The Relationships Between Upper and Lower Extremity Muscle Strength, Rate of Force Development, and Fatigue in Adults.

Electronic handgrip dynamometry allows for multiple muscle function aspects to be feasibly measured, yet their relationship with lower extremity muscle function is unknown. We sought to determine the relationships between upper and lower extremity mechanical isometric muscle strength, rate of force development (RFD), and endurance by limb dominance in resistance trained adults. The analytic sample included 30 adults aged 32.1 ± 13.5 years. An electronic handgrip dynamometer ascertained upper extremity strength capacity, RFD, and endurance. Lower extremity strength, RFD, and endurance were collected with the isometric feature on an isokinetic knee dynamometer. Limb dominance was self-reported. Pearson correlations were used for the analyses. Each muscle function attribute on the dominant limb of the upper and lower extremities were correlated: r = 0.76 (p < 0.01) for strength, r = 0.37 (p = 0.04) for RFD, and r = -0.48 (p < 0.01) for endurance. Although strength from the non-dominant limbs were correlated (r = 0.67; p < 0.01), no significant correlations were observed for RFD (r = 0.20; p = 0.29) and endurance (r = -0.21; p = 0.26). For adults aged 18-34 years, only upper and lower extremity strength was correlated on the dominant (r = 0.69; p < 0.01) and non-dominant limbs (r = 0.75; p < 0.01); however, strength (r = 0.88; p < 0.01) and endurance (r = -0.68; p = 0.01) were correlated in adults aged 35-70 years. Upper and lower extremity fatigability was likewise correlated in females (r = -0.56; p = 0.01). Our findings suggest that electronic handgrip dynamometry derived strength, RFD, and endurance could be a whole-body indicator of these muscle function attributes given their relationships with the lower extremities. These findings underscore the promise of handgrip dynamometry in routine muscle function assessments across different age groups.

Prevalence and Trends of Slow Gait Speed in the United States.

Gait speed is a simple, effective indicator of age-related disease and disability. We sought to examine the prevalence and trends of slow gait speed in older Americans. Our unweighted analytic sample included 12,427 adults aged ≥ 65 years from the 2006-2016 waves of the Health and Retirement Study. Gait speed was measured in participant residences. Persons with gait speed < 0.8 or <0.6 m/s were slow. Sample weights were used to generate nationally representative estimates. The overall estimated prevalence of slow gait speed with the <0.8 m/s cut-point was 48.6% (95% confidence interval (CI): 47.4-49.8) in the 2006-2008 waves yet was 45.7% (CI: 44.3-47.1) in the 2014-2016 waves, but this downward trend was not statistically significant (p = 0.06). The estimated prevalence of slowness with the <0.6 m/s cut-point was 21.3% (CI: 20.4-22.3) for the 2006-2008 waves, 18.5% (CI: 17.5-19.4) for the 2010-2012 waves, and 19.2% (CI: 18.2-20.2) for the 2014-2016 waves, but there were again no significant trends (p = 0.61). Our findings showed that the estimated prevalence of slow gait speed in older Americans is pronounced, and different cut-points largely inform how slowness is categorized. Continued surveillance of slowness over time will help guide screening for disablement and identify sub-populations at greatest risk for targeted interventions.