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Longstanding

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

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