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. 2017 Mar 1;17(1):417-432.

Age-related normative values for handgrip strength and grip strength's usefulness as a predictor of mortality and both cognitive and physical decline in older adults in northwest Russia

A Turusheva  1 , E Frolova, J-M Degryse
Affiliations

Age-related normative values for handgrip strength and grip strength's usefulness as a predictor of mortality and both cognitive and physical decline in older adults in northwest Russia

A Turusheva et al. J Musculoskelet Neuronal Interact. .

Abstract

Objectives: This paper sought to provide normative values for grip strength among older adults across different age groups in northwest Russia and to investigate their predictive value for adverse events.

Methods: A population-based prospective cohort study of 611 community-dwelling individuals 65+. Grip strength was measured using the standard protocol applied in the Groningen Elderly Tests. The cut-off thresholds for grip strength were defined separately for men and women of different ages using a weighted polynomial regression. A Cox regression analysis, the c-statistic, a risk reclassification analysis, and bootstrapping techniques were used to analyze the data. The outcomes were the 5-year mortality rate, the loss of autonomy and mental decline.

Results: We determined the age-related reference intervals of grip strength for older adults. The 5th and 10th percentiles of grip strength were associated with a higher risk for malnutrition, low autonomy, physical and mental functioning and 5-year mortality. The 5th percentile of grip strength was associated with a decline in autonomy.

Conclusions: This study presents age- and sex-specific reference values for grip strength in the 65+ Russian population derived from a prospective cohort study. The norms can be used in clinical practice to identify patients at increased risk for adverse outcomes.

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Conflict of interest statement

The President of the Russian Federation (Grant 192-RP) and the Foundation Louvain supported this work. The authors have no financial or personal conflicts of interest concerning this paper.

Figures

Figure 1
Figure 1
Age-related declines in average grip strength.
Figure 2
Figure 2
Age-related declines in maximum value grip strength.
Figure 3
Figure 3
Kaplan-Meier curves for all-cause 5-year mortality based on the P10 and P5 the values of the average and maximum grip strength.
Figure 4
Figure 4
Linear regression for the average grip strength and the maximum grip strength of DK-50 dynamometer and JAMAR® Plus dynamometer.
Figure 5
Figure 5
Bland & Altman plots for the average grip strength and the average value of the maximum grip strength of DK-50 dynamometer and JAMAR® Plus dynamometer.
See this image and copyright information in PMC

References

    1. Hogrel JY. Grip strength measured by high precision dynamometry in healthy subjects from 5 to 80 years. BMC Musculoskelet Disord. 2015;16:139. - PMC - PubMed
    1. Di Monaco M, Di Monaco R, Manca M, Cavanna A. Handgrip strength is an independent predictor of distal radius bone mineral density in postmenopausal women. Clin Rheumatol. 2000;19(6):473–6. - PubMed
    1. Gale CR, Martyn CN, Cooper C, Sayer AA. Grip strength, body composition, and mortality. Int J Epidemiol. 2007;36(1):228–35. - PubMed
    1. Norman K, Stobaus N, Gonzalez MC, Schulzke JD, Pirlich M. Hand grip strength: outcome predictor and marker of nutritional status. Clin Nutr. 2011;30(2):135–42. - PubMed
    1. Sallinen J, Stenholm S, Rantanen T, Heliovaara M, Sainio P, Koskinen S. Hand-grip strength cut points to screen older persons at risk for mobility limitation. J Am Geriatr Soc. 2010;58(9):1721–6. - PMC - PubMed

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