ArticleThe journals of gerontology. Series A, Biological sciences and medical sciences2021
The Associations of Handgrip Strength and Leg Extension Power Asymmetry on Incident Recurrent Falls and Fractures in Older Men.
Article in The journals of gerontology. Series A, Biological sciences and medical sciences, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.
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Who cites it
16 citing papers in PubMed, 31 citations in OpenAlex.
- The role of dominant handgrip strength in fall occurrence possibility and frequency.BMC public health · 2026Article
- Beyond Handgrip: Associations Between Trunk Strength, Gait Speed, Resting Metabolic Rate, and Muscle Mass in Brazilian Older Women with Probable Sarcopenia.International journal of environmental research and public health · 2026Article
- Relationship of Handgrip Strength and Asymmetry with Walking Ability in Older Adults with Excess Adiposity.Advanced biology · 2024Article
- Mendelian randomization study on association between grip strength and BMD in different age groups.Journal of bone and mineral metabolism · 2024Article
- Evaluation of Factors Influencing Handgrip Strength Asymmetry in Older Peruvian Adults.Annals of geriatric medicine and research · 2024Article
- Association of Handgrip Strength with Hip Fracture and Falls in Community-dwelling Middle-aged and Older Adults: A 4-Year Longitudinal Study.Orthopaedic surgery · 2024Article
- Muscle parameters in fragility fracture risk prediction in older adults: A scoping review.Journal of cachexia, sarcopenia and muscle · 2024Article
- Effects of measurement protocols and repetitions on handgrip strength weakness and asymmetry in patients with cancer.Journal of cachexia, sarcopenia and muscle · 2024Article
- Moving from stable standing to single-limb stance or an up-on-the-toes position: The importance of vision to dynamic balance control.PloS one · 2024Article
- The genetics of falling susceptibility and identification of causal risk factors.Scientific reports · 2023Article
- Examining the role of different weakness categories for mobility and future falls in older Americans.Aging clinical and experimental research · 2023Article
- Tracking handgrip strength asymmetry from childhood to mid-life.Acta paediatrica (Oslo, Norway : 1992) · 2023Article
- Article
- Prevalence and Trends of Handgrip Strength Asymmetry in the United States.Advances in geriatric medicine and research · 2023Article
- Upper Extremity Skeletal Muscle Mass Asymmetry Exacerbated by Shoulder Imbalance in Lenke1A Adolescent Idiopathic Scoliosis.Journal of clinical medicine · 2022Article
- Toe grip force of the dominant foot is associated with fall risk in community-dwelling older adults: a cross-sectional study.Journal of foot and ankle research · 2022Article
Corrections and comments
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Authors and funding
5 authors at 5 institutions in 1 country.
Funding
Abstract
backgroundEvaluating asymmetries in muscle function could provide important insights for fall risk assessments. We sought to determine the associations of (i) handgrip strength (HGS) asymmetry and (ii) leg extension power (LEP) asymmetry on risk of incident recurrent falls and fractures in older men.
methodThere were 5 730 men with HGS asymmetry data and 5 347 men with LEP asymmetry data from the Osteoporotic Fractures in Men (MrOS) study. A handgrip dynamometer measured HGS and a Nottingham Power Rig ascertained LEP. Percent difference in maximal HGS between hands was calculated, and asymmetric HGS was defined as men in the highest quartile of dissimilarity for HGS between hands. The same approach was used to determine asymmetric LEP. Participants self-reported falls every 4 months after the baseline exam, and persons with ≥2 falls in the first year were considered recurrent fallers. Fractures and their dates of occurrence were self-reported and confirmed with radiographic reports.
resultsOlder men in the highest HGS asymmetry quartile had a 1.20 (95% confidence interval [CI]: 1.01-1.43) relative risk for incident recurrent falls. Likewise, men in the highest HGS asymmetry quartile had a higher risk for incident fractures: 1.41 (CI: 1.02-1.96) for hip, 1.28 (CI: 1.04-1.58) for major osteoporotic, and 1.24 (CI: 1.06-1.45) for nonspine. There were no significant associations between LEP asymmetry and recurrent falls or fractures.
conclusionsAsymmetric HGS could be a novel risk factor for falls and fractures that is more feasible to measure than LEP. Fall risk assessments should consider evaluating muscle function, including HGS asymmetry.
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