Handgrip Strength and Its Associated Factors among Community-dwelling Elderly in Sri Lanka: A Cross-sectional Study.
	    		
		   		
		   			
		   		
	    	
    	 
    	10.1016/j.anr.2018.08.008
   		
        
        	
        	
        	
        		- Author:
	        		
		        		
		        		
			        		Hewaratne D W T DAMAYANTHI
			        		
			        		
			        		
			        			1
			        			
			        		
			        		
			        		
			        		
			        		;
		        		
		        		
		        		
			        		Foong Ming MOY
			        		
			        		;
		        		
		        		
		        		
			        		Kathijah L ABDULLAH
			        		
			        		;
		        		
		        		
		        		
			        		Samath D DHARMARATNE
			        		
			        		
		        		
		        		
		        		
		        		
		        			
			        		
			        		Author Information
			        		
		        		
		        		
			        		
			        		
			        			1. Department of Nursing Sciences, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia.
			        		
		        		
	        		
        		 
        	
        	
        	
        		- Publication Type:Original Article
 
        	
        	
        		- Keywords:
        			
	        			
	        				
	        				
			        		
				        		aged;
			        		
			        		
			        		
				        		hand strength;
			        		
			        		
			        		
				        		independent living
			        		
			        		
	        			
        			
        		
 
        	
            
            	- MeSH:
            	
	        			
	        				
	        				
				        		
					        		Aged*;
				        		
			        		
				        		
					        		Alcohol Drinking;
				        		
			        		
				        		
					        		Arm;
				        		
			        		
				        		
					        		Cross-Sectional Studies*;
				        		
			        		
				        		
					        		Depression;
				        		
			        		
				        		
					        		Diabetes Mellitus;
				        		
			        		
				        		
					        		Diet, Vegetarian;
				        		
			        		
				        		
					        		Female;
				        		
			        		
				        		
					        		Hand Strength;
				        		
			        		
				        		
					        		Humans;
				        		
			        		
				        		
					        		Independent Living;
				        		
			        		
				        		
					        		Linear Models;
				        		
			        		
				        		
					        		Male;
				        		
			        		
				        		
					        		Mortality;
				        		
			        		
				        		
					        		Motor Activity;
				        		
			        		
				        		
					        		Muscle Strength;
				        		
			        		
				        		
					        		Nurses, Community Health;
				        		
			        		
				        		
					        		Sri Lanka*
				        		
			        		
	        			
	        			
            	
            	
 
            
            
            	- From:Asian Nursing Research
	            		
	            		 2018;12(3):231-236
	            	
            	
 
            
            
            	- CountryRepublic of Korea
 
            
            
            	- Language:English
 
            
            
            	- 
		        	Abstract:
			       	
			       		
				        
				        	PURPOSE: Low muscle strength is central to geriatric physical disabilities and mortality. The purpose of the present study was to examine handgrip strength (HGS) and its associated factors among community-dwelling older people in Sri Lanka. METHODS: A cross-sectional study was conducted in the Kandy district using multistage sampling. A total of 999 older people were recruited, with a female preponderance. Data were collected using interviewer-administered questionnaires on demographic characteristics, depression, and physical activity. Anthropometric measurements including weight, height, mid-upper arm circumference, calf circumference, and HGS were recorded. Complex sample general linear model was used to examine the association between HGS and its associated factors. RESULTS: The mean highest HGS of the study group was 12.56 kg (95% confidence interval: 11.94–13.19). Male older people had a higher HGS (17.02, 95% confidence interval: 15.55–18.49 kg) than females (10.59, 95% confidence interval: 10.12–11.06 kg). For both men and women, older age was associated with lower HGS, while mid-upper arm circumference was associated with better HGS. Diabetes mellitus, vegetarian diet, and alcohol consumption were associated with HGS for women only. CONCLUSION: Men had a higher HGS compared with women. Age, mid-upper arm circumference, diabetes mellitus, vegetarian diet, and alcohol consumption were factors associated with HGS among community-dwelling older people in Kandy district, Sri Lanka. HGS can be used as a feasible strategy to improve health status of older people by community health nurses.