A1 Journal article (refereed)
Handgrip Strength Cannot Be Assumed a Proxy for Overall Muscle Strength (2018)

Yeung, S. S., Reijnierse, E. M., Trappenburg, M. C., Hogrel, J.-Y., McPhee, J. S., Piasecki, M., Sipilä, S., Salpakoski, A., Butler-Browne, G., Pääsuke, M., Gapeyeva, H., Narici, M. V., Meskers, C. G., & Maier, A. B. (2018). Handgrip Strength Cannot Be Assumed a Proxy for Overall Muscle Strength. Journal of the American Medical Directors Association, 19(8), 703-709. https://doi.org/10.1016/j.jamda.2018.04.019

JYU authors or editors

Publication details

All authors or editors: Yeung, Suey S.Y.; Reijnierse, Esmee M.; Trappenburg, Marijke C.; Hogrel, Jean-Yves; McPhee, Jamie S.; Piasecki, Mathew; Sipilä, Sarianna; Salpakoski, Anu; Butler-Browne, Gillian; Pääsuke, Mati; et al.

Journal or series: Journal of the American Medical Directors Association

ISSN: 1538-9375

eISSN: 1525-8610

Publication year: 2018

Volume: 19

Issue number: 8

Pages range: 703-709

Publisher: Elsevier

Publication country: United States

Publication language: English

DOI: https://doi.org/10.1016/j.jamda.2018.04.019

Publication open access: Not open

Publication channel open access:

Publication is parallel published (JYX): https://jyx.jyu.fi/handle/123456789/63772


Dynapenia, low muscle strength, is predictive for negative health outcomes and is usually expressed as handgrip strength (HGS). Whether HGS can be a proxy for overall muscle strength and whether this depends on age and health status is controversial. This study assessed the agreement between HGS and knee extension strength (KES) in populations differing in age and health status.

Data were retrieved from 5 cohorts.

Setting and Participants
Community, geriatric outpatient clinics, and a hospital. Five cohorts (960 individuals, 49.8% male) encompassing healthy young and older individuals, geriatric outpatients, and older individuals post hip fracture were included.

HGS and KES were measured according to the protocol of each cohort. Pearson correlation was performed to analyze the association between HGS and KES, stratified by sex. HGS and KES were standardized into sex-specific z scores. The agreement between standardized HGS and standardized KES at population level and individual level were assessed by intraclass correlation coefficients (ICC) and Bland-Altman analysis.

Pearson correlation coefficients were low in healthy young (male: 0.36 to 0.45, female: 0.45) and healthy older individuals (male: 0.35 to 0.37, female: 0.44), and moderate in geriatric outpatients (male and female: 0.54) and older individuals post hip fracture (male: 0.44, female: 0.57) (P < .05, except for male older individuals post hip fracture [P = .07]). Intraclass correlation coefficient values were poor to moderate in all populations (ie, healthy young individuals [0.41, 0.45], healthy older individuals [0.37, 0.41, 0.44], geriatric outpatients [0.54], and older individuals post hip fracture [0.54]). Bland-Altman analysis showed that within the same population of age and health status, agreement between HGS and KES varied on individual level.

At both population and individual level, HGS and KES showed a low to moderate agreement independently of age and health status. HGS alone should not be assumed a proxy for overall muscle strength.

Keywords: muscle strength; measurement; older people

Free keywords: knee extension strength; aged; geriatric assessment

Contributing organizations

Related projects

Ministry reporting: Yes

Reporting Year: 2018

JUFO rating: 1

Last updated on 2021-09-08 at 18:12