Grip work estimation during sustained maximal contraction: validity and relationship with dependency and inflammation in elderly persons.

Objectives: To validate muscle endurance estimation and to examine relationships with dependency and inflammation in elderly persons.
Design: Cross sectional validation and explorative study.
Setting: Hospitalized geriatric patients and community-dwelling controls.
Participants: 91 elderly patients (aged 83±5 years), 100 elderly controls (aged 74±5 years) and 100 young controls (aged 23±3 years).
Measurements: Grip strength (GS) was recorded continuously during sustained maximal contraction until exhaustion. Fatigue resistance (FR) was expressed as the time during which GS drops to 50% of its maximum. Grip work (GW) was estimated as GW=GS*0.75*FR, and compared to the measured GW. In the elderly participants, relationships (controlling for age and physical activity) of GS, FR, GW and GW corrected for body weight (GW/BW) with dependency (Katz-scale) and inflammation (circulating IL-6 and TNF-alpha) were analyzed.
Results: Excellent correlation between estimated and measured GW was found (r=0.98, pConclusion: GW estimation is a valid parameter reflecting muscle endurance in elderly persons presenting diverse clinical conditions. GW is significantly related to both dependency and circulating IL-6, and is a promising outcome parameter in comprehensive geriatric assessment.