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Handgrip Strength Cannot Be Assumed a Proxy for Overall Muscle Strength

Yeung, Suey S.Y.; Reijnierse, Esmee M.; Trappenburg, Marijke C.; Hogrel, Jean-Yves; McPhee, Jamie S.; Piasecki, Mathew; Sipila, Sarianna; Salpakoski, Anu; Butler-Browne, Gillian; P��suke, Mati; Gapeyeva, Helena; Narici, Marco V.; Meskers, Carel G.M.; Maier, Andrea B.

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Authors

Suey S.Y. Yeung

Esmee M. Reijnierse

Marijke C. Trappenburg

Jean-Yves Hogrel

Jamie S. McPhee

Sarianna Sipila

Anu Salpakoski

Gillian Butler-Browne

Mati P��suke

Helena Gapeyeva

Marco V. Narici

Carel G.M. Meskers

Andrea B. Maier



Abstract

Objectives: Dynapenia, low muscle strength, is predictive for negative health outcomes and is usually expressed as handgrip strength (HGS). Whether HGS can be a proxy for overall muscle strength and whether this depends on age and health status is controversial. This study assessed the agreement between HGS and knee extension strength (KES) in populations differing in age and health status.
Design: Data were retrieved from 5 cohorts.
Setting and Participants: Community, geriatric outpatient clinics, and a hospital. Five cohorts (960 individuals, 49.8% male) encompassing healthy young and older individuals, geriatric outpatients, and older individuals post hip fracture were included.
Measures: HGS and KES were measured according to the protocol of each cohort. Pearson correlation was performed to analyze the association between HGS and KES, stratified by sex. HGS and KES were standardized into sex-specific z scores. The agreement between standardized HGS and standardized KES at population level and individual level were assessed by intraclass correlation coefficients (ICC) and Bland-Altman analysis.
Results: Pearson correlation coefficients were low in healthy young (male: 0.36 to 0.45, female: 0.45) and healthy older individuals (male: 0.35 to 0.37, female: 0.44), and moderate in geriatric outpatients (male and female: 0.54) and older individuals post hip fracture (male: 0.44, female: 0.57) (P

Citation

Yeung, S. S., Reijnierse, E. M., Trappenburg, M. C., Hogrel, J., McPhee, J. S., Piasecki, M., …Maier, A. B. (2018). Handgrip Strength Cannot Be Assumed a Proxy for Overall Muscle Strength. Journal of the American Medical Directors Association, 19(8), 703-709. https://doi.org/10.1016/j.jamda.2018.04.019

Journal Article Type Article
Acceptance Date Apr 29, 2018
Online Publication Date Jun 20, 2018
Publication Date 2018-08
Deposit Date Jun 21, 2018
Publicly Available Date Mar 29, 2024
Journal Journal of the American Medical Directors Association
Print ISSN 1525-8610
Electronic ISSN 1538-9375
Publisher Elsevier
Peer Reviewed Peer Reviewed
Volume 19
Issue 8
Pages 703-709
DOI https://doi.org/10.1016/j.jamda.2018.04.019
Keywords Muscle strength; knee extension strength; aged; geriatric assessment
Public URL https://nottingham-repository.worktribe.com/output/940233
Publisher URL https://www.sciencedirect.com/science/article/pii/S1525861018302366
Additional Information This article is maintained by: Elsevier; Article Title: Handgrip Strength Cannot Be Assumed a Proxy for Overall Muscle Strength; Journal Title: Journal of the American Medical Directors Association; CrossRef DOI link to publisher maintained version: https://doi.org/10.1016/j.jamda.2018.04.019; Content Type: article; Copyright: © 2018 AMDA - The Society for Post-Acute and Long-Term Care Medicine.

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