Handgrip Strength Asymmetry and Weakness are Differentially Associated with Functional Limitations in Older Americans
Handgrip strength (HGS) is a convent measure of strength capacity and associated with several age-related health conditions such as functional disability. Asymmetric strength between limbs has been linked to diminished function. Therefore, both HGS asymmetry and weakness could be associated with fun...
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| Veröffentlicht in: | International journal of environmental research and public health 2020-05, Vol.17 (9), p.3231 |
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| creator | Collins, Kyle Johnson, Nathaniel Klawitter, Lukus Waldera, Roman Stastny, Sherri Kraemer, William J Christensen, Bryan McGrath, Ryan |
| description | Handgrip strength (HGS) is a convent measure of strength capacity and associated with several age-related health conditions such as functional disability. Asymmetric strength between limbs has been linked to diminished function. Therefore, both HGS asymmetry and weakness could be associated with functional disability. We examined the associations of HGS asymmetry and weakness on functional limitations in a nationally representative sample of older Americans.
: Data were analyzed from 2689 adults ≥ 60 years who participated in the 2011-2012 and 2013-2014 waves of the National Health and Nutrition Examination Survey. Weakness was defined as HGS < 26 kg for men and < 16 kg for women. Asymmetry was determined from the ratio of the dominant and non-dominant HGS. Those with HGS ratio 0.9-1.1 were considered as having HGS symmetry, and those outside this range had asymmetry.
Compared to those with symmetric HGS and were not weak, those with weakness alone, and both weakness and HGS asymmetry had 2.47 (95% confidence interval [CI]: 1.14-5.35) and 3.93 (CI: 1.18-13.07) greater odds for functional limitations, respectively. However, HGS asymmetry alone was not associated with functional limitations (odds ratio: 0.80; CI: 0.62-1.03).
The use of HGS asymmetry in protocols could improve the prognostic value of handgrip dynamometers. |
| doi_str_mv | 10.3390/ijerph17093231 |
| format | Article |
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: Data were analyzed from 2689 adults ≥ 60 years who participated in the 2011-2012 and 2013-2014 waves of the National Health and Nutrition Examination Survey. Weakness was defined as HGS < 26 kg for men and < 16 kg for women. Asymmetry was determined from the ratio of the dominant and non-dominant HGS. Those with HGS ratio 0.9-1.1 were considered as having HGS symmetry, and those outside this range had asymmetry.
Compared to those with symmetric HGS and were not weak, those with weakness alone, and both weakness and HGS asymmetry had 2.47 (95% confidence interval [CI]: 1.14-5.35) and 3.93 (CI: 1.18-13.07) greater odds for functional limitations, respectively. However, HGS asymmetry alone was not associated with functional limitations (odds ratio: 0.80; CI: 0.62-1.03).
The use of HGS asymmetry in protocols could improve the prognostic value of handgrip dynamometers.</description><identifier>ISSN: 1660-4601</identifier><identifier>ISSN: 1661-7827</identifier><identifier>EISSN: 1660-4601</identifier><identifier>DOI: 10.3390/ijerph17093231</identifier><identifier>PMID: 32384713</identifier><language>eng</language><publisher>Switzerland: MDPI AG</publisher><subject>Activities of daily living ; Asymmetry ; Body mass index ; Cognitive ability ; Confidence intervals ; Dynamometers ; Hands ; Hispanic people ; Mobility ; Nervous system ; Nutrition ; Older people ; Sarcopenia ; Strength ; Symmetry</subject><ispartof>International journal of environmental research and public health, 2020-05, Vol.17 (9), p.3231</ispartof><rights>2020. This work is licensed under http://creativecommons.org/licenses/by/3.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2020 by the authors. 2020</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c418t-981cb8b43a2e8834f5eb4708e1b8730efe712269004b2054c8a51f35f5b211d33</citedby><cites>FETCH-LOGICAL-c418t-981cb8b43a2e8834f5eb4708e1b8730efe712269004b2054c8a51f35f5b211d33</cites><orcidid>0000-0002-2555-390X</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7246814/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7246814/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,27924,27925,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32384713$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Collins, Kyle</creatorcontrib><creatorcontrib>Johnson, Nathaniel</creatorcontrib><creatorcontrib>Klawitter, Lukus</creatorcontrib><creatorcontrib>Waldera, Roman</creatorcontrib><creatorcontrib>Stastny, Sherri</creatorcontrib><creatorcontrib>Kraemer, William J</creatorcontrib><creatorcontrib>Christensen, Bryan</creatorcontrib><creatorcontrib>McGrath, Ryan</creatorcontrib><title>Handgrip Strength Asymmetry and Weakness are Differentially Associated with Functional Limitations in Older Americans</title><title>International journal of environmental research and public health</title><addtitle>Int J Environ Res Public Health</addtitle><description>Handgrip strength (HGS) is a convent measure of strength capacity and associated with several age-related health conditions such as functional disability. Asymmetric strength between limbs has been linked to diminished function. Therefore, both HGS asymmetry and weakness could be associated with functional disability. We examined the associations of HGS asymmetry and weakness on functional limitations in a nationally representative sample of older Americans.
: Data were analyzed from 2689 adults ≥ 60 years who participated in the 2011-2012 and 2013-2014 waves of the National Health and Nutrition Examination Survey. Weakness was defined as HGS < 26 kg for men and < 16 kg for women. Asymmetry was determined from the ratio of the dominant and non-dominant HGS. Those with HGS ratio 0.9-1.1 were considered as having HGS symmetry, and those outside this range had asymmetry.
Compared to those with symmetric HGS and were not weak, those with weakness alone, and both weakness and HGS asymmetry had 2.47 (95% confidence interval [CI]: 1.14-5.35) and 3.93 (CI: 1.18-13.07) greater odds for functional limitations, respectively. However, HGS asymmetry alone was not associated with functional limitations (odds ratio: 0.80; CI: 0.62-1.03).
The use of HGS asymmetry in protocols could improve the prognostic value of handgrip dynamometers.</description><subject>Activities of daily living</subject><subject>Asymmetry</subject><subject>Body mass index</subject><subject>Cognitive ability</subject><subject>Confidence intervals</subject><subject>Dynamometers</subject><subject>Hands</subject><subject>Hispanic people</subject><subject>Mobility</subject><subject>Nervous system</subject><subject>Nutrition</subject><subject>Older people</subject><subject>Sarcopenia</subject><subject>Strength</subject><subject>Symmetry</subject><issn>1660-4601</issn><issn>1661-7827</issn><issn>1660-4601</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><recordid>eNpdkc1PGzEQxa2qiFDg2mNlqRcuCf5ar_dSKaKkVIrEARBHy-udTZzuelPbW5T_HqNQFDjZ1vvNmxk_hL5SMuO8IpduA2G7piWpOOP0EzqhUpKpkIR-PrhP0JcYN4RwJWR1jCaZVaKk_ASNN8Y3q-C2-C4F8Ku0xvO463tIYYezhB_B_PEQIzYB8E_XtpCx5EzX7TIZB-tMggY_uVy5GL1NbvCmw0vXu2ReHhE7j2-7BgKe9xCcNT6eoaPWdBHOX89T9LC4vr-6mS5vf_2-mi-nVlCVppWitla14IaBUly0BdSiJAporUpOoIWSMiYrQkTNSCGsMgVtedEWNaO04fwU_dj7bse6h8bmyYPp9Da43oSdHozT7xXv1no1_NMlE1JRkQ0uXg3C8HeEmHTvooWuMx6GMWomCCl47s0y-v0DuhnGkP9iT0kiy0JmaranbBhiDNC-DUOJfklUv080F3w7XOEN_x8hfwZRd57x</recordid><startdate>20200506</startdate><enddate>20200506</enddate><creator>Collins, Kyle</creator><creator>Johnson, Nathaniel</creator><creator>Klawitter, Lukus</creator><creator>Waldera, Roman</creator><creator>Stastny, Sherri</creator><creator>Kraemer, William J</creator><creator>Christensen, Bryan</creator><creator>McGrath, Ryan</creator><general>MDPI AG</general><general>MDPI</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0002-2555-390X</orcidid></search><sort><creationdate>20200506</creationdate><title>Handgrip Strength Asymmetry and Weakness are Differentially Associated with Functional Limitations in Older Americans</title><author>Collins, Kyle ; Johnson, Nathaniel ; Klawitter, Lukus ; Waldera, Roman ; Stastny, Sherri ; Kraemer, William J ; Christensen, Bryan ; McGrath, Ryan</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c418t-981cb8b43a2e8834f5eb4708e1b8730efe712269004b2054c8a51f35f5b211d33</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Activities of daily living</topic><topic>Asymmetry</topic><topic>Body mass index</topic><topic>Cognitive ability</topic><topic>Confidence intervals</topic><topic>Dynamometers</topic><topic>Hands</topic><topic>Hispanic people</topic><topic>Mobility</topic><topic>Nervous system</topic><topic>Nutrition</topic><topic>Older people</topic><topic>Sarcopenia</topic><topic>Strength</topic><topic>Symmetry</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Collins, Kyle</creatorcontrib><creatorcontrib>Johnson, Nathaniel</creatorcontrib><creatorcontrib>Klawitter, Lukus</creatorcontrib><creatorcontrib>Waldera, Roman</creatorcontrib><creatorcontrib>Stastny, Sherri</creatorcontrib><creatorcontrib>Kraemer, William J</creatorcontrib><creatorcontrib>Christensen, Bryan</creatorcontrib><creatorcontrib>McGrath, Ryan</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Public Health Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>International journal of environmental research and public health</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Collins, Kyle</au><au>Johnson, Nathaniel</au><au>Klawitter, Lukus</au><au>Waldera, Roman</au><au>Stastny, Sherri</au><au>Kraemer, William J</au><au>Christensen, Bryan</au><au>McGrath, Ryan</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Handgrip Strength Asymmetry and Weakness are Differentially Associated with Functional Limitations in Older Americans</atitle><jtitle>International journal of environmental research and public health</jtitle><addtitle>Int J Environ Res Public Health</addtitle><date>2020-05-06</date><risdate>2020</risdate><volume>17</volume><issue>9</issue><spage>3231</spage><pages>3231-</pages><issn>1660-4601</issn><issn>1661-7827</issn><eissn>1660-4601</eissn><abstract>Handgrip strength (HGS) is a convent measure of strength capacity and associated with several age-related health conditions such as functional disability. Asymmetric strength between limbs has been linked to diminished function. Therefore, both HGS asymmetry and weakness could be associated with functional disability. We examined the associations of HGS asymmetry and weakness on functional limitations in a nationally representative sample of older Americans.
: Data were analyzed from 2689 adults ≥ 60 years who participated in the 2011-2012 and 2013-2014 waves of the National Health and Nutrition Examination Survey. Weakness was defined as HGS < 26 kg for men and < 16 kg for women. Asymmetry was determined from the ratio of the dominant and non-dominant HGS. Those with HGS ratio 0.9-1.1 were considered as having HGS symmetry, and those outside this range had asymmetry.
Compared to those with symmetric HGS and were not weak, those with weakness alone, and both weakness and HGS asymmetry had 2.47 (95% confidence interval [CI]: 1.14-5.35) and 3.93 (CI: 1.18-13.07) greater odds for functional limitations, respectively. However, HGS asymmetry alone was not associated with functional limitations (odds ratio: 0.80; CI: 0.62-1.03).
The use of HGS asymmetry in protocols could improve the prognostic value of handgrip dynamometers.</abstract><cop>Switzerland</cop><pub>MDPI AG</pub><pmid>32384713</pmid><doi>10.3390/ijerph17093231</doi><orcidid>https://orcid.org/0000-0002-2555-390X</orcidid><oa>free_for_read</oa></addata></record> |
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| subjects | Activities of daily living Asymmetry Body mass index Cognitive ability Confidence intervals Dynamometers Hands Hispanic people Mobility Nervous system Nutrition Older people Sarcopenia Strength Symmetry |
| title | Handgrip Strength Asymmetry and Weakness are Differentially Associated with Functional Limitations in Older Americans |
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