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手握力的新规范值:来自英国生物库的研究结果。

New normative values for handgrip strength: results from the UK Biobank.

机构信息

Program Development Center, CIRO+, Center of Expertise for Chronic Organ Failure, Horn, The Netherlands.

出版信息

J Am Med Dir Assoc. 2013 Oct;14(10):775.e5-11. doi: 10.1016/j.jamda.2013.06.013. Epub 2013 Aug 16.

DOI:10.1016/j.jamda.2013.06.013
PMID:23958225
Abstract

OBJECTIVES

To develop normative values for right and left handgrip strength after stratification for confounders like gender, age, and height.

DESIGN

Cross-sectional, descriptive.

SETTING

General population.

PARTICIPANTS

A total of 502,713 people living in the United Kingdom.

INTERVENTION

None.

MEASUREMENTS

Handgrip strength was measured using a Jamar hydraulic hand dynamometer, which is considered to be an accurate instrument to measure handgrip strength. In addition, self-reported chronic conditions and ethnic background were registered, and lung function was assessed using spirometry.

RESULTS

After exclusion of all individuals with missing data, a nonwhite ethnic background, the presence of 1 or more self-reported conditions, and/or an obstructive lung function (defined as FEV1/FVC <0.7), new normative values for right and left handgrip strength were derived from 224,830 and 224,852 individuals (54.2% women; age: 55.0 [8.0] years; height: 169.0 [9.2] cm; body mass index: 26.9 [4.4] kg/m(2)) with a nonobstructed spirometry (FEV1: 3.0 [0.8] L). Men were stronger than women. Moreover, significant associations were found between handgrip strength and height, and between handgrip strength and age. Finally, percentiles 5, 10, 25, 50, 75, 90, and 95 were calculated for right and left handgrip strength, after stratification for gender, age, and height.

CONCLUSION

The UK Biobank dataset provided the opportunity to determine new normative values for handgrip strength in men and women aged 39 to 73 years. These normative values take into consideration age, height, and measurement side. Therefore, these new normative handgrip strength values are of broad clinical interest.

摘要

目的

通过分层分析性别、年龄和身高等混杂因素,制定右手和左手握力的正常值。

设计

横断面、描述性。

地点

普通人群。

参与者

共有 502713 名居住在英国的人。

干预

无。

测量

使用 Jamar 液压握力计测量握力,该仪器被认为是测量握力的准确仪器。此外,还记录了自我报告的慢性疾病和种族背景,并使用肺活量计评估肺功能。

结果

在排除所有缺失数据、非白色种族背景、存在 1 种或多种自我报告的疾病以及/或存在阻塞性肺功能(定义为 FEV1/FVC<0.7)的个体后,从 224830 名和 224852 名(54.2%为女性;年龄:55.0[8.0]岁;身高:169.0[9.2]cm;体重指数:26.9[4.4]kg/m²)无阻塞性肺活量计检查(FEV1:3.0[0.8]L)的个体中得出了右手和左手握力的新正常值。男性比女性更强壮。此外,还发现握力与身高和年龄之间存在显著关联。最后,根据性别、年龄和身高对右和左手握力进行分层,计算了 5%、10%、25%、50%、75%、90%和 95%的百分位数。

结论

英国生物库数据集提供了机会,可确定年龄在 39 至 73 岁的男性和女性的握力正常值。这些正常值考虑了年龄、身高和测量侧。因此,这些新的握力正常值具有广泛的临床意义。

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