Assessment of grip strength in older people needs standardization by age and sex

2017 ◽  
Vol 17 (2) ◽  
pp. 352-354 ◽  
Author(s):  
Naoto Kamide ◽  
Yoshitaka Shiba ◽  
Haruhiko Sato
Author(s):  
Yasmín Ezzatvar ◽  
Joaquín Calatayud ◽  
Lars Louis Andersen ◽  
Edgar Ramos Vieira ◽  
Rubén López-Bueno ◽  
...  

The Work Ability Index (WAI) is a validated and widely used tool in occupational research. However, normative values for physical therapists (PTs) by age and sex are lacking. Although the nature of PTs’ work is physically demanding, it is unknown whether muscular fitness is associated with their WAI. This study sought to provide reference WAI data for Spanish PTs and to evaluate the association between PTs’ muscular fitness and WAI. Data on WAI of 1005 PTs were collected using a questionnaire. A subgroup (n = 68) performed a battery of physical tests including grip strength, push-ups and back-extension endurance. Associations between muscular fitness and WAI were evaluated using logistic regression controlling for various confounders. PTs aged 50 years or older had lower WAI scores than their younger counterparts. PTs with high back-extension endurance scored 3.5 (95% CI) higher in the WAI than those with low endurance. No associations were found between grip strength or number of push-ups and WAI. Our findings seem to highlight the importance of muscular fitness in PTs, especially the back-extension endurance.


2021 ◽  
Vol 50 (Supplement_1) ◽  
pp. i12-i42
Author(s):  
K Ibrahim ◽  
M A Mullee ◽  
G Lily Yao ◽  
S Zhu ◽  
M Baxter ◽  
...  

Abstract Introduction Osteoporosis and sarcopenia often co-exist (osteo-sarcopenia) and both are associated with increased risk of falls and fractures. Early identification and treatment of sarcopenia among older people with fragility arm fractures could prevent further fractures. This study evaluated the feasibility of assessing sarcopenia in a fracture clinic. Methods People aged 65+ years with arm fracture attending fracture clinics in one acute trust were recruited. Sarcopenia was assessed using gait speed, grip strength with unfractured arm (hand dynamometer using appropriate cut off adjusted for age and gender), skeletal muscle mass index SMI (Bioimpedance BIA), SARC-F questionnaire, the European Working Group on Sarcopenia in Older People (EWGSOP) I and II criteria. The sensitivity and specificity of each measure was calculated against the EWGSOP II criteria as the standard reference. Results 100 patients (Mean age 75 years±7.2; 80 female) were recruited. Sarcopenia was identified among 4% (EWGSOP I), 5% (SMI), 13% (EWGSOP II), 16% (gait speed test), 18% (SARC-F) and 39% (grip strength) and was more prevalent among men. SARC-F had the best sensitivity and specificity (100% and 96% respectively) when compared to the EWGSOP II criteria. Sensitivity and specificity for the remaining measures were respectively (100%, 71%) for grip strength, (75%, 94%) for gait speed, (25%, 97%) with SMI and (25%, 99%) for EWGSOP I. Time needed to complete the assessments was 1–2 minutes for gait speed, grip strength and SARC-F; five minutes for BIA test, and nine minutes when EWGSOP I and II criteria were applied. Data were complete for grip strength and SARC-F. Missing data was reported among 2% for gait speed, 8% for BIA test, 8% for EWGSOP II and 10% for EWGSOP I. Conclusion It was feasible to assess sarcopenia in fracture clinics and SARC-F was a quick, simple and sensitive tool suitable for routine use.


1971 ◽  
Vol 13 (4) ◽  
pp. 221-226 ◽  
Author(s):  
T.G. Judge ◽  
N.R. Cowan

Maturitas ◽  
2016 ◽  
Vol 93 ◽  
pp. 114-120 ◽  
Author(s):  
Catherine Lucas ◽  
Julie Byles ◽  
Jennifer H. Martin

Author(s):  
Jae-Moo Lee ◽  
Edward J. Ryan

Older adults with disease and disability are particularly vulnerable to experiencing more severe consequences of depression. The purpose of the present study is to investigate the relationship between disease comorbidities (number of disease: ND0, 1 disease: ND1 and 2 or more diseases: ND ≥ 2), hand grip strength (low HGS and high HGS), and the prevalence of depression in Korean older adults. Data from the living profiles of older people survey that was conducted by the ministry of health and welfare in Korea were utilized. Data for 6107 females and 4347 males were appropriate for statistical tests. The results demonstrated that depression was more prevalent as ND increased (p < 0.01). In addition, HGS appeared lower as ND increased in both male (p < 0.01) and female subjects (p < 0.01). Furthermore, relative to ND0 and low HGS, ND0 and high HGS showed a ~65% reduction in the prevalence of depression (p < 0.01). After adjusting for age, the prevalence of depression was reduced by ~60% in the subgroup with ND0 and high HGS relative to ND0 and low HGS (p < 0.01). These data demonstrate that muscular strength indices such as HGS may be useful when assessing depression in older adults. Further research in this area is warranted.


2013 ◽  
Vol 43 (2) ◽  
pp. 241-246 ◽  
Author(s):  
Helen C. Roberts ◽  
Holly Emma Syddall ◽  
Jonathan Sparkes ◽  
Jan Ritchie ◽  
Joe Butchart ◽  
...  

Author(s):  
T. J. Oscanoa ◽  
E. C. Cieza ◽  
F. A. Lizaraso-Soto ◽  
M. L. Guevara ◽  
R. M. Fujita ◽  
...  

Старение может быть связано с уменьшением мышечной силы, а сопутствующими факторами являются заболевания, пол, физическая активность и, возможно, генетические факторы. Среди генетических факторов представляет интерес ренин-ангиотензиновая система, но данные о перуанской популяции отсутствуют. Целью исследования - оценка связи силы сцепления и полиморфизма ангиотензин-конвертазного фермента (АКФ) у пожилых людей в Перу. Было проведено перекрестное исследование в выборке из 104 участников старше 60 лет в Лиме, Перу с анализом полиморфизма АКФ. Мы изучили 104 участника, 46 (44,2%) мужчин и 58 (55,8%) женщин, со средним возрастом и стандартным отклонением ( SD ) 73,7 (7,4) года, в диапазоне 60-90 лет. Частота генотипов D/D, I/D и I/I составила 12,7; 43,7 и 43,7% соответственно. Распределение полиморфизма АKФ по генотипу соответствовало равновесию Харди-Вайнберга ( р =0,746). Средняя ( SD ) сила сцепления при D/D , I/D и I/I полиморфизмах составила 24,8 (7,2); 22,8 (7,2) и 23,4 (7,6) кг соответственно. Не выявлено достоверных различий ( р =0,41) между генетическими группами. В этой небольшой удобной выборке пожилых перуанцев не было обнаружено связи между силой сцепления и генотипом АКФ. Aging can be associated with decreasing muscle strength, and related factors are comorbidities, sex, physical activity, and possibly genetic factors. Among genetic factors the renin-angiotensin system is of interest, but data on the Peruvian population is lacking. The objective of our study was to evaluate the association of grip strength and angiotensin convertase enzyme (ACE) polymorphism in Peruvian older people. A cross-sectional study in a convenience sample of 104 participants over 60 years in Lima, Perú, with analysis of the ACE polymorphism, was performed. We studied 104 participants, 46 men (44,2 %) and 58 women (55,8 %), with a mean age and standard deviation (SD) of 73,7 (7,4) years, range between 60-90 years. The frequency of D/D, I/D and I/I genotypes was 12,7; 43,7 and 43,7 % respectively. The genotype distribution of ACE polymorphism agreed with the Hardy-Weinberg equilibrium ( p =0,746). The mean (SD) of grip strength in the D/D, I/D and I/I polymorphisms were 24,8 (7,2); 22,8 (7,2) and 23,4 (7,6) kg respectively; no significant difference was observed ( p =0,41) between genetic groups. In this small convenience sample of older Peruvians, no association was found between grip strength and ACE genotype.


2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
T Yoda ◽  
B Saengrut ◽  
R Rattanasathien ◽  
Y Ishimoto ◽  
T Saito ◽  
...  

Abstract Background Age-related muscle mass loss is one of the main risk factors for osteoporosis and fractures among older people. Thus, prevention of muscle mass loss in older people is an important issue. We examined ethnic group-related differences in body composition and grip strength among older people living in the same area. Methods We measured body composition and grip strength among local Thai older people living in Chiang Mai Province, as well as in Japanese older people who emigrated to Chiang Mai Province in their retirement. A self-reported questionnaire regarding socio-demographic status was also administered. Measurement items were averaged and compared by sex and ethnic group. Questionnaire items were also categorized by sex and ethnic group. Results A total of 119 older people participated, including 47 Japanese participants (26 men, 21 women) and 72 Thai participants (16 men, 56 women). The average age of Japanese participants was 71.1 years (standard deviation: 4.89), and the average age of Thai participants was 68.8 years (standard deviation: 5.61). Significant differences between ethnic groups were found in percentage of body fat in women (Japanese average: 32.9% vs. Thai average: 37.6%, p &lt; 0.05), skeletal muscle mass index (SMI) in men (Japanese average: 7.85 kg/m2 vs. Thai average: 7.31 kg/m2, p &lt; 0.05) and average grip strength in men (Japanese: 35.1 kg vs. Thai: 30.7 kg, p &lt; 0.05). Conclusions Our preliminary results suggest that Thai older people, particularly men, are weaker than Japanese older people. Decreased muscle mass is directly responsible for functional impairment, involving loss of strength, increased likelihood of falls, and loss of autonomy. Preventing muscle weakness among older people is important. In future studies, we plan to analyze and clarify the differences between Thai and Japanese older people to identify effective methods to prevent muscle mass decreases. Key messages There were significant differences in average % body fat between older Japanese and Thai women. There were significant differences in average SMI and grip strength between older Japanese and Thai men.


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