83, comprising N = 9,869 person-years) showed large differences between health measures. Among men, education differences in both self-reported measures of health widened substantially with age, consistent with the cumulative (dis)advantage hypothesis. For grip strength, education differences were small and changed little with age, inconsistent with the hypothesis. Among women, education differences in both self-reported measures of health remained stable over the life course, but they widened substantially when measured by grip strength. I conclude that evidence on the cumulative (dis)advantage hypothesis is sensitive to the choice of a health measure. Electronic supplementary material The online version of this article (10.1007/s13524-019-00761-x) contains supplementary material, which is available to authorized users.

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Section: Discussionsupporting

confidence: 90%

Health Measurement and Health Inequality Over the Life Course: A Comparison of Self-rated Health, SF-12, and Grip Strength

Leopold

2019

Demography

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“…For instance, biological or environment factors such as health status, lifestyle, and demographic and socio‐economic characteristics vary greatly between countries with different handgrip strength levels. Along this line, education and socio‐economic status are factors that might explain differences in handgrip strength ranges among countries . Also, beyond ethnic differences in height and in skeletal muscle mass and function, there are well‐recognized differences in dietary protein intake between different countries, and this variation might also explain differences in muscle strength .…”

Section: Discussionmentioning

confidence: 99%

“…Along this line, education and socio-economic status are factors that might explain differences in handgrip strength ranges among countries. 32 Also, beyond ethnic differences in height and in skeletal muscle mass and function, 33 there are well-recognized differences in dietary protein intake between different countries, and this variation might also explain differences in muscle strength. 34 Absolute strength has also been related to nutrition status and is reported to have positive influence on individuals' grip strength.…”

Section: Discussionmentioning

confidence: 99%

Reference values for handgrip strength and their association with intrinsic capacity domains among older adults

Ramírez‐Vélez

Correa-Bautista

García-Hermoso

et al. 2019

J cachexia sarcopenia muscle

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Objective The purposes of this study were three‐fold: (i) to describe handgrip strength in older individuals aged ≥60 years in Colombia; (ii) to identify sex‐specific and age‐specific muscle weakness cut‐off points in older adults; and (iii) to determine the odds of adverse events for each of the intrinsic capacity domains for individuals with handgrip strength greater than the muscle weakness cut‐off points, as compared with their weaker counterparts. Methods A cross‐sectional study was conducted in Colombia, among 5237 older adults aged ≥60 years old (58.5% women, 70.5 ± 7.8 years), according to ‘SABE Survey 2015’. Handgrip strength data were obtained with a Takei dynamometer. Sociodemographic variables, five domains of intrinsic capacity (i.e. locomotion, vitality, cognition, psychological, and sensory), and medical conditions were assessed and analyzed. Adjustments variables were age, ethnicity, socio‐economic status, urbanicity, body mass index, smoking status, alcohol intake, drug use, physical activity, and co‐morbid chronic diseases. Sex‐stratified analyses were conducted with logistic regression models. Results Handgrip strength was greater among men than among women (26.7 ± 8.5 vs. 16.7 ± 5.7 kg, respectively, P < 0.001) at all ages. Weak handgrip strength cut‐off points ranged from 17.4 to 8.6 and from 10.1 to 4.9 in men and women, respectively. Overall, participants with optimal handgrip strength had better intrinsic capacity [in men, odds ratio (OR) = 0.62, 95% confidence interval (CI) 0.53 to 0.71; P < 0.001; and in women, OR = 0.79, 95% CI 0.68 to 0.92; P = 0.002] than their weaker counterparts. Also, men with optimal handgrip strength had a lower risk of hospitalization (OR = 0.47, 95% CI 0.29 to 0.78; P = 0.004) than their weaker counterparts. Conclusions This study is the first to describe handgrip strength values and cut‐off points for muscle weakness among a nationally representative sample of Colombian older adults by age and sex. After categorizing older adults as weak or not weak based on the handgrip cut‐off points, non‐weakness was associated with a decreased odds of intrinsic capacity impairments. These cut‐off points may be good candidates for clinical assessment of risks to physical and mental health in older Colombian adults.

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“…Besides ethnic differences in height and in skeletal muscle mass and function [ 9 ], there are well-recognized differences in dietary protein intake according to different countries, and the variation in dietary patterns may also explain differences in muscle strength [ 51 ]. Education and socio-economic status are other factors that can explain differences in HGS ranges among countries [ 20 , 52 , 53 ].…”

Section: Discussionmentioning

confidence: 99%

Handgrip strength values of Portuguese older adults: a population based study

et al. 2017

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Background: Handgrip strength is used to identify sarcopenia and frailty phenotypes, being a potential predictor of mortality in older adults. However, uniformity is lacking in the reference values. This study aimed to describe handgrip strength values of older population aged ≥65 years in Portugal, considering the possible influence of anthropometric parameters. Methods: A cross-sectional study was conducted in Portugal, among 1500 older adults aged ≥65 years old, according to "The Nutrition UP 65 Study Protocol". Demographic data were collected and cognitive performance, subjective general health, physical activity, anthropometric parameters and nutritional status were assessed and analysed. Handgrip strength data was obtained with a Jamar dynamometer. A Pubmed/Medline search was carried out to compare handgrip strength data between Portuguese older adults and other older populations. Results: Handgrip strength was higher among men than among women (30.3 ± 9.2 Kgf vs 18 ± 5.4 Kgf, p < 0.001, respectively). In general, handgrip strength values of Portuguese older adults were lower than other older populations. In our sample, age, cognitive and nutritional status, self-reported sitting time and practice of physical activity were significantly correlated with handgrip strength in both sexes. Concerning anthropometric parameters, height was the most significantly correlated with handgrip strength (r = 0.34, p < 0.001, in women and r = 0.40, p < 0.001, in men).

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Handgrip strength and associated sociodemographic and lifestyle factors: A systematic review of the adult population

Abstract: Older adults, females, those of lower educational level and not physically active had lower HGS levels. The adoption of standardization in relation to specific cutoff points for HGS classification becomes necessary in order to allow better comparison of results.

Cited by 43 publications

References 36 publications

Health Measurement and Health Inequality Over the Life Course: A Comparison of Self-rated Health, SF-12, and Grip Strength

Health Measurement and Health Inequality Over the Life Course: A Comparison of Self-rated Health, SF-12, and Grip Strength

Reference values for handgrip strength and their association with intrinsic capacity domains among older adults

Handgrip strength values of Portuguese older adults: a population based study

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