Normative values for handgrip strength in Colombian children and adolescents from 6 to 17 years of age: estimation using quantile regression

Objective: The objective of this study is twofold: i) to estimate the normative values for handgrip strength and relative handgrip strength, specific to sex and age, for Colombian children and adolescents from 6 to 17 years of age using quantile regression models and ii) to compare the normative values for handgrip strength and relative handgrip strength in Colombian children and adolescents with those in children and adolescents in different countries. Method: This was a cross-sectional analysis of a sample of 2647 youngsters. Handgrip strength was evaluated with a TKK 5101 digital dynamometer (Takei Scientific Instruments Co., Ltd., Tokyo, Japan). The relative handgrip strength was estimated according to weight in kilograms. The normative values were estimated to handgrip strength and relative handgrip strength through quantile regression models for the percentiles P-5, P-10, P-25, P-50, P-75, P-90 and P-95 developed independently for each sex. All analyses were adjusted for the expansion factor. Results: The values for handgrip strength were considerably higher in males than in females in all age ranges. Additionally, as age increased for both sexes, the values for handgrip strength increased. The percentiles by sex and age for relative handgrip strength show for males a proportional increase according to age; for females, this did not occur. Conclusions: When making comparisons with international studies, variability is observed in the methodologies used to evaluate handgrip strength and estimation methods, which could influence the discrepancies between the different reports. (C) 2022 Sociedade Brasileira de Pediatria. Published by Elsevier Editora Ltda.

Automated summary

The objective of this study is to estimate normative values for handgrip strength and relative handgrip strength in Colombian children and adolescents, and compare them with those in different countries. The results showed that handgrip strength values were higher in males than females, and increased with age for both sexes. Relative handgrip strength in males increased proportionally with age, while this trend was not observed in females. Variability in evaluation methods and estimation methods among international studies could contribute to the discrepancies in reported values.