Physiotherapy Course, Department of Health Sciences, Rehabilitation and Functional Performance Program, Ribeirão Preto Medical School, University of São Paulo, Bandeirantes Avenue, 3900, Ribeirão Preto, SP, 14049-900, Brazil.
Physiotherapy Course, Department of Health Sciences, Rehabilitation and Functional Performance Program, Ribeirão Preto Medical School, University of São Paulo, Bandeirantes Avenue, 3900, Ribeirão Preto, SP, 14049-900, Brazil.
Arch Gerontol Geriatr. 2019 May-Jun;82:273-278. doi: 10.1016/j.archger.2019.03.005. Epub 2019 Mar 6.
There are still conflicting results regarding the association between grip and global muscle strength in older people. Therefore, the objective of the present study was to determine the association between grip strength and global muscle strength, as well as between grip strength and individual trunk, hip, knee and ankle muscle strengths.
Grip strength was assessed using a manual dynamometer, and trunk, hip, knee and ankle muscle strength with an isokinetic dynamometer, in order to obtain the global muscle strength variable, in 150 older men and women from the community. The association between grip and global muscle strength and between grip strength and the strength of each muscle group was determined through the Pearson correlation test, followed by multivariate linear regression adjusted for sex, age, body mass index, level of physical activity and number of comorbidities.
A positive significant association was found between grip strength and global muscle strength in older people (r = 0.690; β = 10.07; p < 0.001; R = 0.604), even after adjustment. There was also a low to moderate association between all the muscle groups and grip strength. However, when the model was adjusted, the relationship between grip strength and ankle dorsiflexor peak torque lost significance (p = 0.924).
Grip strength can represent global muscle strength in younger older people in the community, even when confounding variables are considered in the statistical model. However, grip strength does not eliminate the need for specific assessment of different muscle groups, when indicated.
关于老年人握力和整体肌肉力量之间的关联仍存在相互矛盾的结果。因此,本研究的目的是确定握力与整体肌肉力量之间的关联,以及握力与个体躯干、臀部、膝盖和脚踝肌肉力量之间的关联。
使用手动测力计评估握力,使用等速测力计评估躯干、臀部、膝盖和脚踝肌肉力量,以获得整体肌肉力量变量,在社区中的 150 名老年男性和女性中进行。通过 Pearson 相关检验确定握力和整体肌肉力量之间以及握力与每个肌肉群之间的关联,然后通过多元线性回归进行调整,调整因素包括性别、年龄、体重指数、身体活动水平和共病数量。
老年人的握力与整体肌肉力量之间存在显著的正相关关系(r=0.690;β=10.07;p<0.001;R=0.604),即使在调整后也是如此。所有肌肉群与握力之间也存在低到中度的关联。然而,当调整模型时,握力与脚踝背屈峰值扭矩之间的关系失去了显著性(p=0.924)。
在考虑统计模型中的混杂变量的情况下,握力可以代表社区中年轻老年人的整体肌肉力量。然而,当需要特定评估不同肌肉群时,握力并不能消除这种需要。