Handgrip strength and depression among 34,129 adults aged 50 years and older in six low- and middle-income countries

Ashdown-Franks, Garcia; Stubbs, Brendon; Koyanagi, Ai; Schuch, Felipe Barreto; Firth, Joseph; Veronese, Nicola; Vancampfort, Davy

doi:10.1016/j.jad.2018.09.036

Cited by 72 publications

(78 citation statements)

References 68 publications

(39 reference statements)

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“…In a cross-sectional study that examined the relationship between physical activity and SRH, 6) https://doi.org/10.4082/kjfm.18.0200 95% CI, 1.12-1.88) times higher odds for depression after adjusting for potential confounders. 25) The results of these two studies are consistent with our findings.…”

Section: Discussionsupporting

confidence: 92%

Association between Hand Grip Strength and Self-Rated Health in Middle- and Old-Aged Korean Citizens

Jang

Kim

2020

Korean J Fam Med

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Background: To investigate the relationship between hand grip strength (HGS) and self-rated health in middleand old-aged Korean subjects. Methods: The data used for this study were derived from the Korean Longitudinal Study of Aging. A total of 9,132 participants were enrolled using the year 2006 as the baseline, with additional data collected throughout the followup period until 2016. Chi-square test and generalized estimating equation regression models were used for data analysis. HGS was measured in a sitting position with the elbow fixed at 90° on both sides using a dynamometer, and calculated using the values measured from both sides. Relative HGS was measured by dividing HGS by the subject's body mass index. Self-rated health was assessed with the question "How would you rate your current health in general?" and answers were categorized as "excellent, " "moderate, " or "poor. " Results: HGS was shown to be inversely associated with self-rated health (odds ratio [OR], 0.94; 95% confidence interval [CI], 0.93-0.94; P<0.0001). Patients aged 65 years or older with lower scores were more likely to report poor self-rated health. Similar results were obtained with relative HGS (OR, 0.40; 95% CI, 0.36-0.45; P<0.0001), but standard HGS had better model fitting (quasi-likelihood under independence model criteria=33,890). Conclusion: HGS may be considered an index for the diagnosis of sarcopenia and may also affect self-rated health, which is a multidimensional indicator of an individual's health status and can identify patients who may require special attention.

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Section: Discussionsupporting

confidence: 92%

Association between Hand Grip Strength and Self-Rated Health in Middle- and Old-Aged Korean Citizens

Jang

Kim

2020

Korean J Fam Med

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“…52 Others have shown a correlation between grip strength and the Mini-Mental State Examination scores of geriatric inpatients, 53 information processing speed and executive functioning of patients attending a memory clinic, 54 Stroop Task and 6item Cognitive Impairment Test scores of physically active adults, 55 visual memory,and reaction time of patients with schizophrenia, 56 and Animal Fluency Test and Digital Symbol Substitution Test scores of cancer survivors. 57 A link between grip strength and depression has been demonstrated among residents of 6 low and middle income countries 58 as well as Brazil 59 and Korea. 60 Using a cutpoint of less than 30kg for men and 20kg for women for weak grip, Ashdown-Franks et al found a prevalence of depression of 8.8% among adults classified as weak versus 3.8% among adults not classified as weak.…”

Section: Grip Strength As a Biomarker Of Current Statusmentioning

confidence: 99%

“…60 Using a cutpoint of less than 30kg for men and 20kg for women for weak grip, Ashdown-Franks et al found a prevalence of depression of 8.8% among adults classified as weak versus 3.8% among adults not classified as weak. 58 Kyu-Man et al determined in a sample of older adults that the correlation between grip strength and depression was lower in older adults with a higher household income. 61 Perhaps the high income of Australians explains why Gopinath et al did not find their grip strength to be associated with depression.…”

Section: Grip Strength As a Biomarker Of Current Statusmentioning

confidence: 99%

<p>Grip Strength: An Indispensable Biomarker For Older Adults</p>

Bohannon

2019

CIA

524

382

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Grip strength has been proposed as a biomarker. Supporting this proposition, evidence is provided herein that shows grip strength is largely consistent as an explanator of concurrent overall strength, upper limb function, bone mineral density, fractures, falls, malnutrition, cognitive impairment, depression, sleep problems, diabetes, multimorbidity, and quality of life. Evidence is also provided for a predictive link between grip strength and all-cause and disease-specific mortality, future function, bone mineral density, fractures, cognition and depression, and problems associated with hospitalization. Consequently, the routine use of grip strength can be recommended as a stand-alone measurement or as a component of a small battery of measurements for identifying older adults at risk of poor health status.

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“…Men (n = 1,209) Women (n = 1,443) P www.nature.com/scientificreports www.nature.com/scientificreports/ Multiple studies using various muscle strength indices have linked HGS with depressive symptoms among older adults. A cross-sectional study using data from the World Health Organization's study on Global Ageing and Adult Health showed that dynapenia was associated with depression risk in middle-aged and elderly adults from six low-and middle-income countries 15 . Among Asian populations, HGS has been significantly associated with depressive symptoms.…”

Section: Characteristicsmentioning

confidence: 99%

“…Given its predictive validity and simplicity, HGS could be a useful health-screening tool for older patients in primary care.Low HGS might cause poor mental health. Several studies have reported that low HGS was associated with an increased risk of depressive symptoms among older adults [15][16][17][18] . However, only one study has investigated the association between HGS and suicidal ideation, and it reported that low relative HGS was associated with suicidal ideation 19 .…”

mentioning

confidence: 99%

Handgrip strength, dynapenia, and mental health in older Koreans

Noh

Park

2020

Sci Rep

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This study examined associations between muscle strength and mental health among 2,652 elderly Koreans who participated in the 2015 and 2017 Korea National Health and Nutrition Examination Survey. We measured absolute handgrip strength and calculated handgrip strength relative to body mass index. Dynapenia criteria followed that of the Asian Working Group for Sarcopenia. Questionnaires were used to assess mental health indicators including suicidal ideation, depressed mood, and stress status. Among participants, 18.6%, 14.9%, and 6.7% reported stress, depressed mood, and suicidal ideation, respectively. Dynapenia prevalence was 25.1%. Adjusted odds ratios of stress, depressed mood, and suicidal ideation for men with dynapenia were 2.15, 2.30, and 2.11, respectively. Significant associations were absent among women. for men, handgrip strength and relative handgrip strength were inversely associated with risk of stress, depressed mood, and suicidal ideation. for women, handgrip strength and relative handgrip strength were inversely associated with the risk of stress, but not of depressed mood and suicidal ideation. in conclusion, all muscle-strength indices were associated with mental health risks among older men. in older women, low handgrip strength and relative handgrip strength were associated with increased stress. Muscle strength could be a clinical marker of poor mental health in older adults.Korea has officially become an aged society. The number of people aged 65 years and older increased to 7.38 million in 2018, accounting for 14.3% of the total population 1 . This status emerged only 18 years after Korea became an aging society, when those aged 65 years and older accounted for over 7% of the population 1 . Unpreparedness for aging aggravates both physical and mental well-being of the elderly population. Older people experience increased weakness, loss of physical function, and greater risk of disease 2 . These physical changes lead to reduced roles in the home, workplace, and society, generating social and economic burdens for the elderly 3 . As a result, older individuals are at greater risk of mental health problems such as stress, depression, and suicide 4,5 . Older adults in Korea are among the most vulnerable to suicide, with a rate of about 72 per 100,000 people during 2010. This ratio is nearly five times higher than that in 1990 and about 3.5 times the mean suicide rate in countries of the Organization for Economic Cooperation Development 6 .Sarcopenia is a decrease in skeletal muscle mass and strength that develops because of aging. The resultant physical frailty is associated with loss of independence, as well as increased risks of morbidity and mortality 7 . Recently, several studies showed that muscle strength is a better predictor of disability than muscle mass, while dynapenia (age-related loss of muscle strength) is independently associated with physical disability and mortality 8 . Currently, handgrip strength (HGS) is the only assessment technique recommended for measuring muscle strengt...

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Handgrip strength and depression among 34,129 adults aged 50 years and older in six low- and middle-income countries

Cited by 72 publications

References 68 publications

Association between Hand Grip Strength and Self-Rated Health in Middle- and Old-Aged Korean Citizens

Association between Hand Grip Strength and Self-Rated Health in Middle- and Old-Aged Korean Citizens

<p>Grip Strength: An Indispensable Biomarker For Older Adults</p>

Handgrip strength, dynapenia, and mental health in older Koreans

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