I wrote earlier that the
Muscle Mass Index predicts longevity far more effectively than the far more commonly used Body Mass Index (BMI). A couple days ago, the NYT published an interview in which Warren Sanderson, a professor of social and behavioral sciences at Stony Brook University, explains that hand grip strength predicts longevity.
Hand-grip strength is an amazingly good predictor of future rates of mortality and morbidity, or sickness. It’s been measured for individuals in surveys across the world. We now have comparable data on about 50,000 people from the U.S., many European countries, Japan, South Korea, China. A substantial body of research suggests that this can be used as a reliable predictor of aging.
Here is the abstract from the study referenced in the NYT article.
BACKGROUND AND PURPOSE: One use of clinical measures is the prediction of future outcomes. The purpose of this systematic review was to summarize the literature addressing the value of grip strength as a predictor of important outcomes.
METHODS: Relevant literature was located using 4 bibliographic databases, searching article reference lists, and perusing personal files.
RESULTS: Forty-five relevant research articles were found. The research involved both healthy subjects and patients; it tended to focus on middle-aged and older adults. The primary outcome addressed was mortality/survival (24 articles), but disability (9 articles), complications and/or increased length of stay (12 articles), and other outcomes were also examined. Low grip strength was shown consistently to be associated with a greater likelihood of premature mortality, the development of disability, and an increased risk of complications or prolonged length of stay after hospitalization or surgery.
CONCLUSIONS: Given its predictive validity and simplicity, dynamometrically measured grip strength should be considered as a vital sign useful for screening middle-aged and older adults.
It's frustrating that Prof Sanderson doesn't even bother to ask what seems to me an obvious question: why does hand grip strength predict longevity and morbidity so well?
Aren't researchers supposed to ask questions like that? Isn't that a big part of research in any field? And while we're at it; aren't such "why" questions a big part of journalism? The interviewer didn't bother to ask the obvious question either!
Not that anyone asked me (when have I ever let that stop me?), but I think I know the answer, and it goes back to the Muscle Mass Index.
As a general rule, a person who is stronger overall will have more hand grip strength than a person who is weaker overall.
For example, a person with a 500 lb deadlift 1-rep-max has a far stronger grip than a person with a 200 lb deadlift 1-rep-max, because the deadlift requires the lifter to grip the bar to lift it off the ground. But the 500 lb deadlifter's entire body is also stronger than that of the 200 lb deadlifter, because the deadlift employs pretty much every muscle in the body. Consequently, the 500 lb deadlifter has greater muscle mass than the 200 lb deadlifter.
That's why hand grip strength predicts health and longevity. It's not because fit, healthy people's hands are stronger than frail, sickly people's hands, it's because fit, healthy people's entire bodies are stronger than frail, sickly people's bodies.
Prof Sanderson, however, doesn't bother to ask the question, so he never arrives at the answer. Instead, he makes the following silly - and potentially dangerous - statement.
Measuring hand-grip strength is very simple and cheap. We think every primary care doctor should have a dynamometer in their office. At every visit, the doctor could check grip strength for older patients. If someone was in the 45th percentile for their age and the measurements were stable, great. But if that person suddenly dropped to the 25th percentile, then that’s a sign that the doctor should look seriously at what might be going on.
We view this in a larger context. There are going to be more measures than this one. We want to look next at measures of lower-body strength. It may very well be a measure that looks at how long it takes someone to rise from a chair. Then, we will have an upper-body measure and a lower-body measure, and we can compare the two in terms of how aging goes. We envision one day that physicians will have standard age-related tables for these measures and chart their patients’ progress, just as they do with height and weight for children.
It's silly because there is no need to measure upper and lower body strength separately. A full-body lift, like the deadlift, measures the strength of the
entire body simultaneously.
It's dangerous, because if doctors really did follow Prof Sanderson's recommendation and started testing their aging patients' grip strength, they'd also require their patients to do dumb things like squeezing hand grip strengthening devices to improve their health and longevity. Again, the point is not that stronger hands = longer life. The point is that stronger body = longer life, and it just so happens that stronger body also = stronger hands.
A far better test would be the deadlift, because it actually measures what matters - the overall strength of the entire body. An even better measuring tool would be the squat, because it requires more mobility and flexibility than the deadlift. A person that can continue to squat to depth
well into old age will likely be far more independent, and therefore have far better quality of life, than one who can't.
Ideally, the test would be the
CrossFit total - squat, press and deadlift. However, that much testing is probably not necessary. The squat or deadlift alone would do. And if doctors adopted that kind of test, it would encourage a lot more people to train for full-body strength, which is the most useful thing a person can do to improve health and fitness in the long run.
Some will protest that the elderly can't lift weights. It's too dangerous for them, they'll claim. To these critics I say, watch this 73-year-old grandmother with a deadlift PR of 181.5 lb.
You can bet Ms Sandra would crush the hand grip strength test.