Relationship between handgrip strength, physical function, and risk of falls in older people

Authors

Keywords:

hand strength, accidental falls, physical fitness, aged.

Abstract

Introduction: Handgrip strength is a way to evaluate muscle weakness in older people and it has been seen to show a high correlation with general strength and body muscle mass, which is why it could help in the early detection of deterioration in physical function. loss of lower limb strength and risk of falls.
Objective: To relate handgrip strength with physical function and risk of falls in older people.
Methods: Descriptive, correlational study. It evaluated 87 older people (24 men and 63 women) between 65 and 75 years old, from 4 social organizations in the city of Talca, Chile, selected through a non-probabilistic convenience sampling. To measure the handgrip strength, a hand dynamometer was used, to assess physical function the Short Physical Performance Battery test was used, and the unipodal station and time up and go tests were used to evaluate balance static and dynamic respectively.
Results: Moderately significant relationships were observed between the handgrip strength in the Short Physical Performance Battery test (p = 0.001; r = 0.473) and with all the tests that make up this battery. A moderate one was also evidenced between the grip strength and the unipodal station test (p = 0.001; r = 0.472), while the relationship with the time up and go test was weak inverse (p = 0.002; r = -0.398).
Conclusion: There is a relationship between handgrip strength with physical function and the risk of falls in older people. This finding is important because it suggests that handgrip strength could be used in clinical practice as an indirect indicator or as an early detection tool for loss of general strength capacity, physical fitness, and risk of falls.

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References

1. Word Organization Health. Multisectoral action for healthy aging based on the life cycle: draft global strategy and plan of action on aging and health. 2016. [acceso: 02/01/2022]. Disponible en: https://apps.who.int/iris/handle/10665/252671

2. Aranco N, Stampini M, Ibarrarán P, Medellín N. Panorama de envejecimiento y dependencia en América Latina y el Caribe. Resumen de Políticas Washington DC, Estados Unidos. 2018. [acceso: 02/01/2022]. Disponible en: https://webimages.iadb.org/publications/2019-01/Panorama-de-envejecimiento-y-dependencia-en-America-Latina-y-el-Caribe.pdf

3. Falcão RMdM, Costa KNdFM, Fernandes MdGM, Pontes MdLdF, Vasconcelos JdMB, Oliveira JdS. Risk of falls in hospitalized elderly people. Rev Gaúcha Enf. 2019; 40(esp): e20180266. DOI: 10.1590/1983-1447.2019.20180266

4. Leiva AM, Troncoso-Pantoja C, Martínez-Sanguinetti MA, Nazar G, Concha-Cisternas Y, Martorell M, et al. Personas mayores en Chile: el nuevo desafío social, económico y sanitario del Siglo XXI. Rev Med Chile. 2020; 148(6): 799-809. DOI: 10.4067/S0034-98872020000600799

5. Lera L, Albala C, Sánchez H, Angel B, Hormazabal M, Márquez C, et al. Prevalence of sarcopenia in community-dwelling Chilean elders according to an adapted version of the European Working Group on Sarcopenia in Older People (EWGSOP) criteria. J Frailty Aging. 2017; 6(1):12-7. DOI: 10.14283/jfa.2016.11

6. Concha-Cisternas Y, Cigarroa I, Matus C, Garrido-Mendez A, Leiva AM, Martinez- Sanquinetti AM, et al. Prevalencia de debilidad muscular en personas mayores chilenas: resultados de la Encuesta Nacional de Salud 2016-2017. Rev Med Chile. 2020; 148: 1598-1605. DOI: 10.4067/S0034-98872020001101598

7. Bohannon RW. Grip strength: an indispensable biomarker for older adults. Clin Interv Aging. 2019; 14:1681. DOI: 10.2147/CIA.S194543

8. Amaral CA, Amaral TLM, Monteiro GTR, Vasconcellos MTL, Portela MC. Hand grip strength: Reference values for adults and elderly people of Rio Branco, Acre, Brazil. PloS one. 2019; 14(1): e0211452. DOI: 10.1371/journal.pone.0211452

9. Wu Y, Wang W, Liu T, Zhang D. Association of grip strength with risk of all-cause mortality, cardiovascular diseases, and cancer in community-dwelling populations: a meta-analysis of prospective cohort studies. J Am Med Dir Assoc. 2017; 18(6):e17-e35. DOI: 10.1016/j.jamda.2017.03.011

10. Reig F, Planas A, Rosselló L, Pifarré F, Ticó J, Sans N, et al. La fuerza dinamométrica en adolescentes: revisión sistemática y percentiles normativos. Acta Pediat Esp. 2019 [acceso: 02/01/2022]; 77(7/8): E122-E9. Disponible en: https://medes.com/publication/145376

11. Cooper R, Kuh D, Cooper C, Gale CR, Lawlor DA, Matthews F, et al. Objective measures of physical capability and subsequent health: a systematic review. Age and ageing. 2010; 40(1):14-23. DOI: 10.1093/ageing/afq117

12. Rikli RE, Jones CJ. Development and validation of a functional fitness test for community-residing older adults. J Aging Phys Act. 1999; 7(2):129-61. DOI: 10.1123/japa.7.2.129

13. Caspersen CJ, Powell KE, Christenson GM. Physical activity, exercise, and physical fitness: definitions and distinctions for health-related research. Public health rep 1985 [acceso: 02/01/2022]; 100(2):126. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1424733/

14. Pavasini R, Guralnik J, Brown JC, Di Bari M, Cesari M, Landi F, et al. Short physical performance battery and all-cause mortality: systematic review and meta-analysis. BMC medicine. 2016;14(1):1-9. DOI: 10.1186/s12916-016-0763-7

15. Martínez-Monje F, Cortés-Gálvez JM, Cartagena-Perez Y, Leal-Hernández M. Valoración funcional del anciano en atención primaria mediante el test «SPPB». Rev Esp Geriatr Gerontol. 2018; 59-60. DOI: 10.1016/j.regg.2017.05.008

16. Ortega-Pérez de Villar L, Martínez-Olmos FJ, Junqué-Jiménez A, Amer-Cuenca JJ, Martínez-Gramage J, Mercer T, et al. Test-retest reliability and minimal detectable change scores for the short physical performance battery, one-legged standing test and timed up and go test in patients undergoing hemodialysis. PloS one. 2018; 13(8): e0201035. DOI: 10.1371/journal.pone.0201035

17. Enríquez Reyna MC, Carranza Bautista D, Navarro Orocio R. Nivel de actividad física, masa y fuerza muscular de mujeres mayores de la comunidad: Diferencias por grupo etario. Retos Nuevas tendencias en educación física, deporte y recreación. 2019 [acceso: 02/01/2022]; 35(1):121-5. Disponible en: https://dialnet.unirioja.es/servlet/articulo?codigo=6761698

18. González G, Marín PP, Pereira G. Características de las caídas en el adulto mayor que vive en la comunidad. Rev Med Chile. 2001; 129(9): 1021-30. DOI: 10.4067/S0034-98872001000900007

19. Romero-Dapueto C, Mahn J, Cavada G, Daza R, Ulloa V, Antúnez M. Estandarización de la fuerza de prensión manual en adultos chilenos sanos mayores de 20 años. Revista Med Chile. 2019; 147(6):741-50. DOI:10.4067/S0034-98872019000600741

20. Ministerio de Salud (MINSAL). Departamento de Epidemiología. Encuentra Nacional de Salud 2016-2017. 2016. [acceso: 02/01/2022]. Disponible en: http://epi.minsal.cl/bases-de-datos/

21. Guralnik JM, Simonsick EM, Ferrucci L, Glynn RJ, Berkman LF, Blazer DG, et al. A short physical performance battery assessing lower extremity function: association with self-reported disability and prediction of mortality and nursing home admission. J Gerontol. 1994; 49(2): M85-M94. DOI: 10.1093/geronj/49.2.m85

22. Bergland A, Strand BH. Norwegian reference values for the short physical performance battery (SPPB): the Tromsø study. BMC geriatrics. 2019; 19(1):1-10. DOI: 10.1186/s12877-019-1234-8

23. Cruz-Jentoft AJ, Bahat G, Bauer J, Boirie Y, Bruyère O, Cederholm T, et al. Sarcopenia: revised European consensus on definition and diagnosis. Age and Ageing. 2019 [acceso: 02/01/2022]; 48(1): 16-31. DOI: 10.1093/ageing/afy169

24. Concha-Cisternas Y, Marzuca-Nassr G. Criterios de valoración geriátrica integral en adultos mayores autovalentes y en riesgo de dependencia en centros de atención primaria en Chile. REEM. 2016 [acceso: 02/01/2022]; 3(1):31-41. Disponible en: https://www.researchgate.net/profile/Yeny-Concha-Cisternas/publication/306959536_Criterios_de_valoracion_geriatrica_integr-al_en_adultos_mayores_autovalentes_y_en_riesgo_de_dependencia_en_-centros_de_atencion_primaria_en_Chile/links/57c0c19508ae2f5eb33226d-a/Criterios-de-valoracion-geriatrica-integral-en-adultos-mayores-autovalentes-y-en-riesgo-de-dependencia-en-centros-de-atencion-primaria-en-Chile.pdf

25. Ministerio de Salud (MINSAL). Ministerio de Salud. Manual de Aplicación del Examen de Medicina Preventiva del Adulto mayor, Programa de Salud del Adulto Mayor. 2008. [acceso: 02/01/2022]. Disponible en: https://www.minsal.cl/portal/url/item/ab1f81f43ef0c2a6e04001011e011907.pdf

26. World Medical Association Declaration of Helsinki: ethical principles for medical research involving human subjects. The Journal of the American College of Dentists. 2014 [acceso: 02/01/2022]; 81(3):14-8. Disponible en: https://pubmed.ncbi.nlm.nih.gov/25951678/

27. Alonso AC, Ribeiro SM, Luna NMS, Peterson MD, Bocalini DS, Serra MM, et al. Association between handgrip strength, balance, and knee flexion/extension strength in older adults. PLoS One. 2018; 13(6): e0198185. DOI: 10.1371/journal.pone.0198185

28. McGrath R, Vincent BM, Al Snih S, Markides KS, Peterson MD. The association between muscle weakness and incident diabetes in older Mexican Americans. J Am Med Dir Assoc. 2017; 18(5):452. e7- e12. DOI: 10.1016/j.jamda.2017.01.017

29. Peterson MD, Duchowny K, Meng Q, Wang Y, Chen X, Zhao Y. Low normalized grip strength is a biomarker for cardiometabolic disease and physical disabilities among US and Chinese adults. J Gerontol Series A: Biomedical Sciences and Medical Sciences. 2017 72(11): 1525-31. DOI:10.1093/gerona/glx031

30. Peterson MD, McGrath R, Zhang P, Markides KS, Al Snih S, Wong R. Muscle weakness is associated with diabetes in older Mexicans: the Mexican health and aging study. J Am Med Dir Assoc. 2016;17(10):933-8. DOI: 10.1016/j.jamda.2016.06.007

31. Stevens P, Syddall H, Patel H, Martin H, Cooper C, Sayer AA. Is grip strength a good marker of physical performance among community-dwelling older people? J Nutr Health Aging. 2012; 16(9): 769-74. DOI:10.1007/s12603-012-0388-2

32. Den Ouden ME, Schuurmans MJ, Mueller-Schotte S, Van der Schouw Y. Identification of high-risk individuals for the development of disability in activities of daily living. A ten-year follow-up study. Exp Geronto. 2013; 48(4): 437-43. DOI: 10.1016/j.exger.2013.02.002

33. Fragala MS, Alley DE, Shardell MD, Harris TB, McLean RR, Kiel DP, et al. Comparison of handgrip and leg extension strength in predicting slow gait speed in older adults. J Am Geriatr Soc. 2016; 64(1): 144-50. DOI:10.1111/jgs.13871

34. Buckley C, Stokes M, Samuel D. Muscle strength, functional endurance, and health-related quality of life in active older female golfers. Aging Clin Exp Res. 2018; 30(7):811-8. DOI: 10.1007/s40520-017-0842-4

35. Rodacki ALF, Moreira NB, Pitta A, Wolf R, Melo Filho J, Rodacki CdLN, et al. Is handgrip strength a useful measure to evaluate lower limb strength and functional performance in older women? Clin Interv Aging. 2020; 15:1045. DOI: 10.2147/CIA.S253262

36. McGrath RP, Vincent BM, Snih SA, Markides KS, Dieter BP, Bailey RR, et al. The association between handgrip strength and diabetes on activities of daily living disability in older Mexican Americans. J Aging Health. 2018; 30(8):1305-18. DOI:

37. Bohannon RW. Are hand-grip and knee extension strength reflective of a common construct? Percept mot skills. 2012; 114(2):514-8. DOI: 10.2466/03.26.PMS.114.2.514-518

38. Serra MM, Alonso AC, Peterson M, Mochizuki L, Greve JMDA, Garcez-Leme LE. Balance and muscle strength in elderly women who dance samba. PLoS One. 2016; 11(12):e0166105. DOI: 10.1371/journal.pone.0166105

39. Concha-Cisternas Y, Vargas-Vitoria R, Celis-Morales C. Cambios morfofisiológicos y riesgo de caídas en el adulto mayor: una revisión. Salud Uninorte. 2020 [acceso: 02/01/2022]; 36(2): 450-479. Disponible en: https://www.proquest.com/openview/b58c614567c9184ac3aabcb8fe691ba1/1?pq-origsite=gscholar&cbl=2027436

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Published

2022-04-30

How to Cite

1.
Rojas C, Venegas N, Vasquez-Gomez J, Troncoso-Pantoja C, Concha-Cisternas Y. Relationship between handgrip strength, physical function, and risk of falls in older people. Rev Cubana Med Milit [Internet]. 2022 Apr. 30 [cited 2025 Apr. 4];51(2):e02201881. Available from: https://revmedmilitar.sld.cu/index.php/mil/article/view/1881

Issue

Vol. 51 No. 2 (2022): April - June

Section

Research Article

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