The Scotsman

Grip strength test could predict risk of death

● Lower muscle strength related to greater likelihood of heart disease

- By KEVAN CHRISTIE Health Correspond­ent

Measuring grip strength could be a more effective way of predicting risk of death and heart disease than checking systolic blood pressure and levels of physical activity, according to researcher­s.

A new study, led by the University of Glasgow’s Institute of Cardiovasc­ular and Medical Sciences and published today in the BMJ, found that lower grip strength was strongly associated with a wide range of poorer health outcomes, including cardiovasc­ular disease.

The study showed that higher grip strength was associated with a lower risk of all causes of mortality.

The researcher­s believe a clinical test that is both cheap and easy to perform could be an important way to identify people who are at high risk for a range of diseases.

0 Grip strength was an indicator of risk of all causes of mortality new research discovered

Agripstren­gthtestonl­ytakes a few seconds to do and the researcher­s suggest the addition of this test within clinical practice could improve the prediction ability of an office-based risk score (which currently comprises assessment of age, sex, diabetes status, body mass index, systolic blood pressure, and smoking), by identifyin­g people with low grip strength that might benefit from further health assessment­s. Researcher­s believe this may be of particular use in areas where access to blood biochemica­l measures, such as cholestero­l, is not possible.

Lower muscle strength is already known to be associated with greater mortality and morbidity. However, the study was able to specifical­ly link lower grip strength to a higher incidence of and mortality from, cardiovasc­ular disease, respirator­y disease, chronic obstructiv­e pulmonary disease and cancer.

The study looked at 500,293 participan­ts from the UK Biobank and the associatio­ns between lower grip strength and adverse health outcomes were consistent between men and women. Researcher­s also investigat­ed if grip strength risk differed by age, and found risks associated with low grip strength were slightly stronger in younger age groups, suggesting that measuring grip strength could be useful over a broad range of ages.

Lead author Dr Stuart Gray said: “We found not only was lower grip strength strongly associated with a broad range of adverse health outcomes, but that it predicted risk of death and cardiovasc­ular disease even more strongly than systolic blood pressure or physical activity. Our findings are important because they indicate that the addition of the measuremen­t of grip strength may be useful in screening for risk of cardiovasc­ular disease in community or rural settings, and in developing countries.”

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