Budziareck Michele Berçôt, Pureza Duarte Rodrigo Roig, Barbosa-Silva Maria Cristina G
Programa de Pós-graduação em Saúde e Comportamento, Universidade Católica de Pelotas, Pelotas, RS, Brazil.
Clin Nutr. 2008 Jun;27(3):357-62. doi: 10.1016/j.clnu.2008.03.008. Epub 2008 May 2.
BACKGROUND & OBJECTIVES: To determine reference values and associated factors for handgrip strength among healthy adults.
Three hundred well nourished (SGA category A) subjects were studied, aged 18-90 years. Handgrip strength (HS) was determined using a hand dynamometer. Adductor pollicis muscle (APM) thickness and other anthropometric variables were also measured. Results were analyzed according to gender and age group. We carried out multiple linear regression in order to identify significant determinants of handgrip strength.
HS is significantly associated with gender and decreases after age 60 years (p<0.001). Different reference values for each gender and age category are presented, for both dominant (DHS) and non-dominant hands (NDHS). APM showed a strong correlation with HS (R(2)=0.71 and 0.70, for DHS and NDHS, respectively). This association remained significant after adjustment for other variables such as gender, age and body mass index.
Reference values are needed to allow the use of HS as a muscular function assessment tool. Values should be stratified by gender and age group. The combined use of HS and APM may be useful as a method for nutritional assessment.
确定健康成年人握力的参考值及相关因素。
对300名营养良好（SGA A类）、年龄在18至90岁的受试者进行研究。使用握力计测定握力（HS）。还测量了拇收肌（APM）厚度及其他人体测量变量。根据性别和年龄组对结果进行分析。我们进行了多元线性回归以确定握力的重要决定因素。
握力与性别显著相关，60岁后握力下降（p<0.001）。给出了按性别和年龄类别划分的优势手（DHS）和非优势手（NDHS）的不同参考值。APM与握力显示出强相关性（DHS和NDHS的R²分别为0.71和0.70）。在对性别、年龄和体重指数等其他变量进行调整后，这种关联仍然显著。
需要参考值以便将握力用作肌肉功能评估工具。数值应按性别和年龄组进行分层。握力和APM的联合使用可能作为一种营养评估方法有用。
