Abstract
Background: Handgrip strength measurements are feasible with older adults and a reliable indicator for vitality, physical function, and several risk factors in the ageing process. Interventions with exercise training induce a variety of strength, balance, and endurance improvements. The pooled transfer effects of exercise training on handgrip strength has not been investigated to date. Thus, the objective of this meta-analytical review is to examine the effects of different exercise training on handgrip strength in healthy community-dwelling older adults of 60 years or older. Methods: The literature search was conducted in three databases (PubMed, Web of Science, SPORTDiscus) using the following search terms with Boolean conjunctions: (hand grip* OR grip strength OR grip power) AND (sport* OR train* OR exercis* OR strength OR intervention OR endurance OR resistance OR balance OR aerob*) AND (old* OR elder* OR senior*). Non-randomized and randomized controlled trials with an exercise training and handgrip strength as the outcome parameter were screened. Study quality was independently assessed by two researchers using the PEDro scale. Comparison of handgrip strength between the intervention and control groups was conducted by using the hedges g (including adjustment for small sample sizes), calculating standardized mean differences (SMDs). A random effects inverse-variance model was applied for statistical analysis. Results: Twenty-four trials (mean PEDro score 5.8 ± 0.9) with a total of 3,018 participants (mean age 73.3 ± 6.0 years) were included. Small but significant effects (p < 0.001) on handgrip strength were observed (SMD 0.28, 95% CI 0.13–0.44). Study heterogeneity (I2 56%) and the funnel shape for publication bias analyses were acceptable. Conclusions: Meaningful but small transfer effects of a multitude of different training approaches on handgrip strength occurred in healthy community-dwelling older adults. Handgrip strength cannot clearly be recommended to assess general functional performance for all kinds of exercise programs, whereas task-specific training and multimodal training modes seem to provide an appropriate stimulus to also improve handgrip strength.
References
1.
Massy-Westropp
NM
, Gill
TK
, Taylor
AW
, Bohannon
RW
, Hill
CL
. Hand Grip Strength: age and gender stratified normative data in a population-based study
. [https://doi.org/10.1186/1756-0500-4-127]
. BMC Res Notes
. 2011
Apr
;4
(1
):127
.
[PubMed]
1756-05002.
Mathiowetz
V
, Kashman
N
, Volland
G
, Weber
K
, Dowe
M
, Rogers
S
. Grip and pinch strength: normative data for adults
. Arch Phys Med Rehabil
. 1985
Feb
;66
(2
):69
–74
.
[PubMed]
0003-99933.
Smidt
N
, van der Windt
DA
, Assendelft
WJ
, Mourits
AJ
, Devillé
WL
, de Winter
AF
, et al. Interobserver reproducibility of the assessment of severity of complaints, grip strength, and pressure pain threshold in patients with lateral epicondylitis
. [https://doi.org/10.1053/apmr.2002.33728]
. Arch Phys Med Rehabil
. 2002
Aug
;83
(8
):1145
–50
.
[PubMed]
0003-99934.
Bohannon
RW
, Schaubert
KL
. Test-retest reliability of grip-strength measures obtained over a 12-week interval from community-dwelling elders
. [https://doi.org/10.1197/j.jht.2005.07.003]
. J Hand Ther
. 2005
Oct-Dec
;18
(4
):426
–7
.
[PubMed]
0894-11305.
American Society of Hand Therapists
. Clinical Assessment Recommendations. 1rst ed. 1981
.6.
Dodds
RM
, Syddall
HE
, Cooper
R
, Kuh
D
, Cooper
C
, Sayer
AA
. Global variation in grip strength: a systematic review and meta-analysis of normative data
. [https://doi.org/10.1093/ageing/afv192]
. Age Ageing
. 2016
Mar
;45
(2
):209
–16
.
[PubMed]
0002-07297.
Kuh
D
, Bassey
EJ
, Butterworth
S
, Hardy
R
, Wadsworth
ME
; Musculoskeletal Study Team
. Grip strength, postural control, and functional leg power in a representative cohort of British men and women: associations with physical activity, health status, and socioeconomic conditions
. [https://doi.org/10.1093/gerona/60.2.224]
. J Gerontol A Biol Sci Med Sci
. 2005
Feb
;60
(2
):224
–31
.
[PubMed]
1079-50068.
Leong
DP
, Teo
KK
, Rangarajan
S
, Lopez-Jaramillo
P
, Avezum
A
Jr, Orlandini
A
, et al.; Prospective Urban Rural Epidemiology (PURE) Study investigators
. Prognostic value of grip strength: findings from the Prospective Urban Rural Epidemiology (PURE) study
. [https://doi.org/10.1016/S0140-6736(14)62000-6]
. Lancet
. 2015
Jul
;386
(9990
):266
–73
.
[PubMed]
0140-67369.
Musalek
C
, Kirchengast
S
. Grip Strength as an Indicator of Health-Related Quality of Life in Old Age-A Pilot Study
. [https://doi.org/10.3390/ijerph14121447]
. Int J Environ Res Public Health
. 2017
Nov
;14
(12
):E1447
.
[PubMed]
1661-782710.
Sayer
AA
, Kirkwood
TB
. Grip strength and mortality: a biomarker of ageing?
[https://doi.org/10.1016/S0140-6736(14)62349-7]
. Lancet
. 2015
Jul
;386
(9990
):226
–7
.
[PubMed]
0140-673611.
Taekema
DG
, Gussekloo
J
, Maier
AB
, Westendorp
RG
, de Craen
AJ
. Handgrip strength as a predictor of functional, psychological and social health. A prospective population-based study among the oldest old
. [https://doi.org/10.1093/ageing/afq022]
. Age Ageing
. 2010
May
;39
(3
):331
–7
.
[PubMed]
0002-072912.
Syddall
H
, Cooper
C
, Martin
F
, Briggs
R
, Aihie Sayer
A
. Is grip strength a useful single marker of frailty?
[https://doi.org/10.1093/ageing/afg111]
. Age Ageing
. 2003
Nov
;32
(6
):650
–6
.
[PubMed]
0002-072913.
Milanović
Z
, Pantelić
S
, Trajković
N
, Sporiš
G
, Kostić
R
, James
N
. Age-related decrease in physical activity and functional fitness among elderly men and women
. [https://doi.org/10.2147/CIA.S44112] [PMID: 23723694]
. Clin Interv Aging
. 2013
;8
:549
–56
.
[PubMed]
1176-909214.
Hutton
B
, Salanti
G
, Caldwell
DM
, Chaimani
A
, Schmid
CH
, Cameron
C
, et al. The PRISMA extension statement for reporting of systematic reviews incorporating network meta-analyses of health care interventions: checklist and explanations
. [https://doi.org/10.7326/M14-2385]
. Ann Intern Med
. 2015
Jun
;162
(11
):777
–84
.
[PubMed]
0003-481915.
Maher
CG
, Sherrington
C
, Herbert
RD
, Moseley
AM
, Elkins
M
. Reliability of the PEDro scale for rating quality of randomized controlled trials
. Phys Ther
. 2003
Aug
;83
(8
):713
–21
.
[PubMed]
0031-902316.
Ellis
PD
. The essential guide to effect sizes: Statistical power, meta-analysis, and the interpretation of research results
. Cambridge
: Cambridge University Press
; 2010
. 17.
Deeks
JJ
, Higgins
JP
. Statistical Algorithms in Review Manager 5
. The Cochrane Collaboration
; 2016
.18.
Borenstein
M
, Hedges
LV
, Higgins
JP
, Rothstein
HR
. A basic introduction to fixed-effect and random-effects models for meta-analysis
. [https://doi.org/10.1002/jrsm.12]
. Res Synth Methods
. 2010
Apr
;1
(2
):97
–111
.
[PubMed]
1759-287919.
Cohen
J
. Statistical power analysis for the behavioral sciences. 2
. Hillsdale (NJ)
: Erlbaum
; 1988
.20.
Timmons
JF
, Minnock
D
, Hone
M
, Cogan
KE
, Murphy
JC
, Egan
B
. Comparison of time-matched aerobic, resistance, or concurrent exercise training in older adults
. [https://doi.org/10.1111/sms.13254]
. Scand J Med Sci Sports
. 2018
Nov
;28
(11
):2272
–83
.
[PubMed]
0905-718821.
Tsourlou
T
, Benik
A
, Dipla
K
, Zafeiridis
A
, Kellis
S
. The effects of a twenty-four-week aquatic training program on muscular strength performance in healthy elderly women
. [https://doi.org/10.1519/R-18455.1]
. J Strength Cond Res
. 2006
Nov
;20
(4
):811
–8
.
[PubMed]
1064-801122.
Santanasto
AJ
, Glynn
NW
, Lovato
LC
, Blair
SN
, Fielding
RA
, Gill
TM
, et al.; LIFE Study Group
. Effect of Physical Activity versus Health Education on Physical Function, Grip Strength and Mobility
. [https://doi.org/10.1111/jgs.14804]
. J Am Geriatr Soc
. 2017
Jul
;65
(7
):1427
–33
.
[PubMed]
0002-861423.
Borges
ML
, Hotta
AJ
, de Souza
B
, Stephanie
M
, et al. Impact of a dual task intervention on physical performance of older adults who practice physical exercise
. Braz. J. Kinathrop. Hum. Perform.
2018
;20
(1
):10
–9
. 24.
Campa
F
, Silva
AM
, Toselli
S
. Changes in Phase Angle and Handgrip Strength Induced by Suspension Training in Older Women
. Int J Sports Med
. 2018
Jun
;39
(6
):442
–9
.
[PubMed]
0172-462225.
Dondzila
CJ
, Swartz
AM
, Keenan
KG
, Harley
AE
, Azen
R
, Strath
SJ
. Translating exercise interventions to an in-home setting for seniors: preliminary impact on physical activity and function
. [https://doi.org/10.1007/s40520-015-0518-x]
. Aging Clin Exp Res
. 2016
Dec
;28
(6
):1227
–35
.
[PubMed]
1594-066726.
Englund
U
, Littbrand
H
, Sondell
A
, Pettersson
U
, Bucht
G
. A 1-year combined weight-bearing training program is beneficial for bone mineral density and neuromuscular function in older women
. [https://doi.org/10.1007/s00198-004-1821-0]
. Osteoporos Int
. 2005
Sep
;16
(9
):1117
–23
.
[PubMed]
0937-941X27.
Gudlaugsson
J
, Gudnason
V
, Aspelund
T
, Siggeirsdottir
K
, Olafsdottir
AS
, Jonsson
PV
, et al. Effects of a 6-month multimodal training intervention on retention of functional fitness in older adults: a randomized-controlled cross-over design
. [https://doi.org/10.1186/1479-5868-9-107]
. Int J Behav Nutr Phys Act
. 2012
Sep
;9
(1
):107
.
[PubMed]
1479-586828.
Kamegaya
T
, Araki
Y
, Kigure
H
, Yamaguchi
H
; Long-Term-Care Prevention Team of Maebashi City
. Twelve-week physical and leisure activity programme improved cognitive function in community-dwelling elderly subjects: a randomized controlled trial
. [https://doi.org/10.1111/psyg.12038]
. Psychogeriatrics
. 2014
Mar
;14
(1
):47
–54
.
[PubMed]
1346-350029.
Niemelä
K
, Väänänen
I
, Leinonen
R
, Laukkanen
P
. Benefits of home-based rocking-chair exercise for physical performance in community-dwelling elderly women: a randomized controlled trial
. [https://doi.org/10.3275/7230]
. Aging Clin Exp Res
. 2011
Aug
;23
(4
):279
–87
.
[PubMed]
1594-066730.
Ponce-Bravo
H
, Ponce
C
, Feriche
B
, Padial
P
. Influence of Two Different Exercise Programs on Physical Fitness and Cognitive Performance in Active Older Adults: Functional Resistance-Band Exercises vs. Recreational Oriented Exercises
. J Sports Sci Med
. 2015
Nov
;14
(4
):716
–22
.
[PubMed]
1303-296831.
Rhodes
EC
, Martin
AD
, Taunton
JE
, Donnelly
M
, Warren
J
, Elliot
J
. Effects of one year of resistance training on the relation between muscular strength and bone density in elderly women
. [https://doi.org/10.1136/bjsm.34.1.18]
. Br J Sports Med
. 2000
Feb
;34
(1
):18
–22
.
[PubMed]
0306-367432.
Santin-Medeiros
F
, Rey-López
JP
, Santos-Lozano
A
, Cristi-Montero
CS
, Garatachea Vallejo
N
. Effects of Eight Months of Whole-Body Vibration Training on the Muscle Mass and Functional Capacity of Elderly Women
. [https://doi.org/10.1519/JSC.0000000000000830]
. J Strength Cond Res
. 2015
Jul
;29
(7
):1863
–9
.
[PubMed]
1064-801133.
Shigematsu
R
, Chang
M
, Yabushita
N
, Sakai
T
, Nakagaichi
M
, Nho
H
, et al. Dance-based aerobic exercise may improve indices of falling risk in older women
. [https://doi.org/10.1093/ageing/31.4.261]
. Age Ageing
. 2002
Jul
;31
(4
):261
–6
.
[PubMed]
0002-072934.
Skelton
DA
, Young
A
, Greig
CA
, Malbut
KE
. Effects of resistance training on strength, power, and selected functional abilities of women aged 75 and older
. J Am Geriatr Soc
. 1995
Oct
;43
(10
):1081
–7
.
[PubMed]
0002-861435.
Sun
J
, Kanagawa
K
, Sasaki
J
, Ooki
S
, Xu
H
, Wang
L
. Tai chi improves cognitive and physical function in the elderly: a randomized controlled trial
. [https://doi.org/10.1589/jpts.27.1467]
. J Phys Ther Sci
. 2015
May
;27
(5
):1467
–71
.
[PubMed]
0915-528736.
Taunton
JE
, Rhodes
EC
, Wolski
LA
, Donelly
M
, Warren
J
, Elliot
J
, et al. Effect of land-based and water-based fitness programs on the cardiovascular fitness, strength and flexibility of women aged 65-75 years
. [https://doi.org/10.1159/000213794]
. Gerontology
. 1996
;42
(4
):204
–10
.
[PubMed]
0304-324X37.
Zisi
V
, Michalopoulou
M
, Tzetzis
G
, Kioumourtzoglou
E
. Effects of a short-term exercise program on motor function and whole body reaction time in the elderly
. J Hum Mov Stud
. 2001
;40
(2
):145
–60
.0306-729738.
Alexander
MJ
, Nickel
R
, Boreskie
SL
, Searle
M
. Comparison of the effects of two types of fitness/flexibility programs on gait, mobility and self-esteem of older females
. J Hum Mov Stud
. 2000
;38
(5
):235
–68
.0306-729739.
Cancela Carral
JM
, Pallin
E
, Orbegozo
A
, Ayán Pérez
C
. Effects of Three Different Chair-Based Exercise Programs on People Older Than 80 Years
. [https://doi.org/10.1089/rej.2017.1924]
. Rejuvenation Res
. 2017
Oct
;20
(5
):411
–9
.
[PubMed]
1549-168440.
Ramírez-Campillo
R
, Castillo
A
, de la Fuente
CI
, Campos-Jara
C
, Andrade
DC
, Álvarez
C
, et al. High-speed resistance training is more effective than low-speed resistance training to increase functional capacity and muscle performance in older women
. [https://doi.org/10.1016/j.exger.2014.07.001]
. Exp Gerontol
. 2014
Oct
;58
:51
–7
.
[PubMed]
0531-556541.
Shiotsu
Y
, Watanabe
Y
, Tujii
S
, Yanagita
M
. Effect of exercise order of combined aerobic and resistance training on arterial stiffness in older men
. [https://doi.org/10.1016/j.exger.2018.06.020]
. Exp Gerontol
. 2018
Oct
;111
:27
–34
.
[PubMed]
0531-556542.
Song
MS
, Yoo
YK
, Choi
CH
, Kim
NC
. Effects of nordic walking on body composition, muscle strength, and lipid profile in elderly women
. [Korean Soc Nurs Sci]
. Asian Nurs Res (Korean Soc Nurs Sci)
. 2013
Mar
;7
(1
):1
–7
.
[PubMed]
2093-748243.
Wolf
SL
, Barnhart
HX
, Kutner
NG
, McNeely
E
, Coogler
C
, Xu
T
. Reducing frailty and falls in older persons: an investigation of Tai Chi and computerized balance training. Atlanta FICSIT Group. Frailty and Injuries: Cooperative Studies of Intervention Techniques
. J Am Geriatr Soc
. 1996
May
;44
(5
):489
–97
.
[PubMed]
0002-861444.
Bohannon
RW
. Dynamometer measurements of hand-grip strength predict multiple outcomes
. [https://doi.org/10.2466/pms.2001.93.2.323]
. Percept Mot Skills
. 2001
Oct
;93
(2
):323
–8
.
[PubMed]
0031-512545.
Innes
E
. Handgrip strength testing: A review of the literature
. [https://doi.org/10.1046/j.1440-1630.1999.00182.x]
. Aust Occup Ther J
. 1999
;46
(3
):120
–40
. 0045-076646.
Bohannon
RW
. Test-Retest Reliability of Measurements of Hand-Grip Strength Obtained by Dynamometry from Older Adults: A Systematic Review of Research in the PubMed Database
. [https://doi.org/10.14283/jfa.2017.8] [PMID: 28555708]
. J Frailty Aging
. 2017
;6
(2
):83
–7
.
[PubMed]
2260-134147.
Giboin
LS
, Gruber
M
, Kramer
A
. Task-specificity of balance training
. [https://doi.org/10.1016/j.humov.2015.08.012]
. Hum Mov Sci
. 2015
Dec
;44
:22
–31
.
[PubMed]
0167-945748.
Kümmel
J
, Kramer
A
, Giboin
LS
, Gruber
M
. Specificity of Balance Training in Healthy Individuals: A Systematic Review and Meta-Analysis
. [https://doi.org/10.1007/s40279-016-0515-z]
. Sports Med
. 2016
Sep
;46
(9
):1261
–71
.
[PubMed]
0112-164249.
Donath
L
, Roth
R
, Zahner
L
, Faude
O
. Slackline training and neuromuscular performance in seniors: A randomized controlled trial
. [https://doi.org/10.1111/sms.12423]
. Scand J Med Sci Sports
. 2016
Mar
;26
(3
):275
–83
.
[PubMed]
0905-718850.
Mayer
F
, Scharhag-Rosenberger
F
, Carlsohn
A
, Cassel
M
, Müller
S
, Scharhag
J
. The intensity and effects of strength training in the elderly
. [https://doi.org/10.3238/arztebl.2011.0359]
. Dtsch Arztebl Int
. 2011
May
;108
(21
):359
–64
.
[PubMed]
1866-0452© 2019 S. Karger AG, Basel
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