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Reference Ranges of Handgrip Strength From 125,462 Healthy Adults in 21 Countries: A Prospective Urban Rural Epidemiologic (Pure) Study Publisher Pubmed



Leong DP1 ; Teo KK1 ; Rangarajan S1 ; Kutty VR2 ; Lanas F3 ; Hui C4 ; Quanyong X5 ; Zhenzhen Q6 ; Jinhua T7 ; Noorhassim I8 ; Alhabib KF9 ; Moss SJ10 ; Rosengren A11 ; Akalin AA12 Show All Authors
Authors
  1. Leong DP1
  2. Teo KK1
  3. Rangarajan S1
  4. Kutty VR2
  5. Lanas F3
  6. Hui C4
  7. Quanyong X5
  8. Zhenzhen Q6
  9. Jinhua T7
  10. Noorhassim I8
  11. Alhabib KF9
  12. Moss SJ10
  13. Rosengren A11
  14. Akalin AA12
  15. Rahman O13
  16. Chifamba J14
  17. Orlandini A15
  18. Kumar R16
  19. Yeates K17
  20. Gupta R18
  21. Yusufali A19
  22. Dans A20
  23. Avezum A21
  24. Lopezjaramillo P22
  25. Poirier P23
  26. Heidari H24
  27. Zatonska K25
  28. Iqbal R26
  29. Khatib R27
  30. Yusuf S1
Show Affiliations
Authors Affiliations
  1. 1. The Population Health Research Institute, McMaster University and Hamilton Health Sciences, Hamilton, ON, Canada
  2. 2. Health Action by People, ‘Chemmanam’, Navarangam Lane, Medical College Post Office, Trivandrum, India
  3. 3. Universidad de La Frontera, Chile
  4. 4. Medical Research & Biometrics Center, National Center for Cardiovascular Diseases, FuWai Hospital, Beijing, China
  5. 5. Jiangsu Provincial Center for Disease Control &12 Prevention, Nanjing City, China
  6. 6. Jiangxinzhou community health service center, Nanjing City, China
  7. 7. Xiaohang Hospital, Nanjing City, China
  8. 8. Universiti Kebangsaan Malaysia, Medical Center(UKMMC), Kuala Lumpur, Malaysia
  9. 9. Department of Cardiac Sciences, King Fahad Cardiac Center, College of Medicine, King Saud University, Riyadh, Saudi Arabia
  10. 10. North-West University, Physical activity, Sport and Recreation Research Focus Area, Faculty of Health Sciences, Potchefstroom, South Africa
  11. 11. Sahlgrenska University Hospital/Ostra Hospital, Goteborg, Sweden
  12. 12. Department of Family Medicine and Department of Medical Education, Yeditepe University Medical Faculty, Atasehir, Istanbul, Turkey
  13. 13. Independent University, Bangladesh, Bangladesh
  14. 14. University of Zimbabwe College of Health Sciences, Department of Physiology, Harare, Zimbabwe
  15. 15. Estudios Clinicos Latino America, Rosario, Argentina
  16. 16. PGIMER School of Public Health, Chandigarh, India
  17. 17. Department of Medicine, Queen's University, Kingston, ON, Canada
  18. 18. Fortis Escorts Hospital, Jaipur, India
  19. 19. Hatta Hospital, Dubai Health Authority, Dubai, United Arab Emirates
  20. 20. College of Medicine, University of the Philippines – Manila, Malate, Philippines
  21. 21. Dante Pazzanese Institute of Cardiology, Sao Paulo, Brazil
  22. 22. Fundacion Oftalmologica de Santander (FOSCAL), Universidad de Santander (UDES), Bucaramanga, Colombia
  23. 23. Institut universitaire de cardiologie et de pneumologie de Quebec, Quebec, Canada
  24. 24. Cardiac Rehabilitation Research Center, Isfahan University of Medical Sciences, Isfahan, Iran
  25. 25. Department of Social Medicine Medical University of Wroclaw, Poland
  26. 26. Departments of Community Health Sciences and Medicine, Aga Khan University, Pakistan
  27. 27. Institute of Community and Public Health, Birzeit University, Ramallah, Palestine

Source: Journal of Cachexia, Sarcopenia and Muscle Published:2016


Abstract

Background: The measurement of handgrip strength (HGS) has prognostic value with respect to all-cause mortality, cardiovascular mortality and cardiovascular disease, and is an important part of the evaluation of frailty. Published reference ranges for HGS are mostly derived from Caucasian populations in high-income countries. There is a paucity of information on normative HGS values in non-Caucasian populations from low- or middle-income countries. The objective of this study was to develop reference HGS ranges for healthy adults from a broad range of ethnicities and socioeconomically diverse geographic regions. Methods: HGS was measured using a Jamar dynamometer in 125,462 healthy adults aged 35-70 years from 21 countries in the Prospective Urban Rural Epidemiology (PURE) study. Results: HGS values differed among individuals from different geographic regions. HGS values were highest among those from Europe/North America, lowest among those from South Asia, South East Asia and Africa, and intermediate among those from China, South America, and the Middle East. Reference ranges stratified by geographic region, age, and sex are presented. These ranges varied from a median (25th–75th percentile) 50 kg (43–56 kg) in men <40 years from Europe/North America to 18 kg (14–20 kg) in women >60 years from South East Asia. Reference ranges by ethnicity and body-mass index are also reported. Conclusions: Individual HGS measurements should be interpreted using region/ethnic-specific reference ranges. © 2016 The Authors. Journal of Cachexia, Sarcopenia and Muscle published by John Wiley & Sons Ltd on behalf of the Society of Sarcopenia, Cachexia and Wasting Disorders
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