Correlates of HandGrip Strength and Activities of Daily Living in Elderly Sri Lankans

Objective: The aim of this study is to determine the independent and joint effects of muscle weakness and diabetes on incident activities of daily living (ADL) disability in older Mexican Americans. Method: A subsample of 2,270 Mexican Americans aged at least 65 years at baseline were followed for 19 years. Handgrip strength was normalized to body weight (normalized grip strength [NGS]). Weakness was defined as NGS ≤0.46 in males and ≤0.30 in females. Diabetes and ADL disability were self-reported. Results: Compared with participants that were not weak and did not have diabetes, those that had diabetes only, were weak only, and were both weak and had diabetes experienced a 1.94 (95% confidence interval [CI] = [1.89, 1.98]), 1.17 (CI = [1.16, 1.19]), and 2.12 (CI = [2.08, 2.16]) higher rate for ADL disability, respectively. Discussion: Muscle weakness and diabetes were independently and jointly associated with higher rates for ADL disability in older Mexican Americans.

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Association of Handgrip Strength and Muscle Mass with Dependency in (Instrumental) Activities of Daily Living in Hospitalized Older Adults -The EMPOWER Study

The journal of nutrition health & aging ◽

10.1007/s12603-019-1170-5 ◽

2019 ◽

Vol 23 (3) ◽

pp. 232-238 ◽

Cited By ~ 6

Author(s):

C. G. M. Meskers ◽

E. M. Reijnierse ◽

S. T. Numans ◽

R. C. Kruizinga ◽

V. D. Pierik ◽

...

Keyword(s):

Older Adults ◽

Activities Of Daily Living ◽

Muscle Mass ◽

Daily Living ◽

Handgrip Strength ◽

Instrumental Activities ◽

Hospitalized Older Adults

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The Glittre Activities of Daily Living Test in patients with acromegaly: Associations with hand function and health-related quality of life

Journal of Back and Musculoskeletal Rehabilitation ◽

10.3233/bmr-200089 ◽

2021 ◽

pp. 1-11

Author(s):

Samantha Gomes de Alegria ◽

Leandro Kasuki ◽

Monica Gadelha ◽

Agnaldo José Lopes

Keyword(s):

Quality Of Life ◽

Activities Of Daily Living ◽

Functional Capacity ◽

Daily Living ◽

Handgrip Strength ◽

Hand Function ◽

Health Related Quality ◽

Related Quality ◽

Health Related

BACKGROUND: Musculoskeletal disorders in acromegaly compromise upper and lower limb activity. Corresponding changes can be better assessed by a functional capacity test incorporating multitasking, such as the Glittre Activities of Daily Living Test (GA-T). OBJECTIVES: To evaluate functional capacity in adults with acromegaly using the GA-T and to correlate functional capacity with hand function and health-related quality of life. METHODS: The GA-T was applied to 36 patients with acromegaly and an equal number of healthy individuals. Additionally, participants completed the Acromegaly Quality of Life (AcroQoL) questionnaire and underwent a chronic pain assessment using a map of the human body, a hand function evaluation using the Cochin Hand Functional Scale (CHFS), and a handgrip strength test. RESULTS: Relative to the comparison group, patients with acromegaly required more time to perform the GA-T, showed worse hand function, and reported that squatting to accomplish shelving tasks was the major difficulty. GA-T time was correlated with the AcroQoL global score, handgrip strength, and the CHFS (rs=-0.487, p= 0.002; rs=-0.369, p= 0.026; rs= 0.538, p= 0.0007, respectively). CONCLUSIONS: Patients with acromegaly exhibited a reduced functional capacity as assessed by the GA-T. Additionally, an association was identified between the total GA-T time and both hand function and quality of life.

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A Description of Handgrip Strength in the Very Older Adult People Living in Rural Vietnam and Its Association with Daily Functions

BioMed Research International ◽

10.1155/2021/1237547 ◽

2021 ◽

Vol 2021 ◽

pp. 1-6

Author(s):

Nga Thi Thuy Nguyen ◽

Thanh Xuan Nguyen ◽

Anh Trung Nguyen ◽

Thu Thi Hoai Nguyen ◽

Tam Ngoc Nguyen ◽

...

Keyword(s):

Older Adults ◽

Rural Communities ◽

Activities Of Daily Living ◽

Daily Living ◽

Handgrip Strength ◽

Community Dwelling ◽

Cross Sectional ◽

Low Education ◽

Risk Of Falls ◽

Community Dwelling Older Adults

Objective. To describe handgrip strength (HGS) and identify associated factors in community-dwelling older adults in rural Vietnam. Methods. A cross-sectional study was conducted in community-dwelling older adults 80 years and over in five rural communities in Hanoi, Vietnam. Age-gender-BMI stratified HGS values were reported as means and standard deviations. Demographic characteristics, malnutrition, risk of fall, basic activities of daily living (ADL), and instrumental activities of daily living (IADL) were investigated. Multivariate linear regression explored the association between HGS and these factors. Results. In 308 participants, mean age was 85.4 ± 4.2 years. Mean HGS was 21.6 ± 6.1 kg for males and 15.3 ± 4.3 kg for females. HGS in our sample was generally lower than that in other European countries and Asian threshold. Low HGS was correlated with older age ( β = − 0.196 , p < 0.001 ), female ( β = − 0.443 , p < 0.001 ), low education ( β = − 0.130 , p < 0.05 ), risk of falls ( β = − 0.114 , p < 0.05 ), and lower IADL ( β = 0.153 , p = 0.001 ). Conclusions. The age-gender-BMI stratified HGS values of 80 years and over community-dwellers in rural Vietnam were described. HGS decreased with advanced age, female, low education, high risk of falls, and impaired IADLs. The results could provide useful reference data for further investigations and measures in clinical practice.

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Factors associated with handgrip strength in older adults residents in Florianópolis, Brazil: EpiFloripa Aging Study

Revista de Nutrição ◽

10.1590/1678-98652018000400004 ◽

2018 ◽

Vol 31 (4) ◽

pp. 385-395

Author(s):

Susana Cararo CONFORTIN ◽

Lariane Mortean ONO ◽

Vandrize MENEGHINI ◽

Anapaula PASTORIO ◽

Aline Rodrigues BARBOSA ◽

...

Keyword(s):

Physical Activity ◽

Older Adults ◽

Activities Of Daily Living ◽

Daily Living ◽

Leisure Time Physical Activity ◽

Handgrip Strength ◽

Living Arrangement ◽

Age Group ◽

Cross Sectional ◽

Instrumental Activities

ABSTRACT Objective To investigate the association between sociodemographic factors, lifestyle, health conditions and low Handgrip Strength in older adults. Methods A cross-sectional study was conducted in a sample of 598 older adults. The Handgrip Strength (first quartile) was verified using a dynamometer. Independent variables included age group, schooling, living arrangement, paid work, alcohol consumption, smoking, leisure-time physical activity and transportation, disability in activities of daily living and instrumental activities of daily living, history of falls and probable cognitive impairment. Logistic regression analyses were performed (crude and adjusted). Results Age group, disability in instrumental activities of daily living and physical inactivity were associated with low Handgrip Strength for women. For men, there was no association. Conclusion Low Handgrip Strength was positively associated with age, disability in instrumental activities of daily living, and negatively associated with the practice of physical activity in women.

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Handgrip Strength Asymmetry Is Associated With Limitations in Individual Basic Self-Care Tasks

Journal of Applied Gerontology ◽

10.1177/0733464820982409 ◽

2020 ◽

pp. 073346482098240

Author(s):

Sean J. Mahoney ◽

Kyle J. Hackney ◽

Donald A. Jurivich ◽

Lindsey J. Dahl ◽

Carol Johnson ◽

...

Keyword(s):

Confidence Interval ◽

Activities Of Daily Living ◽

Daily Living ◽

Handgrip Strength ◽

Self Care ◽

Health And Retirement Study ◽

Dominant Hand ◽

Strength Asymmetry ◽

Retirement Study

This investigation sought to determine the associations between handgrip strength (HGS) asymmetries and limitations in individual activities of daily living (ADL). The analytic sample included 18,468 participants from the 2006 to 2016 waves of the Health and Retirement Study. Those with HGS >10% stronger on either hand had any HGS asymmetry. Individuals with HGS >10% stronger on their dominant or non-dominant hand had dominant or non-dominant HGS asymmetry, respectively. ADL abilities were self-reported. Those with any HGS asymmetry had 1.21 (95% confidence interval [CI] = [1.01–1.46]) greater odds for a toileting limitation and 1.25 (CI = [1.03–1.52]) greater odds for a transferring limitation. Individuals with dominant HGS asymmetry had 1.24 (CI = [1.01–1.53]) greater odds for a transferring limitation. Those with non-dominant HGS asymmetry had 1.39 (CI = [1.01–1.93]) and 1.44 (CI = [1.05–1.96]) greater odds for a bathing and toileting limitation, respectively. HGS asymmetries could help to identify future limitations in specific ADLs.

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Dynapenic obesity: A disregarded disease that affects functionality and nutrition of the older patients

Acta Medica ◽

10.32552/2019.actamedica.372 ◽

2019 ◽

Vol 50 (3) ◽

pp. 32-37

Author(s):

Berna Evranos ◽

Volkan Atmis

Keyword(s):

Activities Of Daily Living ◽

Daily Living ◽

Nutritional Assessment ◽

Physical Dependence ◽

Handgrip Strength ◽

Laboratory Data ◽

Mini Nutritional Assessment ◽

The Elderly ◽

Obese Patients ◽

Instrumental Activities

Objective: Dynapenia is the age-associated loss of muscle strength without neurological or muscular disease. It is associated with physical dependence, low physical performance, falls, cognitive impairment and increased mortality in the elderly. Obesity incidence increases rapidly in the elderly, but in the literature, there are limited studies on dynapenic obesity and its complications. We aimed to determine the frequency of dynapenia in elderly obese patients, examine the effect of dynapenic obesity on the functionality and the nutritional state and increase awareness of dynapenic obesity. Materials and Methods:177 obese elderly admitted to geriatrics and endocrinology clinics divided into two groups as dynapenic or non-dynapenic according to last diagnostic criteria, depending on handgrip strength. Demographic and laboratory data, Activities of daily living, Instrumental Activities of Daily-Living, Mini-Nutritional Assessment, body mass index, and handgrip strength were also investigated. Differences between the two groups were analysed by the SPSS 20.0 program. Results: 17.5% of the subjects had dynapenia. Dynapenic elderly were older (p=0.028), had lower mini-nutritional test scores (p= 0.009), activities of daily living (p=0.007), instrumental activities of daily living (p <0.001), creatinine levels (p=0.023), and albumin levels (p=0.049). Conclusion: Dynapenic obese patients have a higher risk of disability and malnutrition than obese patients. Realising the natural history of patients with dynapenia and obesity is critically needed.

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Associations of instrumental activities of daily living and handgrip strength with oral self-care among home-dwelling elderly 75+

Gerodontology ◽

10.1111/j.1741-2358.2010.00427.x ◽

2012 ◽

Vol 29 (2) ◽

pp. e135-e142 ◽

Cited By ~ 10

Author(s):

Kaija Komulainen ◽

Pekka Ylöstalo ◽

Anna-Maija Syrjälä ◽

Piia Ruoppi ◽

Matti Knuuttila ◽

...

Keyword(s):

Activities Of Daily Living ◽

Daily Living ◽

Handgrip Strength ◽

Self Care ◽

Instrumental Activities

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Sarcoscore: A Novel Approach for Assessing Sarcopenia and Functional Disability in Older Adults

Journal of Clinical Medicine ◽

10.3390/jcm9030692 ◽

2020 ◽

Vol 9 (3) ◽

pp. 692

Author(s):

Yosuke Osuka ◽

Hunkyung Kim ◽

Hisashi Kawai ◽

Yu Taniguchi ◽

Yuri Yokoyama ◽

...

Keyword(s):

Activities Of Daily Living ◽

Daily Living ◽

Functional Disability ◽

Proportional Hazards ◽

Handgrip Strength ◽

Principal Component ◽

Population Based ◽

Cox Proportional Hazards ◽

Cross Sectional ◽

Skeletal Muscle Index

Sarcopenia is associated with instrumental activities of daily living (IADL) and basic activities of daily living (BADL) disabilities. We developed an index for assessing sarcopenia degree (sarcoscore) and compared it to the Asian Working Group for Sarcopenia (AWGS) criteria. Principal component analyses of walking speed, handgrip strength, and skeletal muscle index were performed to develop a sarcoscore using 3088 Japanese population-based cross-sectional data. During the nine-year follow-up, 278 of 2571 and 88 of 2341 participants developed IADL and BADL disabilities, respectively. Adjusted Cox proportional hazards regression models showed that the sarcoscore criteria, defined as proportional to the sarcopenia prevalence diagnosed by the AWGS criteria, had higher hazard ratios (HRs) and 95% confidence interval (CI) for disability onset than the AWGS criteria (IADL disability: 2.19 (1.64–2.93) vs. 1.79 (1.32–2.43), BADL disability: 4.28 (2.63–6.96) vs. 3.22 (1.97–5.27)). The adjusted HRs for IADL and BADL disabilities were reduced by 4% and 8% per point increase in the sarcoscore, respectively. The sarcoscore assessed the degree of sarcopenia and had a satisfactory performance for predicting functional disabilities in older Japanese adults, suggesting its usefulness as a complementary composite marker for clinical diagnosis.

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