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Hand grip strength and postural control among individuals with and without Chronic Obstructive Pulmonary Disease: Epidemiological and motion laboratory studies
Luleå University of Technology, Department of Health Sciences, Health and Rehabilitation. Norrbotten County Council.ORCID iD: 0000-0002-5948-6880
2019 (English)Doctoral thesis, comprehensive summary (Other academic)Alternative title
Handgreppstyrka och postural kontroll hos personer med och utan kroniskt obstruktiv lungsjukdom : Epidemiologiska och rörelselaborativa studier (Swedish)
Place, publisher, year, edition, pages
Luleå: Luleå University of Technology, 2019.
Series
Doctoral thesis / Luleå University of Technology 1 jan 1997 → …, ISSN 1402-1544
National Category
Physiotherapy
Research subject
Physiotherapy
Identifiers
URN: urn:nbn:se:ltu:diva-75508ISBN: 978-91-7790-423-6 (print)ISBN: 978-91-7790-424-3 (electronic)OAI: oai:DiVA.org:ltu-75508DiVA, id: diva2:1345120
Public defence
2019-10-18, E632, Luleå University of Technology, Luleå, 09:00 (Swedish)
Opponent
Supervisors
Available from: 2019-08-23 Created: 2019-08-23 Last updated: 2019-09-12Bibliographically approved
List of papers
1. Hand grip strength is associated with forced expiratory volume in 1 second among subjects with COPD: report from a population-based cohort study.
Open this publication in new window or tab >>Hand grip strength is associated with forced expiratory volume in 1 second among subjects with COPD: report from a population-based cohort study.
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2016 (English)In: The International Journal of Chronic Obstructive Pulmonary Disease, ISSN 1176-9106, E-ISSN 1178-2005, Vol. 11, no 1, p. 2527-2534Article in journal (Refereed) Published
Abstract [en]

BACKGROUND: Cardiovascular diseases and skeletal muscle dysfunction are common comorbidities in COPD. Hand grip strength (HGS) is related to general muscle strength and is associated with cardiovascular disease and all-cause mortality, while the results from small selected COPD populations are contradictory. The aim of this population-based study was to compare HGS among the subjects with and without COPD, to evaluate HGS in relation to COPD severity, and to evaluate the impact of heart disease.

SUBJECTS AND METHODS: Data were collected from the Obstructive Lung disease in Northern Sweden COPD study, where the subjects with and without COPD have been invited to annual examinations since 2005. In 2009-2010, 441 subjects with COPD (postbronchodilator forced expiratory volume in 1 second [FEV1]/vital capacity <0.70) and 570 without COPD participated in structured interviews, spirometry, and measurements of HGS.

RESULTS: The mean HGS was similar when comparing subjects with and without COPD, but those with heart disease had lower HGS than those without. When compared by Global Initiative for Chronic Obstructive Lung Disease (GOLD) grades, the subjects with GOLD 3-4 had lower HGS than those without COPD in both sexes (females 21.4 kg vs 26.9 kg, P=0.010; males 41.5 kg vs 46.3 kg, P=0.038), and the difference persisted also when adjusted for confounders. Among the subjects with COPD, HGS was associated with FEV1% of predicted value but not heart disease when adjusted for height, age, sex, and smoking habits, and the pattern was similar among males and females.

CONCLUSION: In this population-based study, the subjects with GOLD 3-4 had lower HGS than the subjects without COPD. Among those with COPD, HGS was associated with FEV1% of predicted value but not heart disease, and the pattern was similar in both sexes.

National Category
Physiotherapy Nursing
Research subject
Physiotherapy; Nursing
Identifiers
urn:nbn:se:ltu:diva-60022 (URN)10.2147/COPD.S114154 (DOI)000385205700001 ()27785009 (PubMedID)2-s2.0-84991628464 (Scopus ID)
Note

Validerad; 2016; Nivå 2; 2016-11-07 (andbra)

Available from: 2016-10-28 Created: 2016-10-28 Last updated: 2019-08-23Bibliographically approved
2. Hand grip strength is associated with fatigue among men with COPD: epidemiological data from northern Sweden
Open this publication in new window or tab >>Hand grip strength is associated with fatigue among men with COPD: epidemiological data from northern Sweden
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2018 (English)In: Physiotherapy Theory and Practice, ISSN 0959-3985, E-ISSN 1532-5040Article in journal (Refereed) Epub ahead of print
Abstract [en]

The aim of this study was to investigate if hand grip strength (HGS) is associated with: 1) fatigue, and specifically clinically relevant fatigue (CRF); 2) low physical activity; and 3) fatigue independent of physical activity level, among individuals with and without COPD. Data were collected from the Obstructive Lung Disease in Northern Sweden (OLIN) COPD-study in 2014. HGS was measured with a hand-grip dynamometer, fatigue and physical activity were assessed by questionnaires; FACIT-Fatigue respectively IPAQ. Among individuals with COPD (n = 389), but not without COPD (n = 442), HGS was lower among those with CRF than those without CRF, significantly so among men (p = 0.001) and close to among women (p = 0.051). HGS was not associated with physical activity levels within any of the groups. HGS was associated with fatigue among men, but not women, with COPD independent of physical activity level, age, height, and smoking habits (Beta = 0.190, 95% CI 0.061-0.319, respectively Beta = 0.048, 95% CI-0.056-0.152), while there were no corresponding significant findings among individuals without COPD. In summary, HGS was associated with CRF among individuals with COPD in this population-based study. Among men with COPD, HGS was associated with fatigue independent of physical activity level and common confounders.

Place, publisher, year, edition, pages
Taylor & Francis, 2018
National Category
Physiotherapy Nursing
Research subject
Physiotherapy; Nursing
Identifiers
urn:nbn:se:ltu:diva-69970 (URN)10.1080/09593985.2018.1486490 (DOI)
Available from: 2018-06-28 Created: 2018-06-28 Last updated: 2019-08-23
3. Hand grip strength is strongly associated with lower limb strength but only weakly with postural control in community-dwelling older adults
Open this publication in new window or tab >>Hand grip strength is strongly associated with lower limb strength but only weakly with postural control in community-dwelling older adults
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(English)Manuscript (preprint) (Other academic)
National Category
Physiotherapy
Research subject
Physiotherapy
Identifiers
urn:nbn:se:ltu:diva-75669 (URN)
Available from: 2019-08-23 Created: 2019-08-23 Last updated: 2019-08-23
4. Postural control among individuals with and without chronic obstructive pulmonary disease: A study of motor and sensory systems.
Open this publication in new window or tab >>Postural control among individuals with and without chronic obstructive pulmonary disease: A study of motor and sensory systems.
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(English)Manuscript (preprint) (Other academic)
National Category
Physiotherapy
Research subject
Physiotherapy
Identifiers
urn:nbn:se:ltu:diva-75668 (URN)
Available from: 2019-08-23 Created: 2019-08-23 Last updated: 2019-08-23

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