Reference values for handgrip strength and their association with intrinsic capacity domains among older adults

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Date
2019Authors
Ramírez Vélez, RobinsonCorrea Bautista, Jorge Enrique
García Hermoso, Antonio
Cano Gutiérrez, Carlos Alberto
Izquierdo, Mikel
Corporate Author(s)
Pontificia Universidad Javeriana. Facultad de Medicina. Instituto de Envejecimiento
Type
Artículo de revista
ISSN
2190-6009 / 2190-5991 (Electrónico)
Pages
278-28
Item type
Artículo original
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Abstract
Abstract
Objective The purposes of this study were three-fold: (i) to describe handgrip strength in older individuals aged ≥60 years in
Colombia; (ii) to identify sex-specific and age-specific muscle weakness cut-off points in older adults; and (iii) to determine the
odds of adverse events for each of the intrinsic capacity domains for individuals with handgrip strength greater than the
muscle weakness cut-off points, as compared with their weaker counterparts.
Methods A cross-sectional study was conducted in Colombia, among 5237 older adults aged ≥60 years old (58.5% women,
70.5 ± 7.8 years), according to ‘SABE Survey 2015’. Handgrip strength data were obtained with a Takei dynamometer.
Sociodemographic variables, five domains of intrinsic capacity (i.e. locomotion, vitality, cognition, psychological, and sensory),
and medical conditions were assessed and analyzed. Adjustments variables were age, ethnicity, socio-economic status,
urbanicity, body mass index, smoking status, alcohol intake, drug use, physical activity, and co-morbid chronic diseases.
Sex-stratified analyses were conducted with logistic regression models.
Results Handgrip strength was greater among men than among women (26.7 ± 8.5 vs. 16.7 ± 5.7 kg, respectively, P < 0.001)
at all ages. Weak handgrip strength cut-off points ranged from 17.4 to 8.6 and from 10.1 to 4.9 in men and women, respectively.
Overall, participants with optimal handgrip strength had better intrinsic capacity [in men, odds ratio (OR) = 0.62, 95%
confidence interval (CI) 0.53 to 0.71; P < 0.001; and in women, OR = 0.79, 95% CI 0.68 to 0.92; P = 0.002] than their weaker
counterparts. Also, men with optimal handgrip strength had a lower risk of hospitalization (OR = 0.47, 95% CI 0.29 to 0.78;
P = 0.004) than their weaker counterparts.
Conclusions This study is the first to describe handgrip strength values and cut-off points for muscle weakness among a
nationally representative sample of Colombian older adults by age and sex. After categorizing older adults as weak or not weak
based on the handgrip cut-off points, non-weakness was associated with a decreased odds of intrinsic capacity impairments.
These cut-off points may be good candidates for clinical assessment of risks to physical and mental health in older Colombian
adults.
Link to the resource
https://onlinelibrary.wiley.com/doi/full/10.1002/jcsm.12373Source
Journal of Cachexia, Sarcopenia and Muscle; Vol. 10 Núm. 2 (2019)
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