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. 2022 May 10:15:1023-1034.
doi: 10.2147/JMDH.S363421. eCollection 2022.

Factors Associated with Handgrip Strength Among Older Adults in Malaysia

Shamsul Azhar Shah  1 , Nazarudin Safian  1 , Zulkefley Mohammad  1 , Siti Rohani Nurumal  1 , Wan Abdul Hannan Wan Ibadullah  1 , Juliana Mansor  1 , Saharuddin Ahmad  2 , Mohd Rohaizat Hassan  1 , Yugo Shobugawa  3
Affiliations

Factors Associated with Handgrip Strength Among Older Adults in Malaysia

Shamsul Azhar Shah et al. J Multidiscip Healthc. .

Abstract

Purpose: Handgrip strength (HGS) is indicative of overall physical health among older adults. A decrease in HGS may be associated with an increased risk of disease. The aim of this study is to determine the factors associated with HGS among older adults in Malaysia.

Patients and methods: One thousand two hundred four (1204) participants from urban and rural areas in Selangor state, Malaysia, were recruited. Sociodemographic and health-related conditions were gathered through a comprehensive face-to-face interview, followed by HGS assessments by a handgrip dynamometer. Subsequently, multiple linear regression was used to test the main association with the HGS.

Results: A total of 691 participants (57.4%) were male, and 513 (42.6%) were female. Males had a mean HGS of 30.0 (SD 7.53) kg, and females had a mean HGS of 19.4 (SD 5.28) kg. Males' handgrip strength was significantly reduced with increasing age, physically inactive, and diabetes (all at the level p<0.001) after adjusting for social-demographic characteristics and health-related variables. Meanwhile, for females, the HGS was significantly decreased with age (p<0.001), physically inactive (p<0.001) and hypertension (p=0.03). However, female HGS was positively related to BMI (p<0.001).

Conclusion: The study contributed to a better understanding of factors associated with HGS, and thus, the HGS is recommended as a section in the health evaluation among high-risk older adults as the strategy of disease control and prevention.

Keywords: elderly; handgrip strength; risk factors.

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Conflict of interest statement

The study is funded by the World Health Organization Centre for Health Development (WHO Kobe Centre – WKC), grant number 2018/863819-1. The funders had no role in the study’s design, in the collection, analyses, or interpretation of data, in the writing of the manuscript, or in the decision to publish the results. The authors declare that they have no conflicts of interest in relation to this work.

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References

    1. McLeod M, Breen L, Hamilton DL, Philp A. Live strong and prosper: the importance of skeletal muscle strength for healthy ageing. Biogerontology. 2016;17(3):497–510. doi:10.1007/s10522-015-9631-7 - DOI - PMC - PubMed
    1. Miller AEJ, Macdougall JD, Tarnopolsky MA, Sale DG. Gender differences in strength and muscle fiber characteristics. Eur J Appl Physiol Occup Physiol. 1993;66(3):254–262. doi:10.1007/BF00235103 - DOI - PubMed
    1. Alexandre TDS, Corona LP, Brito TRP, Santos JLF, Duarte YAO, Lebrão ML. Gender differences in the incidence and determinants of components of the frailty phenotype among older adults: findings from the SABE study. J Aging Health. 2018;30(2):190–212. doi:10.1177/0898264316671228 - DOI - PubMed
    1. Manini TM, Clark BC. Dynapenia and aging: an update. J Gerontol A Biol Sci Med Sci. 2012;67(1):28–40. doi:10.1093/gerona/glr010 - DOI - PMC - PubMed
    1. de Souto Barreto P, Morley JE, Chodzko-Zajko W, et al. Recommendations on physical activity and exercise for older adults living in long-term care facilities: a taskforce report. J Am Med Dir Assoc. 2016;17(5):381–392. doi:10.1016/j.jamda.2016.01.021 - DOI - PubMed