Handgrip strength as a predictor of functional, psychological and social health. A prospective population-based study among the oldest old
Open accessAbstract
BACKGROUND: muscle wasting is associated with a detrimental outcome in older people. Muscle strength measurements could be useful as part of a clinical evaluation of oldest old patients to determine who are most at risk of accelerated decline in the near future. OBJECTIVE: this study aimed to assess if handgrip strength predicts changes in functional, psychological and social health among oldest old. DESIGN: the Leiden 85-plus Study is a prospective population-based follow-up study. SUBJECTS: five-hundred fifty-five, all aged 85 years at baseline, participated in the study. METHODS: handgrip strength was measured with a handgrip strength dynamometer. Functional, psychological and social health were assessed annually. Baseline data on chronic diseases were obtained from the treating physician, pharmacist, electrocardiogram and blood sample analysis. RESULTS: at age 85, lower handgrip strength was correlated with poorer scores in functional, psychological and social health domains (all, P < 0.001). Lower baseline handgrip strength predicted an accelerated decline in activities of daily living (ADL) and cognition (both, P 0.30). CONCLUSION: poor handgrip strength predicts accelerated dependency in ADL and cognitive decline in oldest old. Measuring handgrip strength could be a useful instrument in geriatric practice to identify those oldest old patients at risk for this accelerated decline.
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The EWGSOP2 adopted low muscle strength as a principal determinant of sarcopenia because muscle strength is considered better than muscle mass in predicting adverse outcomes.
“The group adopted low muscle strength as a principal determinant of sarcopenia because muscle strength is considered better than muscle mass in predicting adverse outcomes (20–22).”
From Health Consequences of Sarcopenic Obesity: A Narrative Review (2020) · cites this paper as [22]
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References 37 · Cited by 625
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- Authors
- Taekema, D. G., Gussekloo, J., Maier, A. B., Westendorp, R. G. J., & de Craen, A. J. M.
- Affiliations
- Leiden University Medical Center (NL)
- Corresponding author
- Taekema, D. G.
- Venue
- Age and Ageing
- Publisher
- Oxford University Press (OUP)
- Published
- 2010-03-10
- Volume
- 39
- Issue
- 3
- Pages
- 331-337
- ISSN
- 0002-0729 (ISSN-L)
- 1468-2834
- OpenAlex
- W2126725714
- Cited by
- 625
- References
- 37
- Citations by year
- 2026: 20 · 2025: 29 · 2024: 36 · 2023: 42 · 2022: 53 · 2021: 54 · 2020: 55 · 2019: 67 · 2018: 48 · 2017: 42 · 2016: 41 · 2015: 30 · 2014: 32 · 2013: 31 · 2012: 30
- FWCI
- 16.46
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Age and Ageing (publishedVersion)
- PubMed (publishedVersion)
- Leiden Repository (Leiden University) (submittedVersion)
- Data Archiving and Networked Services (DANS) (submittedVersion, other-oa)
- VU Research Portal (submittedVersion)
- Data Archiving and Networked Services (DANS) (submittedVersion)
- Funders
- ZonMw (05040202, 050-060-810)
- Nederlandse Organisatie voor Wetenschappelijk Onderzoek (050.060.810, 05040202)
- Topics
- Health Sciences › Medicine › Physiology › 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
- grip strength, oldest old, muscle atrophy, functional health, activities of daily living, cognitive decline, mental health, social health, dependency, risk prediction, Leiden 85-plus Study
- MeSH terms
- Activities of Daily Living, Aged, 80 and over, Aging, Female, Follow-Up Studies, Health Status, Humans, Male, Netherlands, Neuropsychological Tests, Predictive Value of Tests, Prospective Studies, Surveys and Questionnaires, Geriatric Assessment, Hand Strength, Muscle Strength Dynamometer, Sarcopenia
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