Hand-grip strength predicts incident disability in non-disabled older men
Hand-grip strength predicts incident disability in non-disabled older men
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DOI：
10.1093/ageing/28.3.283
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发表时间：
1999-05-01
期刊：
影响因子：
6.7
通讯作者：
Menotti, A
中科院分区：
文献类型：
--
作者：
Giampaoli, S;Ferrucci, L;Menotti, A
目的：验证老年男性的握力是否是残疾的预测因子。设计：基于人群的前瞻性研究。设置：来自FINE研究的意大利农村队列的样本（芬兰、意大利、荷兰老年人），代表1991年和1995年调查的老年男性的一般人群。140名71-91岁的男性，报告在日常生活活动（ADL）方面无残疾，基线检查时的工具性日常生活活动（IADL）和移动活动，并在随访时提供有关其功能状态的信息-测量：残疾定义为在进行ADL、IADL和移动性方面需要帮助。通过机械测力计对握力进行基线评估。结果：在调整了潜在的混杂变量后，较低浓度的高密度脂蛋白胆固醇是预测76岁或以下男性残疾的唯一因素，只有握力降低才能预测77岁或以上男性的残疾。用握力来衡量的手的力量差是老年人残疾的一个预测因素。握力测试是一种简单而廉价的筛查工具，可以识别有残疾风险的老年人。
Objectives: to verify if hand-grip performance in older men is a predictor of disability.Design: population-based prospective study.Setting: a sample from the Italian rural cohorts of the FINE study (Finland, Italy, Netherlands Elderly), representative of the general population of elderly men surveyed in 1991 and 1995.Participants: 140 men aged 71-91 years who reported no disability in performing activities of daily living (ADLs), instrumental activity of daily living (IADLs) and mobility activities at baseline examination and provided information on their functional status at follow-up 4 years later.Measurements: disability was defined as needing help in performing ADLs, IADLs and mobility. Hand-grip strength was evaluated at baseline by a mechanical dynamometer.Results: after adjusting for potential confounding variables, a lower concentration of high-density lipoprotein cholesterol was the only factor predicting disability in men aged 76 years or younger and only reduced hand-grip strength predicted incident disability in men 77 years or older.Conclusion: poor hand strength as measured by hand-grip is a predictor of disability in older people. The handgrip test is an easy and inexpensive screening tool to identify elderly people at risk of disability.