A Narrative Review of Handgrip Strength and Cognitive Functioning: Bringing a New Characteristic to Muscle Memory
Open accessAbstract
Background: Measures of handgrip strength have not only emerged as a clinically viable screening tool for determining risk for morbidity, functional disability, and early mortality, but also for helping to identify cognitive deficits. However, the phenomena that links low handgrip strength with cognitive decline remains unclear. The role of the muscular and neural systems, and their adaptations to muscle strengthening activities over the life course, may provide important information for how age-related changes to muscle mass, strength, and neural capacity influence cognition. Moreover, disentangling how handgrip strength and cognitive function are associated may help to inform healthcare providers working with aging adults and guide targeted interventions aiming to preserve muscle and cognitive functioning. Objective: To 1) highlight and summarize evidence examining the associations of handgrip strength and cognitive functioning, and 2) provide directions for future research in this area. Methods: Articles from the PubMed database were searched from November 2018-May 2019. The search term algorithm, inclusion and exclusion criteria were pre-specified by investigators. Results: Several cross-sectional and longitudinal studies have revealed that measures of handgrip strength were associated with cognitive declines regardless of age demographics and the presence of comorbidities. Conclusion: Handgrip strength can be used in clinical and epidemiological settings for helping to determine the onset and progression of cognitive impairment. Future research should continue to examine how handgrip strength and cognitive function are linked.
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Preserving or increasing muscle strength and functional capacity can improve quality of life and independence in everyday tasks, and lower the risk of falls and disabilities linked with ageing and obesity.
“Preserving or increasing muscle strength and functional capacity can improve quality of life [63] and independence in everyday tasks, and lower the risk of falls and disabilities linked with ageing and obesity [64, 65].”
From The effects of a home-based resistance training programme on body composition and muscle function during weight loss in people living with overweight or obesity: a randomised controlled pilot trial (2025) · cites this paper as [63]
The Future Directions section says muscle strength may help protect against falls and functional limitations, thereby preserving quality of life and autonomous living. It does not establish that preserving or increasing strength lowers disabilities specifically linked to obesity, and its proposed benefits are more tentative than the citing sentence suggests. No page number is available in our copy. (LLM, conf=0.84)
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Lower handgrip strength in short-sleeper individuals with obstructive sleep apnea
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Undiagnosed Dementia Is Associated with Poor Physical Function in Older Adults
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CICLO MENSTRUAL E O EXERCÍCIO FÍSICO
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Intelligent Health Promotion Service System: A Project for Remote Rehabilitation
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Handgrip strength and relationship with non-motor symptoms in Parkinson's disease
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- Authors
- Shaughnessy, K. A., Hackney, K. J., Clark, B. C., Kraemer, W. J., Terbizan, D. J., Bailey, R. R., & McGrath, R.
- Affiliations
- North Dakota State University (US)
- Ohio University (US)
- The Ohio State University (US)
- Washington University in St. Louis (US)
- Corresponding author
- McGrath, Ryan
- Venue
- Journal of Alzheimer’s Disease
- Publisher
- SAGE Publications
- Published
- 2020-01-02
- Volume
- 73
- Issue
- 4
- Pages
- 1265-1278
- ISSN
- 1387-2877 (ISSN-L)
- 1875-8908
- PMC
- PMC7063546
- OpenAlex
- W3000058179
- Cited by
- 90
- References
- 136
- Citations by year
- 2026: 13 · 2025: 20 · 2024: 19 · 2023: 14 · 2022: 9 · 2021: 14 · 2020: 1
- FWCI
- 1.21
- Type
- journal article
- Language
- en
- Open access
- green
- europepmc.org
- Locations
- Journal of Alzheimer s Disease (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institute on Aging (R01AG044424)
- National Heart, Lung, and Blood Institute (T32HL130357)
- Topics
- Health Sciences › Medicine › Physiology › Nutrition and Health in Aging
- Health Sciences › Medicine › Psychiatry and Mental health › Dementia and Cognitive Impairment Research
- Health Sciences › Medicine › Geriatrics and Gerontology › Frailty in Older Adults
- Keywords
- grip strength, cognitive function
- MeSH terms
- Alzheimer Disease, Cognition, Humans, Memory, Muscle, Skeletal, Hand Strength, Cognitive Dysfunction
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