Longevity Cohort · n≈140k

Grip strength predicted death better than blood pressure

Across 17 countries, every 5 kg lower grip strength meant about 16% higher all-cause mortality. Grip beat systolic blood pressure as a predictor.

Prognostic value of grip strength: findings from the Prospective Urban Rural Epidemiology (PURE) study

Leong DP, Teo KK, Rangarajan S, et al. · Lancet · 2015

What they studied

Design
Prospective cohort (PURE study)
People
139,691 adults aged 35–70 in 17 countries of varying income
Follow-up
Median 4 years, 3,379 deaths
Measure
Grip strength with a hand dynamometer

What they found

  • Each 5 kg lower grip strength meant 16% higher all-cause mortality (HR 1.16) and 17% higher cardiovascular mortality.
  • Lower grip was also linked to more heart attacks (HR 1.07) and strokes (HR 1.09).
  • Grip strength predicted all-cause and cardiovascular death better than systolic blood pressure.
  • There was no link with diabetes, falls or fractures.

How strong is the evidence

Cohort · n≈140k

What this design cannot tell us:

  • Observational: it does not show that training grip lowers risk.
  • Four years of follow-up is fairly short.

What it means for your training

  • Test your grip once a year: it is quick, cheap and informative.
  • Carries, hangs and heavy pulls keep it high, and grip reflects overall strength.

Our summary of the published abstract. Read the original paper for full details.

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