Hand Grip Strength (HGS) in children aged 9-10 years based on nutritional status

Hand Grip Strength (HGS) in children aged 9-10 years based on nutritional status

Authors

  • Oktaria Safitri Child Health Department, Dr. Soetomo General Academic Hospital, Surabaya/ Child Health Department, Faculty of Medicine Universitas Airlangga https://orcid.org/0000-0001-6024-868X
  • Nur Aisiyah Widjaja Child Health Department, Dr. Soetomo General Academic Hospital, Surabaya/ Child Health Department, Faculty of Medicine Universitas Airlangga https://orcid.org/0000-0002-4253-8760
  • Annis Catur Adi Department of Nutrition Faculty of Public Health Universitas Airlangga

Keywords:

hand grip strength, Nutritional Status, BMI, growth, anthropometric, stunted, wasted

Abstract

Background and aim: Hand grip strength (HGS) is crucial across life stages, reflecting health and function. It influenced by age, gender, and body size. HGS correlates with anthropometric traits like weight and hand dominance. It predicts health outcomes, aids in clinical assessments, and guides early interventions for optimal pediatric health. This study was elaborated to evaluate the HGS difference in children aged 9-10 years based on nutritional status.

Methods: A cross-sectional study was conducted involving children aged 9-10 years collected using the consecutive sampling method. Handgrip strength was measured using a digital dynamometer. Subjects were categorized based on weight-for-age z-score (WAZ) and height-for-age z-score (HAZ) into groups representing different nutritional statuses.

Results: The study revealed significant differences in muscle mass percentage across nutritional status groups, namely severely-underweight (16.53%), underweight (18.46%), normal-weight (22.14%), and overweight (31.04%) (P<0.0001). Significant differences were also found in right-HGS between boys (14.83 kg) and girls (13.16 kg), P=0.007, and in left-HGS between boys (12.78 kg) and girls (10.19 kg) (P<0.0001). HGS significantly differed between normal and stunted groups (P<0.0001), underweight and normal groups (P<0.0001), and underweight and overweight groups (P=0.001).

Conclusions: Handgrip strength (HGS) is pivotal for assessing children's muscle strength and health. Boys typically exhibit greater strength than girls, influenced by age. Normal nutritional status correlates with stronger handgrip compared to stunted children. Anthropometric factors like height, weight, BMI, and muscle mass significantly impact handgrip strength, reflecting overall growth and development. 

References

Lima TRL, Almeida VP, Ferreira AS, Guimarães FS, Lopes AJ. Handgrip strength and pulmonary disease in the elderly: What is the link? Aging Dis. 2019 Oct;10(5):1109–29. doi: 10.14336/AD.2018.1226.

Norman K, Stobäus N, Gonzalez MC, Schulzke JD, Pirlich M. Hand grip strength: Outcome predictor and marker of nutritional status. Clin Nutr. 2011 Apr;30(2):135–42. doi:10.1016/j.clnu.2010.09.010.

Clifford MS, Hamer P, Phillips M, Wood FM, Edgar DW. Grip strength dynamometry: Reliability and validity for adults with upper limb burns. Burns. 2013 Nov;39(7):1430–6. doi:10.1016/j.burns.2013.03.020.

Flood A, Chung A, Parker H, Kearns V, O’Sullivan TA. The use of hand grip strength as a predictor of nutrition status in hospital patients. Clin Nutr. 2014 Feb;33(1):106–14. doi:10.1016/j.clnu.2013.03.003.

Vaidya SM, Nariya DM. Handgrip Strength as a Predictor of Muscular Strength and Endurance: A Cross-sectional Study. J Clin Diagnostic Res. 2021 Jan;15(1):YC01– YC04. doi: 10.7860/JCDR/2021/45573.14437

Holfelder B, Schott N. Relationship of fundamental movement skills and physical activity in children and adolescents: A systematic review. Psychol Sport Exerc. 2014 Jul;15(4):382–91. doi:10.1016/j.psychsport.2014.03.005

Elbedewy RMS, El Said SMS, Taha RM. Indicators of abnormal hand grip strength among older egyptian adults. J Multidiscip Healthc. 2020 Apr;13:387–92. doi: 10.2147/JMDH.S240502.

Abd El Basset Bakr AM, Hasaneen BM, AbdelRasoul Helal Bassiouni D. Assessment of Nutritional Status in Children With Chronic Kidney Disease Using Hand Grip Strength Tool. J Ren Nutr. 2018 Jul;28(4):265–9. doi:10.1053/j.jrn.2017.12.007

Muhammad T, Maurya P. Relationship between handgrip strength, depression and cognitive functioning among older adults: Evidence from longitudinal ageing study in India. Int J Geriatr Psychiatry. 2022 Aug;37(8):1–14. doi: 10.1002/gps.5776.

Yamanashi H, Kulkarni B, Edwards T, et al. Association between atherosclerosis and handgrip strength in non-hypertensive populations in India and Japan. Geriatr Gerontol Int. 2018 Jul;18(7):1071–1078. doi: 10.1111/ggi.13312.

Chatterjee P, Kandel R, Bhatti H, et al. Grip strength: An alternative for measuring for measuring osteoporosis in elderly. Int J Med Pharm Sci. 2014 Apr;4(2):89–98.

Manini T, Mardini M, Smail E, Tighe P, Price C, Kaufmann C. Presurgical grip strenght predicts postsurgical outcomes in older adults. Innov Aging. 2022 Des;6(51):400. doi: 10.1093/geroni/igac059.1572

Prasitsiriphon O, Pothisiri W. Associations of Grip Strength and Change in Grip Strength With All-Cause and Cardiovascular Mortality in a European Older Population. Clin Med Insights Cardiol. 2018 Apr;12:1179546818771894. doi: 10.1177/1179546818771894.

Zaccagni L, Toselli S, Bramanti B, Gualdi-Russo E, Mongillo J, Rinaldo N. Handgrip strength in young adults: Association with anthropometric variables and laterality. Int J Environ Res Public Health. 2020 Jun;17(12):4273. doi: 10.3390/ijerph17124273.

Bobos P, Nazari G, Lu Z, MacDermid JC. Measurement Properties of the Hand Grip Strength Assessment: A Systematic Review With Meta-analysis. Arch Phys Med Rehabil. 2020 Mar;101(3):553–65. doi: 10.1016/j.apmr.2019.10.183.

Thomas E, Gennaro V, Battaglia G, et al. Upper body strength endurance evaluation: A comparison between the handgrip strength and three body weight tests. Isokinet Exerc Sci. 2021 Apr;29(2):185–91. doi: 10.3233/IES-202206.

Nikodelis T, Savvoulidis S, Athanasakis P, Chalitsios C, Loizidis T. Comparative Study of Validity and Reliability of Two Handgrip Dynamometers: K-Force Grip and Jamar. Biomech. 2021 Mar;1(1):73–82. doi:10.3390/biomechanics1010006

Matthews L, Bates A, Wootton SA, Levett D. The use of bioelectrical impedance analysis to predict post-operative complications in adult patients having surgery for cancer: A systematic review. Clin Nutr. 2021 May;40(5):2914–22. doi:10.1016/j.clnu.2021.03.008

Agtuahene MA, Quartey J, Kwakye S. Influence of hand dominance, gender, and body mass index on hand grip strength. South African J Physiother. 2023 Oct;79(1):1–6. doi: 10.4102/sajp.v79i1.1923.

Abe T, Thiebaud RS, Ozaki H, Yamasaki S, Loenneke JP. Children with Low Handgrip Strength: A Narrative Review of Possible Exercise Strategies to Improve Its Development. Children (Basel). 2022 Oct;9(11):1616. doi: 10.3390/children9111616.

Ploegmakers JJW, Hepping AM, Geertzen JHB, Bulstra SK, Stevens M. Grip strength is strongly associated with height, weight and gender in childhood: A cross sectional study of 2241 children and adolescents providing reference values. J Physiother. 2013 Dec;59(4):255–61. doi: 10.1016/S1836-9553(13)70202-9.

Hogrel JY, Decostre V, Alberti C, et al. Stature is an essential predictor of muscle strength in children. BMC Musculoskelet Disord. 2012 sep;13:176. doi: 10.1186/1471-2474-13-176.

Fredriksen PM, Mamen A, Hjelle OP, Lindberg M. Handgrip strength in 6–12-year-old children: The Health Oriented Pedagogical Project (HOPP). Scand J Public Health. 2018 May;46(21_suppl):54–60. doi: 10.1177/1403494818769851.

Amo-Setién FJ, Leal-Costa C, Abajas-Bustillo R, González-Lamuño D, Redondo-Figuero C. Factors associated with grip strength among adolescents: An observational study. J Hand Ther. 2020 Jan-Mar;33(1):96–102. doi: 10.1016/j.jht.2018.10.005

Mahmoud AG, Elhadidy EI, Hamza MS, Mohamed NE. Determining correlations between hand grip strength and anthropometric measurements in preschool children. J Taibah Univ Med Sci. 2020 Feb;15(1):75–81. doi: 10.1016/j.jtumed.2020.01.002

Ervin RB, Fryar CD, Wang CY, Miller IM, Ogden CL. Strength and body weight in US children and adolescents. Pediatrics. 2014 Sep;134(3):e782–9. doi: 10.1542/peds.2014-0794

Kenjle K, Limaye S, Ghugre PS, Udipi SA. Grip strength as an index for assessment of nutritional status of children aged 6-10 years. J Nutr Sci Vitaminol (Tokyo). 2005 Apr;51(2):87–92. doi: 10.3177/jnsv.51.87.

Montalcini T, Ferro Y, Salvati MA, Romeo S, Miniero R, Pujia A. Gender difference in handgrip strength of Italian children aged 9 to 10 years. Ital J Pediatr. 2016 Feb;42(1):4–9. doi:10.1186/s13052-016-0226-y

Heitzler CD, Martin SL, Duke J, Huhman M. Correlates of physical activity in a national sample of children aged 9-13 years. Prev Med. 2006 Apr;42(4):254–60. doi: 10.1016/j.ypmed.2006.01.010

Farías-Valenzuela C, Ferrero-Hernández P, Ferrari G, et al. Reference Values of Absolute and Relative Handgrip Strength in Chilean Schoolchildren with Intellectual Disabilities. Children (Basel). 2022;9(12):1912. doi: 10.3390/children9121912.

Jürimäe T, Hurbo T, Jürimäe J. Relationship of handgrip strength with anthropometric and body composition variables in prepubertal children. Homo. 2009;60(3):225–38. doi: 10.1016/j.jchb.2008.05.004.

Dooley FL, Kaster T, Fitzgerald JS, et al. A Systematic Analysis of Temporal Trends in the Handgrip Strength of 2,216,320 Children and Adolescents Between 1967 and 2017. Sport Med. 2020 Jan;50(6):1129–1144. doi:10.1007/s40279-020-01265-0

Jensen KC, Bellini SG, Derrick JW, Fullmer S, Eggett D. Handgrip Strength and Malnutrition (Undernutrition) in Hospitalized Versus Nonhospitalized Children Aged 6-14 Years. Nutr Clin Pract. 2017 Oct;32(5):687–693. doi: 10.1177/0884533617698098.

Zeng Q, Hu X, Wang Y. The association between muscle strength and executive function in children and adolescents: Based on survey evidence in rural areas of China. Front Psychol. 2023 Jan;13:1090143. doi: 10.3389/fpsyg.2022.1090143.

Apostolidis N, Emmanouil Z. The influence of the anthropometric characteristics and handgrip strength on the technical skills of young basketball players. J Phys Educ Sport. 2015 may;15(2):330–337. doi:10.7752/jpes.2015.02050.

Latorre Román PÁ, López DM, Aguayo BB, Fuentes AR, García-Pinillos F, Redondo MM. Handgrip strength is associated with anthropometrics variables and sex in preschool children: A cross sectional study providing reference values. Phys Ther Sport. 2017 Jul;26:1–6. doi:10.1016/j.ptsp.2017.04.002

Suwandi AA, Prastowo NA, Haryono IR, Gunawan DS. Correlation between weight, height, and body mass index with hand grip strength among junior high school. Int J Phys Educ Sport Heal. 2024;11(1):06–9. doi:10.22271/kheljournal.2024.v11.i1a.3184.

Steffl M, Chrudimsky J, Tufano JJ. Using relative handgrip strength to identify children at risk of sarcopenic obesity. PLoS One. 2017 May;12(5):e0177006. doi: 10.1371/journal.pone.0177006.

Al-Asadi JN. Handgrip strength in medical students: Correlation with body mass index and hand dimensions. Asian J Med Sci. 2018 Jan;9(1):21–6. doi:0.3126/ajms.v9i1.18577

Palacio-Agüero A, Díaz-Torrente X, Dourado DQS. Relative handgrip strength, nutritional status and abdominal obesity in Chilean adolescents. PLoS One. 2020 Jun;15(6):e0234316. doi: 10.1371/journal.pone.0234316.

Downloads

Published

29-10-2024

Issue

Section

ORIGINAL CLINICAL RESEARCH

How to Cite

1.
Safitri O, Widjaja NA, Adi AC. Hand Grip Strength (HGS) in children aged 9-10 years based on nutritional status. Acta Biomed. 2024;95(5):e2024154. doi:10.23750/abm.v95i5.16178