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Published in: European Journal of Ageing 3/2009

01-09-2009 | Original Investigation

Cross-national differences in grip strength among 50+ year-old Europeans: results from the SHARE study

Authors: Karen Andersen-Ranberg, I. Petersen, H. Frederiksen, J. P. Mackenbach, K. Christensen

Published in: European Journal of Ageing | Issue 3/2009

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Abstract

Grip strength (GS) has an age- and gender-dependent decline with advancing age. One study comparing GS among extremely old show a North–South gradient with lowest GS in Italy compared to France (intermediary) and Denmark (highest) even after adjusting for confounders. As GS is associated with higher rates of functional decline and mortality, and thus may be used as a health indicator, it is of interest to examine whether the results on extremely old can be reproduced in a large-scale European survey. GS was measured in a cross-sectional population-based sample of 27,456 individuals aged 50+ in 11 European countries included in the SHARE survey. We made a cross-country comparison of the age trajectory of GS in both genders. Northern-continental European countries had higher GS than southern European countries even when stratifying by age and gender and controlling for height, weight, education, health and socioeconomic status. The relative excess was found to be 11% and the absolute difference 5.0 kg for 50- to 54-year-old men, increasing to 28% and 6.9 kg among 80+ year-old men. The corresponding figures for women were 16% and 4.3 kg, and 21% and 3.5 kg, respectively. Southern European countries have lower GS in the age range 50+ year. Gene–environment interactions may explain country-specific differences. The use of GS in cross-national surveys should control not only for age and gender, but also for nationality.
Literature
go back to reference Albert SM, Alam M, Nizamuddin M (2005) Comparative study of functional limitation and disability in old age: Delhi and New York City. J Cross Cult Gerontol 20:231–241CrossRef Albert SM, Alam M, Nizamuddin M (2005) Comparative study of functional limitation and disability in old age: Delhi and New York City. J Cross Cult Gerontol 20:231–241CrossRef
go back to reference Albrand G, Munoz F, Sornay-Rendu E, DuBoeuf F, Delmas PD (2003) Independent predictors of all osteoporosis-related fractures in healthy postmenopausal women: the OFELY Study. Bone 32:78–85CrossRef Albrand G, Munoz F, Sornay-Rendu E, DuBoeuf F, Delmas PD (2003) Independent predictors of all osteoporosis-related fractures in healthy postmenopausal women: the OFELY Study. Bone 32:78–85CrossRef
go back to reference Alfaro-Acha A, Snih SA, Raji MA, Kuo YF, Markides KS, Ottenbacher KJ (2006) Hand grip strength and cognitive decline in older Mexican Americans. J Gerontol Med Sci 61A:859–865 Alfaro-Acha A, Snih SA, Raji MA, Kuo YF, Markides KS, Ottenbacher KJ (2006) Hand grip strength and cognitive decline in older Mexican Americans. J Gerontol Med Sci 61A:859–865
go back to reference Börsch-Supan A, Brugiavini A, Jürges H, Mackenbach J, Siegrist J, Weber G (2005a) Health, ageing and retirement in Europe. First results from the survey of health, ageing and retirement in Europe. Mannheim Research Institute for the Economics of Ageing, Mannheim Börsch-Supan A, Brugiavini A, Jürges H, Mackenbach J, Siegrist J, Weber G (2005a) Health, ageing and retirement in Europe. First results from the survey of health, ageing and retirement in Europe. Mannheim Research Institute for the Economics of Ageing, Mannheim
go back to reference Börsch-Supan A, Hank K, Jürges H (2005) A new comprehensive and international view on aging: Introducing the survey of ‘Health, Ageing and Retirement in Europe’. Eur J Ageing 2:245–253 Börsch-Supan A, Hank K, Jürges H (2005) A new comprehensive and international view on aging: Introducing the survey of ‘Health, Ageing and Retirement in Europe’. Eur J Ageing 2:245–253
go back to reference Cesari M, Penninx BWJH, Pahor M, Lauretani F, Corsi AM, Williams GR, Guralnik JM, Ferruci L (2004) Inflammatory markers and physical performance in older persons: the InCHIANTI study. J Gerontol Med Sci 59A:242–248 Cesari M, Penninx BWJH, Pahor M, Lauretani F, Corsi AM, Williams GR, Guralnik JM, Ferruci L (2004) Inflammatory markers and physical performance in older persons: the InCHIANTI study. J Gerontol Med Sci 59A:242–248
go back to reference Christelis D, Jappelli T, Padula M (2005) Wealth and portofolio composition. In: Börsch-Supan A, Brugiavini A, Jürges H, Mackenbach J, Siegrist J, Weber G (eds) Health, ageing and retirement in Europe. First results from the survey of health, ageing and retirement in Europe. Mannheim Research Institute for the Economics of Ageing, Mannheim, pp 310–317 Christelis D, Jappelli T, Padula M (2005) Wealth and portofolio composition. In: Börsch-Supan A, Brugiavini A, Jürges H, Mackenbach J, Siegrist J, Weber G (eds) Health, ageing and retirement in Europe. First results from the survey of health, ageing and retirement in Europe. Mannheim Research Institute for the Economics of Ageing, Mannheim, pp 310–317
go back to reference Era P, Rantanen T, Avlund K, Gause-Nilsson I, Heikkinen E, Schroll M, Steen B, Suominen H (1994) Maximal isometric muscle strength and anthropometry in 75-year-old men and women in three Nordic localities. Scand J Med Sci Sports 4:26–31 Era P, Rantanen T, Avlund K, Gause-Nilsson I, Heikkinen E, Schroll M, Steen B, Suominen H (1994) Maximal isometric muscle strength and anthropometry in 75-year-old men and women in three Nordic localities. Scand J Med Sci Sports 4:26–31
go back to reference Frederiksen H, Gaist D, Petersen HC, Hjelmborg J, McGue M, Vaupel JW, Christensen K (2002) Hand grip strength: a phenotype suitable for identifying genetic variants affecting mid- and late-life physical functioning. Genet Epidemiol 23:110–122CrossRef Frederiksen H, Gaist D, Petersen HC, Hjelmborg J, McGue M, Vaupel JW, Christensen K (2002) Hand grip strength: a phenotype suitable for identifying genetic variants affecting mid- and late-life physical functioning. Genet Epidemiol 23:110–122CrossRef
go back to reference Frederiksen H, Hjelmborg J, Mortensen J, McGue M, Vaupel JW, Christensen K (2006) Age trajectories of grip strength: cross-sectional and longitudinal data among 8, 342 Danes aged 46 to 102. Ann Epidemiol 16:554–562CrossRef Frederiksen H, Hjelmborg J, Mortensen J, McGue M, Vaupel JW, Christensen K (2006) Age trajectories of grip strength: cross-sectional and longitudinal data among 8, 342 Danes aged 46 to 102. Ann Epidemiol 16:554–562CrossRef
go back to reference Fujita Y, Nakamura Y, Hiraoka J, Kobayashi K, Sakata K, Nagai M, Hiroshi Y (1995) Physical-strength tests and mortality among visitors to health-promotion centers in Japan. J Clin Epidemiol 48:1349–1359CrossRef Fujita Y, Nakamura Y, Hiraoka J, Kobayashi K, Sakata K, Nagai M, Hiroshi Y (1995) Physical-strength tests and mortality among visitors to health-promotion centers in Japan. J Clin Epidemiol 48:1349–1359CrossRef
go back to reference Gallagher D, Visser M, de Meersman RE, Sepulveda D, Baumgartner RN, Pierson RN, Harris T, Heymsfield SB (1997) Appendicular skeletal muscle mass: effects of age, gender, and ethnicity. J Appl Physiol 83:229–239 Gallagher D, Visser M, de Meersman RE, Sepulveda D, Baumgartner RN, Pierson RN, Harris T, Heymsfield SB (1997) Appendicular skeletal muscle mass: effects of age, gender, and ethnicity. J Appl Physiol 83:229–239
go back to reference Goodpaster B, Won Park S, Harris T, Kritchevsky SB, Nevitt M, Schwartz AV, Simonsick EM, Tylavsky FA, Visser M, Newmann AB (2006) The loss of skeletal muscle strength, mass and quality in older adults: the health, aging and body composition study. J Gerontol A Biol Sci Med Sci 61:1059–1064 Goodpaster B, Won Park S, Harris T, Kritchevsky SB, Nevitt M, Schwartz AV, Simonsick EM, Tylavsky FA, Visser M, Newmann AB (2006) The loss of skeletal muscle strength, mass and quality in older adults: the health, aging and body composition study. J Gerontol A Biol Sci Med Sci 61:1059–1064
go back to reference Goodpaster BH, Chomentowski P, Ward BK, Rossi A, Glynn NW, Delmonico MJ, Kritchevsky SB, Pahor M, Newmann AB (2008) Effects of physical activity on strength and skeletal muscle fat infiltration in older adults: a randomized controlled trial. J Appl Physiol 105:1498–1503CrossRef Goodpaster BH, Chomentowski P, Ward BK, Rossi A, Glynn NW, Delmonico MJ, Kritchevsky SB, Pahor M, Newmann AB (2008) Effects of physical activity on strength and skeletal muscle fat infiltration in older adults: a randomized controlled trial. J Appl Physiol 105:1498–1503CrossRef
go back to reference Gorber SC, Tremblay M, Moher D, Gorber B (2007) A comparison of direct vs. self-report measures for assessing height, weight and body mass index: a systematic review. Obes Rev 8:307–326CrossRef Gorber SC, Tremblay M, Moher D, Gorber B (2007) A comparison of direct vs. self-report measures for assessing height, weight and body mass index: a systematic review. Obes Rev 8:307–326CrossRef
go back to reference Ishizaki T, Watanabe S, Suzuki T, Shibata H, Haga H (2000) Predictors for functional decline among nondisabled older Japanese living in a community during a 3-year follow-up. J Am Geriatr Soc 48:1527–1528 Ishizaki T, Watanabe S, Suzuki T, Shibata H, Haga H (2000) Predictors for functional decline among nondisabled older Japanese living in a community during a 3-year follow-up. J Am Geriatr Soc 48:1527–1528
go back to reference Jeune B, Skytthe A, Cournil A, Greco V, Gampe J, Berardelli M, Andersen-Ranberg K, DeBenedictis G, Robine JM (2006) Handgrip strength among nonagenarians and centenarians in three European regions. J Gerontol Med Sci 61A:707–712 Jeune B, Skytthe A, Cournil A, Greco V, Gampe J, Berardelli M, Andersen-Ranberg K, DeBenedictis G, Robine JM (2006) Handgrip strength among nonagenarians and centenarians in three European regions. J Gerontol Med Sci 61A:707–712
go back to reference Juel K (2008) Life expectancy and mortality in Denmark compared to Sweden. What is the effect of smoking and alcohol? Ugeskr Laeger 170:2423–2427 Juel K (2008) Life expectancy and mortality in Denmark compared to Sweden. What is the effect of smoking and alcohol? Ugeskr Laeger 170:2423–2427
go back to reference Juel K, Sørensen J, Brønnum-Hansen H (2008) Risk factors and public health in Denmark. Scand J Public Health 36(Suppl 1):11–227 Juel K, Sørensen J, Brønnum-Hansen H (2008) Risk factors and public health in Denmark. Scand J Public Health 36(Suppl 1):11–227
go back to reference Kallmann DA, Plato CC, Tobin JD (1990) The role of muscle loss in the age-related decline of grip strength: cross-sectional and longitudinal perspectives. J Gerontol Med Sci 45:M82–M88 Kallmann DA, Plato CC, Tobin JD (1990) The role of muscle loss in the age-related decline of grip strength: cross-sectional and longitudinal perspectives. J Gerontol Med Sci 45:M82–M88
go back to reference Klevmarken NA, Swensson B, Hesselius P (2005) The SHARE sampling procedures and calibrated design weights. In: Börsch-Supan A, Jürges A (eds) The Survey of Health, Ageing and Retirement in Europe. Methodology. Mannheim Research Institute for the economics of ageing, Mannheim, Germany, L13, 17, pp 28–70 Klevmarken NA, Swensson B, Hesselius P (2005) The SHARE sampling procedures and calibrated design weights. In: Börsch-Supan A, Jürges A (eds) The Survey of Health, Ageing and Retirement in Europe. Methodology. Mannheim Research Institute for the economics of ageing, Mannheim, Germany, L13, 17, pp 28–70
go back to reference Klidjian AM, Foster KJ, Kammerling RM, Cooper A, Karran SJ (1980) Relation of anthropometric and dynamometric variables to serious postoperative complications. BMJ 281:899–901CrossRef Klidjian AM, Foster KJ, Kammerling RM, Cooper A, Karran SJ (1980) Relation of anthropometric and dynamometric variables to serious postoperative complications. BMJ 281:899–901CrossRef
go back to reference Kuh D, Bassey J, Hardy R, Sayer AA, Wadsworth M, Cooper C (2002) Birth weight, childhood size and muscle strength in adult life: evidence from a birth cohort study. Am J Epidemiol 156:627–633CrossRef Kuh D, Bassey J, Hardy R, Sayer AA, Wadsworth M, Cooper C (2002) Birth weight, childhood size and muscle strength in adult life: evidence from a birth cohort study. Am J Epidemiol 156:627–633CrossRef
go back to reference Kuh D, Bassey EJ, Butterworth S, Hardy R, Wadsworth MEJ, the Musculoskeletal Study Team (2005) 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. J Gerontol Med Sci 60A:224–231 Kuh D, Bassey EJ, Butterworth S, Hardy R, Wadsworth MEJ, the Musculoskeletal Study Team (2005) 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. J Gerontol Med Sci 60A:224–231
go back to reference Lanzieri G (2008) Population in Europe 2007: first results. Eurostat. Statistics in focus. No. 81/2008 Lanzieri G (2008) Population in Europe 2007: first results. Eurostat. Statistics in focus. No. 81/2008
go back to reference Metter EJ, Talbot LA, Schrager M, Conwit R (2002) Skeletal muscle strength as a predictor of all-cause mortality in healthy men. J Gerontol Med Sci 57A:B359–B365 Metter EJ, Talbot LA, Schrager M, Conwit R (2002) Skeletal muscle strength as a predictor of all-cause mortality in healthy men. J Gerontol Med Sci 57A:B359–B365
go back to reference Milne JS, Maule MM (1984) A longitudinal study of handgrip and dementia in older people. Age Ageing 13:42–48CrossRef Milne JS, Maule MM (1984) A longitudinal study of handgrip and dementia in older people. Age Ageing 13:42–48CrossRef
go back to reference Nybo H, Gaist D, Jeune B, McGue M, Vaupel JW, Chrisensen K (2001) Functional status and self-rated health in 2, 262 nonagenarians: the Danish 1905 cohort survey. J Am Geriatr Soc 49:601–609CrossRef Nybo H, Gaist D, Jeune B, McGue M, Vaupel JW, Chrisensen K (2001) Functional status and self-rated health in 2, 262 nonagenarians: the Danish 1905 cohort survey. J Am Geriatr Soc 49:601–609CrossRef
go back to reference Philips P (1986) Grip strength, mental performance and nutritional status as indicators of mortality risk among female geriatric patients. Age Ageing 15:53–56CrossRef Philips P (1986) Grip strength, mental performance and nutritional status as indicators of mortality risk among female geriatric patients. Age Ageing 15:53–56CrossRef
go back to reference Rantanen T, Era P, Kauppinen M, Heikkinen E (1994) Maximal isometric muscle strength and socioeconomic status, health, and physical activity in 75-year-old persons. J Aging Phys Act 2:206–220 Rantanen T, Era P, Kauppinen M, Heikkinen E (1994) Maximal isometric muscle strength and socioeconomic status, health, and physical activity in 75-year-old persons. J Aging Phys Act 2:206–220
go back to reference Rantanen T, Masaki K, Foley D, Izmirlian G, White L, Guralnik JM (1998a) Grip strength changes over 27 yr in Japanese-American men. J Appl Physiol 85:2047–2053 Rantanen T, Masaki K, Foley D, Izmirlian G, White L, Guralnik JM (1998a) Grip strength changes over 27 yr in Japanese-American men. J Appl Physiol 85:2047–2053
go back to reference Rantanen T, Guralnik JM, Leveille S, Izmirlian G, Hirsch R, Simonsick E, Ling S, Fried LP (1998b) Racial differences in muscle strength in disabled older women. J Gerontol Biol Sci 53A:B355–B361 Rantanen T, Guralnik JM, Leveille S, Izmirlian G, Hirsch R, Simonsick E, Ling S, Fried LP (1998b) Racial differences in muscle strength in disabled older women. J Gerontol Biol Sci 53A:B355–B361
go back to reference Rantanen T, Guralnik JM, Sakari-Rantala R, Leveille S, Simonsick E, Ling S, Fried LP (1999) Disability, physical activity, and muscle strength in older women: the women’s health and aging study. Arch Phys Med Rehab 80:130–135CrossRef Rantanen T, Guralnik JM, Sakari-Rantala R, Leveille S, Simonsick E, Ling S, Fried LP (1999) Disability, physical activity, and muscle strength in older women: the women’s health and aging study. Arch Phys Med Rehab 80:130–135CrossRef
go back to reference Rantanen T, Penninx BWJH, Masaki K, Lintunen T, Foley D, Guralnik JM (2000a) Depressed mood and body mass index as predictors of muscle strength decline in old men. J Am Geriatr Soc 48:613–617 Rantanen T, Penninx BWJH, Masaki K, Lintunen T, Foley D, Guralnik JM (2000a) Depressed mood and body mass index as predictors of muscle strength decline in old men. J Am Geriatr Soc 48:613–617
go back to reference Rantanen T, Harris T, Leveille SG, Visser M, Foley D, Masaki K, Guralnik JM (2000b) Muscle strength and body mass index as long-term predictors of mortality in initially healthy men. J Gerontol Med Sci 55:M168–M173 Rantanen T, Harris T, Leveille SG, Visser M, Foley D, Masaki K, Guralnik JM (2000b) Muscle strength and body mass index as long-term predictors of mortality in initially healthy men. J Gerontol Med Sci 55:M168–M173
go back to reference Rantanen T, Volpato S, Ferrucci L, Heikkinen E, Fried L, Guralnik JM (2003) Handgrip strength and cause-specific and total mortality in older disabled women: exploring the mechanism. J Am Geriatr Soc 51:636–641CrossRef Rantanen T, Volpato S, Ferrucci L, Heikkinen E, Fried L, Guralnik JM (2003) Handgrip strength and cause-specific and total mortality in older disabled women: exploring the mechanism. J Am Geriatr Soc 51:636–641CrossRef
go back to reference Saltin B, Larsen H, Terrados N, Bangsbo J, Bak T, Kim CK, Svedenhag J, Rolf CJ (1995) Aerobic exercise capacity at sea level and at altitude in Kenyan boys, junior and senior runners compared with Scandinavian runners. Scand J Med Sci Sports 5:209–221CrossRef Saltin B, Larsen H, Terrados N, Bangsbo J, Bak T, Kim CK, Svedenhag J, Rolf CJ (1995) Aerobic exercise capacity at sea level and at altitude in Kenyan boys, junior and senior runners compared with Scandinavian runners. Scand J Med Sci Sports 5:209–221CrossRef
go back to reference Sasaki H, Kasagi F, Yamada M, Fukita S (2007) Grip strength predicts cause-specific mortality in middle-aged and elderly persons. Am J Med 120:337–342CrossRef Sasaki H, Kasagi F, Yamada M, Fukita S (2007) Grip strength predicts cause-specific mortality in middle-aged and elderly persons. Am J Med 120:337–342CrossRef
go back to reference Shechtman O, Mann WC, Justiss MD, Tomita M (2004) Grip strength in the frail elderly. Am J Phys Med Rehabil 83:819–826CrossRef Shechtman O, Mann WC, Justiss MD, Tomita M (2004) Grip strength in the frail elderly. Am J Phys Med Rehabil 83:819–826CrossRef
go back to reference Syddall H, Cooper C, Martin F, Briggs R, Sayer AA (2003) Is grip strength a useful single marker of frailty? Age Ageing 32:650–656CrossRef Syddall H, Cooper C, Martin F, Briggs R, Sayer AA (2003) Is grip strength a useful single marker of frailty? Age Ageing 32:650–656CrossRef
go back to reference Tiainen K, Sipilä S, Alen M, Heikkinen E, Kaprio J, Koskenvuo M, Tolvanen A, Pajala S, Rantanen T (2004) Heritability of maximal isometric muscle strength in older female twins. J Appl Physiol 96:173–180CrossRef Tiainen K, Sipilä S, Alen M, Heikkinen E, Kaprio J, Koskenvuo M, Tolvanen A, Pajala S, Rantanen T (2004) Heritability of maximal isometric muscle strength in older female twins. J Appl Physiol 96:173–180CrossRef
go back to reference Tiainen K, Sipilä S, Kauppinen M, Kaprio J, Rantanen T (2009) Genetic and environmental effects on isometric muscle strength and leg extensor power followed up for three years among older female twins. J Appl Physiol (in press). doi:10.1152/japplphysiol.91056.2008 Tiainen K, Sipilä S, Kauppinen M, Kaprio J, Rantanen T (2009) Genetic and environmental effects on isometric muscle strength and leg extensor power followed up for three years among older female twins. J Appl Physiol (in press). doi:10.​1152/​japplphysiol.​91056.​2008
go back to reference Visser M, Deeg DJH, Lips P, Harris TB, Bouter LM (2000a) Skeletal muscle mass and muscle strength in relation to lower-extremity performance in older men and women. J Am Geriatr Soc 48:381–386 Visser M, Deeg DJH, Lips P, Harris TB, Bouter LM (2000a) Skeletal muscle mass and muscle strength in relation to lower-extremity performance in older men and women. J Am Geriatr Soc 48:381–386
go back to reference Visser M, Harris TB, Fox KM, Hawkes W, Hebel JR, Yu Yahiro J, Michael R, Zimmerman SI, Magaziner J (2000b) Change in muscle mass and muscle strength after a hip fracture: relationship to mobility recovery. J Gerontol Med Sci 55A:M434–M440 Visser M, Harris TB, Fox KM, Hawkes W, Hebel JR, Yu Yahiro J, Michael R, Zimmerman SI, Magaziner J (2000b) Change in muscle mass and muscle strength after a hip fracture: relationship to mobility recovery. J Gerontol Med Sci 55A:M434–M440
Metadata
Title
Cross-national differences in grip strength among 50+ year-old Europeans: results from the SHARE study
Authors
Karen Andersen-Ranberg
I. Petersen
H. Frederiksen
J. P. Mackenbach
K. Christensen
Publication date
01-09-2009
Publisher
Springer-Verlag
Published in
European Journal of Ageing / Issue 3/2009
Print ISSN: 1613-9372
Electronic ISSN: 1613-9380
DOI
https://doi.org/10.1007/s10433-009-0128-6

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