Handgrip Strength Asymmetry and Weakness Together Are Associated With Functional Disability in Aging Americans

Handgrip Strength Asymmetry and Weakness Together Are Associated With Functional Disability in Aging Americans

Abstract Background Evaluating handgrip strength (HGS) asymmetry may help to improve the prognostic value of HGS. This study sought to determine the associations of HGS asymmetry and weakness on future activities of daily living (ADL) disability in a national sample of aging Americans. Methods The a...

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Veröffentlicht in:The journals of gerontology. Series A, Biological sciences and medical sciences Biological sciences and medical sciences, 2021-02, Vol.76 (2), p.291-296
Hauptverfasser: McGrath, Ryan, Vincent, Brenda M, Jurivich, Donald A, Hackney, Kyle J, Tomkinson, Grant R, Dahl, Lindsey J, Clark, Brian C
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Sprache:eng
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Activities of daily living
Aging
Asymmetry
Disability
Older people
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container_title The journals of gerontology. Series A, Biological sciences and medical sciences
container_volume 76
creator McGrath, Ryan
Vincent, Brenda M
Jurivich, Donald A
Hackney, Kyle J
Tomkinson, Grant R
Dahl, Lindsey J
Clark, Brian C
description Abstract Background Evaluating handgrip strength (HGS) asymmetry may help to improve the prognostic value of HGS. This study sought to determine the associations of HGS asymmetry and weakness on future activities of daily living (ADL) disability in a national sample of aging Americans. Methods The analytic sample included 18,468 Americans aged ≥50 years from the 2006–2016 waves of the Health and Retirement Study. A handgrip dynamometer measured HGS. Those with HGS >10% stronger on either hand were considered as having any HGS asymmetry. Individuals with HGS >10% stronger on their dominant hand were considered as having dominant HGS asymmetry, while those with HGS >10% stronger on their nondominant hand were classified as having nondominant HGS asymmetry. Men with HGS
doi_str_mv 10.1093/gerona/glaa100
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This study sought to determine the associations of HGS asymmetry and weakness on future activities of daily living (ADL) disability in a national sample of aging Americans. Methods The analytic sample included 18,468 Americans aged ≥50 years from the 2006–2016 waves of the Health and Retirement Study. A handgrip dynamometer measured HGS. Those with HGS &gt;10% stronger on either hand were considered as having any HGS asymmetry. Individuals with HGS &gt;10% stronger on their dominant hand were considered as having dominant HGS asymmetry, while those with HGS &gt;10% stronger on their nondominant hand were classified as having nondominant HGS asymmetry. Men with HGS &lt;26 kg and women with HGS &lt;16 kg were considered weak. ADLs were self-reported. Generalized estimating equations were used for analyses. Results Relative to those with symmetric HGS and no weakness, each HGS asymmetry and weakness group had increased odds for future ADL disability: 1.11 (95% confidence interval [CI]: 1.02–1.20) for any HGS asymmetry alone, 1.42 (CI: 1.16–1.74) for weakness alone, and 1.81 (CI: 1.52–2.16) for both any HGS asymmetry and weakness. Most weakness and HGS asymmetry dominance groups had increased odds for future ADL disability: 1.30 (CI: 1.13–1.50) for nondominant HGS asymmetry alone, 1.42 (CI: 1.16–1.74) for weakness alone, 1.72 (CI: 1.29–2.29) for both weakness and nondominant HGS asymmetry, and 1.86 (CI: 1.52–2.28) for both weakness and dominant HGS asymmetry. Conclusions HGS asymmetry and weakness together may increase the predictive utility of handgrip dynamometers.</description><identifier>ISSN: 1079-5006</identifier><identifier>EISSN: 1758-535X</identifier><identifier>DOI: 10.1093/gerona/glaa100</identifier><identifier>PMID: 32319511</identifier><language>eng</language><publisher>US: Oxford University Press</publisher><subject>Activities of daily living ; Aging ; Asymmetry ; Disability ; Older people</subject><ispartof>The journals of gerontology. Series A, Biological sciences and medical sciences, 2021-02, Vol.76 (2), p.291-296</ispartof><rights>The Author(s) 2020. Published by Oxford University Press on behalf of The Gerontological Society of America. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com. 2020</rights><rights>The Author(s) 2020. Published by Oxford University Press on behalf of The Gerontological Society of America. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.</rights><rights>Copyright Oxford University Press Feb 2021</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c357t-28f307749058f124ad3483578aa0d86bf431b9c411ce06fab13bb3310a5d29533</citedby><cites>FETCH-LOGICAL-c357t-28f307749058f124ad3483578aa0d86bf431b9c411ce06fab13bb3310a5d29533</cites><orcidid>0000-0001-7601-9670</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,1578,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32319511$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>McGrath, Ryan</creatorcontrib><creatorcontrib>Vincent, Brenda M</creatorcontrib><creatorcontrib>Jurivich, Donald A</creatorcontrib><creatorcontrib>Hackney, Kyle J</creatorcontrib><creatorcontrib>Tomkinson, Grant R</creatorcontrib><creatorcontrib>Dahl, Lindsey J</creatorcontrib><creatorcontrib>Clark, Brian C</creatorcontrib><title>Handgrip Strength Asymmetry and Weakness Together Are Associated With Functional Disability in Aging Americans</title><title>The journals of gerontology. Series A, Biological sciences and medical sciences</title><addtitle>J Gerontol A Biol Sci Med Sci</addtitle><description>Abstract Background Evaluating handgrip strength (HGS) asymmetry may help to improve the prognostic value of HGS. This study sought to determine the associations of HGS asymmetry and weakness on future activities of daily living (ADL) disability in a national sample of aging Americans. Methods The analytic sample included 18,468 Americans aged ≥50 years from the 2006–2016 waves of the Health and Retirement Study. A handgrip dynamometer measured HGS. Those with HGS &gt;10% stronger on either hand were considered as having any HGS asymmetry. Individuals with HGS &gt;10% stronger on their dominant hand were considered as having dominant HGS asymmetry, while those with HGS &gt;10% stronger on their nondominant hand were classified as having nondominant HGS asymmetry. Men with HGS &lt;26 kg and women with HGS &lt;16 kg were considered weak. ADLs were self-reported. Generalized estimating equations were used for analyses. Results Relative to those with symmetric HGS and no weakness, each HGS asymmetry and weakness group had increased odds for future ADL disability: 1.11 (95% confidence interval [CI]: 1.02–1.20) for any HGS asymmetry alone, 1.42 (CI: 1.16–1.74) for weakness alone, and 1.81 (CI: 1.52–2.16) for both any HGS asymmetry and weakness. Most weakness and HGS asymmetry dominance groups had increased odds for future ADL disability: 1.30 (CI: 1.13–1.50) for nondominant HGS asymmetry alone, 1.42 (CI: 1.16–1.74) for weakness alone, 1.72 (CI: 1.29–2.29) for both weakness and nondominant HGS asymmetry, and 1.86 (CI: 1.52–2.28) for both weakness and dominant HGS asymmetry. Conclusions HGS asymmetry and weakness together may increase the predictive utility of handgrip dynamometers.</description><subject>Activities of daily living</subject><subject>Aging</subject><subject>Asymmetry</subject><subject>Disability</subject><subject>Older people</subject><issn>1079-5006</issn><issn>1758-535X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><recordid>eNqFkb1PwzAQxS0EoqWwMiJLLDCkteM4H2NUKEWqxEARbJGTXFKXxAm2M_S_x1ULAwteztL73Tv7HkLXlEwpSdisBt0pMasbISghJ2hMIx57nPGPU3cnUeJxQsIRujBmS_aH--doxHxGE07pGKmlUGWtZY9frQZV2w1Oza5tweoddhJ-B_GpwBi87mqwG9A41eAY0xVSWHCAdD2LQRVWupc0-EEakctG2h2WCqe1VDVOW9CyEMpcorNKNAaujnWC3haP6_nSW708Pc_TlVcwHlnPjytGoihICI8r6geiZEHslFgIUsZhXgWM5kkRUFoACSuRU5bnjFEieOknnLEJujv49rr7GsDYrJWmgKYRCrrBZD5LnF0Ux9Sht3_QbTdo9xNHuaFh4BOeOGp6oArdGaOhynotW6F3GSXZPonskER2TMI13Bxth7yF8hf_Wb0D7g9AN_T_mX0DbVKUHw</recordid><startdate>20210201</startdate><enddate>20210201</enddate><creator>McGrath, Ryan</creator><creator>Vincent, Brenda M</creator><creator>Jurivich, Donald A</creator><creator>Hackney, Kyle J</creator><creator>Tomkinson, Grant R</creator><creator>Dahl, Lindsey J</creator><creator>Clark, Brian C</creator><general>Oxford University Press</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0001-7601-9670</orcidid></search><sort><creationdate>20210201</creationdate><title>Handgrip Strength Asymmetry and Weakness Together Are Associated With Functional Disability in Aging Americans</title><author>McGrath, Ryan ; Vincent, Brenda M ; Jurivich, Donald A ; Hackney, Kyle J ; Tomkinson, Grant R ; Dahl, Lindsey J ; Clark, Brian C</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c357t-28f307749058f124ad3483578aa0d86bf431b9c411ce06fab13bb3310a5d29533</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Activities of daily living</topic><topic>Aging</topic><topic>Asymmetry</topic><topic>Disability</topic><topic>Older people</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>McGrath, Ryan</creatorcontrib><creatorcontrib>Vincent, Brenda M</creatorcontrib><creatorcontrib>Jurivich, Donald A</creatorcontrib><creatorcontrib>Hackney, Kyle J</creatorcontrib><creatorcontrib>Tomkinson, Grant R</creatorcontrib><creatorcontrib>Dahl, Lindsey J</creatorcontrib><creatorcontrib>Clark, Brian C</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>Nursing &amp; Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>The journals of gerontology. Series A, Biological sciences and medical sciences</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>McGrath, Ryan</au><au>Vincent, Brenda M</au><au>Jurivich, Donald A</au><au>Hackney, Kyle J</au><au>Tomkinson, Grant R</au><au>Dahl, Lindsey J</au><au>Clark, Brian C</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Handgrip Strength Asymmetry and Weakness Together Are Associated With Functional Disability in Aging Americans</atitle><jtitle>The journals of gerontology. Series A, Biological sciences and medical sciences</jtitle><addtitle>J Gerontol A Biol Sci Med Sci</addtitle><date>2021-02-01</date><risdate>2021</risdate><volume>76</volume><issue>2</issue><spage>291</spage><epage>296</epage><pages>291-296</pages><issn>1079-5006</issn><eissn>1758-535X</eissn><abstract>Abstract Background Evaluating handgrip strength (HGS) asymmetry may help to improve the prognostic value of HGS. This study sought to determine the associations of HGS asymmetry and weakness on future activities of daily living (ADL) disability in a national sample of aging Americans. Methods The analytic sample included 18,468 Americans aged ≥50 years from the 2006–2016 waves of the Health and Retirement Study. A handgrip dynamometer measured HGS. Those with HGS &gt;10% stronger on either hand were considered as having any HGS asymmetry. Individuals with HGS &gt;10% stronger on their dominant hand were considered as having dominant HGS asymmetry, while those with HGS &gt;10% stronger on their nondominant hand were classified as having nondominant HGS asymmetry. Men with HGS &lt;26 kg and women with HGS &lt;16 kg were considered weak. ADLs were self-reported. Generalized estimating equations were used for analyses. Results Relative to those with symmetric HGS and no weakness, each HGS asymmetry and weakness group had increased odds for future ADL disability: 1.11 (95% confidence interval [CI]: 1.02–1.20) for any HGS asymmetry alone, 1.42 (CI: 1.16–1.74) for weakness alone, and 1.81 (CI: 1.52–2.16) for both any HGS asymmetry and weakness. Most weakness and HGS asymmetry dominance groups had increased odds for future ADL disability: 1.30 (CI: 1.13–1.50) for nondominant HGS asymmetry alone, 1.42 (CI: 1.16–1.74) for weakness alone, 1.72 (CI: 1.29–2.29) for both weakness and nondominant HGS asymmetry, and 1.86 (CI: 1.52–2.28) for both weakness and dominant HGS asymmetry. Conclusions HGS asymmetry and weakness together may increase the predictive utility of handgrip dynamometers.</abstract><cop>US</cop><pub>Oxford University Press</pub><pmid>32319511</pmid><doi>10.1093/gerona/glaa100</doi><tpages>6</tpages><orcidid>https://orcid.org/0000-0001-7601-9670</orcidid></addata></record>
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source Oxford University Press Journals All Titles (1996-Current); Alma/SFX Local Collection
subjects Activities of daily living
Aging
Asymmetry
Disability
Older people
title Handgrip Strength Asymmetry and Weakness Together Are Associated With Functional Disability in Aging Americans
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