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Predictive validity of reference equations to hand grip strength in Brazilian men of middle age and elderly

The objective of this study was to verify the predictive validity of reference equations for hand grip strength (HGS) in middle-aged and elderly Brazilian men. We evaluated 60 men with age of 58.7±8.6 years, height 168.7±8.0 cm, body mass 67.9±13.0 kg, and body mass index 23.7±4.0 kg/m², utilizing the gold standard equipment for evaluation of HGS and following all methodological recommendations of the American Society of Hand Therapists (ASTH). The results of the Bland-Altman diagram for the dominant hand (DH) had a mean error (bias) of -8.4% (95%CI -51.6-34.7). The Bland-Altman diagram for the non-dominant hand (NDH) had a mean error (bias) of 1.4% (95%CI -47.1-49.8). The calculation of Cronbach's alpha was 0.69 for the DH and 0.59 for the NDH. The intraclass correlation coefficient was 0.52 (95%CI 31-68) for the DH and 0.42 (95%CI 20-60) for the NDH. We therefore conclude that the reference equations for HGS evaluated in this study has low predictive validity for a population of Brazilian men middle-aged and elderly, and may lead to a misinterpretation of the results.

validation studies; hand strength; measurements; muscle strength dynamometer


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