The Correlation Between Blood Pressure, Basic Anthropometric Measurements, Hemoglobin, Hematocrit, Blood Sugar, and Uric Acid With Grip Strength in Elderly Women

Authors

  • Susy Olivia Lontoh Tarumanagara University
  • Ernawati Ernawati Tarumanagara University
  • Alexander Halim Santoso Tarumanagara University
  • Stanislas Kotska Marvel Mayello Teguh Tarumanagara University
  • Geoffrey Christian Lo Tarumanagara University
  • Nicholas Setia Tarumanagara University

DOI:

https://doi.org/10.57214/jka.v9i1.858

Keywords:

Anthropometric Measurements, Blood Parameters, Blood Pressure, Elderly, Hand Grip Strength

Abstract

Grip strength is a key indicator of muscle function and health in elderly women, influencing mobility and independence. Factors such as blood pressure, body composition, and metabolic biomarkers influence grip strength. This study examines the relationship between blood pressure, anthropometric measurements, hemoglobin, hematocrit, blood sugar, and uric acid with grip strength. A cross-sectional study was conducted on 34 elderly women (mean age: 72.24 years) in the St. Asisi Elderly Community, Tebet. Blood pressure, anthropometric parameters, and venous blood samples were analyzed. Grip strength was assessed using the Camry Electronic Hand Dynamometer. Statistical analysis used the Spearman correlation test (p < 0.05). Age showed a significant negative correlation with right-hand (p = 0.023) and average grip strength (p = 0.026), indicating muscle decline with age. Other factors, including blood pressure, hemoglobin, hematocrit, blood sugar, and uric acid, had no significant correlations. Among anthropometric measures, calf circumference showed the strongest positive correlation with grip strength (p = 0.063). Age is the primary factor affecting grip strength in elderly women, with weak or no significant associations for other parameters. Strength training and neuromuscular conditioning may help mitigate age-related muscle decline and support functional independence.

References

Bhattacharjya, J., & Goswami, B. (2022). Hand Grip Muscle Strength, Endurance and Anthropometric Parameters in Healthy Young Adults: A Cross-sectional Study. JOURNAL OF CLINICAL AND DIAGNOSTIC RESEARCH. https://doi.org/10.7860/JCDR/2022/55381.16897

Bilajac, L., Juraga, D., & Zuljevic, H. (2019). The influence of physical Activity on handgrip strength of elderly. Archive of Gerontology and Geriatrics Research, 4(1), 020–024. https://doi.org/10.17352/AGGR.000011

Byambaa, A., Altankhuyag, I., Damdinbazar, O., Jadamba, T., & Byambasukh, O. (2023). Anthropometric and Body Circumference Determinants for Hand Grip Strength: A Population-Based Mon-Timeline Study. Journal of Aging Research, 2023, 6272743. https://doi.org/10.1155/2023/6272743

Chattopadhyay, A., Ray, S., Chanda, D., & Chakraborti, D. (2024). A study on hand grip strength and its association with body mass index, hand length and mid-upper arm circumference among Eastern Indian medical students using a hand-held dynamometer. Medical Research Journal, 9(1), 35–41. https://doi.org/10.5603/MRJ.98116

Colberg, S. R., Sigal, R. J., Yardley, J. E., Riddell, M. C., Dunstan, D. W., Dempsey, P. C., Horton, E. S., Castorino, K., & Tate, D. F. (2016). Physical Activity/Exercise and Diabetes: A Position Statement of the American Diabetes Association. Diabetes Care, 39(11), 2065–2079. https://doi.org/10.2337/dc16-1728

Dhananjaya, J. R., Veena, H. C., Mamatha, B. S., & Sudarshan, C. R. (2017). Comparative study of body mass index, hand grip strength, and handgrip endurance in healthy individuals. National Journal of Physiology, Pharmacy and Pharmacology, 7(6), 594–598. https://doi.org/10.5455/njppp.2017.7.1030007022017

Enoka, R. M. (2008). Neuromechanics of Human Movement-4th Edition. 549.

Gonzalez-Freire, M., de Cabo, R., Studenski, S. A., & Ferrucci, L. (2014). The neuromuscular junction: Aging at the crossroad between nerves and muscle. Frontiers in Aging Neuroscience, 6(AUG), 100518. https://doi.org/10.3389/FNAGI.2014.00208/BIBTEX

Gustafsson, T., & Ulfhake, B. (2024). Aging Skeletal Muscles: What Are the Mechanisms of Age-Related Loss of Strength and Muscle Mass, and Can We Impede Its Development and Progression? International Journal of Molecular Sciences 2024, Vol. 25, Page 10932, 25(20), 10932. https://doi.org/10.3390/IJMS252010932

Heidy, H., Djuartina, T., & Irawan, R. (2021). THE CORRELATION OF HAND GRIP STRENGHT WITH FOREARM AND HAND ANTHROPOMETRY AND BODY MASS INDEX. Damianus Journal of Medicine, 18(1), 1–7. https://doi.org/10.25170/DJM.V18I1.2189

Iwamoto, K., Kikuchi, Y., Nakano, H., Katsurasako, T., Mori, K., Shiraiwa, K., Horie, J., & Murata, S. (2024). Relationship between Subjective Grip Strength and Physical Functioning among Community-Dwelling Older Women. Geriatrics 2024, Vol. 9, Page 68, 9(3), 68. https://doi.org/10.3390/GERIATRICS9030068

J. M, A., & Shashikala, L. (2023). Association Between Blood Pressure and Hand Grip Strength Among Adult Population Visiting a Tertiary Care Centre – a Cross-Sectional Study. Indian Journal of Applied Research, 37–41. https://doi.org/10.36106/ijar/6101241

JafariNasabian, P., Inglis, J. E., Reilly, W., Kelly, O. J., & Ilich, J. Z. (2017). Aging human body: changes in bone, muscle and body fat with consequent changes in nutrient intake. Journal of Endocrinology, 234(1), R37–R51. https://doi.org/10.1530/JOE-16-0603

Ji, C., Zheng, L., Zhang, R., Wu, Q., & Zhao, Y. (2018). Handgrip strength is positively related to blood pressure and hypertension risk: Results from the National Health and nutrition examination survey. Lipids in Health and Disease, 17(1). https://doi.org/10.1186/S12944-018-0734-4

Keevil, V. L., Luben, R., Dalzell, N., Hayat, S., Sayer, A. A., Wareham, N. J., & Khaw, K. T. (2015). Cross-sectional associations between different measures of obesity and muscle strength in men and women in a British cohort study. Journal of Nutrition, Health and Aging, 19(1), 3–11. https://doi.org/10.1007/S12603-014-0492-6

Kemala Sari, N., Stepvia, S., & Ilyas, M. F. (2024). The Association between Anthropometric Measurements and Body Composition with Hand Grip Strength among the Elderly Population in Indonesia. Journal of Clinical Medicine, 13(16), 4697. https://doi.org/10.3390/jcm13164697

Kesehatan Masyarakat, J., Dara Novi Handayani, M., Hamim Sadewa, A., Farmawati, A., & Rochmah, W. (2018). Anthropometric Prediction Equations for Estimating Muscle Mass of Elderly Women. Jurnal Kesehatan Masyarakat, 14(2), 195–204. https://doi.org/10.15294/kemas.v14i2.14073

Kirk, B., Cawthon, P. M., Arai, H., Ávila-Funes, J. A., Barazzoni, R., Bhasin, S., Binder, E. F., Bruyere, O., Cederholm, T., Chen, L.-K., Cooper, C., Duque, G., Fielding, R. A., Guralnik, J., Kiel, D. P., Landi, F., Reginster, J.-Y., Sayer, A. A., Visser, M., … Luiking, Y. (2024). The Conceptual Definition of Sarcopenia: Delphi Consensus from the Global Leadership Initiative in Sarcopenia (GLIS). Age and Ageing, 53(3). https://doi.org/10.1093/AGEING/AFAE052

Kondo, T., Yamada, S., Asai, C., Okumura, T., Tanimura, D., & Murohara, T. (2018). Skeletal Muscle Pump Function Is Associated With Exercise Capacity in Patients With Heart Failure. Circulation Journal, 82(4), 1033–1040. https://doi.org/10.1253/CIRCJ.CJ-17-0927

Kuramotc, K., Matsushita, S., Matsuda, T., Mifune, J., Saki, M., Iwasaki, T., Shinagawa, T., Moroki, N., & Murakami, M. (1980). EFFECT OF HEMATOCRIT AND VISCOSITY ON CORONARY CIRCULATION AND MYOCARDIAL OXYGEN UTILIZATION. JAPANESE CIRCULATION JOURNAL, 44(6), 443–448. https://doi.org/10.1253/JCJ.44.443

Lücker, A., Secomb, T. W., Weber, B., & Jenny, P. (2017). The relative influence of hematocrit and red blood cell velocity on oxygen transport from capillaries to tissue. Microcirculation, 24(3). https://doi.org/10.1111/micc.12337

Madina, U. U., Setiati, S., Laksmi, P. W., & Mansjoer, A. (2021). Predictors of Handgrip Strength Changes in Elderly Patients. Jurnal Penyakit Dalam Indonesia, 8(3), 1. https://doi.org/10.7454/jpdi.v8i3.529

Manoharan, V. S., Sundaram, S. G., & Jason, J. I. (2015). Factors Affecting Hand Grip Strength and Its Evaluation: a Systemic Review. International Journal of Physiotherapy and Research, 3(6), 1288–1293. https://doi.org/10.16965/ijpr.2015.193

Meng, F. (2024). A055: The Relationship Between Grip Strength and Quality of Life in the Elderly Based. International Journal of Physical Activity and Health, 3(3).

Murbawani, E. A., Subagio, H. W., Puruhita, N., Probosari, E., & Candra, A. (2021). Correlation of dietary intake and physical activity with nutritional status, body composition and hand grip strength in elderly. Jurnal Gizi Indonesia (The Indonesian Journal of Nutrition), 10(1), 21–27. https://doi.org/10.14710/jgi.10.1.21-27

Nawangsasi, P., Kalanjati, V. P., Irawan, R., Risdiansyah, & Tirthaningsih, N. W. (2021). Correlation of hand grip strength and body height amongst young adults in Indonesia. Malaysian Journal of Medicine and Health Sciences, 17, 9–12.

Norman, K., Stobäus, N., Gonzalez, M. C., Schulzke, J. D., & Pirlich, M. (2011). Hand grip strength: Outcome predictor and marker of nutritional status. Clinical Nutrition, 30(2), 135–142. https://doi.org/10.1016/J.CLNU.2010.09.010/ASSET/3F4F3582-301B-4366-9910-834EBF1A2541/MAIN.ASSETS/GR2.SML

Nùñez-Lisboa, M., Valero-Breton, M., & Dewolf, A. H. (2023). Unraveling age-related impairment of the neuromuscular system: exploring biomechanical and neurophysiological perspectives. Frontiers in Physiology, 14, 1194889. https://doi.org/10.3389/FPHYS.2023.1194889/BIBTEX

Ossowski, Z., Prusik, K., Kortas, J., Wiech, M., Bielawa, L., & Prusik, K. (2016). Relationship between age and handgrip strength indexes in elderly women with low bone mass. Preliminary study. Baltic Journal of Health and Physical Activity, 8(3), 32–39. https://doi.org/10.29359/bjhpa.08.3.04

Pataky, M. W., Young, W. F., & Nair, K. S. (2021). Hormonal and Metabolic Changes of Aging and the Influence of Lifestyle Modifications. Mayo Clinic Proceedings, 96(3), 788–814. https://doi.org/10.1016/J.MAYOCP.2020.07.033/ASSET/AAEE0A0B-7BA2-416A-8019-43FA7BC9D737/MAIN.ASSETS/GR2.JPG

Pettersson-Pablo, P., Nilsson, T. K., & Hurtig-Wennlöf, A. (2024). Relative handgrip strength correlates inversely with increased body fat, inflammatory markers and increased serum lipids in young, healthy adults – The LBA study. Diabetes Research and Clinical Practice, 207, 111057. https://doi.org/10.1016/j.diabres.2023.111057

Quattrocchi, A., Garufi, G., Gugliandolo, G., De Marchis, C., Collufio, D., Cardali, S. M., & Donato, N. (2024). Handgrip Strength in Health Applications: A Review of the Measurement Methodologies and Influencing Factors. Sensors 2024, Vol. 24, Page 5100, 24(16), 5100. https://doi.org/10.3390/S24165100

Quiñonez-Olivas, C. G., Salinas-Martínez, R., Ortiz-Jiménez, X. A., Gámez-Treviño, D. G., Guajardo-Álvarez, G., & González-García, B. (2016). Muscle mass measured using bioelectrical impedance analysis, calf circumference and grip strength in older adults. Medicina Universitaria, 18(72), 158–162. https://doi.org/10.1016/J.RMU.2016.06.005

Ramandei, E., Pesurnay, Y., Pinem, O., Irmayanti, I., & Darwin, D. (2022). The Relationship between Body Mass Index and Grasping Strength in Students of the Medical Education Study Program, Faculty of Medicine, University of Papua. Majalah Kesehatan Indonesia, 3(2), 43-48–43–48. https://doi.org/10.47679/MAKEIN.202292

Ribeiro, L. W., Berndt, S., Mielke, G. I., Doust, J., & Mishra, G. D. (2024). Factors associated with handgrip strength across the life course: A systematic review. Journal of Cachexia, Sarcopenia and Muscle, 15(6), 2270–2280. https://doi.org/10.1002/JCSM.13586

Sakuma, K., & Yamaguchi, A. (2012). Sarcopenia and Age-Related Endocrine Function. International Journal of Endocrinology, 2012(1), 127362. https://doi.org/10.1155/2012/127362

Salim, S., C, R. D., Salim, S., & C, R. D. (2023). Correlation of body mass index with handgrip strength and blood pressure indices among young adults. Indian Journal of Physiology and Pharmacology, 67(2), 113–117. https://doi.org/10.25259/IJPP_471_2021

Sarangi, S., A., A. S. K., M., V. V., Sarangi, S., A., A. S. K., & M., V. V. (2024). Trop T, hand grip strength and waist circumference as markers of sarcopenic obesity in postmenopausal women: An analytical cross-sectional study. Indian Journal of Physiology and Pharmacology, 68(1), 57–63. https://doi.org/10.25259/IJPP_510_2023

Shahid, M. K., Sohail, M. U., Amjad, A., Azhar, G., Raza, A., & Khokhar, L. (2024). Comparison of Hand Grip Strength in Hypertensive and Non-Hypertensive Middle-Aged People. Journal of Health and Rehabilitation Research, 4(1), 677–681. https://doi.org/10.61919/jhrr.v4i1.470

Wang, P. C., Yeh, W. C., Tsai, Y. W., & Chen, J. Y. (2022). Calf circumference has a positive correlation with physical performance among community-dwelling middle-aged, older women. Frontiers in Public Health, 10. https://doi.org/10.3389/FPUBH.2022.1038491

Wu, C. J., Kao, T. W., Chang, Y. W., Peng, T. C., Wu, L. W., Yang, H. F., & Chen, W. L. (2018). Does the Additional Component of Calf Circumference Refine Metabolic Syndrome in Correlating With Cardiovascular Risk? The Journal of Clinical Endocrinology & Metabolism, 103(3), 1151–1160. https://doi.org/10.1210/JC.2017-02320

Wyoso, A. W., Subadi, I., Wardhani, I. L., Tinduh, D., Sulistiawaty, N. N., & Arfianti, L. (2022). Correlation between physical activity and hand grip strength in elderly with locomotive syndrome. International Journal of Health Sciences, 6(May), 2195–2207. https://doi.org/10.53730/ijhs.v6ns8.12564

Xu, L., & Zhou, H. (2024). The association between weight-adjusted-waist index and muscle strength in adults: a population-based study. Frontiers in Public Health, 12(July), 1–9. https://doi.org/10.3389/fpubh.2024.1429244

Zimmerman, R., Tsai, A. G., Salazar Vázquez, B. Y., Cabrales, P., Hofmann, A., Meier, J., Shander, A., Spahn, D. R., Friedman, J. M., Tartakovsky, D. M., & Intaglietta, M. (2017). Posttransfusion increase of hematocrit per se does not improve circulatory oxygen delivery due to increased blood viscosity. Anesthesia and Analgesia, 124(5), 1547–1554. https://doi.org/10.1213/ANE.0000000000002008

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Published

2025-05-26

How to Cite

Lontoh, S. O., Ernawati, E., Santoso, A. H. ., Teguh, S. K. M. M. ., Lo, G. C., & Setia, N. (2025). The Correlation Between Blood Pressure, Basic Anthropometric Measurements, Hemoglobin, Hematocrit, Blood Sugar, and Uric Acid With Grip Strength in Elderly Women. Jurnal Kesehatan Amanah, 9(1), 299–313. https://doi.org/10.57214/jka.v9i1.858

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