{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T19:22:43Z","timestamp":1790623363441,"version":"4.1.0"},"reference-count":30,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2016,4,12]],"date-time":"2016-04-12T00:00:00Z","timestamp":1460419200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J cachexia sarcopenia muscle"],"published-print":{"date-parts":[[2016,12]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>The measurement of handgrip strength (HGS) has prognostic value with respect to all\u2010cause mortality, cardiovascular mortality and cardiovascular disease, and is an important part of the evaluation of frailty. Published reference ranges for HGS are mostly derived from Caucasian populations in high\u2010income countries. There is a paucity of information on normative HGS values in non\u2010Caucasian populations from low\u2010 or middle\u2010income countries. The objective of this study was to develop reference HGS ranges for healthy adults from a broad range of ethnicities and socioeconomically diverse geographic regions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>HGS was measured using a Jamar dynamometer in 125,462 healthy adults aged 35\u201070 years from 21 countries in the Prospective Urban Rural Epidemiology (PURE) study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      HGS values differed among individuals from different geographic regions. HGS values were highest among those from Europe\/North America, lowest among those from South Asia, South East Asia and Africa, and intermediate among those from China, South America, and the Middle East. Reference ranges stratified by geographic region, age, and sex are presented. These ranges varied from a median (25\n                      <jats:sup>th<\/jats:sup>\n                      \u201375\n                      <jats:sup>th<\/jats:sup>\n                      percentile) 50\u2009kg (43\u201356\u2009kg) in men &lt;40\u2009years from Europe\/North America to 18\u2009kg (14\u201320\u2009kg) in women &gt;60\u2009years from South East Asia. Reference ranges by ethnicity and body\u2010mass index are also reported.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Individual HGS measurements should be interpreted using region\/ethnic\u2010specific reference ranges.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/jcsm.12112","type":"journal-article","created":{"date-parts":[[2016,4,13]],"date-time":"2016-04-13T01:14:05Z","timestamp":1460510045000},"page":"535-546","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":252,"title":["Reference ranges of handgrip strength from 125,462 healthy adults in 21 countries: a prospective urban rural epidemiologic (PURE) study"],"prefix":"10.1002","volume":"7","author":[{"given":"Darryl P.","family":"Leong","sequence":"first","affiliation":[{"name":"The Population Health Research Institute McMaster University and Hamilton Health Sciences  Hamilton ON Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Koon K.","family":"Teo","sequence":"additional","affiliation":[{"name":"The Population Health Research Institute McMaster University and Hamilton Health Sciences  Hamilton ON Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sumathy","family":"Rangarajan","sequence":"additional","affiliation":[{"name":"The Population Health Research Institute McMaster University and Hamilton Health Sciences  Hamilton ON Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"V. Raman","family":"Kutty","sequence":"additional","affiliation":[{"name":"Health Action by People, \u2018Chemmanam\u2019, Navarangam Lane Medical College Post Office  Trivandrum India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fernando","family":"Lanas","sequence":"additional","affiliation":[{"name":"Universidad de La Frontera  Chile"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chen","family":"Hui","sequence":"additional","affiliation":[{"name":"Medical Research &amp; Biometrics Center National Center for Cardiovascular Diseases, FuWai Hospital  Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiang","family":"Quanyong","sequence":"additional","affiliation":[{"name":"Jiangsu Provincial Center for Disease Control &amp;12 Prevention  Nanjing City China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Qian","family":"Zhenzhen","sequence":"additional","affiliation":[{"name":"Jiangxinzhou community health 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