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Muscle strength, disability and mortality
Abstract
The aims of this review are to address (1) the role of muscle strength in the disablement process and (2) muscle strength as a predictor of length of life using data from prospective studies. Functional limitations, such as slow walking speed, predispose older people to disabilities. How much strength is needed for daily motor tasks such as walking varies according to other impairments present. For example, when postural balance is good, only minimum amount of strength is needed for walking. However, in the presence of balance impairment, having good level of strength may help to compensate for the deficit. Having strength well above the required level indicates reserve capacity. It was studied using data from the Honolulu Heart Program launched in 1965 among 8006 men initially aged 45–68 years, whether reserve of strength would be protective of development of future disability. All men with documented diseases at baseline were excluded from the analyses. Those men who were in the lowest third of the distribution of grip strength at baseline were at two to three times greater risk of developing disabilities assessed 25 years later compared to the highest third. It is possible that before they reach the disability level, those with greater reserve of strength may afford to lose more strength, for example following bed rest and inactivity associated with an illness. Midlife grip strength was also found to predict long‐term total mortality: those with poorer strength at baseline were more likely to die over the follow‐up period of 30 years. The association between muscle strength and disability is largely explained by biomechanical mechanisms. However, the mechanism explaining the association between muscle strength and mortality risk still remains to be explored.
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From Prevalence of sarcopenia in the world: a systematic review and meta- analysis of general population studies (2017) · cites this paper as [4]
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Renwick, N. C. (2017) · White Rose eTheses Online (University of Leeds, The University of Sheffield, University of York) · Cited by 1
Takata, Y., Ansai, T., Soh, I., Awano, S., YOSHITAKE, Y., Kimura, Y. N., Nakamichi, I., Akifusa, S., Gotō, K., Yoshida, A., et al. (2012) · InTech eBooks · doi:10.5772/33345
“Poor muscle strength has been reported to be independently associated with mortality risk in healthy middle-aged men (Rantanen et al., 2000; Rantanen, 2003; Metter et al., 2004), people aged 20-69 years (Katzmarzyk et al.”
BackgroundDisability in activities of daily living: a multifactorial approach
den Ouden, M. E. M. (2013) · Utrecht University Repository (Utrecht University)
THE IMPACT OF DIABETES MELLITUS ON SKELETAL MUSCLE MASS AND STRENGTH IN OLDER ADULTS
Park, S. W. (2006) · D-Scholarship@Pitt (University of Pittsburgh)
Increased age leads to decreased dexterity: is it really that simple?
Martin, J. A. (2009) · University of Birmingham Institutional Research Archive (University of Birmingham)
Revista Saúde Vol 39, n.2, Santa Maria, 2013
Alves, C. S. (2013) · Saúde (Santa Maria) · doi:10.5902/2236583412476
Smith, S. (2010) · Queen Margaret University eTheses Repository
Effect of base of support size on ability to recover balance
Hong, Q. (2005) · Summit (Simon Fraser University)
Peripheral Nerve Decline Impacts Lower Extremity Muscle Function in Older Adults
Ward, R. E. (2013) · D-Scholarship@Pitt (University of Pittsburgh)
Ridgway, H. (2013) · QSpace (Queen's University Library)
InCHIANTI study Sarcopenic obesity and inflammation in the
Bandinelli, S., Lauretani, F., Ferrucci, L., Schrager, M. A., Metter, E. J., Simonsick, E. M., Blè, A., Hubbard, J. M., Cohen, H. J., Muss, H. B., et al. (2015)
Dominguez, J. M. (2006) · OhioLink ETD Center (Ohio Library and Information Network)
Hibbert, J. E. (2016) · The Scholarship East Carolina University's Institutional Repository (East Carolina University)
Physical functioning among community-dwelling older people
Tikkanen, P. (2015) · UEF eRepo (University of Eastern Finland)
NTproBNP, Lactate, and Hemodynamic Responses to Multiple vs One-Repetition Max Strength Tests
Nustad, J. K., Sailer, C., Ekstedt, K., Brydl, A., Drake, E., Shaul, J., Chavez, T., & Saghiv, M. S. (2017) · Journal of Clinical Exercise Physiology · doi:10.31189/2165-6193-6.4.61
Characteristics of strength in subjects with cardiovascular disease
Scarpa, S., & Nart, A. (2019) · Autumn Conferences of Sports Science · doi:10.14198/jhse.2019.14.proc1.11
Is there utility to genetic information in elite sport?
Pickering, C. (2020) · CLOK (University of Central Lancashire) · doi:10.13140/rg.2.2.25902.54081 · Cited by 1
Duchowny, C. (2018) · Deep Blue (University of Michigan)
Determinants of Side Kick Ability Athlete of Tarung Derajat
Aldani, N., Alnedral, & Iksan, N. (2021) · Advances in Social Science, Education and Humanities Research/Advances in social science, education and humanities research · doi:10.2991/assehr.k.210618.022
“Muscle strength is also referred to as the maximum force (in N) or torsion (in Nm) developed during maximal voluntary contraction under certain conditions (Bohannon, 2007; Jaric, 2002; Rantanen, 2003).”
BackgroundZhu, Z. (2021) · HepatoBiliary Surgery and Nutrition · doi:10.21037/hbsn-21-373
“Primary sarcopenia is a non-disease state of reduced body function and nutrition (7,8).”
Background
Metadata
- Authors
- Rantanen, T.
- Affiliations
- University of Jyväskylä (FI)
- Corresponding author
- Rantanen, T.
- ORCID
- Rantanen, T.
- Venue
- Scandinavian Journal of Medicine & Science in Sports
- Publisher
- Wiley
- Published
- 2003-01-14
- Volume
- 13
- Issue
- 1
- Pages
- 3-8
- ISSN
- 0905-7188 (ISSN-L)
- 1600-0838
- OpenAlex
- W2005358707
- Cited by
- 317
- References
- 41
- Citations by year
- 2026: 3 · 2025: 8 · 2024: 11 · 2023: 11 · 2022: 11 · 2021: 16 · 2020: 12 · 2019: 17 · 2018: 16 · 2017: 17 · 2016: 15 · 2015: 24 · 2014: 18 · 2013: 25 · 2012: 14
- FWCI
- 1.28
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Scandinavian Journal of Medicine and Science in Sports (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Physiology (medical) › Nutrition and Health in Aging
- Health Sciences › Medicine › Geriatrics and Gerontology › Frailty in Older Adults
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Aging, Health, and Disability
- Keywords
- muscle strength, grip strength, disability, mortality, functional limitations, older adults, walking speed, postural stability, reserve capacity, Honolulu Heart Program, biomechanical mechanisms
- MeSH terms
- Activities of Daily Living, Aging, Disability Evaluation, Humans, Mortality, Risk Factors, Muscle, Skeletal
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