Is Handgrip Strength a Useful Measure to Evaluate Lower Limb Strength and Functional Performance in Older Women?

Clin Interv Aging. 2020 Jun 30:15:1045-1056. doi: 10.2147/CIA.S253262. eCollection 2020.

Abstract

Aim: This study aimed to determine the association of handgrip strength with isometric and isokinetic strength (hip, knee and ankle extensor/flexor muscles), and functional capacity in older women.

Methods: The handgrip strength and lower limb strength of 199 older women (60-86 years) were measured using JAMAR and BIODEX dynamometers, respectively. Time Up and Go, Five-times-sit-to-stand and 6m-walk functional tests were evaluated. Pearson correlations were used to determine the relationship between variables. Regression analysis was applied to identify if HS was able to predict TUG performance. The effect of age was analyzed by splitting the participants in a group of older women (OLD; from 60 to 70 years old) and very old women (from 71 to 86 years old).

Results: The HS and isometric/isokinetic strength correlations were negligible/low and, in most cases, were non-significant. The correlation between handgrip strength and functional tests also ranged predominantly from negligible (r=0.0 to 0.3) to low (r=0.3 to 0.5), irrespective of the group age. The handgrip strength was not able to explain the variance of the TUG performance.

Conclusion: Generalizing handgrip strength as a practical and straightforward measure to determine lower limbs and overall strength, and functional capacity in older women must be viewed with caution. Handgrip strength and standard strength measures of the lower limbs and functional tests present a negligible/low correlation.

Keywords: aged; functional capacity; handgrip; muscle strength.

MeSH terms

  • Aged
  • Aged, 80 and over
  • Female
  • Geriatric Assessment / methods
  • Hand Strength / physiology*
  • Humans
  • Knee Joint / physiology
  • Leg / physiology*
  • Muscle Strength / physiology*
  • Muscle, Skeletal / physiology*
  • Physical Functional Performance*
  • Walking / physiology

Grants and funding

This study derives from a number of studies in which some of them were funded by CAPES (Coordenação de Aperfeiçoamento de Pessoal de Nível Superior – Brazil).