Is a decrease of grip strength associated with community mobility restriction in dynapenic older women?
Bibliographic record
Abstract
Abstract Aims Absolute grip strength (aGS) measures are not only used to detect dynapenia, but can also provide a robust indicator of functional impairments such as mobility limitations. Mobility limitations can impact community mobility. The main objective of this study was to investigate whether dynapenia status measured with aGS can be used as a predictor of the level of community mobility measured by Global Positioning System (GPS) and the Life‐Space Assessment questionnaire (LSA) in healthy older adults. It has been shown that body weight related grip strength (GS/BW) is also a clinical predictor of functional limitation. The secondary objective of the study was to assess the relationship between the community mobility and the GS/BW. Method and results The population studied (n=62) was composed of a dynapenic group of women (aged 66.4 ± 4.8) according to an aGS threshold of ≤ 19.9kg and an age‐matched group of women (aged 66.1 ± 5.2) with no detectable dynapenia. Clinical and laboratory evaluations were conducted to measure functional capacity tests, body composition and respiratory capacity. Body weigth related to grip strength (GS/BW) was computed. During 12 days, each participant wore a GPS receiver unit with a data logging =−.67) compared system during waking hours. Transit distance in vehicle per day, Transit distance on foot per day and Ellipse area were extracted from the time series of GPS data (longitude, latitude) collected at 1 Hz. The Life space was assessed using a questionnaire. A Wilcoxon test was used to compare the 2 groups for the community mobility measures. Then, data of the 2 groups were pooled to assess the relationship between GS/BW and community mobility measures. A Spearman correlation was used. The dynapenic group had indeed lower aGS (z=−5.3, p≤.05, r=−.67) and GS/BW (z=−5.3, p≤.05, r=−.67)compared to the non‐dynapenic group. Furthermore, we found a lower performance to the step test (z=−2.5, p=.011, r=−.32) and lower walking speed (z=−2.1, p=033, r=−.27) for the dynapenic group. However, no significant differences (Wilcoxon signed‐ranks test) were found for community mobility measures with the GPS and the LSA between the two groups. There were significant positive relationships between the GS/BW and one leg stand test (r=.353, p=0.005), step test (r=.409, p=0.001) and walking speed (r=.428, p=0.001). No significant relationship (Spearman correlation test) was found for the GS/BW and community mobility measures with the GPS and the LSA. Conclusions This study confirms that aGS and GS/BW are good indicators of mobility limitations measured with clinical and laboratory evaluations. However, grip strength alone should not be considered as an indicator of community mobility restriction in an older adult dynapenic population.
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.000 | 0.002 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.001 | 0.001 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.001 | 0.000 |
| Insufficient payload (model declined to judge) | 0.002 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".