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J Bone Metab. 2020 May;27(2):85-96. doi: 10.11005/jbm.2020.27.2.85. Epub 2020 May 31.

Measurement and Interpretation of Handgrip Strength for Research on Sarcopenia and Osteoporosis.

Journal of bone metabolism

Seung Hoo Lee, Hyun Sik Gong

Affiliations

  1. Department of Orthopedic Surgery, Regional Rheumatoid and Degenerative Arthritis Center, Chungnam National University Hospital, Chungnam National University School of Medicine, Daejeon, Korea.
  2. Department of Orthopedic Surgery, Seoul National University Bundang Hospital, Seoul National University College of Medicine, Seongnam, Korea.

PMID: 32572369 PMCID: PMC7297622 DOI: 10.11005/jbm.2020.27.2.85

Abstract

Handgrip strength (HGS) is associated with several chronic diseases, cognitive decline, length of hospital-stay, and mortality. More importantly, HGS is one of the diagnostic criteria of sarcopenia and gaining attention because of its relevance to bone mineral density (BMD) and osteoporotic fractures. As the measurement of HGS is widely used in clinical practice as well as in research, its accurate measurement and interpretation are becoming more crucial. This review describes how to use different types of dynamometers accurately, the impact of body and arm positions and anthropometric parameters on HGS, the current reference values of HGS for sarcopenia research, and the updates on the relationship between HGS and BMD and osteoporotic fractures.

Copyright © 2020 The Korean Society for Bone and Mineral Research.

Keywords: Hand strength; Muscle strength; Muscle strength dynamometer; Osteoporosis; Sarcopenia

Conflict of interest statement

Conflict of interest: No potential conflict of interest relevant to this article was reported.

References

  1. Ann Intern Med. 1994 Jan 1;120(1):26-34 - PubMed
  2. Clin Nutr. 2005 Apr;24(2):224-8 - PubMed
  3. Am J Phys Med Rehabil. 1998 Nov-Dec;77(6):470-6 - PubMed
  4. J Gerontol A Biol Sci Med Sci. 2005 Jan;60(1):80-4 - PubMed
  5. J Biomech. 2001 Apr;34(4):497-503 - PubMed
  6. Calcif Tissue Int. 1999 Mar;64(3):263-6 - PubMed
  7. Age Ageing. 2011 Jul;40(4):423-9 - PubMed
  8. Geriatr Gerontol Int. 2017 Nov;17(11):2089-2095 - PubMed
  9. Acta Orthop Scand. 1984 Oct;55(5):569-72 - PubMed
  10. Arch Osteoporos. 2020 Mar 16;15(1):47 - PubMed
  11. Arch Gerontol Geriatr. 2012 Sep-Oct;55(2):e9-13 - PubMed
  12. Open Orthop J. 2012;6:95-102 - PubMed
  13. J Am Med Dir Assoc. 2016 May 1;17(5):466.e1-7 - PubMed
  14. Arch Phys Med Rehabil. 1999 Feb;80(2):130-5 - PubMed
  15. J Hand Surg Am. 1992 Jan;17(1):169-77 - PubMed
  16. Age Ageing. 2015 May;44(3):465-70 - PubMed
  17. Geriatr Gerontol Int. 2013 Oct;13(4):964-71 - PubMed
  18. BMJ. 2010 Sep 09;341:c4467 - PubMed
  19. Calcif Tissue Int. 1999 Apr;64(4):291-4 - PubMed
  20. Int J Environ Res Public Health. 2019 Jun 25;16(12): - PubMed
  21. Arch Phys Med Rehabil. 1994 Jul;75(7):812-5 - PubMed
  22. J Hand Ther. 2000 Jan-Mar;13(1):33-6 - PubMed
  23. J Bone Miner Res. 2006 Aug;21(8):1207-14 - PubMed
  24. J Biomech. 1980;13(6):505-11 - PubMed
  25. J Bone Miner Res. 1994 Jan;9(1):45-51 - PubMed
  26. Maturitas. 2019 Dec;130:13-20 - PubMed
  27. J Am Med Dir Assoc. 2014 Feb;15(2):95-101 - PubMed
  28. Phys Ther. 1989 Apr;69(4):276-81 - PubMed
  29. Arch Gerontol Geriatr. 2013 Jan-Feb;56(1):155-9 - PubMed
  30. J Bone Miner Res. 2014 Sep;29(9):2101-8 - PubMed
  31. J Gerontol A Biol Sci Med Sci. 2006 Aug;61(8):859-65 - PubMed
  32. J Appl Physiol (1985). 2003 Nov;95(5):1851-60 - PubMed
  33. PLoS One. 2018 Aug 20;13(8):e0201275 - PubMed
  34. Age Ageing. 1995 Nov;24(6):481-4 - PubMed
  35. Exp Gerontol. 2018 Oct 1;111:65-70 - PubMed
  36. Age Ageing. 1984 Jan;13(1):42-8 - PubMed
  37. Am J Epidemiol. 2002 Jul 15;156(2):110-21 - PubMed
  38. Public Health. 1991 Nov;105(6):443-6 - PubMed
  39. J Am Med Dir Assoc. 2013 Oct;14(10):775.e5-11 - PubMed
  40. Age Ageing. 2019 Jul 1;48(4):601 - PubMed
  41. Aging Clin Exp Res. 2019 Oct;31(10):1509-1516 - PubMed
  42. Rheumatol Int. 2006 Dec;27(2):125-9 - PubMed
  43. Phys Ther. 1990 May;70(5):302-9 - PubMed
  44. J Geriatr Phys Ther. 2017 Apr/Jun;40(2):80-85 - PubMed
  45. Osteoporos Int. 2017 Oct;28(10):2781-2790 - PubMed
  46. Scand J Rehabil Med. 1995 Sep;27(3):137-43 - PubMed
  47. Int Orthop. 2009 Jun;33(3):713-7 - PubMed
  48. Epidemiology. 1991 Mar;2(2):116-22 - PubMed
  49. J Bone Miner Res. 1989 Jun;4(3):421-32 - PubMed
  50. Age Ageing. 2010 Jul;39(4):412-23 - PubMed
  51. Disabil Rehabil. 2010;32(5):367-73 - PubMed
  52. J Bone Miner Res. 2008 Jul;23(7):1037-44 - PubMed
  53. J Strength Cond Res. 2017 Sep;31(9):2586-2589 - PubMed
  54. Osteoporos Int. 2008 Aug;19(8):1203-10 - PubMed
  55. Osteoporos Int. 2005 Dec;16(12):1525-37 - PubMed
  56. Am J Clin Nutr. 2009 Dec;90(6):1579-85 - PubMed
  57. Appl Ergon. 2009 Jul;40(4):811-5 - PubMed
  58. J Rehabil Med. 2015 Sep;47(8):697-705 - PubMed
  59. Arch Phys Med Rehabil. 2014 Sep;95(9):1719-24 - PubMed
  60. Exp Gerontol. 2018 Oct 1;111:1-9 - PubMed
  61. Am J Med. 2013 Dec;126(12):1068-75.e1 - PubMed
  62. Clin Rheumatol. 2000;19(6):473-6 - PubMed
  63. J Clin Densitom. 2013 Jan-Mar;16(1):92-7 - PubMed
  64. J Bone Joint Surg Am. 2008 May;90(5):1053-9 - PubMed
  65. Medicine (Baltimore). 2015 Feb;94(6):e542 - PubMed
  66. J Epidemiol Community Health. 1993 Dec;47(6):441-3 - PubMed
  67. J Bone Miner Metab. 2003;21(2):86-90 - PubMed
  68. PLoS One. 2014 Dec 04;9(12):e113637 - PubMed
  69. Arch Med Res. 2005 Sep-Oct;36(5):603-6 - PubMed
  70. Arthritis Rheum. 1984 Aug;27(8):864-72 - PubMed
  71. Am J Epidemiol. 2003 Jun 1;157(11):1023-31 - PubMed
  72. J Hand Surg Am. 2008 Apr;33(4):558-65 - PubMed
  73. J Hand Surg Am. 1984 Mar;9(2):222-6 - PubMed
  74. J Hand Ther. 1994 Jul-Sep;7(3):163-70 - PubMed
  75. J Hand Ther. 1993 Oct-Dec;6(4):259-62 - PubMed
  76. Kobe J Med Sci. 1979 Mar;25(1):1-17 - PubMed
  77. J Hand Surg Am. 1985 Sep;10(5):694-7 - PubMed
  78. Aust Fam Physician. 2017 Nov;46(11):849-853 - PubMed
  79. Am J Epidemiol. 1993 May 1;137(9):1001-5 - PubMed
  80. Arch Plast Surg. 2013 Jan;40(1):52-6 - PubMed
  81. Arch Phys Med Rehabil. 1997 Oct;78(10):1154-6 - PubMed
  82. J Nutr Health Aging. 2009 Dec;13(10):907-12 - PubMed
  83. J Bone Metab. 2012 Nov;19(2):103-10 - PubMed
  84. BMC Musculoskelet Disord. 2019 Nov 27;20(1):568 - PubMed
  85. Br J Hosp Med (Lond). 2018 May 2;79(5):253-258 - PubMed

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