{"id":11889,"date":"2026-05-18T06:00:26","date_gmt":"2026-05-18T05:00:26","guid":{"rendered":"https:\/\/blogs.bmj.com\/bjsm\/?p=11889"},"modified":"2026-05-11T09:06:36","modified_gmt":"2026-05-11T08:06:36","slug":"simple-field-based-muscular-strength-tests-that-predict-your-future-health","status":"publish","type":"post","link":"https:\/\/blogs.bmj.com\/bjsm\/2026\/05\/18\/simple-field-based-muscular-strength-tests-that-predict-your-future-health\/","title":{"rendered":"Simple field-based muscular strength tests that predict your future health"},"content":{"rendered":"<p><span style=\"font-weight: 400\">This blog provides a summary of a\u00a0<\/span><a href=\"https:\/\/bjsm.bmj.com\/content\/early\/2026\/02\/09\/bjsports-2024-109173.long\"><span style=\"font-weight: 400\">recent study<\/span><span style=\"font-weight: 400\">\u00a0<\/span><\/a><span style=\"font-weight: 400\">published in BJSM.<\/span><\/p>\n<p><b>Why is this study important?<\/b><\/p>\n<p><span style=\"font-weight: 400\">Non-communicable diseases\u2014like cardiovascular disease, type 2 diabetes and dementia\u2014cause most deaths and disability worldwide (1,2). Clinicians need quick, low-cost tools to identify patients at higher risk before disease develops.<\/span><\/p>\n<p><span style=\"font-weight: 400\">Muscular strength has long been linked with health (3). But <\/span><b>can simple field-based muscular strength tests really predict who will develop long-term health conditions?<\/b><span style=\"font-weight: 400\"> And if so, which tests are most useful in everyday clinical practice?<\/span><\/p>\n<p><span style=\"font-weight: 400\">In our systematic review and meta-analysis of 155 cohort studies (94 included in meta-analyses), we examined whether simple field-based muscular strength tests\u2014particularly handgrip strength and the 5-repetition chair-stand test\u2014predict future health outcomes in adults (4).<\/span><\/p>\n<p><span style=\"font-weight: 400\">Turns out, they do.<\/span><\/p>\n<p><b>How did the study go about this?<\/b><\/p>\n<p><span style=\"font-weight: 400\">We searched major databases up to November 2024 and included longitudinal cohort studies in adults (\u226518 years) that examined simple, validated and reliable muscular strength tests (5,6) and future health conditions.<\/span><\/p>\n<p><span style=\"font-weight: 400\">Two tests dominated the scientific literature:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400\"><b>Handgrip strength (HGS) <\/b><span style=\"font-weight: 400\">\u2013 measured by squeezing a handheld device that indicates the strength of the squeeze in kilograms.<\/span><\/li>\n<li style=\"font-weight: 400\"><b>5-repetition chair-stand test (5-CST) <\/b><span style=\"font-weight: 400\">\u2013 measured by the time required to stand up and sit down five times.<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400\">We focused on studies that looked at incident (newly diagnosed) long-term conditions, including cardiovascular diseases, cancer, type 2 diabetes, respiratory diseases, musculoskeletal impairment, disability, anxiety, depression, cognitive decline, dementia, and Parkinson\u2019s disease.<\/span><\/p>\n<p><span style=\"font-weight: 400\">We looked at studies that compared adults with the highest versus lowest strength levels and examined the risk reduction per 5-kg increase in grip strength and per 1-second decrease in 5-CST.<\/span><\/p>\n<p><b>What did we find?<\/b><\/p>\n<p><span style=\"font-weight: 400\">The findings were consistent.<\/span><\/p>\n<p><b>Handgrip strength<\/b><\/p>\n<p><span style=\"font-weight: 400\">Adults with the highest (vs lowest) grip strength had <\/span><span style=\"font-weight: 400\">lower risk of<\/span><span style=\"font-weight: 400\">:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Parkinson\u2019s disease \u219347%<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Disability \u219343%<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Cognitive decline \u219343%<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Dementia \u219338%<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Musculoskeletal impairment \u219335%<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Depression \u219330%<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Cardiovascular diseases \u219327%<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Type 2 diabetes \u219321%<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Anxiety \u219321%<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400\">Even relatively small differences in strength mattered for health. An increase of 5 kg in grip strength was associated with <\/span><span style=\"font-weight: 400\">lower risk of<\/span><span style=\"font-weight: 400\">:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Disability \u219321%<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Parkinson\u2019s disease \u219314%\u00a0<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Dementia \u219313%\u00a0<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Musculoskeletal impairment \u21938%<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Cardiovascular diseases \u21937%\u00a0<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Cognitive decline \u21937%<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Depression \u21936%<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Type 2 diabetes \u21935%<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400\">These effects may look modest, but at a population level, they are clinically meaningful.<\/span><\/p>\n<p><b>Chair-stand test<\/b><\/p>\n<p><span style=\"font-weight: 400\">Better performance was also protective. Compared with the worst performers, the best performers had <\/span><span style=\"font-weight: 400\">lower risk of<\/span><span style=\"font-weight: 400\">:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Musculoskeletal impairment \u219348%<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Disability \u219342%<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Depression \u219337%<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Dementia \u219332%<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Type 2 diabetes \u219320%\u00a0<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400\">Every 1-second improvement was associated with lower risk of musculoskeletal impairment (\u21936%).<\/span><\/p>\n<p><span style=\"font-weight: 400\">While the strength of evidence varied across outcomes, the overall direction of findings was consistent across large and diverse populations.<\/span><\/p>\n<p><b>What are the key take-home points?<\/b><\/p>\n<ul>\n<li><b>Handgrip strength and the 5-chair-stand test are powerful health indicators in adults.<\/b>\n<ul>\n<li><span style=\"font-size: 1rem\">Together, they consistently predict a wide range of chronic physical and mental health conditions<\/span><\/li>\n<\/ul>\n<\/li>\n<li><b>Even modest improvements in strength may reduce disease risk at the population level.<\/b><\/li>\n<li><b>Both tests are quick, low-cost and easy to use in almost any setting<\/b><span style=\"font-weight: 400\">.<\/span><\/li>\n<li><b>Strength assessment can support longitudinal monitoring in clinical practice.<\/b>\n<ul>\n<li><span style=\"font-size: 1rem\">Tracking muscular strength over time may help identify earlier risk and guide preventive or rehabilitation strategies.<\/span><\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p><span style=\"font-weight: 400\">In busy clinical practice, a simple grip or chair-stand test can provide valuable predictive information. These simple tools may help clinicians identify higher risk adults earlier and inform decisions about follow-up and preventive care.<\/span><\/p>\n<p><span style=\"font-weight: 400\">Sometimes, the simplest measures are the most powerful.<\/span><\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-11890\" src=\"https:\/\/blogs.bmj.com\/bjsm\/files\/2026\/05\/Muscular-grip-strength-240x300.png\" alt=\"\" width=\"502\" height=\"628\" srcset=\"https:\/\/blogs.bmj.com\/bjsm\/files\/2026\/05\/Muscular-grip-strength-240x300.png 240w, https:\/\/blogs.bmj.com\/bjsm\/files\/2026\/05\/Muscular-grip-strength-768x960.png 768w, https:\/\/blogs.bmj.com\/bjsm\/files\/2026\/05\/Muscular-grip-strength-640x800.png 640w, https:\/\/blogs.bmj.com\/bjsm\/files\/2026\/05\/Muscular-grip-strength.png 1080w\" sizes=\"auto, (max-width: 502px) 100vw, 502px\" \/><\/p>\n<p><b>Authors and affiliations<\/b><\/p>\n<p><span style=\"font-weight: 400\">Bruno Bizzozero-Peroni 1,2,3 , Nuria Mar\u00edn-Jim\u00e9nez 4,5,6 , Pablo Molina-Garcia 7,8 , Francisco B <\/span><span style=\"font-weight: 400\">Ortega 8,9,10 , Jean-Philippe Chaput 11,12 , Kai Zhang 11,13 , Justin J Lang 11,14,15 , Ryan <\/span><span style=\"font-weight: 400\">McGrath 15,16,17,18 , Grant R Tomkinson 15 , Vicente Mart\u00ednez-Vizca\u00edno 3,19 , Magdalena <\/span><span style=\"font-weight: 400\">Cuenca-Garc\u00eda 4,5 , Jose Castro-Pi\u00f1ero 4,5<\/span><\/p>\n<ol>\n<li><span style=\"font-weight: 400\"> Department of Neurobiology, Care Sciences and Society, Aging Research Center, Karolinska <\/span><span style=\"font-size: 1rem\">Institutet and Stockholm University, Stockholm, Sweden<\/span><\/li>\n<li><span style=\"font-size: 1rem\">Department of Physical Education and Health, Higher Institute of Physical Education, Universidad <\/span><span style=\"font-size: 1rem\">de la Rep\u00fablica, Rivera, Uruguay<\/span><\/li>\n<li><span style=\"font-size: 1rem\">Health and Social Research Center, Universidad de Castilla La-Mancha, Cuenca, Spain<\/span><\/li>\n<li><span style=\"font-weight: 400\">Department of Physical Education, GALENO Research Group, University of Cadiz Faculty of <\/span><span style=\"font-size: 1rem\">Education Sciences, Cadiz, Spai<\/span><\/li>\n<li><span style=\"font-size: 1rem\">Instituto de Investigaci\u00f3n e Innovaci\u00f3n Biom\u00e9dica de C\u00e1diz (INiBICA), C\u00e1diz, Spain<\/span><\/li>\n<li><span style=\"font-size: 1rem\">Department of Education, Faculty of Educational Sciences, Health Research Centre, University of <\/span><span style=\"font-size: 1rem\">Almer\u00eda, Almer\u00eda, Spain<\/span><\/li>\n<li><span style=\"font-size: 1rem\">Instituto de Investigaci\u00f3n Biosanitaria ibs, Granada, Spain.<\/span><\/li>\n<li><span style=\"font-size: 1rem\">Department of Physical Education and Sports, Faculty of Sport Sciences, Sport and Health <\/span><span style=\"font-size: 1rem\">University Research Institute (iMUDS), University of Granada, Granada, Spain.<\/span><\/li>\n<li><span style=\"font-size: 1rem\">Faculty of Sport and Health Sciences, University of Jyv\u00e4skyl\u00e4, Jyv\u00e4skyl\u00e4, Finland.<\/span><\/li>\n<li><span style=\"font-size: 1rem\">CIBER de Fisiopatolog\u00eda de la Obesidad y Nutrici\u00f3n (CIBEROBN), Instituto de Salud Carlos III, <\/span><span style=\"font-size: 1rem\">Granada, Spain.<\/span><\/li>\n<li><span style=\"font-size: 1rem\">Healthy Active Living and Obesity Research Group, Children&amp;#39;s Hospital of Eastern Ontario Research <\/span><span style=\"font-size: 1rem\">Institute, Ottawa, Ontario, Canada.<\/span><\/li>\n<li><span style=\"font-size: 1rem\">Department of Pediatrics, Faculty of Medicine, University of Ottawa, Ottawa, Ontario, Canada.<\/span><\/li>\n<li><span style=\"font-size: 1rem\">School of Human Kinetics, Faculty of Health Sciences, University of Ottawa, Ottawa, Ontario, <\/span><span style=\"font-size: 1rem\">Canada.<\/span><\/li>\n<li><span style=\"font-size: 1rem\">Centre for Surveillance and Applied Research, Public Health Agency of Canada, Ottawa, Ontario,<\/span><span style=\"font-size: 1rem\">Canada.<\/span><\/li>\n<li><span style=\"font-weight: 400\">Alliance for Research in Exercise, Nutrition and Activity (ARENA), School of Allied Health and <\/span><span style=\"font-size: 1rem\">Human Performance, Adelaide University, Adelaide, SA, Australia<\/span><\/li>\n<li><span style=\"font-weight: 400\">Department of Health, Nutrition, and Exercise Sciences, North Dakota State University, Fargo, ND,<\/span><span style=\"font-size: 1rem\">USA<\/span><\/li>\n<li><span style=\"font-size: 1rem\">Department of Geriatrics, University of North Dakota, Grand Forks, ND, USA<\/span><\/li>\n<li><span style=\"font-size: 1rem\">Fargo VA Healthcare System, Fargo, ND, USA<\/span><\/li>\n<li><span style=\"font-size: 1rem\">Faculty of Health Sciences, Universidad Aut\u00f3noma de Chile, Talca, Chile.<\/span><\/li>\n<\/ol>\n<p><b>References<\/b><\/p>\n<ol>\n<li><span style=\"font-weight: 400\"> GBD 2023 Causes of Death Collaborators. Global burden of 292 causes of death in 204 countries and territories and 660 subnational locations, 1990-2023: a systematic analysis for the Global Burden of Disease Study 2023. Lancet. 2025;406(10513):1811-1872. doi: 10.1016\/S0140-6736(25)01917-8.<\/span><\/li>\n<li><span style=\"font-weight: 400\"> GBD 2023 Disease and Injury and Risk Factor Collaborators. Burden of 375 diseases and injuries, risk-attributable burden of 88 risk factors, and healthy life expectancy in 204 countries and territories, including 660 subnational locations, 1990-2023: a systematic analysis for the Global Burden of Disease Study 2023. Lancet. 2025;406(10513):1873-1922. doi: 10.1016\/S0140-6736(25)01637-X.\u00a0<\/span><\/li>\n<li><span style=\"font-weight: 400\"> Momma H, Kawakami R, Honda T, Sawada SS. Muscle-strengthening activities are associated with lower risk and mortality in major non-communicable diseases: a systematic review and meta-analysis of cohort studies. Br J Sports Med. 2022;56(13):755-763. doi: 10.1136\/bjsports-2021-105061.<\/span><\/li>\n<li><span style=\"font-weight: 400\"> Mar\u00edn-Jim\u00e9nez N, Bizzozero-Peroni B, Molina-Garcia P, Ortega FB, Chaput JP, Zhang K, Lang JJ, McGrath R, Tomkinson GR, Mart\u00ednez-Vizca\u00edno V, Cuenca-Garc\u00eda M, Castro-Pi\u00f1ero J. Clinical importance of simple muscular fitness tests to predict long-term health conditions: a systematic review and meta-analysis of 94 cohort studies. Br J Sports Med. 2026:bjsports-2024-109173. doi: 10.1136\/bjsports-2024-109173.\u00a0<\/span><\/li>\n<li><span style=\"font-weight: 400\">Cuenca-Garcia M, Marin-Jimenez N, Perez-Bey A, S\u00e1nchez-Oliva D, Camiletti-Moiron D, Alvarez-Gallardo IC, Ortega FB, Castro-Pi\u00f1ero J. Reliability of Field-Based Fitness Tests in Adults: A Systematic Review. Sports Med. 2022;52(8):1961-1979. doi: 10.1007\/s40279-021-01635-2.\u00a0<\/span><\/li>\n<li><span style=\"font-weight: 400\"> Castro-Pi\u00f1ero J, Marin-Jimenez N, Fernandez-Santos JR, Martin-Acosta F, Segura-Jimenez V, Izquierdo-Gomez R, Ruiz JR, Cuenca-Garcia M. Criterion-Related Validity of Field-Based Fitness Tests in Adults: A Systematic Review. J Clin Med. 2021;10(16):3743. doi: 10.3390\/jcm10163743.<\/span><\/li>\n<\/ol>\n<p><!--TrendMD v2.4.8--><\/p>\n","protected":false},"excerpt":{"rendered":"<p>This blog provides a summary of a\u00a0recent study\u00a0published in BJSM. Why is this study important? Non-communicable diseases\u2014like cardiovascular disease, type 2 diabetes and dementia\u2014cause most deaths and disability worldwide (1,2). Clinicians need quick, low-cost tools to identify patients at higher risk before disease develops. Muscular strength has long been linked with health (3). But can [&#8230;]<\/p>\n<p><a class=\"btn btn-secondary understrap-read-more-link\" href=\"https:\/\/blogs.bmj.com\/bjsm\/2026\/05\/18\/simple-field-based-muscular-strength-tests-that-predict-your-future-health\/\">Read More&#8230;<\/a><\/p>\n","protected":false},"author":463,"featured_media":11890,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[16068,16488,16489,16007,16487],"class_list":["post-11889","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-uncategorized","tag-featured","tag-long-term-health","tag-longevity","tag-muscle-strength","tag-non-communicable-diseases"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.6 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Simple field-based muscular strength tests that predict your future health - BJSM blog - social media&#039;s leading SEM voice<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/blogs.bmj.com\/bjsm\/?p=11889\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Simple field-based muscular strength tests that predict your future health - BJSM blog - social media&#039;s leading SEM voice\" \/>\n<meta property=\"og:description\" content=\"This blog provides a summary of a\u00a0recent study\u00a0published in BJSM. 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BJSM blog - social media&#039;s leading SEM voice","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/blogs.bmj.com\/bjsm\/?p=11889","og_locale":"en_US","og_type":"article","og_title":"Simple field-based muscular strength tests that predict your future health - BJSM blog - social media&#039;s leading SEM voice","og_description":"This blog provides a summary of a\u00a0recent study\u00a0published in BJSM. 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