Nationwide handgrip strength values and factors associated with muscle weakness in older adults: findings from the brazilian longitudinal study of aging (elsi-brazil)
Autor(a) principal: | |
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Data de Publicação: | 2022 |
Outros Autores: | , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Institucional da UFMG |
Texto Completo: | http://hdl.handle.net/1843/59784 |
Resumo: | Background:Handgrip strength (HGS) is a simple, quick, inexpensive, and highly reliable method for the assessment of muscle strength in clinical practice and epidemiological studies. This study aimed at describing the HGS values by age group and sex in Brazilians aged 50 years and over, determining age group- and sex-specific cutoff points for muscle weakness, and investigating sociodemographic and anthropometric variables associated with muscle weakness for each sex.Methods:Data from the second wave of the Brazilian Longitudinal Study of Aging (ELSI-Brazil) were analyzed. HGS was measured in the dominant hand using a hydraulic hand dynamometer. Fractional polynomial regression models were fitted to estimate the percentiles (P5, P10, P20, P25, P50, P75, P90, and P95) of HGS by age group and sex. The P20 of the maximum HGS by age group and sex was used to define muscle weakness. Associations between sociodemographic (racial self-classification, place of residence, schooling, and monthly household income per capita in tertiles) and anthropometric variables (body mass index and waist circumference) and muscle weakness, by sex, were evaluated using logistic regression.Results:The analytical sample included 7905 participants (63.1 ± 9.1 years; 60% women). HGS reduced with increasing age in both sexes. Men presented higher HGS than women in all age groups. The cutoff points for muscle weakness ranged from 28 to 15 kg for men and from 17 to 9 kg for women. In the adjusted analyses, low schooling (0–4 years) was positively associated with muscle weakness in both sexes (in men, odds ratio (OR) 2.45, 95% confidence interval (CI) 1.46–4.12; in women, OR 1.90, 95%CI 1.18–3.06). Low and middle monthly household income per capita also had a positive association with muscle weakness among women (OR 1.78, 95%CI 1.37–2.32; OR 1.32, 95%CI 1.01–1.73, respectively). Overweight had a negative association with muscle weakness among men (OR 0.66, 95%CI 0.52–0.83), and obesity was inversely associated with muscle weakness in both sexes (in men, OR 0.49, 95%CI 0.31–0.78; in women, OR 0.69, 95%CI 0.52–0.92).Conclusions:This study provides HGS values and cutoff points for muscle weakness by age group and sex from a nationally representative sample of older Brazilian adults. The variables associated with muscle weakness slightly differed between men and women. HGS values and cutoff points generated can be used as benchmarks in clinical settings and foster future epidemiological research. |
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2023-10-19T23:35:43Z2023-10-19T23:35:43Z2022-122211005100510.1186/s12877-022-03721-014712318http://hdl.handle.net/1843/59784Background:Handgrip strength (HGS) is a simple, quick, inexpensive, and highly reliable method for the assessment of muscle strength in clinical practice and epidemiological studies. This study aimed at describing the HGS values by age group and sex in Brazilians aged 50 years and over, determining age group- and sex-specific cutoff points for muscle weakness, and investigating sociodemographic and anthropometric variables associated with muscle weakness for each sex.Methods:Data from the second wave of the Brazilian Longitudinal Study of Aging (ELSI-Brazil) were analyzed. HGS was measured in the dominant hand using a hydraulic hand dynamometer. Fractional polynomial regression models were fitted to estimate the percentiles (P5, P10, P20, P25, P50, P75, P90, and P95) of HGS by age group and sex. The P20 of the maximum HGS by age group and sex was used to define muscle weakness. Associations between sociodemographic (racial self-classification, place of residence, schooling, and monthly household income per capita in tertiles) and anthropometric variables (body mass index and waist circumference) and muscle weakness, by sex, were evaluated using logistic regression.Results:The analytical sample included 7905 participants (63.1 ± 9.1 years; 60% women). HGS reduced with increasing age in both sexes. Men presented higher HGS than women in all age groups. The cutoff points for muscle weakness ranged from 28 to 15 kg for men and from 17 to 9 kg for women. In the adjusted analyses, low schooling (0–4 years) was positively associated with muscle weakness in both sexes (in men, odds ratio (OR) 2.45, 95% confidence interval (CI) 1.46–4.12; in women, OR 1.90, 95%CI 1.18–3.06). Low and middle monthly household income per capita also had a positive association with muscle weakness among women (OR 1.78, 95%CI 1.37–2.32; OR 1.32, 95%CI 1.01–1.73, respectively). Overweight had a negative association with muscle weakness among men (OR 0.66, 95%CI 0.52–0.83), and obesity was inversely associated with muscle weakness in both sexes (in men, OR 0.49, 95%CI 0.31–0.78; in women, OR 0.69, 95%CI 0.52–0.92).Conclusions:This study provides HGS values and cutoff points for muscle weakness by age group and sex from a nationally representative sample of older Brazilian adults. The variables associated with muscle weakness slightly differed between men and women. HGS values and cutoff points generated can be used as benchmarks in clinical settings and foster future epidemiological research.engUniversidade Federal de Minas GeraisUFMGBrasilMED - DEPARTAMENTO DE MEDICINA PREVENTIVA SOCIALBMC GeriatricsReference ValuesMuscle StrengthManual DynamometryMuscle WeaknessFrail ElderlySarcopeniaReference ValuesMuscle StrengthDynamometryMuscle WeaknessOlder AdultsSarcopeniaNationwide handgrip strength values and factors associated with muscle weakness in older adults: findings from the brazilian longitudinal study of aging (elsi-brazil)info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articlehttps://bmcgeriatr.biomedcentral.com/articles/10.1186/s12877-022-03721-0Brunode Souza MoreiraAmanda Cristina de Souza AndradeJuliana Lustosa TorresLuciana de Souza BragaAlessandra de Carvalho BastoneJuliana Vaz de Melo MambriniMaria Fernanda Furtado de Lima e Costaapplication/pdfinfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da UFMGinstname:Universidade Federal de Minas Gerais (UFMG)instacron:UFMGLICENSELicense.txtLicense.txttext/plain; charset=utf-82042https://repositorio.ufmg.br/bitstream/1843/59784/1/License.txtfa505098d172de0bc8864fc1287ffe22MD51ORIGINALNationwide handgrip strength values pdfa.pdfNationwide handgrip strength values pdfa.pdfapplication/pdf392092https://repositorio.ufmg.br/bitstream/1843/59784/2/Nationwide%20handgrip%20strength%20values%20pdfa.pdf2c75353a932057293895430afaaa3970MD521843/597842023-10-19 21:24:32.08oai:repositorio.ufmg.br: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Repositório de PublicaçõesPUBhttps://repositorio.ufmg.br/oaiopendoar:2023-10-20T00:24:32Repositório Institucional da UFMG - Universidade Federal de Minas Gerais (UFMG)false |
dc.title.pt_BR.fl_str_mv |
Nationwide handgrip strength values and factors associated with muscle weakness in older adults: findings from the brazilian longitudinal study of aging (elsi-brazil) |
title |
Nationwide handgrip strength values and factors associated with muscle weakness in older adults: findings from the brazilian longitudinal study of aging (elsi-brazil) |
spellingShingle |
Nationwide handgrip strength values and factors associated with muscle weakness in older adults: findings from the brazilian longitudinal study of aging (elsi-brazil) Brunode Souza Moreira Reference Values Muscle Strength Dynamometry Muscle Weakness Older Adults Sarcopenia Reference Values Muscle Strength Manual Dynamometry Muscle Weakness Frail Elderly Sarcopenia |
title_short |
Nationwide handgrip strength values and factors associated with muscle weakness in older adults: findings from the brazilian longitudinal study of aging (elsi-brazil) |
title_full |
Nationwide handgrip strength values and factors associated with muscle weakness in older adults: findings from the brazilian longitudinal study of aging (elsi-brazil) |
title_fullStr |
Nationwide handgrip strength values and factors associated with muscle weakness in older adults: findings from the brazilian longitudinal study of aging (elsi-brazil) |
title_full_unstemmed |
Nationwide handgrip strength values and factors associated with muscle weakness in older adults: findings from the brazilian longitudinal study of aging (elsi-brazil) |
title_sort |
Nationwide handgrip strength values and factors associated with muscle weakness in older adults: findings from the brazilian longitudinal study of aging (elsi-brazil) |
author |
Brunode Souza Moreira |
author_facet |
Brunode Souza Moreira Amanda Cristina de Souza Andrade Juliana Lustosa Torres Luciana de Souza Braga Alessandra de Carvalho Bastone Juliana Vaz de Melo Mambrini Maria Fernanda Furtado de Lima e Costa |
author_role |
author |
author2 |
Amanda Cristina de Souza Andrade Juliana Lustosa Torres Luciana de Souza Braga Alessandra de Carvalho Bastone Juliana Vaz de Melo Mambrini Maria Fernanda Furtado de Lima e Costa |
author2_role |
author author author author author author |
dc.contributor.author.fl_str_mv |
Brunode Souza Moreira Amanda Cristina de Souza Andrade Juliana Lustosa Torres Luciana de Souza Braga Alessandra de Carvalho Bastone Juliana Vaz de Melo Mambrini Maria Fernanda Furtado de Lima e Costa |
dc.subject.por.fl_str_mv |
Reference Values Muscle Strength Dynamometry Muscle Weakness Older Adults Sarcopenia |
topic |
Reference Values Muscle Strength Dynamometry Muscle Weakness Older Adults Sarcopenia Reference Values Muscle Strength Manual Dynamometry Muscle Weakness Frail Elderly Sarcopenia |
dc.subject.other.pt_BR.fl_str_mv |
Reference Values Muscle Strength Manual Dynamometry Muscle Weakness Frail Elderly Sarcopenia |
description |
Background:Handgrip strength (HGS) is a simple, quick, inexpensive, and highly reliable method for the assessment of muscle strength in clinical practice and epidemiological studies. This study aimed at describing the HGS values by age group and sex in Brazilians aged 50 years and over, determining age group- and sex-specific cutoff points for muscle weakness, and investigating sociodemographic and anthropometric variables associated with muscle weakness for each sex.Methods:Data from the second wave of the Brazilian Longitudinal Study of Aging (ELSI-Brazil) were analyzed. HGS was measured in the dominant hand using a hydraulic hand dynamometer. Fractional polynomial regression models were fitted to estimate the percentiles (P5, P10, P20, P25, P50, P75, P90, and P95) of HGS by age group and sex. The P20 of the maximum HGS by age group and sex was used to define muscle weakness. Associations between sociodemographic (racial self-classification, place of residence, schooling, and monthly household income per capita in tertiles) and anthropometric variables (body mass index and waist circumference) and muscle weakness, by sex, were evaluated using logistic regression.Results:The analytical sample included 7905 participants (63.1 ± 9.1 years; 60% women). HGS reduced with increasing age in both sexes. Men presented higher HGS than women in all age groups. The cutoff points for muscle weakness ranged from 28 to 15 kg for men and from 17 to 9 kg for women. In the adjusted analyses, low schooling (0–4 years) was positively associated with muscle weakness in both sexes (in men, odds ratio (OR) 2.45, 95% confidence interval (CI) 1.46–4.12; in women, OR 1.90, 95%CI 1.18–3.06). Low and middle monthly household income per capita also had a positive association with muscle weakness among women (OR 1.78, 95%CI 1.37–2.32; OR 1.32, 95%CI 1.01–1.73, respectively). Overweight had a negative association with muscle weakness among men (OR 0.66, 95%CI 0.52–0.83), and obesity was inversely associated with muscle weakness in both sexes (in men, OR 0.49, 95%CI 0.31–0.78; in women, OR 0.69, 95%CI 0.52–0.92).Conclusions:This study provides HGS values and cutoff points for muscle weakness by age group and sex from a nationally representative sample of older Brazilian adults. The variables associated with muscle weakness slightly differed between men and women. HGS values and cutoff points generated can be used as benchmarks in clinical settings and foster future epidemiological research. |
publishDate |
2022 |
dc.date.issued.fl_str_mv |
2022-12 |
dc.date.accessioned.fl_str_mv |
2023-10-19T23:35:43Z |
dc.date.available.fl_str_mv |
2023-10-19T23:35:43Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://hdl.handle.net/1843/59784 |
dc.identifier.doi.pt_BR.fl_str_mv |
10.1186/s12877-022-03721-0 |
dc.identifier.issn.pt_BR.fl_str_mv |
14712318 |
identifier_str_mv |
10.1186/s12877-022-03721-0 14712318 |
url |
http://hdl.handle.net/1843/59784 |
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eng |
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eng |
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BMC Geriatrics |
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info:eu-repo/semantics/openAccess |
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openAccess |
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Universidade Federal de Minas Gerais |
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UFMG |
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Brasil |
dc.publisher.department.fl_str_mv |
MED - DEPARTAMENTO DE MEDICINA PREVENTIVA SOCIAL |
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Universidade Federal de Minas Gerais |
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UFMG |
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UFMG |
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