ArticleScientific reports2021
Socioeconomic differences in handgrip strength and its association with measures of intrinsic capacity among older adults in six middle-income countries.
Article in Scientific reports, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 1 of them a synthesis that pooled it.
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Who cites it
30 citing papers in PubMed, 1 synthesis or guideline pooled it, 46 citations in OpenAlex.
- Measures of attributes of locomotor capacity in older people: a systematic literature review following the COSMIN methodology.Age and ageing · 2023Pooled it
- Socioeconomic Disparities in Cardiovascular Health: A Cross-Sectional Analysis Unpacking the Sequential Mediation Roles of Protein Intake and Handgrip Strength.Healthcare (Basel, Switzerland) · 2026Article
- Aging with burden: multimorbidity, depression and quality of life in older adults residing in long-term care facilities in South Africa.BMC geriatrics · 2026Article
- Rural health inequalities in perceived HIV vulnerability and nutritional status: a cross-comparison of rural communities in West and Southern Africa.BMC public health · 2026Article
- Prevalence and outcomes of intrinsic capacity impairments assessed using the WHO Integrated Care for Older People (ICOPE) framework in The Gambia, South Africa, and Zimbabwe: a cross-sectional study.The Lancet. Global health · 2026Article
- Heterogeneous trajectories of intrinsic capacity and their predictors: a Bayesian network analysis of a longitudinal cohort in Chinese nursing homes.Frontiers in public health · 2026Article
- A decade of difference: cross-continental patterns of functional performance in Brazil and Europe within the WHO ICOPE framework.PloS one · 2026Observational
- Segmental bioimpedance and anthropometry improve machine learning prediction of grip strength in healthy young adults.Frontiers in bioengineering and biotechnology · 2026Article
- Spatiotemporal Dynamics of Relative Grip Strength in China: Comprehensive Analysis from 2000 to 2020 National Surveys.Sports medicine - open · 2025Article
- Joint associations of handgrip strength and functional disability with cognitive impairment in older adults.European journal of medical research · 2025Article
- Research progress on intrinsic capacity in older adults: Concepts, epidemiology, assessments, influencing factors, adverse outcomes, and interventions.Global health & medicine · 2025Review
- Sex-Specific Risk Factors for Dynapenia in Korean Middle-Aged and Older Adults: A Cross-Sectional Study Based on the Korea National Health and Nutrition Examination Survey 2014-2019.Journal of personalized medicine · 2025Article
- The vitality domain of intrinsic capacity: A scoping review of conceptual frameworks and measurements.The Journal of frailty & aging · 2025Article
- Can handgrip strength alone detect individuals living with frailty according to the Clinical Frailty Scale?Revista da Associacao Medica Brasileira (1992) · 2025Article
- Perceived neighborhood safety, crime exposure, and chronic diseases among older Indians: The role of functional disabilities.PLOS global public health · 2025Article
- Determinants of intrinsic capacity among older adults in low- and middle-income countries: A scoping review.Belitung nursing journal · 2025Review
- Self-reported, functional, and objective health and sociodemographic characteristics among older adults in Kenya: findings from the pilot longitudinal study of health and ageing in Kenya (LOSHAK).Frontiers in aging · 2025Article
- [Grip strength and high blood pressure: a case-control study].Revista medica del Instituto Mexicano del Seguro Social · 2024Observational
- The Causal Effect of Adult Height on Late-Life Handgrip Strength: The Singapore Chinese Health Study.The journals of gerontology. Series A, Biological sciences and medical sciences · 2024Article
- Hand grip strength as a proposed new vital sign of health: a narrative review of evidences.Journal of health, population, and nutrition · 2024Review
Corrections and comments
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Authors and funding
4 authors at 2 institutions in 2 countries.
Funding
Abstract
Handgrip strength, a measure of muscular strength is a powerful predictor of declines in intrinsic capacity, functional abilities, the onset of morbidity and mortality among older adults. This study documents socioeconomic (SES) differences in handgrip strength among older adults aged 50 years and over in six middle-income countries and investigates the association of handgrip strength with measures of intrinsic capacity-a composite of all the physical and mental capacities of an individual. Secondary data analysis of cross-sectional population-based data from six countries from the WHO's Study on global AGEing and adult health (SAGE) Wave 1 were conducted. Three-level linear hierarchical models examine the association of demographic, socioeconomic status and multimorbidity variables with handgrip strength. Regression-based Relative Index of Inequality (RII) examines socioeconomic inequalities in handgrip strength; and multilevel linear and logistic hierarchical regression models document the association between handgrip strength and five domains of intrinsic capacity: locomotion, psychological, cognitive capacity, vitality and sensory. Wealth quintiles are positively associated with handgrip strength among men across all countries except South Africa while the differences by education were notable for China and India. Work and nutritional status are positively associated with handgrip strength. Our findings provide new evidence of robust association between handgrip strength and other measures of intrinsic capacity and confirms that handgrip strength is a single most important measure of capacity among older persons.
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