In this article we explore the link between measuring grip strength and gaining insights into respiratory disease-related risks.
But first, what is grip strength and why is measuring grip strength important?Grip strength is a simpler, more objective measure than the 6-minute walk test, directly correlating with functional capacity and offering valuable insights into respiratory disease risk and progression.
It reflects muscle strength, which declines in chronic conditions such as COPD, where systemic inflammation and muscle loss worsen physical performance and increase mortality risk. [Celis-Morales et al., 2018]
This document explains how grip strength can be used in clinical practice to assess risk, progression and prognosis in patients with respiratory disease. Read on to find out – how is grip strength related to respiratory disease and mortality risk reduction.
“Grip strength is a key indicator of health; it’s a proxy for your overall strength and physical function.”
‘Outlive’ by Peter Attia MD; Longevity Expert
Grip Strength and Risk of Disease Incidence
For patients aged between 40-69: each 7.7 lbs* drop in grip strength increases respiratory–disease related incidence of:
Grip Strength in the Prediction and Prevention of Respiratory–Disease Related Mortality
If aged between 40-69: each 7.7 lbs* drop in grip strength increases respiratory–disease related mortality of:
Achieving a grip strength of 62.4 lbs* reduces the risk of respiratory disease mortality by an impressive 51%. [Mey et al., 2022]
Grip Strength for Preserving Independence through Early Detection
There is a link between measuring grip strength and all-cause mortality risk reduction. Grip strength testing identifies functional decline caused by advancing muscle atrophy. Early interventions, including resistance training or muscle-strengthening activities for 30–60 minutes weekly to improve physical fitness, reduces the risk of all-cause mortality, cardiovascular disease, and cancer by 10–17% [Momma et al., 2022].
*Note that all cut off points have been converted to GripAble-equivalent measurements for consistency
Clinical Application
Measure grip strength during routine check-ups to assess risk factors and track trends over time. For high-risk patients, consider providing a hand dynamometer for regular, at-home monitoring. Pay attention when grip strength drops below cut-off points or decreases by more than a quartile.
Patient Empowerment
Give patients access to their grip strength scores - a clear, tangible measure they can easily understand and actively improve with guidance. Unlike blood pressure, grip strength is relatable and empowering, enabling patients to track their progress as a key indicator of their independence.
Practical Considerations
Grip strength is a non-invasive, objective measure offering clear insights into patient well-being and can serve as a valuable substitute for patients unable to perform respiratory assessments.
Reduce Utilization: better risk stratification and monitoring
Improve Patient Satisfaction: give patients a quick, non-invasive tool to monitor their disease status and response to treatment at home
Support Risk Adjustment: quantify disease impact by using grip strength as an objective measure of muscle loss.
For further reading, dive into our extensive collection of studies on using a hand dynamometer, grip strength and more here including:
Contribute: Partner with us in research or patient case studies to advance the knowledge of grip strength as a biomarker.
Understand: Get the essentials on hand dynamometry and how to integrate grip strength into your practice with our comprehensive guide.
Get in touch:
Website: www.able-care.co Email: hello@able-care.co
Able Care has signed the American Physical Therapy Association Digital Transparency pledge, illustrating our commitment to the fact that digital "physical therapy" services are only performed or directed by licensed physical therapists in accordance with all regulations and APTA’s Standards of Practice for Physical Therapy.
Support
+1 406 318 9624
Quick links
