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Why muscle health is a window into the future ageing experience

Handgrip strength might seem like a simple test of physical ability, but it carries profound implications for our understanding of health and ageing.

Using a small device called a dynamometer, this measurement has become a reliable marker for assessing physical strength, mobility and even long-term health outcomes. Research underscores its importance, with studies consistently linking handgrip strength to muscle health and longevity.¹

Using a dynamometer, which measures the force of a hand squeeze, scientists and healthcare providers can gain valuable insights into an individual’s overall muscle health. This straightforward measurement has become a reliable marker for assessing broader physical strength, mobility and even long-term health outcomes.

As we age, maintaining muscle strength becomes increasingly challenging. Muscle mass and function naturally decline with time and for many older adults, this loss can lead to reduced independence, difficulties with daily tasks and a diminished quality of life.

Studies have shown that low handgrip strength not only correlates with poorer muscle function but is also a predictor of serious health outcomes, including an increased risk of disability and even early mortality.

For example, research has found that individuals with lower grip strength in midlife were more likely to experience disability in old age.¹ Additionally, a 2024 study demonstrated that reduced grip strength was associated with a 33-69% higher risk of mortality in adults over aged 50.²

The simplicity of measuring grip strength contrasts with its depth of significance. A quick test can provide early warnings about a host of health issues. However, handgrip strength is not just a test of the hand; it is a reflection of overall muscle health and an individual’s functional capacity, providing predictive insights into future health outcomes.¹⁻²

This makes it an invaluable tool for tracking healthspan – the portion of life spent in good health – and pinpointing individuals who could benefit from preventive interventions.

What makes handgrip strength even more compelling is its predictive value. Research has shown that reduced grip strength is linked to an increased risk of hospitalisation, longer recovery periods after illness or injury and greater dependence on assisted living.³

For healthcare providers, this simple metric has become a cornerstone of geriatric assessments. For individuals, it is a wake-up call to take muscle health seriously.

HMB: A nutritional intervention with proven benefits

While grip strength provides valuable insights into muscle health, it also raises an important question: how can we mitigate the decline of muscle strength as we age?

This is where nutritional interventions, particularly the supplement β-Hydroxy β-Methylbutyrate (HMB), can come into play. HMB, a metabolite of the amino acid leucine, has been extensively studied for its ability to preserve and even enhance muscle strength in ageing populations.

By simultaneously stimulating muscle protein synthesis and reducing protein breakdown, HMB offers a dual mechanism of action that supports muscle health.

The potential of HMB to improve handgrip strength is supported by robust scientific research. One landmark study in 2004 found that older women who supplemented with HMB alongside amino acids experienced notable increases in grip strength over 12 weeks, while those in the placebo group saw a decline.⁴

Similarly, a 2023 study showed that sarcopenic older adults participating in a resistance training program had greater improvements in grip strength when taking HMB compared to training alone.⁵

Similarly, a 2020 study highlighted the long-term benefits of HMB combined with vitamin D, showing significant grip strength improvements over a year in non-exercising older adults compared to a placebo group.⁶

Non-exercising older adults who took this combination for 12-months showed significant improvements in grip strength and overall physical function compared to those on a placebo.⁵

These findings represent tangible benefits for older adults striving to maintain independence and quality of life. Improved grip strength means greater ease in performing daily tasks like opening jars, lifting groceries or maintaining balance – all of which contribute to a better ageing experience.⁴⁻⁶

From individual to public health: The broader implications

The implications of preserving handgrip strength and muscle health extend beyond individual wellbeing. As healthcare systems grapple with the challenges of an ageing population, interventions like HMB could play a pivotal role in reducing the burden of age-related muscle decline.

By maintaining functional capacity, older adults may experience fewer falls, less need for assisted living and reduced healthcare costs overall. For policymakers, integrating simple assessments like grip strength testing and nutritional strategies such as HMB supplementation into public health initiatives could transform ageing outcomes on a population scale.

Looking ahead, continued research on HMB and handgrip strength is likely to unlock even more applications. From rehabilitation programs to preventive healthcare for at-risk populations, the integration of this supplement into public health initiatives could redefine how we approach ageing.

Imagine a future where a simple grip test followed by targeted HMB supplementation becomes standard practice in primary care, empowering individuals to take charge of their muscle health before issues arise.

By integrating interventions like HMB into ageing strategies, individuals and healthcare systems can promote a future where healthspan matches lifespan, enabling more years of independence, vitality and quality of life.

References

  1. Dodds, R.M.; et al. Can measures of physical performance in mid-life improve the clinical prediction of disability in early old age? Findings from a British birth cohort study. Experimental Gerontology. Volume 110, 2018, Pages 118-124.
  2. McGrath, R.; et al. (2024). Collective weakness is associated with time to mortality in Americans. J Strength Cond Res, 38(7), e398–e404.
  3. Bohannon, R. Hand-Grip Dynamometry Predicts Future Outcomes in Aging Adults. Journal of Geriatric Physical Therapy. (2008). 31(1):3-10.
  4. Flakoll, P.; et al. (2004). Effect of beta-hydroxy-beta-methylbutyrate, arginine, and lysine supplementation on strength, functionality, body composition, and protein metabolism in elderly women. Nutrition, 20(5), 445–4451.
  5. Yang, C.; et al. (2023). Effects of beta-hydroxy-beta-methylbutyrate supplementation on older adults with sarcopenia: A randomized, double-blind, placebo-controlled study. J Nutr Health Aging, 27(5), 329–339.
  6. Rathmacher, J. A.; et al. (2020). Long-term effects of calcium β-hydroxy-β-methylbutyrate and vitamin D3 supplementation on muscular function in older adults with and without resistance training: A randomized, double-blind, controlled study. J Gerontol A Biol Sci Med Sci, 75(11), 2089–2097.

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