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Reference values for handgrip strength and their association with intrinsic capacity domains among older adults

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dc.creatorRamírez-Vélez, Robinson
dc.creatorCorrea Bautista, Jorge Enrique
dc.creatorGarcía?Hermoso, Antoniospa
dc.creatorCano, Carlos Albertospa
dc.creatorIzquierdo, Mikelspa
dc.date.accessioned2020-05-25T23:55:57Z
dc.date.available2020-05-25T23:55:57Z
dc.date.created2019spa
dc.description.abstractObjective: The purposes of this study were three-fold: (i) to describe handgrip strength in older individuals aged ?60 years in Colombia; (ii) to identify sex-specific and age-specific muscle weakness cut-off points in older adults; and (iii) to determine the odds of adverse events for each of the intrinsic capacity domains for individuals with handgrip strength greater than the muscle weakness cut-off points, as compared with their weaker counterparts. Methods: A cross-sectional study was conducted in Colombia, among 5237 older adults aged ?60 years old (58.5% women, 70.5 ± 7.8 years), according to ‘SABE Survey 2015’. Handgrip strength data were obtained with a Takei dynamometer. Sociodemographic variables, five domains of intrinsic capacity (i.e. locomotion, vitality, cognition, psychological, and sensory), and medical conditions were assessed and analyzed. Adjustments variables were age, ethnicity, socio-economic status, urbanicity, body mass index, smoking status, alcohol intake, drug use, physical activity, and co-morbid chronic diseases. Sex-stratified analyses were conducted with logistic regression models. Results: Handgrip strength was greater among men than among women (26.7 ± 8.5 vs. 16.7 ± 5.7 kg, respectively, P  less than  0.001) at all ages. Weak handgrip strength cut-off points ranged from 17.4 to 8.6 and from 10.1 to 4.9 in men and women, respectively. Overall, participants with optimal handgrip strength had better intrinsic capacity [in men, odds ratio (OR) = 0.62, 95% confidence interval (CI) 0.53 to 0.71; P  less than  0.001; and in women, OR = 0.79, 95% CI 0.68 to 0.92; P = 0.002] than their weaker counterparts. Also, men with optimal handgrip strength had a lower risk of hospitalization (OR = 0.47, 95% CI 0.29 to 0.78; P = 0.004) than their weaker counterparts. Conclusions: This study is the first to describe handgrip strength values and cut-off points for muscle weakness among a nationally representative sample of Colombian older adults by age and sex. After categorizing older adults as weak or not weak based on the handgrip cut-off points, non-weakness was associated with a decreased odds of intrinsic capacity impairments. These cut-off points may be good candidates for clinical assessment of risks to physical and mental health in older Colombian adults. © 2019 The Authors. Journal of Cachexia, Sarcopenia and Muscle published by John Wiley and Sons Ltd on behalf of the Society on Sarcopenia, Cachexia and Wasting Disorderseng
dc.format.mimetypeapplication/pdf
dc.identifier.doihttps://doi.org/10.1002/jcsm.12373
dc.identifier.issn21905991
dc.identifier.issn21906009
dc.identifier.urihttps://repository.urosario.edu.co/handle/10336/22271
dc.language.isoengspa
dc.publisherWiley Blackwellspa
dc.relation.citationEndPage286
dc.relation.citationIssueNo. 2
dc.relation.citationStartPage278
dc.relation.citationTitleJournal of Cachexia, Sarcopenia and Muscle
dc.relation.citationVolumeVol. 10
dc.relation.ispartofJournal of Cachexia, Sarcopenia and Muscle, ISSN:21905991, 21906009, Vol.10, No.2 (2019); pp. 278-286spa
dc.relation.urihttps://www.scopus.com/inward/record.uri?eid=2-s2.0-85062785956&doi=10.1002%2fjcsm.12373&partnerID=40&md5=bf14a098d76beaefec44bb96a77954f4spa
dc.rights.accesRightsinfo:eu-repo/semantics/openAccess
dc.rights.accesoAbierto (Texto Completo)spa
dc.source.instnameinstname:Universidad del Rosariospa
dc.source.reponamereponame:Repositorio Institucional EdocURspa
dc.subject.keywordAgedspa
dc.subject.keywordAlcohol consumptionspa
dc.subject.keywordArticlespa
dc.subject.keywordBody massspa
dc.subject.keywordClinical assessmentspa
dc.subject.keywordColombiaspa
dc.subject.keywordComorbidityspa
dc.subject.keywordControlled studyspa
dc.subject.keywordCross-sectional studyspa
dc.subject.keywordDemographyspa
dc.subject.keywordEthnic differencespa
dc.subject.keywordFemalespa
dc.subject.keywordGrip strengthspa
dc.subject.keywordGroups by agespa
dc.subject.keywordHospitalizationspa
dc.subject.keywordHumanspa
dc.subject.keywordLocomotionspa
dc.subject.keywordLogistic regression analysisspa
dc.subject.keywordMajor clinical studyspa
dc.subject.keywordMalespa
dc.subject.keywordMuscle strengthspa
dc.subject.keywordMuscle weaknessspa
dc.subject.keywordPhysical activityspa
dc.subject.keywordPriority journalspa
dc.subject.keywordReference valuespa
dc.subject.keywordSarcopeniaspa
dc.subject.keywordSmokingspa
dc.subject.keywordSocial statusspa
dc.subject.keywordCognitionspa
dc.subject.keywordHandgripspa
dc.subject.keywordLocomotionspa
dc.subject.keywordMental healthspa
dc.subject.keywordOlder adultsspa
dc.subject.keywordSkeletal musclespa
dc.subject.keywordVitalityspa
dc.titleReference values for handgrip strength and their association with intrinsic capacity domains among older adultsspa
dc.typearticleeng
dc.type.hasVersioninfo:eu-repo/semantics/publishedVersion
dc.type.spaArtículospa
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