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ArticleSports medicine - open2026

Handgrip Strength Reference Values and Compositional Associations with Physical Activity in Early Childhood: A Large Sample Study of Swedish Preschoolers.

Ana Ramírez-Osuna, Pablo Campos-Garzón, Francisco Javier Huertas-Delgado, Viktor H Ahlqvist, Charlotte Wilén, Pontus Henriksson, Tommy R Lundberg, Martin Neovius, Micael Dahlen, Daniel Berglind

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Article in Sports medicine - open, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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1citing papers in PubMed
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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

10 authors.

Ana Ramírez-OsunaDepartment of Physical Education and Sports, Faculty of Sport Sciences, Sport and Health University Research Institute (iMUDS), University of Granada, Granada, Spain.
Pablo Campos-GarzónDepartment of Global Public Health, Karolinska Institutet, Stockholm, Sweden. pablo.campos.garzon@ki.se.ORCID http://orcid.org/0000-0003-0418-9165
Francisco Javier Huertas-Delgado"La Inmaculada" Teacher Training Centre, University of Granada, Granada, 18013, Spain.
Viktor H AhlqvistDepartment of Biomedicine, Aarhus University, Aarhus, Denmark.
Charlotte WilénDepartment of Global Public Health, Karolinska Institutet, Stockholm, Sweden.
Pontus HenrikssonDepartment of Medical and Health Sciences, Linköping University, Linköping, 581 83, Sweden.
Tommy R LundbergDepartment of Medical and Health Sciences, Linköping University, Linköping, 581 83, Sweden.
Martin NeoviusDepartment of Global Public Health, Karolinska Institutet, Stockholm, Sweden.
Micael DahlenCentre for Epidemiology and Community Medicine, Region Stockholm, Stockholm, Sweden.
Daniel BerglindDepartment of Global Public Health, Karolinska Institutet, Stockholm, Sweden.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMuscular strength is a marker of current health and a predictor of long-term health outcomes in young populations, supporting the inclusion of muscle-strengthening activities into current guidelines and recommendations. Over the last decade, muscular strength has been included in several fitness-test batteries in children and adolescents. However, little is known about its relevance and the feasibility of assessing it in preschool children aged 3-5 years. Therefore, in this cross-sectional study, we aimed to generate reference values for handgrip strength in Swedish preschool children and to examine the associations of device-measured movement behaviours (sedentary time [ST], light physical activity [LPA], moderate-to-vigorous physical activity [MVPA], and sleep duration) with handgrip strength using compositional data analysis.

resultsA total of 3,218 preschool children (48.53% female) aged 3.0-5.5 years from Sweden were included. Handgrip strength was measured using a validated analog dynamometer following standardized procedures. Movement behaviours were assessed in a subsample of 2,328 children who had both handgrip data and valid accelerometer recordings. Compositional data analysis was used to examine associations between handgrip strength and the 24-hour time-use composition, adjusting for age, sex, body mass index, parental education, and wear time. Age- and sex-specific percentiles for handgrip strength were developed. Boys showed higher handgrip values than girls at all ages (e.g., median increased from 4.08 to 7.42 kg in boys and from 3.45 to 6.87 kg in girls between ages 3 and 5 years). When the proportion of time spent in MVPA increased relative to the other behaviours, handgrip strength rose by + 1.22 kg; the opposite was observed for ST, which related to - 0.84 kg lower handgrip strength. No significant associations were observed for LPA or sleep duration (LPA: β =-0.48 kg, 95% CI: -1.23, 0.27; sleep: β = 0.10 kg, 95% CI: -0.37, 0.57).

conclusionThis study provides the first normative reference values for handgrip strength from Northern Europe. These values offer a useful reference for screening and contextual interpretation of muscular strength in preschool children.

Indexed as

Muscular strengthPhysical fitnessPreschoolersReference values

Identifiers

PMID41758477
PMCPMC12949204

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