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handgrip

Physiology: - increases cardiac output & systemic arterial pressure Pathology: - grip strength predicts risk for death & cardiovascular events - every 5-kg decrease in grip strength linked to - 16-18% increase in overall mortality [5] - 17-20% increase in cardiovascular mortality [5] - 22% increase in COPD mortality [5] - 17% increase in non-cardiovascular mortality - 12% increase in cancer mortality [5] - 7% increase in risk for myocardial infarction - 9% increase in risk for stroke

General

maneuver

References

  1. Mayo Internal Medicine Board Review, 1998-99, Prakash UBS (ed) Lippincott-Raven, Philadelphia, 1998, pg 39
  2. Roberts HC, Denison HJ, Martin HJ et al A review of the measurement of grip strength in clinical and epidemiological studies: towards a standardised approach. Age Ageing. 2011 Jul;40(4):423-9. PMID: 21624928
  3. Geriatric Review Syllabus, 8th edition (GRS8) Durso SC and Sullivan GN (eds) American Geriatrics Society, 2013
  4. Leong DP et al Prognostic value of grip strength: findings from the Prospective Urban Rural Epidemiology (PURE) study. Lancet. May 13, 2015 PMID: 25982160 http://www.thelancet.com/journals/lancet/article/PIIS0140-6736%2814%2962000-6/abstract
  5. Celis-Morales CA et al. Associations of grip strength with cardiovascular, respiratory, and cancer outcomes and all cause mortality: Prospective cohort study of half a million UK Biobank participants. BMJ 2018 May 8; 361:k1651 PMID: 29739772 Free PMC Article