Low muscle strength linked to earlier death

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People with low muscle strength don’t typically live as long as their stronger peers, according to a new study.

After adjusting for sociodemographic factors, chronic health conditions, and smoking history, researchers found that people with low muscle strength are 50 percent more likely to die earlier.

…muscle strength may be an even more important predictor of overall health and longevity than muscle mass.

“Maintaining muscle strength throughout life—and especially in later life—is extremely important for longevity and aging independently,” says lead researcher Kate Duchowny, who recently completed her doctorate in epidemiology at the University of Michigan School of Public Health.

A growing body of research has indicated that muscle strength may be an even more important predictor of overall health and longevity than muscle mass.

Further, hand grip strength specifically has been found to be inversely related to mobility limitations and disability. However, despite being a relatively simple and cost-effective test, grip strength measurement is not currently part of most routine physicals, Duchowny says.

“This study further highlights the importance of integrating grip strength measurements into routine care—not just for older adults but even in midlife,” says Duchowny, who is now a postdoctoral scholar fellow at the University of California, San Francisco.

“Having hand grip strength be an integral part of routine care would allow for earlier interventions, which could lead to increased longevity and independence for individuals.”

For the study, which appears in the Journal of Gerontology: Medical Sciences, researchers analyzed data of a nationally representative sample of 8,326 men and women ages 65 and older who are part of the University of Michigan’s Health and Retirement Study.

“…muscle weakness is a serious public health concern…”

Grip strength can be measured using a device called a dynamometer, which a patient squeezes to measure their strength in kilograms. Researchers used “cut-points,” or thresholds, to define levels of strength. For example, researchers identified muscle weakness as having a hand grip strength less than 39 kg for men and 22 kg for women.

They derived those thresholds based on the nationally representative sample, something Duchowny says is unique to this study.

Based on the data, 46 percent of the sample population was considered weak at baseline. By comparison, only about 10 to 13 percent were considered weak using other cut-points derived from less representative samples.

“We believe our cut-points more accurately reflect the changing population trends of older Americans and that muscle weakness is a serious public health concern,” Duchowny says.

“Many aging studies—not just those on muscle strength—are conducted on largely white populations. However, as the US population becomes increasingly diverse, it is critical to use nationally representative data for these types of studies.”

Source: University of Michigan