Grip Strength

Grip strength is a measure of the force exerted by the hand and forearm muscles, serving as a key indicator of overall muscular health and a predictor of neurological and cognitive function.
TARGET:
OVERVIEW

Grip strength measures the force generated by the muscles of the hand and forearm, typically assessed using a handgrip dynamometer. It is a simple yet powerful indicator of overall muscular strength, endurance, and functional capacity. Beyond its role in physical fitness, grip strength has significant implications for neurological health, as it reflects the integrity of motor neurons and neuromuscular coordination. Studies have linked higher grip strength to better cognitive function, reduced risk of neurodegenerative diseases, and improved brain plasticity. It also serves as a predictor of overall health outcomes, including cardiovascular health and longevity, making it an essential metric for assessing both physical and neurological resilience.

MEASUREMENT

Grip strength is measured using a handgrip dynamometer, a device designed to gauge the maximum force exerted by the hand and forearm muscles. The test typically involves the individual holding the dynamometer in one hand, with the arm positioned at a 90-degree angle or fully extended, depending on the testing protocol. The individual then squeezes the device as hard as possible for a few seconds, and the reading is recorded in kilograms or pounds. This process is often repeated two or three times on each hand, with the highest value or average used as the final measurement. Grip strength testing is quick, non-invasive, and widely used in clinical, fitness, and research settings to assess muscular and overall health.

Note - these tools provide a proxy measurement, based on the assumption that the individual is exercising their entire body. While dynamometer's can be bought online, practicing solely to improve dynamometer scores is not an effective strategy for improving overall physical fitness.

Benchmark Notes

The below benchmarks may vary depending on the specific device used.

ASSESSMENT
QUESTIONNAIRE
Questionnaire Scores
Although evidence suggests a correlation between questionnaire scores and neurological health, it does not prove causality or guarantee brain health. Always consult a qualified medical practitioner before making any decisions regarding your health or lifestyle.  
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BENCHMARKS
Benchmark Warning
These benchmarks are generalized and may vary based on individual factors such as genetics, stress levels, medications, or medical conditions. Always consult a healthcare professional for personalized interpretation.
VIEW SOURCE

Grip Strength Ratings for Males (in kg)

Grip Strength Norms for Males
Age Weak Normal Strong
10-11 < 12.6 12.6 - 22.4 > 22.4
12-13 < 19.4 19.4 - 31.2 > 31.2
14-15 < 28.5 28.5 - 44.3 > 44.3
16-17 < 32.6 32.6 - 52.4 > 52.4
18-19 < 35.7 35.7 - 55.5 > 55.5
20-24 < 36.8 36.8 - 56.6 > 56.6
25-29 < 37.7 37.7 - 57.5 > 57.5
30-34 < 36.0 36.0 - 55.8 > 55.8
35-39 < 35.8 35.8 - 55.6 > 55.6
40-44 < 35.5 35.5 - 55.3 > 55.3
45-49 < 34.7 34.7 - 54.5 > 54.5
50-54 < 32.9 32.9 - 50.7 > 50.7
55-59 < 30.7 30.7 - 48.5 > 48.5
60-64 < 30.2 30.2 - 48.0 > 48.0
65-69 < 28.2 28.2 - 44.0 > 44.0
70-99 < 21.3 21.3 - 35.1 > 35.1

Grip Strength Ratings for Females (in kg)

Grip Strength Norms for Females
Age Weak Normal Strong
10-11 < 11.8 11.8 - 21.6 > 21.6
12-13 < 14.6 14.6 - 24.4 > 24.4
14-15 < 15.5 15.5 - 27.3 > 27.3
16-17 < 17.2 17.2 - 29.0 > 29.0
18-19 < 19.2 19.2 - 31.0 > 31.0
20-24 < 21.5 21.5 - 35.3 > 35.3
25-29 < 25.6 25.6 - 41.4 > 41.4
30-34 < 21.5 21.5 - 35.3 > 35.3
35-39 < 20.3 20.3 - 34.1 > 34.1
40-44 < 18.9 18.9 - 32.7 > 32.7
45-49 < 18.6 18.6 - 32.4 > 32.4
50-54 < 18.1 18.1 - 31.9 > 31.9
55-59 < 17.7 17.7 - 31.5 > 31.5
60-64 < 17.2 17.2 - 31.0 > 31.0
65-69 < 15.4 15.4 - 27.2 > 27.2
70-99 < 14.7 14.7 - 24.5 > 24.5
RELATED RESOURCES
Research
January 3, 2016
Journal of Strength and Conditioning Research

Muscular Grip Strength Estimates Of The U.S. Population From The National Health And Nutrition Examination Survey 2011–2012

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BATTLEGROUNDS
TAGS
grip strength, NHANES, muscular fitness, aging, health benefit zones
SUMMARY

This study analyzed handgrip strength across different age groups and sexes in the U.S. population using data from the National Health and Nutrition Examination Survey (NHANES) 2011-2012. The study included 3,497 men and 3,400 women and found that grip strength peaks in the 30s before declining with age. Men exhibited higher grip strength than women, but their rate of decline was steeper. The study categorized individuals into Health Benefit Zones (HBZ) to assess fitness levels. The study was cross-sectional, limiting causal conclusions, but it provides a valuable benchmark for assessing muscular fitness, which has been linked to cognitive performance and metabolic health.

To improve muscular strength and cognitive function, individuals should incorporate regular resistance training, including grip-strength exercises, at least twice per week. Balanced nutrition with adequate protein intake supports muscle maintenance. Engaging in activities like rock climbing, rowing, or weightlifting can improve grip strength. However, as this study is cross-sectional, individual results may vary, and interventions should be tailored based on overall health and fitness levels.

Research
July 2, 2021
GeroScience

Grip strength performance from 9431 participants of the GenoFit study: normative data and associated factors

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BATTLEGROUNDS
TAGS
muscle strength, normative data, sarcopenia, screening, diagnosis
SUMMARY

This study analyzed grip strength in 9,431 adults (18–92 years) as part of the GenoFit study to establish normative data and assess associations with health variables. The study found that grip strength is strongly linked to lean mass, cardiorespiratory fitness, bone density, and disease prevalence (p < 0.001). A control group was used for comparison, and statistical analyses adjusted for confounders. The study's large sample size improves generalizability, though its cross-sectional design limits causal inference. Results suggest grip strength is a valuable screening tool for aging-related health risks, supporting early intervention strategies.

To maintain grip strength and overall brain health, engage in resistance training and aerobic exercise, as both are linked to muscle retention and cognitive function. Prioritize protein intake to support muscle synthesis. While this study reinforces grip strength’s predictive value for health, it does not establish causation. Broader interventions beyond muscle strength, such as social engagement and mental stimulation, remain essential.

Research
February 10, 1999
JAMA

Midlife Hand Grip Strength as a Predictor of Old Age Disability

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BATTLEGROUNDS
TAGS
grip strength, aging, disability prevention, functional mobility, muscle health
SUMMARY

This study followed 6,089 healthy men, aged 45-68, over 25 years to determine if midlife grip strength predicts old-age disability. Participants were categorized into strength tertiles, and their functional abilities were assessed decades later. Those with weaker grip strength in midlife had a significantly higher risk of slow walking speed, inability to rise from a chair, and self-care disability. The study controlled for chronic conditions and found grip strength was an independent predictor of future disability. The findings suggest that maintaining muscle strength in midlife may offer a reserve capacity that helps prevent functional limitations in old age. However, the study focused on Japanese-American men, limiting generalizability.

To maintain cognitive and physical function into old age, midlife strength training is advisable. Regular resistance exercise (e.g., weightlifting, bodyweight exercises) can preserve muscle mass and prevent disability. Aerobic fitness also supports mobility and cardiovascular health. However, this study focused on grip strength and did not establish a causal relationship between muscle strength and disability. Broader lifestyle factors, including diet, social engagement, and mental stimulation, also play key roles.

Research
January 5, 2024
Journal of Health, Population and Nutrition

Hand grip strength as a proposed new vital sign of health: a narrative review of evidences

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BATTLEGROUNDS
TAGS
handgrip strength, muscle health, sarcopenia, cognitive decline, biomarker
SUMMARY

This study reviews hand grip strength (HGS) as a potential new "vital sign" for assessing overall health. HGS, measured using a handheld dynamometer, is linked to muscle function and predicts risks for conditions like heart disease, diabetes, osteoporosis, and even cognitive decline. Lower grip strength is associated with increased hospitalization and mortality. The review highlights variations in HGS across populations, emphasizing its utility as a quick, non-invasive health indicator. While the evidence is strong, standardization across different demographics remains a challenge.

To maintain brain health, prioritize strength training, particularly resistance exercises, to improve muscle function. A balanced diet rich in protein and essential nutrients can support muscle preservation. Regular handgrip strength assessments may help track overall health. However, as this study is a narrative review rather than direct clinical research, applying findings to individuals requires caution. Lifestyle adjustments should be guided by broader clinical evidence and personal health conditions.

Research
September 24, 2024
BMC Public Health

A Study on the Development of a Fitness Age Prediction Model: The National Fitness Award Cohort Study 2017–2021

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BATTLEGROUNDS
TAGS
fitness age, aging, fitness assessment, health outcomes, physical performance
SUMMARY

This study developed a model to predict "fitness age" based on physical fitness metrics, using data from 501,774 participants in South Korea (2017–2021). Key indicators like grip strength, VO₂ max, and flexibility were analyzed to create a formula linking fitness level to age. For adults, the model had strong predictive power (93.6% accuracy), while for older adults, it was weaker (24.3%). The study suggests fitness age as a motivational tool for improving health. However, it lacks generalizability beyond Korea and does not include biochemical or psychological health markers. Randomization and blinding were not used, but the large sample size strengthens findings.

To improve brain health, prioritize activities that enhance cardiovascular fitness, muscular endurance, and balance, such as brisk walking, resistance training, and yoga. Cardiopulmonary endurance, as assessed in this study, is strongly linked to cognitive resilience. However, as this study lacked biochemical measures and focused on fitness rather than direct brain outcomes, additional research is needed to confirm whether these interventions slow cognitive decline across populations.