Please use this identifier to cite or link to this item: https://doi.org/10.1002/jcsm.12181
Title: Assessment of maximal handgrip strength: how many attempts are needed?
Authors: Reijnierse, Esmee M
de Jong, Nynke
Trappenburg, Marijke C
Blauw, Gerard Jan
Butler-Browne, Gillian
Gapeyeva, Helena
Hogrel, Jean-Yves
McPhee, Jamie S
Narici, Marco V
Sipila, Sarianna
Stenroth, Lauri
van Lummel, Rob C
Pijnappels, Mirjam
Meskers, Carel GM
Maier, Andrea B 
Keywords: Science & Technology
Life Sciences & Biomedicine
Geriatrics & Gerontology
Medicine, General & Internal
General & Internal Medicine
Muscle strength
Sarcopenia
Aged
Geriatric assessment
Reproducibility of Results
GRIP STRENGTH
SARCOPENIA
RELIABILITY
VALIDITY
Issue Date: 1-Jun-2017
Publisher: WILEY
Citation: Reijnierse, Esmee M, de Jong, Nynke, Trappenburg, Marijke C, Blauw, Gerard Jan, Butler-Browne, Gillian, Gapeyeva, Helena, Hogrel, Jean-Yves, McPhee, Jamie S, Narici, Marco V, Sipila, Sarianna, Stenroth, Lauri, van Lummel, Rob C, Pijnappels, Mirjam, Meskers, Carel GM, Maier, Andrea B (2017-06-01). Assessment of maximal handgrip strength: how many attempts are needed?. JOURNAL OF CACHEXIA SARCOPENIA AND MUSCLE 8 (3) : 466-474. ScholarBank@NUS Repository. https://doi.org/10.1002/jcsm.12181
Abstract: Background: Handgrip strength (HGS) is used to identify individuals with low muscle strength (dynapenia). The influence of the number of attempts on maximal HGS is not yet known and may differ depending on age and health status. This study aimed to assess how many attempts of HGS are required to obtain maximal HGS. Methods: Three cohorts (939 individuals) differing in age and health status were included. HGS was assessed three times and explored as continuous and dichotomous variable. Paired t-test, intraclass correlation coefficients (ICC) and Bland–Altman analysis were used to test reproducibility of HGS. The number of individuals with misclassified dynapenia at attempts 1 and 2 with respect to attempt 3 were assessed. Results: Results showed the same pattern in all three cohorts. Maximal HGS at attempts 1 and 2 was higher than at attempt 3 on population level (P < 0.001 for all three cohorts). ICC values between all attempts were above 0.8, indicating moderate to high reproducibility. Bland–Altman analysis showed that 41.0 to 58.9% of individuals had the highest HGS at attempt 2 and 12.4 to 37.2% at attempt 3. The percentage of individuals with a maximal HGS above the gender-specific cut-off value at attempt 3 compared with attempts 1 and 2 ranged from 0 to 50.0%, with a higher percentage of misclassification in middle-aged and older populations. Conclusions: Maximal HGS is dependent on the number of attempts, independent of age and health status. To assess maximal HGS, at least three attempts are needed if HGS is considered to be a continuous variable. If HGS is considered as a discrete variable to assess dynapenia, two attempts are sufficient to assess dynapenia in younger populations. Misclassification should be taken into account in middle-aged and older populations.
Source Title: JOURNAL OF CACHEXIA SARCOPENIA AND MUSCLE
URI: https://scholarbank.nus.edu.sg/handle/10635/234910
ISSN: 2190-5991
2190-6009
DOI: 10.1002/jcsm.12181
Appears in Collections:Elements
Staff Publications

Show full item record
Files in This Item:
File Description SizeFormatAccess SettingsVersion 
Assessment of maximal handgrip strength how many attempts are needed.pdfSubmitted version390.25 kBAdobe PDF

OPEN

NoneView/Download

SCOPUSTM   
Citations

83
checked on Jan 26, 2023

Page view(s)

13
checked on Jan 26, 2023

Download(s)

1
checked on Jan 26, 2023

Google ScholarTM

Check

Altmetric


Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.