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

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.

Handgrip Strength Asymmetry and Weakness Together Are Associated With Functional Disability in Aging Americans

2020 ◽  
Author(s):  
Ryan McGrath ◽  
Brenda M Vincent ◽  
Donald A Jurivich ◽  
Kyle J Hackney ◽  
Grant R Tomkinson ◽  
...  
Keyword(s):  
Generalized Estimating Equations ◽  
Daily Living ◽  
Functional Disability ◽  
Handgrip Strength ◽  
National Sample ◽  
Dominant Hand ◽  
Predictive Utility ◽  
Strength Asymmetry ◽  
Adl Disability ◽  
Retirement Study

Abstract Background Evaluating handgrip strength (HGS) asymmetry may help to improve the prognostic value of HGS. This study sought to determine the associations of HGS asymmetry and weakness on future activities of daily living (ADL) disability in a national sample of aging Americans. Methods The analytic sample included 18,468 Americans aged ≥50 years from the 2006–2016 waves of the Health and Retirement Study. A handgrip dynamometer measured HGS. Those with HGS >10% stronger on either hand were considered as having any HGS asymmetry. Individuals with HGS >10% stronger on their dominant hand were considered as having dominant HGS asymmetry, while those with HGS >10% stronger on their nondominant hand were classified as having nondominant HGS asymmetry. Men with HGS <26 kg and women with HGS <16 kg were considered weak. ADLs were self-reported. Generalized estimating equations were used for analyses. Results Relative to those with symmetric HGS and no weakness, each HGS asymmetry and weakness group had increased odds for future ADL disability: 1.11 (95% confidence interval [CI]: 1.02–1.20) for any HGS asymmetry alone, 1.42 (CI: 1.16–1.74) for weakness alone, and 1.81 (CI: 1.52–2.16) for both any HGS asymmetry and weakness. Most weakness and HGS asymmetry dominance groups had increased odds for future ADL disability: 1.30 (CI: 1.13–1.50) for nondominant HGS asymmetry alone, 1.42 (CI: 1.16–1.74) for weakness alone, 1.72 (CI: 1.29–2.29) for both weakness and nondominant HGS asymmetry, and 1.86 (CI: 1.52–2.28) for both weakness and dominant HGS asymmetry. Conclusions HGS asymmetry and weakness together may increase the predictive utility of handgrip dynamometers.

The Association Between Handgrip Strength and Diabetes on Activities of Daily Living Disability in Older Mexican Americans

2017 ◽  
Vol 30 (8) ◽  
pp. 1305-1318 ◽  
Author(s):  
Ryan P. McGrath ◽  
Brenda M. Vincent ◽  
Soham Al Snih ◽  
Kyriakos S. Markides ◽  
Brad P. Dieter ◽  
...  
Keyword(s):  
Body Weight ◽  
Confidence Interval ◽  
Activities Of Daily Living ◽  
Grip Strength ◽  
Muscle Weakness ◽  
Mexican Americans ◽  
Daily Living ◽  
Handgrip Strength ◽  
Joint Effects ◽  
Adl Disability

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.

scholarly journals Longitudinal Daily Living Limitations and Cognitive Status: Results from the 1998-2016 Health and Retirement Study

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 897-897
Author(s):  
Benson Wu ◽  
Mohammad Usama Toseef ◽  
Wassim Tarraf ◽  
Ariana Stickel ◽  
Sonya Kaur ◽  
...  
Keyword(s):  
Activities Of Daily Living ◽  
Functional Impairment ◽  
Daily Living ◽  
Latent Class ◽  
Study Data ◽  
Cognitive Status ◽  
Health And Retirement Study ◽  
Middle Aged Adults ◽  
Health Burdens ◽  
Retirement Study

Abstract Data increasingly points to midlife health and modifiable risk factors as critical targets for improving older-age health outcomes and mitigating potential cognitive impairment and disease. We used biennial Health and Retirement Study data (1998-2016) collected on adults ages 50-64 years who did not meet criteria for dementia at baseline and who remained living by 2016 (unweighted-n=4,803). Cognitive status was defined using Langa-Weir criteria: Normal, Cognitively Impaired Not Dementia (CIND), and Dementia. We examined how 18-year patterns in activities of daily living (ADLs) and instrumental activities of daily living (IADLs) predicted cognitive status in 2016. We used latent class analysis to extract longitudinal phenotypes of activities limitations, followed by survey multinomial logistic regressions to examine their associations with cognitive status and test for race/ethnic modifications. We identified three groups of functional impairment: (1) gradually increasing (15.7%), (2) stable elevated (5.6%), and (3) minimal dysfunction (78.7%). After covariates adjustment, both the gradual and stable elevated impairment groups (vs. minimal) had substantially higher relative risk ratios (RRR) for dementia (RRR=5.71[3.89;8.39] and RRR=7.87[4.23,14.64]) and CIND (RRR=2.21 [1.69,2.88] and RRR=1.92[1.16;3.17]). We detected modifications by race/ethnicity such that Hispanics with stable elevated impairment had a higher probability of dementia compared to their White counterparts. The results varied for Blacks and did not significantly differ from Whites. Data-driven methods may improve our understanding of heterogeneous functional impairment patterns among late middle-aged adults and allow for tailored ADRD prevention strategies. Focused risk-based interventions can yield important public health savings and reductions in structural, social, and individual health burdens.

The Differential Effects of Caregiving Intensity on Overnight Hospitalization

2021 ◽  
pp. 019394592110029
Author(s):  
Kylie Meyer ◽  
Zachary Gassoumis ◽  
Kathleen Wilber
Keyword(s):  
Activities Of Daily Living ◽  
Daily Living ◽  
Similar Rate ◽  
Spousal Caregivers ◽  
Health And Retirement Study ◽  
Differential Effects ◽  
Intensity Of Care ◽  
Using Data ◽  
Retirement Study

This study aims to examine how caregiving for a spouse affects caregivers’ likelihood of overnight hospitalization. Using data from the Health and Retirement Study, we examine the odds of spousal caregivers experiencing an overnight hospitalization in the previous two years according to caregiving status, intensity, and change in caregiving intensity. Caregivers were no more likely to experience an overnight hospitalization than noncaregivers ( OR = .92; CI [.84, 1.00]). Effects varied by intensity of care. Compared to noncaregivers, caregivers who reported providing no assistance with activities of daily living were less likely to experience overnight hospitalization ( OR = .77; CI [.66, .89]); however, caregivers who provided care to someone living with dementia for 4 to <6 years had 2.11 times the odds of experiencing an overnight hospitalization (CI [1.16, 3.85]). Although caregivers overall experience overnight hospitalization at a similar rate as noncaregivers, there are differences between caregivers by the intensity of care.

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

Gerodontology ◽  
2012 ◽  
Vol 29 (2) ◽  
pp. e135-e142 ◽  
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

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

2014 ◽  
Vol 62 (9) ◽  
pp. 1800-1801 ◽  
Author(s):  
Ugochi Ukegbu ◽  
Joanna Maselko ◽  
Rahul Malhotra ◽  
Bilesha Perera ◽  
Truls Østbye
Keyword(s):  
Activities Of Daily Living ◽  
Daily Living ◽  
Handgrip Strength

The effect of activities of daily living on the self-care agency of patients in a cardiovascular surgery clinic

2017 ◽  
Vol 35 (2) ◽  
pp. 78-85 ◽  
Author(s):  
Papatya Karakurt ◽  
Necla Kasimoğlu ◽  
Aybike Bahçeli ◽  
Sebahat Atalikoğlu Başkan ◽  
Burcu Ağdemir
Keyword(s):  
Activities Of Daily Living ◽  
Daily Living ◽  
Cardiovascular Surgery ◽  
Self Care ◽  
The Self ◽  
Care Agency

scholarly journals Effect of implementing designed educational training program for neurological nurses on clinical outcomes of stroke patients

2018 ◽  
Vol 6 (4) ◽  
pp. 121 ◽  
Author(s):  
Seham A. Abd El-Hay ◽  
Amany K. Abed Allah ◽  
El Sayed A. Tag El Din
Keyword(s):  
Activities Of Daily Living ◽  
Training Program ◽  
Clinical Outcomes ◽  
Daily Living ◽  
Self Care ◽  
Educational Training ◽  
Stroke Patients ◽  
Knowledge And Practice ◽  
Educational Training Program ◽  
Nurses Knowledge

Background: Stroke is a major cause of functional disability, it increased the need for continuous nursing care. Nurses need to pay attention not only to the physical recovery after stroke, but also to the psychological and social recovery. Therefore, it is important to provide training courses to nurses about care of stroke patients.Aim: This study was conducted to evaluate the effect of implementing designed educational training program for neurological nurses on clinical outcomes of stroke patients.Methods: Design: A quasi experimental research design was utilized. Setting: Data were collected from Neurological Intensive Care Units, Wards and Neurological outpatient clinics of Tanta Main University Hospital. Sample: All nurses (n = 35) who are providing direct care for stroke patients and a purposive sample of 30 stroke patients. Tools: Three tools were used to collect data. Tool (I): Assessment of nurses’ knowledge questionnaire sheet about stroke; Tool (II): Observational checklist to evaluate nurses’ practice regarding care of stroke patients; and Tool (III): Patient’s clinical outcomes assessment sheet.Results: The results revealed that there were significant improvements in nurses’ knowledge and practice regarding care of stroke patients post training program at p < .01. Also, significant improvements in self-care and activities of daily living among stroke patients were observed from immediately to 2 months later post application of training program.Conclusions: The study findings revealed that the implementation of designed educational training program within 2 months were successful for improving nurses’ knowledge and practice regarding care of stroke patients. Furthermore, there was improvement in activities of daily living and self-care among stroke patients.Recommendations: It is recommended to generalize implementation of designed educational training program for neurological nurses as a routine hospital care for stroke patients.

A review of instrumental ADL assessments for use with elderly people

1998 ◽  
Vol 8 (1) ◽  
pp. 65-71 ◽  
Author(s):  
Gillian Ward ◽  
Carol Jagger ◽  
William Harper
Keyword(s):  
Activities Of Daily Living ◽  
Standardized Tests ◽  
Elderly People ◽  
Daily Living ◽  
Self Care ◽  
Primary Level ◽  
Instrumental Activities ◽  
Hierarchical Nature ◽  
The 1960S ◽  
Definition Of

The concept of formal or standardized tests for assessing function came to the fore in the 1960s. Katz et al. acknowledged the hierarchical nature of activities of daily living (ADL) such as eating, continence, transferring, going to the toilet, dressing and bathing in his ’Index of ADL’ and by 1968 ‘ADL’ was an accepted Index Medicus category. The definition of instrumental activities of daily living (IADL) began in 1969 with the work of Lawton and Brody who presented two scales to assess function which recognized the different degrees of complexity required for performing functional tasks. The first scale, taking life maintenance and activities essential for self-care as the primary level, was called the Physical Self-Maintenance Scale.

Sign in / Sign up

Export Citation Format

Share Document