Association between handgrip strength and cognitive function in older adults living with cancer

Authors

  • Teodoro J. Oscanoa Universidad de San Martín de Porres, Facultad de Medicina Humana, Lima, Perú; Geriatric Department, Almenara Hospital, ESSALUD, Lima, Perú; Universidad Nacional Mayor de San Marcos, Facultad de Medicina, Lima, Perú https://orcid.org/0000-0001-9379-4767
  • Edwin Cieza-Macedo Universidad de San Martín de Porres, Facultad de Medicina Humana, Lima, Perú; Geriatric Department, Almenara Hospital, ESSALUD, Lima, Perú; Universidad Nacional Mayor de San Marcos, Facultad de Medicina, Lima, Perú https://orcid.org/0000-0002-8766-1412
  • Roman Romero-Ortuno Discipline of Medical Gerontology, Mercer’s Institute for Successful Aging, St James’s Hospital, Dublin, Ireland https://orcid.org/0000-0002-3882-7447

DOI:

https://doi.org/10.15584/ejcem.2025.4.21

Keywords:

cancer, cognition, aging, handgrip strength, sarcopenia

Abstract

Introduction and aim. Handgrip strength (HGS) serves as a key indicator of muscle performance and may reflect cognitive status in older cancer patients. We examined whether handgrip strength was associated with cognitive function in this group of patients.

Material and methods. For this study, a cross-sectional design was used, analyzing data from patients aged 60 years and older diagnosed with cancer, collected through Comprehensive Geriatric Assessments (CGAs). The information included demographics, HGS levels, and Mini-Mental State Examination (MMSE) scores.

Results. Among 352 participants (average age 75.7 years), HGS showed a moderate positive correlation with cognitive function, stronger in females (r=0.36, p<0.001) than in men (r=0.22, p=0.005). Each 1 kg increase in HGS was associated with a 0.29-point increase in MMSE scores in women and 0.13 points in males.

Conclusion. Higher HGS appears to better cognitive outcomes in older adults with cancer. As muscle strength is potentially modifiable, future research should explore whether HGS-targeted interventions could preserve or enhance cognitive health. Implementing regular handgrip strength assessments in geriatric oncology could help to detect patients who are vulnerable to cognitive decline.

Downloads

Download data is not yet available.

References

Nichols E, Steinmetz JD, Vollset SE, et al. Estimation of the global prevalence of dementia in 2019 and forecasted prevalence in 2050: an analysis for the Global Burden of Disease Study 2019. Lancet Public Health. 2022;7(2):e105-e125. doi: 10.1016/S2468-2667(21)00249-8

Chen S, Cao Z, Nandi A, et al. The global macroeconomic burden of Alzheimer’s disease and other dementias: estimates and projections for 152 countries or territories. Lancet Glob Health. 2024;12(9):e1534-e1543. doi: 10.1016/S2214-109X(24)00264-X

Bai L, Yu E. A narrative review of risk factors and interventions for cancer- related cognitive impairment. Ann Transl Med. 2021;9(1):72-72. doi: 10.21037/atm-20-6443

Yang Y, Ah D Von. Cancer-related cognitive impairment: updates to treatment, the need for more evidence, and impact on quality of life—a narrative review. Ann Palliat Med. 2024;13(5):1265-1280. doi: 10.21037/apm-24-70

Janelsins MC, Kesler SR, Ahles TA, Morrow GR. Prevalence, mechanisms, and management of cancer-related cognitive impairment. Int Rev Psychiatry. 2014;26(1):102-113. doi: 10.3109/09540261.2013.864260

Lange M, Joly F, Vardy J, et al. Cancer-related cognitive impairment: an update on state of the art, detection, and management strategies in cancer survivors. Ann Oncol. 2019;30(12):1925-1940. doi: 10.1093/annonc/mdz410

Kerstens C, Wildiers HPMW, Schroyen G, et al. A Systematic Review on the Potential Acceleration of Neurocognitive Aging in Older Cancer Survivors. Cancers (Basel). 2023;15(4):1215. doi: 10.3390/cancers15041215

Livingston G, Huntley J, Liu KY, et al. Dementia prevention, intervention, and care: 2024 report of the Lancet standing Commission. Lancet. 2024;404(10452):572-628. doi: 10.1016/S0140-6736(24)01296-0

Parker SG, McCue P, Phelps K, et al. What is Comprehensive Geriatric Assessment (CGA)? An umbrella review. Age Ageing. 2018;47(1):149-155. doi: 10.1093/ageing/afx166

Bohannon RW. Grip Strength: An indispensable biomarker for older adults. Clin Interv Aging. 2019;14:1681-1691. doi: 10.2147/CIA.S194543

Yang L, Koyanagi A, Smith L, et al. Hand grip strength and cognitive function among elderly cancer survivors. PLoS One. 2018;13(6):e0197909. doi: 10.1371/journal.pone.0197909

Lobo A, Saz P, Marcos G, et al. Revalidation and standardization of the cognition mini-exam (first Spanish version of the Mini-Mental Status Examination) in the general geriatric population. Med Clin (Barc). 1999;112(20):767-774.

Joly F, Giffard B, Rigal O, et al. Impact of cancer and its treatments on cognitive function: advances in research from the Paris International Cognition and Cancer Task Force Symposium and update since 2012. J Pain Symptom Manage. 2015;50(6):830-841. doi: 10.1016/j.jpainsymman.2015.06.019

Wefel JS, Vardy J, Ahles T, Schagen SB. International Cognition and Cancer Task Force recommendations to harmonise studies of cognitive function in patients with cancer. Lancet Oncol. 2011;12(7):703-708. doi: 10.1016/S1470-2045(10)70294-1

Ho MH, So TW, Fan CL, Chung YT, Lin CC. Prevalence and assessment tools of cancer-related cognitive impairment in lung cancer survivors: a systematic review and proportional meta-analysis. Support Care Cancer. 2024;32(4):209. doi: 10.1007/s00520-024-08402-9

Roberts HC, Denison HJ, Martin HJ, et al. A review of the measurement of grip strength in clinical and epidemiological studies: towards a standardised approach. Age Ageing. 2011;40(4):423-429. doi: 10.1093/ageing/afr051

Cruz-Jentoft AJ, Bahat G, Bauer J, et al. Sarcopenia: revised European consensus on definition and diagnosis. Age Ageing. 2019;48(4):601-601. doi: 10.1093/ageing/afz046

Katz S. Studies of illness in the aged. JAMA. 1963;185(12):914. doi: 10.1001/jama.1963.03060120024016

Rubenstein LZ, Harker JO, Salva A, Guigoz Y, Vellas B. Screening for undernutrition in geriatric practice: developing the Short-Form Mini-Nutritional Assessment (MNA-SF). J Gerontol A Biol Sci Med Sci. 2001;56(6):M366-M372. doi: 10.1093/gerona/56.6.M366

Bell CC. DSM-IV: Diagnostic and Statistical Manual of Mental Disorders. JAMA. 1994;272(10):828. doi: 10.1001/jama.1994.03520100096046

Miller MD, Paradis CF, Houck PR, et al. Rating chronic medical illness burden in geropsychiatric practice and research: application of the Cumulative Illness Rating Scale. Psychiatry Res. 1992;41(3):237-248. doi: 10.1016/0165-1781(92)90005-N

Rofes A, de Aguiar V, Jonkers R, Oh SJ, DeDe G, Sung JE. What drives task performance during animal fluency in people with Alzheimer’s disease? Front Psychol. 2020;11:1485. doi: 10.3389/fpsyg.2020.01485

Jaeger J. Digit Symbol Substitution Test. J Clin Psychopharmacol. 2018;38(5):513-519. doi: 10.1097/JCP.0000000000000941

Kobayashi-Cuya KE, Sakurai R, Suzuki H, Ogawa S, Takebayashi T, Fujiwara Y. Observational evidence of the association between handgrip strength, hand dexterity, and cognitive performance in community-dwelling older adults: a systematic review. J Epidemiol. 2018;28(9):373-381. doi: 10.2188/jea.JE20170041

Fritz NE, McCarthy CJ, Adamo DE. Handgrip strength as a means of monitoring progression of cognitive decline – A scoping review. Ageing Res Rev. 2017;35:112-123. doi: 10.1016/j.arr.2017.01.004

Demos-Davies K, Lawrence J, Seelig D. Cancer related cognitive impairment: a downside of cancer treatment. Front Oncol. 2024;14:1387251. doi: 10.3389/fonc.2024.1387251

Janelsins MC, Kesler SR, Ahles TA, Morrow GR. Prevalence, mechanisms, and management of cancer-related cognitive impairment. Int Rev Psychiatry. 2014;26(1):102-113. doi: 10.3109/09540261.2013.864260

Bercovitch R, Tio ES, Felsky D. A polygenic risk score for hand grip strength is associated with cognitive function in mid-to-late life adults. Alzheimer’s Dement. 2023;19(S15). doi: 10.1002/alz.077136

Pedersen BK, Febbraio MA. Muscles, exercise and obesity: skeletal muscle as a secretory organ. Nat Rev Endocrinol. 2012;8(8):457-465. doi: 10.1038/nrendo.2012.49

Duchowny KA, Ackley SF, Brenowitz WD, et al. Associations Between Handgrip Strength and Dementia Risk, Cognition, and Neuroimaging Outcomes in the UK Biobank Cohort Study. JAMA Netw Open. 2022;5(6):e2218314. doi: 10.1001/jamanetworkopen.2022.18314

Andrushko JW, Levenstein JM, Zich C, et al. Repeated unilateral handgrip contractions alter functional connectivity and improve contralateral limb response times. Sci Rep. 2023;13(1):6437. doi: 10.1038/s41598-023-33106-1

Stern Y, Arenaza-Urquijo EM, Bartrés-Faz D, et al. Whitepaper: defining and investigating cognitive reserve, brain reserve, and brain maintenance. Alzheimer’s Dement. 2020;16(9):1305-1311. doi: 10.1016/j.jalz.2018.07.219

Farina M, Paloski LH, de Oliveira CR, de Lima Argimon II, Irigaray TQ. Cognitive reserve in elderly and its connection with cognitive performance: a systematic review. Ageing Int. 2018;43(4):496-507. doi: 10.1007/s12126-017-9295-5

Downloads

Published

2025-07-13

How to Cite

Oscanoa, T. J., Cieza-Macedo, E., & Romero-Ortuno, R. (2025). Association between handgrip strength and cognitive function in older adults living with cancer. European Journal of Clinical and Experimental Medicine. https://doi.org/10.15584/ejcem.2025.4.21

Issue

Section

ORIGINAL PAPERS