Global variation in grip strength: a systematic review and meta-analysis of normative data

weak grip strength is a key component of sarcopenia and is associated with subsequent disability and mortality. We have recently established life course normative data for grip strength in Great Britain, but it is unclear whether the cut points we derived for weak grip strength are suitable for use...

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Vydáno v:	Age and ageing Ročník 45; číslo 2; s. 209
Hlavní autoři:	Dodds, Richard M, Syddall, Holly E, Cooper, Rachel, Kuh, Diana, Cooper, Cyrus, Sayer, Avan Aihie
Médium:	Journal Article
Jazyk:	angličtina
Vydáno:	England 01.03.2016
Témata:	Adolescent Adult Age Factors Aged Aged, 80 and over Aging Consensus Female Frail Elderly Geriatric Assessment - methods Hand Strength Health Status Indicators Humans Male Middle Aged Muscle Weakness - diagnosis Muscle Weakness - epidemiology Muscle Weakness - physiopathology Predictive Value of Tests Reference Values Reproducibility of Results Sarcopenia - diagnosis Sarcopenia - epidemiology Sarcopenia - physiopathology Sex Factors Young Adult grip strength international systematic review old people sarcopenia
ISSN:	1468-2834, 1468-2834
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Abstract	weak grip strength is a key component of sarcopenia and is associated with subsequent disability and mortality. We have recently established life course normative data for grip strength in Great Britain, but it is unclear whether the cut points we derived for weak grip strength are suitable for use in other settings. Our objective was to investigate differences in grip strength by world region using our data as a reference standard. we searched MEDLINE and EMBASE for reporting age- and gender-stratified normative data for grip strength. We extracted each item of normative data and converted it on to a Z-score scale relative to our British centiles. We performed meta-regression to pool the Z-scores and compare them by world region. our search returned 806 abstracts. Sixty papers met inclusion criteria and reported on 63 different samples. Seven UN regions were represented, although most samples (n = 44) were based in developed regions. We extracted 726 normative data items relating to 96,537 grip strength observations. Normative data from developed regions were broadly similar to our British centiles, with a pooled Z-score 0.12 SDs (95% CI: 0.07, 0.17) above the corresponding British centiles. By comparison, normative data from developing regions were clearly lower, with a pooled Z-score of -0.85 SDs (95% CI: -0.94, -0.76). our findings support the use of our British grip strength centiles and their associated cut points in consensus definitions for sarcopenia and frailty across developed regions, but highlight the need for different cut points in developing regions.
AbstractList	weak grip strength is a key component of sarcopenia and is associated with subsequent disability and mortality. We have recently established life course normative data for grip strength in Great Britain, but it is unclear whether the cut points we derived for weak grip strength are suitable for use in other settings. Our objective was to investigate differences in grip strength by world region using our data as a reference standard. we searched MEDLINE and EMBASE for reporting age- and gender-stratified normative data for grip strength. We extracted each item of normative data and converted it on to a Z-score scale relative to our British centiles. We performed meta-regression to pool the Z-scores and compare them by world region. our search returned 806 abstracts. Sixty papers met inclusion criteria and reported on 63 different samples. Seven UN regions were represented, although most samples (n = 44) were based in developed regions. We extracted 726 normative data items relating to 96,537 grip strength observations. Normative data from developed regions were broadly similar to our British centiles, with a pooled Z-score 0.12 SDs (95% CI: 0.07, 0.17) above the corresponding British centiles. By comparison, normative data from developing regions were clearly lower, with a pooled Z-score of -0.85 SDs (95% CI: -0.94, -0.76). our findings support the use of our British grip strength centiles and their associated cut points in consensus definitions for sarcopenia and frailty across developed regions, but highlight the need for different cut points in developing regions. weak grip strength is a key component of sarcopenia and is associated with subsequent disability and mortality. We have recently established life course normative data for grip strength in Great Britain, but it is unclear whether the cut points we derived for weak grip strength are suitable for use in other settings. Our objective was to investigate differences in grip strength by world region using our data as a reference standard.BACKGROUNDweak grip strength is a key component of sarcopenia and is associated with subsequent disability and mortality. We have recently established life course normative data for grip strength in Great Britain, but it is unclear whether the cut points we derived for weak grip strength are suitable for use in other settings. Our objective was to investigate differences in grip strength by world region using our data as a reference standard.we searched MEDLINE and EMBASE for reporting age- and gender-stratified normative data for grip strength. We extracted each item of normative data and converted it on to a Z-score scale relative to our British centiles. We performed meta-regression to pool the Z-scores and compare them by world region.METHODSwe searched MEDLINE and EMBASE for reporting age- and gender-stratified normative data for grip strength. We extracted each item of normative data and converted it on to a Z-score scale relative to our British centiles. We performed meta-regression to pool the Z-scores and compare them by world region.our search returned 806 abstracts. Sixty papers met inclusion criteria and reported on 63 different samples. Seven UN regions were represented, although most samples (n = 44) were based in developed regions. We extracted 726 normative data items relating to 96,537 grip strength observations. Normative data from developed regions were broadly similar to our British centiles, with a pooled Z-score 0.12 SDs (95% CI: 0.07, 0.17) above the corresponding British centiles. By comparison, normative data from developing regions were clearly lower, with a pooled Z-score of -0.85 SDs (95% CI: -0.94, -0.76).FINDINGSour search returned 806 abstracts. Sixty papers met inclusion criteria and reported on 63 different samples. Seven UN regions were represented, although most samples (n = 44) were based in developed regions. We extracted 726 normative data items relating to 96,537 grip strength observations. Normative data from developed regions were broadly similar to our British centiles, with a pooled Z-score 0.12 SDs (95% CI: 0.07, 0.17) above the corresponding British centiles. By comparison, normative data from developing regions were clearly lower, with a pooled Z-score of -0.85 SDs (95% CI: -0.94, -0.76).our findings support the use of our British grip strength centiles and their associated cut points in consensus definitions for sarcopenia and frailty across developed regions, but highlight the need for different cut points in developing regions.INTERPRETATIONour findings support the use of our British grip strength centiles and their associated cut points in consensus definitions for sarcopenia and frailty across developed regions, but highlight the need for different cut points in developing regions.
Author	Syddall, Holly E Cooper, Rachel Dodds, Richard M Cooper, Cyrus Kuh, Diana Sayer, Avan Aihie
Author_xml	– sequence: 1 givenname: Richard M surname: Dodds fullname: Dodds, Richard M organization: Medical Research Council Lifecourse Epidemiology Unit, University of Southampton, Southampton, UK Academic Geriatric Medicine, Faculty of Medicine, University of Southampton, Southampton, UK – sequence: 2 givenname: Holly E surname: Syddall fullname: Syddall, Holly E organization: Medical Research Council Lifecourse Epidemiology Unit, University of Southampton, Southampton, UK – sequence: 3 givenname: Rachel surname: Cooper fullname: Cooper, Rachel organization: Medical Research Council Unit for Lifelong Health and Ageing at UCL, London, UK – sequence: 4 givenname: Diana surname: Kuh fullname: Kuh, Diana organization: Medical Research Council Unit for Lifelong Health and Ageing at UCL, London, UK – sequence: 5 givenname: Cyrus surname: Cooper fullname: Cooper, Cyrus organization: Medical Research Council Lifecourse Epidemiology Unit, University of Southampton, Southampton, UK National Institute for Health Research Southampton Biomedical Research Centre, University of Southampton and University Hospital Southampton NHS Foundation Trust, Southampton, UK National Institute for Health Research Musculoskeletal Biomedical Research Unit, University of Oxford, Oxford, UK – sequence: 6 givenname: Avan Aihie surname: Sayer fullname: Sayer, Avan Aihie organization: Medical Research Council Lifecourse Epidemiology Unit, University of Southampton, Southampton, UK Academic Geriatric Medicine, Faculty of Medicine, University of Southampton, Southampton, UK National Institute for Health Research Southampton Biomedical Research Centre, University of Southampton and University Hospital Southampton NHS Foundation Trust, Southampton, UK National Institute for Health Research Collaboration for Leadership in Applied Health Research and Care, Wessex, UK Newcastle University Institute for Ageing and Institute of Health and Society, Newcastle University, Newcastle, UK
BackLink	https://www.ncbi.nlm.nih.gov/pubmed/26790455$$D View this record in MEDLINE/PubMed
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Snippet	weak grip strength is a key component of sarcopenia and is associated with subsequent disability and mortality. We have recently established life course...
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SubjectTerms	Adolescent Adult Age Factors Aged Aged, 80 and over Aging Consensus Female Frail Elderly Geriatric Assessment - methods Hand Strength Health Status Indicators Humans Male Middle Aged Muscle Weakness - diagnosis Muscle Weakness - epidemiology Muscle Weakness - physiopathology Predictive Value of Tests Reference Values Reproducibility of Results Sarcopenia - diagnosis Sarcopenia - epidemiology Sarcopenia - physiopathology Sex Factors Young Adult
Title	Global variation in grip strength: a systematic review and meta-analysis of normative data
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