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Cited by 386

The DOI matches its Crossref record; 28 of the 28 references it cites were found in a registry or an index.

Handgrip strength and mortality in the oldest old population: the Leiden 85-plus study

Open access
Ling, C. H.Y., Taekema, D., de Craen, A. J.M., Gussekloo, J., Westendorp, R. G.J., Maier, A. B.·2010·Canadian Medical Association Journal

Abstract

BACKGROUND: Poor muscular strength has been shown to be associated with increased morbidity and mortality in diverse samples of middle-aged and elderly people. However, the oldest old population (i.e., over 85 years) is underrepresented in such studies. Our objective was to assess the association between muscular strength and mortality in the oldest old population. METHODS: We included 555 participants (65% women) from the Leiden 85-plus study, a prospective population-based study of all 85-year-old inhabitants of Leiden, Netherlands. We measured the handgrip strength of participants at baseline and again at age 89 years. We collected baseline data on comorbidities, functional status, levels of physical activity, and adjusted for potential confounders. During the follow-up period, we collected data on mortality. RESULTS: During a follow-up period of 9.5 years (range 8.5-10.5 years), 444 (80%) participants died. Risk for all-cause mortality was elevated among participants in the lowest tertile of handgrip strength at age 85 years (hazard ratio [HR] 1.35, 95% confidence interval [CI] 1.00-1.82, p = 0.047) and the lowest two tertiles of handgrip strength at age 89 years (HR 2.04, CI 1.24-3.35, p = 0.005 and HR 1.73, CI 1.11-2.70, p = 0.016). We also observed significantly increased mortality among participants in the tertile with the highest relative loss of handgrip strength over four years (HR 1.72, CI 1.07-2.77, p = 0.026). INTERPRETATION: Handgrip strength, a surrogate measurement of overall muscular strength, is a predictor of all-cause mortality in the oldest old population and may serve as a convenient tool for prognostication of mortality risk among elderly people.

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Metadata

Authors
Ling, C. H. Y., Taekema, D., de Craen, A. J. M., Gussekloo, J., Westendorp, R. G. J., & Maier, A. B.
Venue
Canadian Medical Association Journal
Published
2010-02-08
Volume
182
Issue
5
Pages
429-435
ISSN
  • 0820-3946 (ISSN-L)
  • 1488-2329
OpenAlex
W2145338083
Cited by
386
References
28
FWCI
14.65
Type
journal article
Language
en
Open access
gold

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CoChat. (2026). Citation check: Handgrip strength and mortality in the oldest old population: the Leiden 85-plus study. https://app.cochat.ai/papers/10.1503/cmaj.091278
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Ling, C. H. Y., Taekema, D., de Craen, A. J. M., Gussekloo, J., Westendorp, R. G. J., & Maier, A. B. (2010). Handgrip strength and mortality in the oldest old population: the Leiden 85-plus study. Canadian Medical Association Journal. https://doi.org/10.1503/cmaj.091278

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