Paediatric dominant and non-dominant handgrip reference curves and the association with body composition

Background Lack of paediatric reference data limits the utility of handgrip strength as a measure of fitness and well-being.Aim To develop paediatric handgrip reference curves and evaluate associations with body size and composition and race/ethnicity group.Subjects and methods Handgrip, body size a...

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Main Authors: Catherine M. Avitabile, David R. Weber, Babette S. Zemel
Format: Article
Language:English
Published: Taylor & Francis Group 2024-12-01
Series:Annals of Human Biology
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Online Access:https://www.tandfonline.com/doi/10.1080/03014460.2023.2298474
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author Catherine M. Avitabile
David R. Weber
Babette S. Zemel
author_facet Catherine M. Avitabile
David R. Weber
Babette S. Zemel
author_sort Catherine M. Avitabile
collection DOAJ
description Background Lack of paediatric reference data limits the utility of handgrip strength as a measure of fitness and well-being.Aim To develop paediatric handgrip reference curves and evaluate associations with body size and composition and race/ethnicity group.Subjects and methods Handgrip, body size and composition data were obtained from National Health and Nutrition Examination Survey 2011–2014 participants aged 6–20 years. Densitometry-derived fat and appendicular lean soft tissue mass index Z-scores (FMIZ, ALSTMIZ) were generated in participants >8 years. Dominant and non-dominant handgrip reference curves were created using the LMS method. Analyses included sample weights to produce nationally representative estimates.Results Differences in handgrip strength according to hand dominance increased with age. Handgrip strength was associated with height and arm length Z-scores (R = 0.42 to 0.47) and ALSTMIZ (R = 0.54). Handgrip strength was higher in the non-Hispanic Black group and lower in the Mexican American compared to non-Hispanic White group. Group differences were attenuated when adjusted for height, arm length or ALSTMIZ.Conclusion Paediatric handgrip reference curves were generated from which individual Z-scores can be calculated separately for dominant versus non-dominant hand and adjusted for body size. Association with ALSTMIZ suggests handgrip Z-score may be used as a measure of functional body composition.
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spelling doaj-art-56ac3ac7748d49649e95635cb1c8ceeb2025-08-20T02:40:35ZengTaylor & Francis GroupAnnals of Human Biology0301-44601464-50332024-12-0151110.1080/03014460.2023.2298474Paediatric dominant and non-dominant handgrip reference curves and the association with body compositionCatherine M. Avitabile0David R. Weber1Babette S. Zemel2Deptartment of Paediatrics, University of PA Perelman School of Medicine, Philadelphia, PA, USADeptartment of Paediatrics, University of PA Perelman School of Medicine, Philadelphia, PA, USADeptartment of Paediatrics, University of PA Perelman School of Medicine, Philadelphia, PA, USABackground Lack of paediatric reference data limits the utility of handgrip strength as a measure of fitness and well-being.Aim To develop paediatric handgrip reference curves and evaluate associations with body size and composition and race/ethnicity group.Subjects and methods Handgrip, body size and composition data were obtained from National Health and Nutrition Examination Survey 2011–2014 participants aged 6–20 years. Densitometry-derived fat and appendicular lean soft tissue mass index Z-scores (FMIZ, ALSTMIZ) were generated in participants >8 years. Dominant and non-dominant handgrip reference curves were created using the LMS method. Analyses included sample weights to produce nationally representative estimates.Results Differences in handgrip strength according to hand dominance increased with age. Handgrip strength was associated with height and arm length Z-scores (R = 0.42 to 0.47) and ALSTMIZ (R = 0.54). Handgrip strength was higher in the non-Hispanic Black group and lower in the Mexican American compared to non-Hispanic White group. Group differences were attenuated when adjusted for height, arm length or ALSTMIZ.Conclusion Paediatric handgrip reference curves were generated from which individual Z-scores can be calculated separately for dominant versus non-dominant hand and adjusted for body size. Association with ALSTMIZ suggests handgrip Z-score may be used as a measure of functional body composition.https://www.tandfonline.com/doi/10.1080/03014460.2023.2298474MuscledensitometrychildrenNHANES
spellingShingle Catherine M. Avitabile
David R. Weber
Babette S. Zemel
Paediatric dominant and non-dominant handgrip reference curves and the association with body composition
Annals of Human Biology
Muscle
densitometry
children
NHANES
title Paediatric dominant and non-dominant handgrip reference curves and the association with body composition
title_full Paediatric dominant and non-dominant handgrip reference curves and the association with body composition
title_fullStr Paediatric dominant and non-dominant handgrip reference curves and the association with body composition
title_full_unstemmed Paediatric dominant and non-dominant handgrip reference curves and the association with body composition
title_short Paediatric dominant and non-dominant handgrip reference curves and the association with body composition
title_sort paediatric dominant and non dominant handgrip reference curves and the association with body composition
topic Muscle
densitometry
children
NHANES
url https://www.tandfonline.com/doi/10.1080/03014460.2023.2298474
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AT davidrweber paediatricdominantandnondominanthandgripreferencecurvesandtheassociationwithbodycomposition
AT babetteszemel paediatricdominantandnondominanthandgripreferencecurvesandtheassociationwithbodycomposition