Skip to main content
Log in

Relationship between low handgrip strength and quality of life in Korean men and women

  • Published:
Quality of Life Research Aims and scope Submit manuscript

Abstract

Purpose

Handgrip strength is strongly related to muscle power in the extremities and is an important index for diagnosing sarcopenia. We evaluated the relationship between handgrip strength and quality of life (QoL) in Korean men and women.

Methods

We analyzed 4620 participants (2070 men and 2550 women) using data from the Korea National Health and Nutrition Examination Survey VI-3 (2015). Low handgrip strength was defined as the lower quartile of handgrip strength in the study population. QoL was evaluated according to the European Quality of Life Scale-Five Dimensions (EQ-5D). The relationship between handgrip strength and QoL was evaluated by multivariate logistic regression analyses.

Results

The odds ratios (ORs) for low handgrip strength significantly increased as age increased for both men and women. The ORs for low handgrip strength increased as body mass index decreased in men. In men with low handgrip strength, the OR for having problems in mobility (OR 1.93, 95% confidence interval (CI) 1.25–2.98) and having pain or discomfort (1.53, 1.04–2.24) significantly increased. In women with low handgrip strength, the OR for having problems in mobility (2.12, 1.02–2.87), problems in usual activities (2.04, 1.46–2.85), and having pain or discomfort (1.48, 1.15–1.90) significantly increased.

Conclusion

Men with low handgrip strength had poor QoL on the mobility and pain/discomfort dimensions of EQ-5D, whereas women with low handgrip strength had poor QoL on mobility, usual activities, and pain/discomfort dimensions. Management to improve handgrip strength is necessary for achieving better QoL.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Cruz- Jentoft, A. J., Baeyens, J. P., Bauer, J. M., Boirie, Y., Cederholm, T., Landi, F., et al. (2010). Sarcopenia: European consensus on definition and diagnosis: Report of the European Working Group on Sarcopenia in older people. Age and Ageing, 39(4), 412–423.

    Article  PubMed  PubMed Central  Google Scholar 

  2. Chen, L. K., Lee, W. J., Peng, L. N., Liu, L. K., Arai, H., Akishita, M., et al. (2016). Recent advances in sarcopenia research in Asia: 2016 update from the Asian Working Group for Sarcopenia. Journal of American Medical Directors Association, 17(8), 767.e1–767.e7.

    Article  Google Scholar 

  3. Shafiee, G., Keshtkar, A., Soltani, A., Ahadi, Z., Larijani, B., & Heshmat, R. (2017). Prevalence of sarcopenia in the world: A systematic review and meta-analysis of general population studies. Journal of Diabetes & Metabolic Disorders, 16, 21.

    Article  Google Scholar 

  4. Beaudart, C., Zaaria, M., Pasleau, F., Reginster, J. Y., & Bruyère, O. (2017). Health outcomes of sarcopenia: A systematic review and meta-analysis. PLoS ONE, 12(1), e0169548.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  5. Chang, K. V., Hsu, T. H., Wu, W. T., Huang, K. C., & Han, D. S. (2017). Is sarcopenia associated with depression? A systematic review and meta-analysis of observational studies. Age and Ageing, 46, 1–9.

    Article  Google Scholar 

  6. Hanai, T., Shiraki, M., Nishimura, K., Ohnishi, S., Imai, K., Suetsugu, A., et al. (2015). Sarcopenia impairs prognosis of patients with liver cirrhosis. Nutrition, 31(1), 193–199.

    Article  PubMed  Google Scholar 

  7. Wu, Y., Wang, W., Liu, T., & Zhang, D. (2017). Association of grip strength with risk of all-cause mortality, cardiovascular diseases, and cancer in community-dwelling populations: A meta-analysis of prospective cohort studies. Journal of American Medical Directors Association, 18(6), 551.e517–551.e535.

    Article  Google Scholar 

  8. Leong, D. P., Teo, K. K., Rangarajan, S., Lopez-Jaramillo, P., Avezum, A. Jr., Orlandini, A., et al. (2015). Prognostic value of grip strength: Findings from the Prospective Urban Rural Epidemiology (PURE) study. Lancet, 386(9990), 266–273.

    Article  PubMed  Google Scholar 

  9. Peterson, M. D., Duchowny, K., Meng, Q., Wang, Y., Chen, X., & Zhao, Y. (2017). Low normalized grip strength is a biomarker for cardiometabolic disease and physical disabilities among U.S. and Chinese adults. The Journals of Gerontology: Series A, Biological Sciences and Medical Sciences, 72(11), 1525–1531.

    Article  Google Scholar 

  10. Taekema, D. G., Gussekloo, J., Maier, A. B., Westendorp, R. G., & de Craen, A. J. (2010). Handgrip strength as a predictor of functional, psychological and social health: A prospective population-based study among the oldest old. Age and Ageing, 39(3), 331–337.

    Article  PubMed  Google Scholar 

  11. Manrique-Espinoza, B., Salinas-Rodriguez, A., Rosas-Carrasco, O., Gutiérrez-Robledo, L. M., & Avila-Funes, J. A. (2017). Sarcopenia is associated with physical and mental components of health-related quality of life in older adults. Journal of American Medical Directors Association, 18(7), 636.e631–636.e635.

    Article  Google Scholar 

  12. Sayer, A. A., Syddall, H. E., Martin, H. J., Dennison, E. M., Roberts, H. C., & Cooper, C. (2006). Is grip strength associated with health-related quality of life? Findings from the Hertfordshire Cohort Study. Age and Ageing, 35(4), 409–415.

    Article  PubMed  Google Scholar 

  13. Kweon, S., Kim, Y., Jang, M. J., Kim, Y., Kim, K., Choi, S., et al. (2014). Data resource profile: The Korea national health and nutrition examination survey (KNHANES). International Journal of Epidemiolology, 43(1), 69–77.

    Article  Google Scholar 

  14. Chow, S. C., Shao, J., & Wang, H. (2003). Sample size calculations in clinical research. New York: CRC Press.

    Google Scholar 

  15. Korea Centers for Disease Control and Prevention. (2013). Development of the Korean version of Global Physical Activity Questionnaire and assessment of reliability and validity. Accessed March 11, 2018, from http://cdc.go.kr/CDC/cms/cmsFileDownload.jsp?fid=28&cid=25567&fieldName=attach1&index=1.

  16. World Health Organization. (2012). Global Physical Activity Questionnaire (GPAQ) analysis guide. Accessed April 7, 2017, from http://www.who.int/chp/steps/resources/GPAQ_Analysis_Guide.pdf.

  17. US Department of Health & Human Services. (2005). Helping patients who drink too much: A clinician’s guide. Accessed April 9, 2017, from https://pubs.niaaa.nih.gov/publications/practitioner/cliniciansguide2005/guide.pdf.

  18. Roberts, H. C., Denison, H. J., Martin, H. J., Patel, H. P., Syddall, H., Cooper, C., et al. (2011). A review of the measurement of grip strength in clinical and epidemiological studies: Towards a standardised approach. Age and Ageing, 40(4), 423–429.

    Article  PubMed  Google Scholar 

  19. Cadenas-Sanchez, C., Sanchez-Delgado, G., Martinez-Tellez, B., Mora-Gonzalez, J., Löf, M., España-Romero, V., et al. (2016). Reliability and validity of different models of TKK hand dynamometers. American Journal of Occupational Therapy, 70(4), 7004300010.

    Article  PubMed  Google Scholar 

  20. Stessman, J., Rottenberg, Y., Fischer, M., Hammerman-Rozenberg, A., & Jacobs, J. M. (2017). Handgrip strength in old and very old adults: Mood, cognition, function, and mortality. Journal of the American Geriatrics Society, 65(3), 526–532.

    Article  PubMed  Google Scholar 

  21. Korea Centers for Disease Control and Prevention. (2011). Validity and reliability evaluation for EQ-5D in Korea. Accessed April 10, 2017, from http://www.ndsl.kr/ndsl/commons/util/ndslOriginalView.do?cn=TRKO201300000474&dbt=TRKO.

  22. Tikkanen, P., Nykanen, I., Lonnroos, E., Sipilä, S., Sulkava, R., & Hartikainen, S. (2012). Physical activity at age of 20–64 years and mobility and muscle strength in old age: A community-based study. The Journal of Gerontology: Series A, Biological Sciences and Medical Sciences, 67(8), 905–910.

    Google Scholar 

  23. Mijnarends, D. M., Koster, A., Schols, J. M., Meijers, J. M., Halfens, R. J., Gudnason, V., et al. (2016). Physical activity and incidence of sarcopenia: The population-based AGES-Reykjavik Study. Age and Ageing, 45(5), 614–620.

    Article  PubMed  PubMed Central  Google Scholar 

  24. Cooper, A., Lamb, M., Sharp, S. J., Simmons, R. K., & Griffin, S. J. (2017). Bidirectional association between physical activity and muscular strength in older adults: Results from the UK Biobank study. International Journal of Epidemiology, 46(1), 141–148.

    PubMed  Google Scholar 

  25. Visser, M., Pluijm, S. M., Stel, V. S., Bosscher, R. J., & Deeg, D. J.; Longitudinal Aging Study Amsterdam (2002). Physical activity as a determinant of change in mobility performance: The Longitudinal Aging Study Amsterdam. Journal of the American Geriatrics Society, 50(11), 1774–1781.

    Article  PubMed  Google Scholar 

  26. Rantanen, T., Era, P., & Heikkinen, E. (1997). Physical activity and the changes in maximal isometric strength in men and women from the age of 75 to 80 years. Journal of the American Geriatrics Society, 45(12), 1439–1445.

    Article  CAS  PubMed  Google Scholar 

  27. Barbat-Artigas, S., Rolland, Y., Cesari, M., van Kan, G. A., Vellas, B., Aubertin-Leheudre, M. (2013). Clinical relevance of different muscle strength indexes and functional impairment in women aged 75 years and older. The Journal of Gerontology: Series A, Biological Sciences and Medical Sciences, 68(7), 811–819.

    Google Scholar 

  28. Sallinen, J., Stenholm, S., Rantanen, T., Heliövaara, M., Sainio, P., & Koskinen, S. (2010). Hand-grip strength cut points to screen older persons at risk for mobility limitation. Journal of American Geriatrics Society, 58(9), 1721–1726.

    Article  Google Scholar 

  29. Sugiura, Y., Tanimoto, Y., Watanabe, M., Tsuda, Y., Kimura, M., Kusabiraki, T., et al. (2013). Handgrip strength as a predictor of higher-level competence decline among community-dwelling Japanese elderly in an urban area during a 4-year follow-up. Archives of Gerontology and Geriatrics, 57(3), 319–324.

    Article  PubMed  Google Scholar 

  30. van Wilgen, C. P., Akkerman, L., Wieringa, J., & Dijkstra, P. U. (2003). Muscle strength in patients with chronic pain. Clinical Rehabilitation, 17(8), 885–889.

    Article  PubMed  Google Scholar 

  31. Haraldstad, K., Rohde, G., Stea, T. H., Lohne-Seiler, H., Hetlelid, K., Paulsen, G., et al. (2017). Changes in health-related quality of life in elderly men after 12 weeks of strength training. European Review of Aging and Physical Activity, 14, 8.

    Article  PubMed  PubMed Central  Google Scholar 

  32. The American College of Sports Medicine (2013). Resistance training for health and fitness. Accessed July 19, 2017, from https://www.acsm.org/docs/brochures/resistance-training.pdf.

  33. Veronese, N., Stubbs, B., Trevisan, C., Bolzetta, F., De Rui, M., Solmi, M., et al. (2017). Poor physical performance predicts future onset of depression in elderly people: Pro.V.A. longitudinal study. Physical Therapy, 97(6), 659–668.

    Article  PubMed  Google Scholar 

  34. Wang, F., DesMeules, M., Luo, W., Dai, S., Lagace, C., & Morrison, H. (2011). Leisure-time physical activity and marital status in relation to depression between men and women: A prospective study. Health Psychology, 30(2), 204–211.

    Article  CAS  PubMed  Google Scholar 

  35. Pasco, J. A., Williams, L. J., Jacka, F. N., Stupka, N., Brennan-Olsen, S. L., Holloway, K. L., et al. (2015). Sarcopenia and the common mental disorders: A potential regulatory role of skeletal muscle on brain function? Current Osteoporosis Reports, 13(5), 351–357.

    Article  PubMed  Google Scholar 

  36. Hardy, R., Cooper, R., Aihie Sayer, A., Ben-Shlomo, Y., Cooper, C., Deary, I. J., et al. (2013). Body mass index, muscle strength and physical performance in older adults from eight cohort studies: The HALCyon programme. PLoS ONE, 8(2), e56483.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  37. Wells, J. C. (2007). Sexual dimorphism of body composition. Best Practice & Research Clinical Endocrinology & Metabolism, 21(3), 415–430.

    Article  Google Scholar 

  38. Cruz-Jentoft, A. J., Landi, F., Topinkova, E., & Michel, J. P. (2010). Understanding sarcopenia as a geriatric syndrome. Current Opinion in Clinical Nutrition & Metabolic Care, 13(1), 1–7.

    Article  Google Scholar 

  39. Dodds, R. M., Syddall, H. E., Cooper, R., Kuh, D., Cooper, C., & Sayer, A. A. (2016). Global variation in grip strength: A systematic review and meta-analysis of normative data. Age and Ageing, 45(2), 209–216.

    Article  PubMed  PubMed Central  Google Scholar 

  40. Allen, L., Williams, J., Townsend, N., Mikkelsen, B., Roberts, N., Foster, C., et al. (2017). Socioeconomic status and non-communicable disease behavioural risk factors in low-income and lower-middle-income countries: A systematic review. Lancet Global Health, 5(3), e277–e289.

    Article  PubMed  Google Scholar 

  41. Rabin, R., & de Charro, F. (2001). EQ-5D: A measure of health status from the EuroQol Group. Annals of Medicine, 33(5), 337–343.

    Article  CAS  PubMed  Google Scholar 

Download references

Acknowledgements

This research was supported by the Basic Science Research Program through the National Research Foundation of Korea (NRF No: 2017030666), funded by the Ministry of Education, Science, and Technology, and supported by Grants from the Korean Health Technology R&D Project (HC15C1322), Ministry of Health & Welfare, Republic of Korea. The funder had no role in the study design, data collection and analysis, decision to publish, or preparation of the manuscript.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Hye Soon Park.

Ethics declarations

Conflict of interest

The authors declare that they have no conflict of interest.

Ethical approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Informed consent

Informed consent was obtained from all individual participants included in the study.

Electronic supplementary material

Below is the link to the electronic supplementary material.

Supplementary material 1 (SAV 16132 KB)

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Kang, S.Y., Lim, J. & Park, H.S. Relationship between low handgrip strength and quality of life in Korean men and women. Qual Life Res 27, 2571–2580 (2018). https://doi.org/10.1007/s11136-018-1920-6

Download citation

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11136-018-1920-6

Keywords

Navigation