Reference Values of Grip Strength Measured with a Jamar Dynamometer in 1526 Adults with Intellectual Disabilities and Compared to Adults without Intellectual Disability
Antonio Cuesta-Vargas, Thessa Hilgenkamp, Antonio Cuesta-Vargas, Thessa Hilgenkamp
Abstract
Aim: The aim of this study was to investigate grip strength in a large sample of people with intellectual disabilities, to establish reference values for adults with intellectual disabilities (ID) and compare it to adults without intellectual disability.
Methods: This study analysed pooled baseline data from two independent studies for all 1526 adults with ID: Special Olympics Funfitness Spain (n = 801) and the Dutch cross-sectional study 'Healthy aging and intellectual disabilities' (n = 725).
Results: The grip strength result of people with ID across gender and age subgroups is presented with CI95% values from higher 25.5-31.0 kg in male younger to lower 4.3-21.6 kg in female older.
Conclusion: This study is the first to present grip strength results of a large sample of people with ID from 20-90 years of age. This study provides reference values for people with ID for use in clinical practice.
Conflict of interest statement
Competing Interests: The authors have declared that no competing interests exist.
Figures
References
- Definition (n.d.). Available: . Accessed 2015 Jan 6.
- Van Schrojenstein Lantman-De Valk HM, Metsemakers JF, Haveman MJ, Crebolder HF (2000) Health problems in people with intellectual disability in general practice: a comparative study. Fam Pract 17: 405–407.
- De Winter CF, Bastiaanse LP, Hilgenkamp TIM, Evenhuis HM, Echteld MA (2012) Cardiovascular risk factors (diabetes, hypertension, hypercholesterolemia and metabolic syndrome) in older people with intellectual disability: results of the HA-ID study. Res Dev Disabil 33: 1722–1731. 10.1016/j.ridd.2012.04.010
- Temple VA, Frey GC, Stanish HI (2006) Physical activity of adults with mental retardation: review and research needs. Am J Health Promot 21: 2–12.
- Oppewal A, Hilgenkamp TIM, van Wijck R, Evenhuis HM (2013) Cardiorespiratory fitness in individuals with intellectual disabilities—a review. Res Dev Disabil 34: 3301–3316. 10.1016/j.ridd.2013.07.005
- Rimmer JH (2012) Getting beyond the plateau: bridging the gap between rehabilitation and community-based exercise. PM&R 4: 857–861. 10.1016/j.pmrj.2012.08.008
- Evenhuis HM, Hermans H, Hilgenkamp TIM, Bastiaanse LP, Echteld MA (2012) Frailty and disability in older adults with intellectual disabilities: results from the healthy ageing and intellectual disability study. J Am Geriatr Soc 60: 934–938. 10.1111/j.1532-5415.2012.03925.x
- Bohannon RW (2001) Dynamometer measurements of hand-grip strength predict multiple outcomes. Percept Mot Skills 93: 323–328. 10.2466/pms.2001.93.2.323
- Bohannon RW (2008) Hand-grip dynamometry predicts future outcomes in aging adults. J Geriatr Phys Ther 2001 31: 3–10.
- Cruz-Jentoft AJ, Baeyens JP, Bauer JM, Boirie Y, Cederholm T, Landi F, et al. (2010) Sarcopenia: European consensus on definition and diagnosis: Report of the European Working Group on Sarcopenia in Older People. Age Ageing 39: 412–423. 10.1093/ageing/afq034
- Lauretani F, Russo CR, Bandinelli S, Bartali B, Cavazzini C, Di Iorio A, et al. (2003) Age-associated changes in skeletal muscles and their effect on mobility: an operational diagnosis of sarcopenia. J Appl Physiol 95: 1851–1860. 10.1152/japplphysiol.00246.2003
- Norman K, Schütz T, Kemps M, Josef Lübke H, Lochs H, Pirlich M (2005) The Subjective Global Assessment reliably identifies malnutrition-related muscle dysfunction. Clin Nutr 24: 143–150. 10.1016/j.clnu.2004.08.007
- Carmeli E, Imam B, Merrick J (2012) The relationship of pre-sarcopenia (low muscle mass) and sarcopenia (loss of muscle strength) with functional decline in individuals with intellectual disability (ID). Arch Gerontol Geriatr 55: 181–185. 10.1016/j.archger.2011.06.032
- Norman K, Stobäus N, Gonzalez MC, Schulzke J- D, Pirlich M (2011) H and grip strength: outcome predictor and marker of nutritional status. Clin Nutr 30: 135–142. 10.1016/j.clnu.2010.09.010
- Syddall H, Cooper C, Martin F, Briggs R, Aihie Sayer A (2003) Is grip strength a useful single marker of frailty? Age Ageing 32: 650–656.
- Dwyer GB, Davis SE (2008) Acsm's Health-related Physical Fitness Assessment Manual. Lippincott Williams & Wilkins 9780781734714 Paperback, 1st—Delhi Book Store (n.d.). Available: . Accessed 2015 Jan 6.
- Alfaro-Acha A, Al Snih S, Raji MA, Kuo Y- F, Markides KS, Ottenbacher KJ (2006) Handgrip strength and cognitive decline in older Mexican Americans. J Gerontol A Biol Sci Med Sci 61: 859–865.
- Cooper R, Kuh D, Cooper C, Gale CR, Lawlor DA, Matthews F, et al. (2011) Objective measures of physical capability and subsequent health: a systematic review. Age Ageing 40: 14–23. 10.1093/ageing/afq117
- Alvares-da-Silva MR, Reverbel da Silveira T (2005) Comparison between handgrip strength, subjective global assessment, and prognostic nutritional index in assessing malnutrition and predicting clinical outcome in cirrhotic outpatients. Nutrition 21: 113–117. 10.1016/j.nut.2004.02.002
- Hilgenkamp TIM, van Wijck R, Evenhuis HM (2012) Feasibility and reliability of physical fitness tests in older adults with intellectual disability: a pilot study. J Intellect Dev Disabil 37: 158–162. 10.3109/13668250.2012.681773
- Hilgenkamp TIM, Bastiaanse LP, Hermans H, Penning C, van Wijck R, Evenhuis HM (2011) Study healthy ageing and intellectual disabilities: recruitment and design. Res Dev Disabil 32: 1097–1106. 10.1016/j.ridd.2011.01.018
- Cuesta-Vargas A, Giné-Garriga M (2014) Development of a new index of balance in adults with intellectual and developmental disabilities. PloS ONE 9: e96529 10.1371/journal.pone.0096529
- Cardinal BJ, Esters J, Cardinal MK (1996) Evaluation of the revised physical activity readiness questionnaire in older adults. Med Sci Sports Exerc 28: 468–472.
- Thomas S, Reading J, Shephard RJ (1992) Revision of the Physical Activity Readiness Questionnaire (PAR-Q). Can J Sport Sci J Can Sci Sport 17: 338–345.
- Mathiowetz V, Kashman N, Volland G, Weber K, Dowe M, Rogers S (1985) Grip and pinch strength: normative data for adults. Arch Phys Med Rehabil 66: 69–74.
- Jamar Hand Dynamometer- 5030J1 (n.d.). Available: . Accessed 2015 Jan 6.
- Abizanda P, Navarro JL, García-Tomás MI, López-Jiménez E, Martínez-Sánchez E, Paterna G (2012) Validity and usefulness of hand-held dynamometry for measuring muscle strength in community-dwelling older persons. Arch Gerontol Geriatr 54: 21–27. 10.1016/j.archger.2011.02.006
- Stark T, Walker B, Phillips JK, Fejer R, Beck R (2011) Hand-held dynamometry correlation with the gold standard isokinetic dynamometry: a systematic review. PM&R 3: 472–479. 10.1016/j.pmrj.2010.10.025
- Moran C FE (1981) Clinical Assessment Recommendations. American Society of Hand Therapist.
- Bohannon RW, Peolsson A, Massy-Westropp N, Desrosiers J, Bear-Lehman J (2006) Reference values for adult grip strength measured with a Jamar dynamometer: a descriptive meta-analysis. Physiotherapy 92: 11–15. 10.1016/j.physio.2005.05.003
- Bohannon RW, Bear-Lehman J, Desrosiers J, Massy-Westropp N, Mathiowetz V (2007) Average grip strength: a meta-analysis of data obtained with a Jamar dynamometer from individuals 75 years or more of age. J Geriatr Phys Ther 2001 30: 28–30.
- Oppewal A, Hilgenkamp TIM, van Wijck R, Schoufour JD, Evenhuis HM (2014) Physical fitness is predictive for a decline in daily functioning in older adults with intellectual disabilities: results of the HA-ID study. Res Dev Disabil 35: 2299–2315. 10.1016/j.ridd.2014.05.027
- Oppewal A, Hilgenkamp TIM, van Wijck R, Schoufour JD, Evenhuis HM (2014) The predictive value of physical fitness for falls in older adults with intellectual disabilities. Res Dev Disabil 35: 1317–1325. 10.1016/j.ridd.2014.03.022
- Hilgenkamp TIM, van Wijck R, Evenhuis HM (2014) Subgroups associated with lower physical fitness in older adults with ID: results of the HA-ID study. Res Dev Disabil 35: 439–447. 10.1016/j.ridd.2013.11.015
- Oppewal A, Hilgenkamp TIM, van Wijck R, Evenhuis HM (2013) The effect of handedness on grip strength in older adults with intellectual disabilities. Res Dev Disabil 34: 1623–1629. 10.1016/j.ridd.2013.02.013
Source: PubMed