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The Association of Levels of and Decline in Grip Strength in Old Age with Trajectories of Life Course Occupational Position

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  • Hannes Kröger
  • Johan Fritzell
  • Rasmus Hoffmann

Abstract

Background: The study of the influence of life course occupational position (OP) on health in old age demands analysis of time patterns in both OP and health. We study associations between life course time patterns of OP and decline in grip strength in old age. Methods: We analyze 5 waves from the Survey of Health Ageing and Retirement in Europe (n = 5108, ages 65–90). We use a pattern-mixture latent growth model to predict the level and decline in grip strength in old age by trajectory of life course OP. We extend and generalize the structured regression approach to establish the explanatory power of different life course models for both the level and decline of grip strength. Results: Grip strength declined linearly by 0.70 kg (95% CI -0.74;-0.66) for men and 0.42 kg (95% CI -0.45;-0.39) for women per year. The level of men’s grip strength can best be explained by a critical period during midlife, with those exposed to low OP during this period having 1.67 kg (95% CI -2.33;-1.00) less grip strength. These differences remain constant over age. For women, no association between OP and levels of or decline in grip strength was found. Conclusions: Men’s OP in midlife seems to be a critical period for the level of grip strength in old age. Inequalities remain constant over age. The integration of the structured regression approach and latent growth modelling offers new possibilities for life course epidemiology.

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  • Hannes Kröger & Johan Fritzell & Rasmus Hoffmann, 2016. "The Association of Levels of and Decline in Grip Strength in Old Age with Trajectories of Life Course Occupational Position," PLOS ONE, Public Library of Science, vol. 11(5), pages 1-16, May.
    • Handle: RePEc:plo:pone00:0155954
    DOI: 10.1371/journal.pone.0155954
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    2. Liliya Leopold, 2019. "Health Measurement and Health Inequality Over the Life Course: A Comparison of Self-rated Health, SF-12, and Grip Strength," Demography, Springer;Population Association of America (PAA), vol. 56(2), pages 763-784, April.
    3. Ana F. Silva & Jose Mª Cancela & Irimia Mollinedo & Miguel Camões & Pedro Bezerra, 2021. "The Relationship between Health Perception and Health Predictors among the Elderly across European Countries," IJERPH, MDPI, vol. 18(8), pages 1-10, April.
    4. Hyoyeon Ahn & Yongse Kim & Jaeuk Jeong & Youngho So, 2020. "Physical Fitness Level and Mood State Changes in Basic Military Training," IJERPH, MDPI, vol. 17(23), pages 1-12, December.
    5. Christina Musalek & Sylvia Kirchengast, 2017. "Grip Strength as an Indicator of Health-Related Quality of Life in Old Age—A Pilot Study," IJERPH, MDPI, vol. 14(12), pages 1-12, November.
    6. Hannes Kröger & Rasmus Hoffmann & Lasse Tarkiainen & Pekka Martikainen, 2018. "Comparing Observed and Unobserved Components of Childhood: Evidence From Finnish Register Data on Midlife Mortality From Siblings and Their Parents," Demography, Springer;Population Association of America (PAA), vol. 55(1), pages 295-318, February.
    7. Jens Hoebel & Alexander Rommel & Sara Lena Schröder & Judith Fuchs & Enno Nowossadeck & Thomas Lampert, 2017. "Socioeconomic Inequalities in Health and Perceived Unmet Needs for Healthcare among the Elderly in Germany," IJERPH, MDPI, vol. 14(10), pages 1-18, September.

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