Hand grip strength is strongly associated with lower limb strength but only weakly with postural control in community-dwelling older adults

This study examined the effects of a person-centered nursing intervention program for frailty (PNIF) targeting community-dwelling prefrail older people in South Korea. The study participants were 40 community-dwelling older adults (≥65 years) who were classified as prefrail on the Cardiovascular Health Study (CHS) frailty index. The intervention group (n = 20) received group intervention sessions two days/week for twelve weeks and the control group (n = 20) attended lectures about frailty prevention one day/week for four weeks. The evaluation instruments included the CHS Frailty Index, a JAMAR® hydraulic hand dynamometer, the Short Physical Performance Battery (SPPB), the Korean version of the Community Healthy Activities Model Program for Seniors Questionnaire (K-CHAMPS), the Mini Nutritional Assessment (MNA), the Geriatric Depression Scale Short Form-Korea Version (GDSSF-K), the ENRICHD Social Support Instrument (ESSI), and the Goal Attainment Scale (GAS). Significant differences were found in the CHS Frailty Index (p < 0.001), left-hand grip strength (p = 0.022), right-hand grip strength (p = 0.009), SPPB (p = 0.007), K-CHAMPS (p = 0.009), MNA (p = 0.018), and GDSSF-K (p = 0.001) between the two groups after 12 weeks. No significant between-group differences in ESSI scores were observed. The PNIF effectively improved grip strength, physical function, physical activity, and nutritional status, reduced depression, and prevented frailty among community-dwelling older adults.

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NOVEL METABOLOMICS MARKERS PREDICT 18-MONTH DECLINE IN HAND GRIP STRENGTH IN COMMUNITY-DWELLING OLDER ADULTS

Innovation in Aging ◽

10.1093/geroni/igz038.216 ◽

2019 ◽

Vol 3 (Supplement_1) ◽

pp. S56-S56

Author(s):

Ted Kheng Siang Ng ◽

Jean-Paul Kovalik ◽

Jianhong Ching ◽

Angelique Chan ◽

David Matchar

Keyword(s):

Older Adults ◽

Grip Strength ◽

Hand Grip Strength ◽

Community Dwelling ◽

Inverse Association ◽

Metabolic Markers ◽

Biologically Relevant ◽

Fuel Metabolism ◽

Hand Grip ◽

Community Dwelling Older Adults

Abstract Sarcopenia that accompanies aging necessitates early detection tools, ideally before the presentation of clinically evident symptoms. The acylcarnitines (ACs) are a class of metabolites generated by cellular fuel metabolism and their predictive utility in declining muscle strength in community-dwelling older adults is unknown. We aim to examine whether baseline acylcarnitines levels can predict changes in hand grip strength over 18 months in 121 community-dwelling older adults. We measured ACs by targeted plasma metabolomics profiling. We then performed a biologically-relevant classification of these markers. Hand grip strength was measured using a Smedley spring-type dynamometer. Multivariate linear regressions were performed to examine if: 1) there was an association between ACs and hand grip strength at baseline and 2) baseline ACs could significantly predict changes in hand grip strength over an 18-month period. At baseline, AC levels were not significantly associated with hand grip strength. We found an inverse association between baseline short-chain carboxyl and dihydroxl acylcarnitines (AC-DC/-OH) levels and 18-month changes in hand grip strength (p=0.047, β=-0.548, 95% CI=-1.088 to -0.008). Notably, a specific AC-DC/-OH species, C4-DC/C6-OH, accounts for the majority of the variance. The mean difference between Malay and Chinese ethnicity is 2.28kg (p=0.042, β=2.275, 95% CI=0.084 to 4.466). These findings suggest an association between metabolic markers and deterioration in hand grip strength. These results suggest that perturbations in fuel metabolism are detectable way before the emergence of clinically evident sarcopenia and frailty. The use of AC-DC/-OH panel as antecedent biomarkers may enable clinicians to risk stratify patients in the future.

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DISCRIMINATION OF MOBILITY LIMITATION BY HAND-GRIP STRENGTH AMONG COMMUNITY-DWELLING OLDER ADULTS

Japanese Journal of Physical Fitness and Sports Medicine ◽

10.7600/jspfsm.60.259 ◽

2011 ◽

Vol 60 (3) ◽

pp. 259-268 ◽

Cited By ~ 6

Author(s):

SATOSHI SEINO ◽

MI-JI KIM ◽

NORIKO YABUSHITA ◽

TOMOAKI MATSUO ◽

SONGEE JUNG ◽

...

Keyword(s):

Older Adults ◽

Grip Strength ◽

Hand Grip Strength ◽

Community Dwelling ◽

Mobility Limitation ◽

Hand Grip ◽

Community Dwelling Older Adults

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Associations among Muscle Mass, Hand Grip Strength, and Nutritional Risk by the Comprehensive Older Adult Screening Tool (COAST) in Community-Dwelling Older Adults

Journal of the Academy of Nutrition and Dietetics ◽

10.1016/j.jand.2019.06.079 ◽

2019 ◽

Vol 119 (9) ◽

pp. A21

Author(s):

K. Alabasi ◽

A. Fatani ◽

W. Dahl

Keyword(s):

Older Adults ◽

Grip Strength ◽

Muscle Mass ◽

Older Adult ◽

Screening Tool ◽

Hand Grip Strength ◽

Community Dwelling ◽

Nutritional Risk ◽

Hand Grip ◽

Community Dwelling Older Adults

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Hand grip strength before and after SARS‐CoV ‐2 infection in community‐dwelling older adults

Journal of the American Geriatrics Society ◽

10.1111/jgs.17335 ◽

2021 ◽

Author(s):

Oscar H. Del Brutto ◽

Robertino M. Mera ◽

Pedro Pérez ◽

Bettsy Y. Recalde ◽

Aldo F. Costa ◽

...

Keyword(s):

Older Adults ◽

Grip Strength ◽

Hand Grip Strength ◽

Community Dwelling ◽

Hand Grip ◽

Before And After ◽

Community Dwelling Older Adults

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Evaluation of a geriatric day rehabilitation centre: subjective and objective outcomes in community-dwelling older adults

Australian Journal of Primary Health ◽

10.1071/py08054 ◽

2009 ◽

Vol 15 (2) ◽

pp. 117 ◽

Cited By ~ 2

Author(s):

A. Foley ◽

S. Hillier ◽

R. Barnard

Keyword(s):

Quality Of Life ◽

Older Adults ◽

Lower Limb ◽

Daily Living ◽

Community Dwelling ◽

Rehabilitation Centre ◽

Lower Limb Strength ◽

The Mean ◽

Community Dwelling Older Adults

Pre and post testing were conducted on community-dwelling older adults referred to a geriatric day rehabilitation centre (DRC). Consecutive DRC clients were screened for inclusion over a 16-month period and were eligible if: aged 60+ years; cognitively intact; and reason for referral involved spinal or lower limb musculoskeletal impairment, disability or surgery, and/or reduced functional mobility or falls. Clients were excluded if they had a neurological disorder, or did not complete the program. Outcome measures included: lower limb strength; balance; mobility; self-reported pain; activities of daily living; and quality of life. Data were summarised using descriptive statistics and analysed using paired t-tests. Of the 137 participants recruited, 110 were female and the mean age was 79.5 ± 7.3 years. In total, 106 participants completed the DRC program and were assessed at baseline and re-assessed at discharge. The mean length of stay was 12.4 ± 2.9 weeks, with 21.4 ± 5.4 attendances. From baseline to discharge, statistically significant differences were found for all objective measures of physical functioning, balance, and for all lower limb strength tests (P < 0.0001). Glasgow Pain Questionnaire scores demonstrated statistically significant improvements in all five domains of the scale (P < 0.0001). The Barthel Index and Multi-dimensional Functional Assessment Questionnaire both showed a statistically significant improvement in the level of independence in activities of daily living (ADL) (P < 0.05). The Assessment of Quality of Life Questionnaire showed a statistically significant improvement (P = 0.027). The Exercise Benefits/Barriers Scale also showed a statistically significant improvement over DRC attendance (P = 0.005). The Falls Efficacy Scale showed a positive change, but the improvement was not statistically significant (P = 0.80). The study’s results indicate that community-dwelling older adults with physical disabilities and multiple comorbidities who attended the interdisciplinary geriatric DRC, significantly improved their lower limb strength, balance and physical function, and also showed significant decreases in self-reported pain, and improvements in independence in ADL and quality of life. Given the limitations of the current study, further research, in the form of high quality studies with larger sample sizes that involve direct comparisons with other forms of care or against a control group, is needed to determine whether day rehabilitation centre programs provide the optimum mode of rehabilitation for this population in the most cost effective manner.

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