Harries A D
Hum Nutr Clin Nutr. 1985 Jul;39(4):309-13.
Grip strength, measured with a Harpenden hand-grip dynamometer, and anthropometric measurements of upper limb muscle size were performed on 328 healthy Africans and on 148 African patients admitted to medical wards of the General Hospital, Maiduguri. In healthy subjects grip strength was constant between the ages of 18 and 44 years, and at 2 s.d. below the mean cut-off levels of 30 kg and 19 kg were chosen respectively for men and women. Medical patients had a reduction in arm muscle circumference and arm muscle area, and 60 per cent had a grip strength below the cut-off level. In male and female patients there was a strong positive correlation between grip strength and anthropometric measurements, although the ratio of grip strength to arm muscle area (G/A) was reduced compared with healthy subjects. Grip strength is a simple, cheap and reproducible index of muscle function, and further studies should be undertaken to define more clearly its role in the assessment of adult nutrition in the tropics.
使用哈彭登握力计测量握力，并对328名健康非洲人和148名入住迈杜古里综合医院内科病房的非洲患者进行上肢肌肉大小的人体测量。在健康受试者中，18至44岁之间握力保持恒定，分别为男性和女性选择低于平均截断水平30千克和19千克的2个标准差作为截断值。内科患者的上臂肌肉周长和上臂肌肉面积减小，60%的患者握力低于截断水平。在男性和女性患者中，握力与人体测量值之间存在强正相关，尽管与健康受试者相比，握力与上臂肌肉面积的比值（G/A）降低。握力是一种简单、廉价且可重复的肌肉功能指标，应进一步开展研究以更明确其在热带地区成人营养评估中的作用。
