Journal of Physical Activity Research
ISSN (Print): 2576-1919 ISSN (Online): 2574-4437 Website: https://www.sciepub.com/journal/jpar Editor-in-chief: Peter Hart
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Journal of Physical Activity Research. 2025, 10(1), 52-62
DOI: 10.12691/jpar-10-1-7
Open AccessArticle

Grip Strength Differences among Individuals Aged 50 Years and Older From 28 European Countries: The SHARE Study

Eleni Theodoropoulou1, , Maria Koskolou1 and Nektarios A.M. Stavrou1

1School of Physical Education and Sport Science, National and Kapodistrian University of Athens, Greece

Pub. Date: November 18, 2025

Cite this paper:
Eleni Theodoropoulou, Maria Koskolou and Nektarios A.M. Stavrou. Grip Strength Differences among Individuals Aged 50 Years and Older From 28 European Countries: The SHARE Study. Journal of Physical Activity Research. 2025; 10(1):52-62. doi: 10.12691/jpar-10-1-7

Abstract

Background: During the aging process, grip strength (GS) tends to decrease, which is associated with disability and mortality. The current study investigated the GS differences among older individuals aged 50 years and over from 28 European countries, analyzing data from the Survey on Health, Ageing and Retirement in Europe (SHARE), a cross–national database focused on the older population. Methods: Univariate Analyses of Covariance were conducted separately for men and women who participated in the SHARE study conducted in 2022. A total of 430.720 individuals were examined, including 189.446 (43.98%) men and 241.274 (56.02%) women, with an average age of approximately 67 years (M = 66.95, SD = 9.83). Principal Findings: An age-dependent decline in GS for both genders and all countries was indicated, observing greater GS reductions with aging in southern countries, compared to North Europe. Women exhibited poorer GS compared to men in all countries. Denmark and Netherlands reported the highest GS, while southern countries like Portugal and Spain revealed the lowest GS (p < 0.01), after controlling for age, years of education, citizenship, area of location, number of chronic diseases, body mass index, mobility index and vigorous physical activity. However, the differences in GS were: (a) greater and more pronounced among northern and southern European countries, (b) smaller among northern, western and Baltic countries and (c) less marked among southern and eastern countries. Conclusion: Higher GS was observed in northwest countries, compared to southeast Europe, where lower GS was noted. This emphasizes the need for policies that promote healthy aging and improve access to healthcare services and facilities for older individuals in southeastern European countries.

Keywords:
grip strength old age Survey on Health Ageing and Retirement in Europe

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References:

[1]  Rudnicka, E., Napierała, P., Podfigurna, A., Męczekalski, B., Smolarczyk, R., and Grymowicz, M., “The World Health Organization (WHO) approach to healthy ageing”, Maturitas, 139, 6–11, September 2020.
 
[2]  Organization for Economic Co-operation and Development (OECD), “Elderly Population” [Online]. Available: https:// www.oecd.org/ en/data/ indicators/elderly-population.html.
 
[3]  World Health Organization, “Healthy ageing and functional ability”, 2020 [Online]. Available: https://www.who.int/news-room/questions-and-answers/item/healthy-ageing-and-functional-ability.
 
[4]  Beard, J.R., Office, A., Carvalho, I.A., Sadana, R., Michel, J.P., Lloyd–Sherlock, P., Epping-Jordan, J.E., Peeters, G.M.E.E.G., Mahanani, W.R., Thiyagarajan, J.A., and Chatterji, S., “The world report on ageing and health: a policy framework for healthy ageing”, The Lancet, 387(10033), 2145–2154, May 2016.
 
[5]  World Health Organization, “Ageing – healthy life expectancy”, [Online]. Available: https:// www.who.int/ data/ gho/data/ themes/topics/topic-details/mca/ageing---healthy-life-expectancy.
 
[6]  World Health Organization, Health promotion glossary, World Health Organization, Geneva, 1998.
 
[7]  Sowa, A., Tobiasz–Adamczyk, B., Topór–Mądry, R., Poscia, A., and Milia, D.I., “Predictors of healthy ageing: public health policy targets”, BMC Health Services Research, 16(Suppl 5), 289, September 2016.
 
[8]  McCormick, R., and Vasilaki, A., “Age–related changes in skeletal muscle: changes to life–style as a therapy”, Biogerontology, 19, 519–536, September 2018.
 
[9]  Bohannon, R.W., “Grip strength: an indispensable biomarker for older adults”, Clinical Interventions in Aging, 14, 1681-1691, October 2019.
 
[10]  Soysal, P., Hurst, C., Demurtas, J., Firth, J., Howden, R., Yang, L., Tully, M.A., Koyanagi, A., Ilie, P.C., López-Sánchez, G.F., Schwingshackl, L., Veronese, N., and Smith, L., “Handgrip strength and health outcomes: umbrella review of systematic reviews with meta–analyses of observational studies”, Journal of Sport and Health Science, 10(3), 290–295, May 2021.
 
[11]  Ahrenfeldt, L.J., Scheel–Hincke, L.L., Kjærgaard, S., Möller, S., Christensen, K., and Lindahl–Jacobsen, R., “Gender differences in cognitive function and grip strength: a cross–national comparison of four European regions”, European Journal of Public Health, 29(4), 667–674, August 2019.
 
[12]  Dodds, R.M., Syddall, H.E., Cooper, R., Kuh, D., Cooper, C., and Sayer, A.A., “Global variation in grip strength: a systematic review and meta–analysis of normative data”, Age and Ageing, 45(2), 209–216, March 2016.
 
[13]  Andersen–Ranberg, K., Petersen, I., Frederiksen, H., Mackenbach, J.P., and Christensen, K., “Cross–national differences in grip strength among 50+ year–old Europeans: results from the SHARE study”, European Journal of Ageing, 6(3), 227–236, August 2009.
 
[14]  Borsch–Supan, A., Brandt, M., Hunkler, C., Kneip, T., Korbmacher, J., Malter, F., Schaan, B., Stuck, S., Zuber, S., and SHARE Central Coordination Team, “Data resource profile: the Survey of Health, Ageing and Retirement in Europe (SHARE)”, International Journal of Epidemiology, 42(4), 992–1001, August 2013.
 
[15]  SHARE–ERIC - Survey of Health, Ageing and Retirement in Europe. Available: https://share–eric.eu/.
 
[16]  SHARE–ERIC, “Survey of Health, Ageing and Retirement in Europe (SHARE) Wave 9”, SHARE–ERIC, 2024.
 
[17]  Bergmann, M., Wagner, M., and Börsch–Supan, A., “SHARE Wave 9 Methodology: from the SHARE Corona Survey 2 to the SHARE Main Wave 9 Interview”, SHARE–ERIC, Munich, 2024.
 
[18]  Yilmaz, Y., Lasson, S., Hannemann, T., Schuller, K., and Börsch–Supan, A, “SHARE Compliance Profiles – Wave 9”, SHARE Berlin Institute, Berlin, 2023.
 
[19]  Tabachnick, B.G., and Fidell, L.S., Using multivariate statistics (7th ed.), Pearson, Boston, 2019.
 
[20]  Frederiksen, H., Gaist, D., Petersen, H.C., Hjelmborg, J., McGue, M., Vaupel, J.W., and Christensen, K., “Hand grip strength: a phenotype suitable for identifying genetic variants affecting mid– and late– life physical functioning”, Genetic Epidemiology, 23(2), 110–122, August 2002.
 
[21]  Tiainen, K., Sipilä, S., Kauppinen, M., Kaprio, J., and Rantanen, T., “Genetic and environmental effects on isometric muscle strength and leg extensor power followed up for three years among older female twins”, Journal of Applied Physiology, 106(5), 1604–1610, May 2009.
 
[22]  Saltin, B., Larsen, H., Terrados, N., Bangsbo, J., Bak, T., Kim, C.K., Svedenhag, J., and Rolf, C.J., “Aerobic exercise capacity at sea level and at altitude in Kenyan boys, junior and senior runners compared with Scandinavian runners”, Scandinavian Journal of Medicine & Science in Sports, 5(4), 209–221, August 1995.
 
[23]  Garatachea, N., and Lucía, A., “Genes and the ageing muscle: a review on genetic association studies”, Age (Dordrecht, Netherlands), 35(1), 207–233, February 2013.
 
[24]  Barros, P., Pimentel–Santos, F., and Neto, D, 34. Grip strength across Europe –North/ South and East/West divides, In Health and socio–economic status over the life course: first results from SHARE Waves 6 and 7., Börsch–Supan, A., Bristle, J., Andersen–Ranberg, K., Brugiavini, A., Jusot, F., Litwin, H., Weber, G. Eds., De Gruyter Oldenbourg, Berlin, 2019, 327–336.
 
[25]  European Commission, “Special Eurobarometer 525 on sport and physical activity”, 2022 [Online]. Available: https:// ec.europa.eu/ commission/presscorner/detail/en/ip_22_5573.
 
[26]  Klepac Pogrmilovic, B., Ramirez Varela, A., Pratt, M., Milton, K., Bauman, A., Biddle, S.J.H., and Pedisic, Z., “National physical activity and sedentary behaviour policies in 76 countries: availability, comprehensiveness, implementation, and effectiveness”, International Journal of Behavioral Nutrition and Physical Activity, 17, 116, 2020.
 
[27]  Theodoropoulou, E., Stavrou, N.A.M., Karteroliotis, K., and Koskolou, M., “A Longitudinal Analysis of Physical Activity Levels in European Older Adults: The Survey on Health, Ageing and Retirement in Europe”, Journal of Physical Activity Research, 9(1), 1–7, February 2024.
 
[28]  Sternäng, O., Reynolds, C.A., Finkel, D., Ernsth–Bravell, M., Pedersen, N.L., and Dahl Aslan, A.K., “Factors associated with grip strength decline in older adults”, Age and Ageing, 44(2), 269–274, March 2015.
 
[29]  Bilajac, L., Juraga, D., Zuljevic, H., Glavić, M.M., Vasiljev, V., and Rukavina, T., “The influence of physical activity on handgrip strength of elderly”, Archive of Gerontology and Geriatrics Research, 4(1), 20–24, November 2019.
 
[30]  European Commission, “Eurobarometer public opinion in the European Union”, 2021 [Online]. Available: https:// europa.eu/ eurobarometer.
 
[31]  Bayerlein M., “Regional health care in the EU”, Stiftung Wissenschaft and Politik, January 2024.