Open Access
CC BY 4.0 · Sports Med Int Open 2025; 09: a25377537
DOI: 10.1055/a-2537-7537
Training & Testing

Associations between absolute and relative handgrip strength with fitness and fatness

David Abdelnour
1   School of Medicine, Wayne State University, Detroit, United States
,
Mark Grove II
2   School of Business, Wayne State University, Detroit, United States
,
Keegan Pulford-Thorpe
3   Kinesiology, Health and Sport Studies, Wayne State University, Detroit, United States
,
Keaton Windhurst
3   Kinesiology, Health and Sport Studies, Wayne State University, Detroit, United States
,
Charlee LeCrone
3   Kinesiology, Health and Sport Studies, Wayne State University, Detroit, United States
,
Edward Kerr III
3   Kinesiology, Health and Sport Studies, Wayne State University, Detroit, United States
,
Tamara Hew-Butler
3   Kinesiology, Health and Sport Studies, Wayne State University, Detroit, United States
› Author Affiliations
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Abstract

The main purpose of this study was to assess relationships between absolute and relative handgrip strength (HGS) versus other markers of health (body composition) and physical fitness (VO2 max, vertical jump) in 220 (112 male) healthy young adults (25±10 years). HGS was measured using a hand dynamometer. Absolute HGS represented the highest grip strength measurement (kg) of the right and left hand combined, while relative HGS represented the absolute HGS divided by body weight (kg/kg). Body composition (lean and fat mass) was measured using dual energy x-ray absorptiometry. VO2 max was measured using a treadmill peak speed protocol (ml/kg/min), while vertical jump was assessed using a countermovement jump (cm). Absolute HGS (mean=86±22 kg) was positively related with lean mass (r=0.82, p<0.001) and vertical jump (r=0.63, p<0.001), while relative HGS (mean=1.2±0.2 kg/kg) was negatively related with body fat (r=–0.69, p<0.001), but positively correlated with VO2 max (r=0.47, p<0.001), and vertical jump (r=0.45, p<0.001). Linear models suggest that lean mass, body fat, and vertical jump predicted 69% of variance for absolute HGS (adjusted R2=0.71, p<0.001), while lean mass and body fat predicted 49% of variance for relative HGS (adjusted R2=0.49, p<0.001). Lower relative HGS scores (<1.0 kg/kg) were associated with higher body fat levels and may represent a quick, simple, marker of health.



Publication History

Received: 30 October 2024

Accepted: 07 February 2025

Accepted Manuscript online:
11 March 2025

Article published online:
22 April 2025

© 2025. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/).

Georg Thieme Verlag KG
Oswald-Hesse-Straße 50, 70469 Stuttgart, Germany

Bibliographical Record
David Abdelnour, Mark Grove II, Keegan Pulford-Thorpe, Keaton Windhurst, Charlee LeCrone, Edward Kerr III, Tamara Hew-Butler. Associations between absolute and relative handgrip strength with fitness and fatness. Sports Med Int Open 2025; 09: a25377537.
DOI: 10.1055/a-2537-7537
 
  • References

  • 1 Soysal P, Hurst C, Demurtas J. et al. Handgrip strength and health outcomes: Umbrella review of systematic reviews with meta-analyses of observational studies. J Sport Health Sci 2021; 10: 290-295
  • 2 López-Bueno R, Andersen LL, Calatayud J. et al. Associations of handgrip strength with all-cause and cancer mortality in older adults: a prospective cohort study in 28 countries. Age Ageing 2022; 51: afac117
  • 3 Henriksson H, Henriksson P, Tynelius P. et al. Muscular weakness in adolescence is associated with disability 30 years later: a population-based cohort study of 1.2 million men. Br J Sports Med 2019; 53: 1221-1230
  • 4 Esteban-Cornejo I, Ho FK, Petermann-Rocha F. et al. Handgrip strength and all-cause dementia incidence and mortality: findings from the UK Biobank prospective cohort study. J Cachexia Sarcopenia Muscle 2022; 13: 1514-1525
  • 5 Celis-Morales CA, Welsh P, Lyall DM. et al. Associations of grip strength with cardiovascular, respiratory, and cancer outcomes and all cause mortality: prospective cohort study of half a million UK Biobank participants. Bmj 2018; 361: k1651
  • 6 López-Bueno R, Andersen LL, Koyanagi A. et al. Thresholds of handgrip strength for all-cause, cancer, and cardiovascular mortality: A systematic review with dose-response meta-analysis. Ageing Res Rev 2022; 82: 101778
  • 7 Kim SH, Kim T, Park JC. et al. Usefulness of hand grip strength to estimate other physical fitness parameters in older adults. Sci Rep 2022; 12: 17496
  • 8 Sugie MHK, Takahashi T, Nara M. et al. Relationship between hand grip strength and peak VO2 in community-dwelling elderly outpatients. JCSM Clinical Reports 2018; 3: 1-10
  • 9 Polo-López A, Calatayud J, Núñez-Cortés R. et al. Dose-response association between handgrip strength and hypertension: A longitudinal study of 76,503 European older adults. Curr Probl Cardiol 2023; 48: 101813
  • 10 Ropponen A, Silventoinen K, Tynelius P. et al. Association between hand grip/body weight ratio and disability pension due to musculoskeletal disorders: a population-based cohort study of 1 million Swedish men. Scand J Public Health 2011; 39: 830-838
  • 11 Yi DW, Khang AR, Lee HW. et al. Relative handgrip strength as a marker of metabolic syndrome: the Korea National Health and Nutrition Examination Survey (KNHANES) VI (2014-2015). Diabetes Metab Syndr Obes 2018; 11: 227-240
  • 12 Silva CR, Saraiva B, Nascimento DDC. et al. Relative handgrip strength as a simple tool to evaluate impaired heart rate recovery and a low chronotropic index in obese older women. Int J Exerc Sci 2018; 11: 844-855
  • 13 Brown EC, Buchan DS, Madi SA. et al. Grip strength cut points for diabetes risk among apparently healthy U.S. adults. Am J Prev Med 2020; 58: 757-765
  • 14 Garcia-Hermoso A, Tordecilla-Sanders A, Correa-Bautista JE. et al. Muscle strength cut-offs for the detection of metabolic syndrome in a nonrepresentative sample of collegiate students from Colombia. J Sport Health Sci 2020; 9: 283-290
  • 15 Cronin J, Lawton T, Harris N. et al. A brief review of handgrip strength and sport performance. J Strength Cond Res 2017; 31: 3187-3217
  • 16 Centers for Disease Control (CDC) and Prevention. 2021 Body Composition Procedures Manual. 2021 May: 1–120
  • 17 American College of Sports Medicine. ACSM's Health-Related Physical Fitness Assessment (American College of Sports Medicine) 5th Edition. Philadelphia PA: Wolters Kluwer Medicine; 2018
  • 18 Scrimgeour AG, Noakes TD, Adams B. et al. The influence of weekly training distance on fractional utilization of maximum aerobic capacity in marathon and ultramarathon runners. Eur J Appl Physiol Occup Physiol 1986; 55: 202-209
  • 19 Johnson SL, Stone WJ, Bunn JA. et al. New author guidelines in statistical reporting: Embracing an era beyond p < .05. Int J Exerc Sci 2020; 13: 1-5
  • 20 Sullivan GM, Feinn R. Using effect size--or why the p value is not enough. J Grad Med Educ 2012; 4: 279-282
  • 21 Lee SH, Gong HS. Measurement and interpretation of handgrip strength for research on sarcopenia and osteoporosis. J Bone Metab 2020; 27: 85-96
  • 22 Byeon JY, Lee MK, Yu MS. et al. Lower relative handgrip strength is significantly associated with a higher prevalence of the metabolic syndrome in adults. Metab Syndr Relat Disord 2019; 17: 280-288
  • 23 Unamuno X, Gómez-Ambrosi J, Rodríguez A. et al. Adipokine dysregulation and adipose tissue inflammation in human obesity. Eur J Clin Invest 2018; 48: e12997
  • 24 Weir CB, Jan A. BMI classification percentile and cut off points. In StatPearls. Treasure Island (FL): StatPearls Publishing; 2024
  • 25 Moebus S, Göres L, Lösch C. et al. Impact of time since last caloric intake on blood glucose levels. Eur J Epidemiol 2011; 26: 719-728
  • 26 American Diabetes Association. 2. Classification and diagnosis of diabetes: Standards of medical care in diabetes-2018. Diabetes Care 2018; 41: S13-S27
  • 27 American Heart Association. Understanding blood pressure readings. Available online https://www.heart.org/en/health-topics/high-blood-pressure/understanding-blood-pressure-readings Accessed: 10-23-2024)
  • 28 Edwards JJ, Deenmamode AHP, Griffiths M. et al. Exercise training and resting blood pressure: a large-scale pairwise and network meta-analysis of randomised controlled trials. Br J Sports Med 2023; 57: 1317-1326
  • 29 Patterson D, Peterson DF. Vertical jump and leg power norms for young adults. MSSE 2004; 36: S114