Hand-grip strength cut points to screen older persons at risk for mobility limitation.
Hand-grip strength cut points to screen older persons at risk for mobility limitation.
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DOI：
10.1111/j.1532-5415.2010.03035.x
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发表时间：
2010-09
影响因子：
6.3
通讯作者：
Koskinen S
中科院分区：
文献类型：
--
作者：
Sallinen J;Stenholm S;Rantanen T;Heliövaara M;Sainio P;Koskinen S
确定老年人活动受限可能性增加的最佳握力临界点，并研究这些临界点是否因体重指数（BMI）而异。对2000年芬兰人口健康调查中收集的数据进行横断面分析。1084名男性和1562名女性，年龄在55岁及以上，具有人体测量、握力和自我报告的活动性的完整数据。活动受限定义为行走0.5公里或爬楼梯困难。受试者操作特征分析用于估计增加活动受限可能性的握力临界点。对于男性和女性，增加活动受限可能性的总体握力临界点分别为37 kg（敏感性62%和特异性76%）和21 kg（67%和73%）。手握力与BMI的相互作用在男性中对活动受限有显著影响（p = 0.022），而在女性中没有观察到这种相互作用（p = 0.156）。在男性中，正常体重男性的最佳临界值为33公斤（73%和79%），超重男性为39公斤（67%和71%），肥胖男性为40公斤（57%和68%）。在女性中，BMI特定的手握力临界值并没有显着增加的准确性超过整体临界值。手握力测试是一个有用的工具，以确定人的风险增加的行动不便。在男性中，手握力的流动性临界点随着身体质量指数的增加而沿着增加，而在女性中，只有一个手握力阈值被确定。
To determine optimal hand-grip strength cut-points for increased likelihood for mobility limitation among older people and to study whether these cut-points differ according to body mass index (BMI). Cross-sectional analysis of data collected in the Finnish population-based Health 2000 Survey. 1 084 men and 1 562 women aged 55 years and older with complete data on anthropometry, hand-grip strength and self-reported mobility. Mobility limitation was defined as difficulties in walking 0.5-km or climbing stairs. Receiver Operating Characteristics analysis was used to estimate hand-grip strength cut-points for increased likelihood for mobility limitation. The overall hand-grip strength cut-points for increased likelihood for mobility limitation were 37 kg (sensitivity 62% and specificity 76%) for men and 21 kg (67% and 73%) for women. Hand-grip strength by BMI interaction on mobility limitation was significant among men (p = 0.022), while no such interaction was observed among women (p = 0.156). Among men, most optimal cut-offs were 33 kg (73% and 79%) for normal-weight men, 39 kg (67% and 71%) for overweight men and 40 kg (57% and 68%) for obese men. Among women, BMI-specific hand-grip strength cut-off values did not markedly increase accuracy over the overall cut-off value. Hand-grip strength test is a useful tool to identify persons with increased risk for mobility limitation. Among men, the hand-grip strength cut-points for mobility increased along with BMI, while among women only one hand-grip strength threshold was identified.
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影响因子：
4.9
作者：
Hulens, M;Vansant, G;Brumagne, S
通讯作者：
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影响因子：
120.7
作者：
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DOI：
10.1111/j.1532-5415.2004.52268.x
发表时间：
2004-06-01
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6.3
作者：
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通讯作者：
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影响因子：
6.7
作者：
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通讯作者：
Shibata, H
DOI：
10.1016/j.apmr.2007.06.016
发表时间：
2007-09-01
影响因子：
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作者：
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通讯作者：
Rantanen, Taina