Each 5 kg of lower grip strength went with about 16% higher mortality across 17 countries
Does grip strength predict how long you live?
The finding
Per 5 kg lower grip strength, the hazard ratio for all-cause mortality was 1.16 (95% CI 1.13–1.20). Grip predicted all-cause and cardiovascular death more strongly than systolic blood pressure did.
- Authors
- Leong DP, Teo KK, Rangarajan S, et al. (PURE)
- Published
- The Lancet 386:266–73 · 2015
- Evidence
- Read in the primary source; numbers checked.
- Source
- doi.org/10.1016/S0140-6736(14)62000-6
How it was studied
Prospective cohort of 139,691 adults aged 35–70 in 17 countries of different income levels, measured with a Jamar dynamometer. Median follow-up 4.0 years; 3,379 deaths.
The numbers
The same 5 kg step went with a hazard ratio of 1.17 (1.11–1.24) for cardiovascular death, 1.17 (1.12–1.21) for non-cardiovascular death, 1.07 (1.02–1.11) for myocardial infarction and 1.09 (1.05–1.15) for stroke.
Grip showed no association with incident diabetes, admission for pneumonia or COPD, falls, or fracture.
What it does not show
Observational, so the link may not be causal: nobody was assigned to get stronger. Follow-up was short at four years, which leaves room for illness to lower both grip and survival.
What Longstanding does with it
Grip is one of the ten tests and is read against age and sex norms. We present the association as an association. The app does not tell you that raising your grip will add years, because no trial has shown that.
Tests this bears on
Related
- In half a million UK adults, each 5 kg of lower grip went with 16–20% higher mortalityCelis-Morales CA · 2018
- A meta-analysis of 42 cohorts and 3 million people found 16% higher mortality per 5 kg of lower gripWu Y · 2017
- The link between grip and mortality is close to linear between about 26 and 50 kgLópez-Bueno R · 2022