Stronger hands lengthen your life
axios.com
axios.com
The article goes on to recommend grip strengthener and I strongly suspect that better skeletal-muscular health in general should be the goal.
"Strong people are harder to kill than weak people and more useful in general." --Mark Rippetoe.
Definitely the advice of increasing one's grip strength is poor on multiple levels. Even if increasing your grip strength leads to a higher-quality life, simply training only the forearm without addressing the entire arm and shoulder and neck all together is not going to be good for ones overall muscular (and nerves, etc) balance.
Trials to validate medicine heavily involve tactics to check for causation.
What you're reading here is just some journal that identified a correlation and the author of the popular science article can't tell the difference between that and causation.
Note that I don't mean that many practitioners are ignorant of the idea. I mean that they could know it, and still fall to it. "Value based judgements" are still a large thing, after all.
But the article does talk about risk of falling too which. seems like a fair logical causation jump that stronger hands = less risk of falling injury. They don't cite that though....
I think they should have used the line from the harvard link they put "these findings highlight the importance of doing regular exercise to maintain strong muscles as you age. "
With “How” in the title, it comes across as what it is: a light popsci/lifestyle piece that should be taken with a grain of salt, but might still contain interesting food for thought/discussion.
on edit: changed author to poster although confusion would be surprising in this case.
If someone ever brings me evidence that having stronger grip does not help you avoid falls, then (a) that would be surprising and interesting, and (b) I wouldn't feel like a fool for having improved my grip strength anyway.
Empirically proving causation is often difficult or impossible. It's irrational to expect every potentially useful idea to meet that high bar before taking it into consideration. If someone is trying to sell me something, or if the idea goes against common sense, I'll demand proof, but that's not the case here.
This is a very complicated cause/effect to figure out, even for top-class physical therapists.
Also possible that if you have good grip strength then you have good muscular balance and innervation, vascularity, and motor neuron balance (extensor/flexor), which possibly leads to better overall health, including heart health.
Honestly, I have no idea. But that's the point. Neither do experts who spend decades in this field. It's far too complex to study through these types of lenses. This is often why clinical practice still does better than science in this field. It's complicated as hell and many traditional scientists think they can study the musculoskeletal system this way, when the top doctors learn most of their skills through clinical trial-and-error. Still in 2022.
It interests me how far we have come in technology, but how little we know how to apply it to certain kinds of medicine.
Just as an anecdote, I have been spending thousands of hours in physical therapy, and have visited doctors all over. One thing I have learned is that many great doctors used to read tonnes of research papers early in their career, but over time gravitated more towards their clinical experience in building their tree of knowledge. From what I have heard, the science is just too vague and difficult in this field and so as tempting as it is to want to apply the scientific framework around this field (I'm talking specifically about physical therapy here, not necessarily other areas of medicine where I know far less about), it ends up being more effective to build up ones intuition off of a strong clinical practice and then to look at the science afterwards in order to calibrate and filter through those experiences.
A bit of a tangent, but something I also find to be interesting is how poor the feedback mechanisms are in a lot of medicine. Most patients don't follow their prescribed homework, and many surgeons don't even get to see the long-term outcomes of their patients' surgery. Or when they do they are measuring some variables that don't give enough of an overall view of the person's body or overall health.
Anyways, I'm done rambling for now :P. I hope we can curtail the upcoming health crisis we are going to have with our and our childrens' postures and poor body mechanics.
I had some problems after sports accidents and after an odysee to different surgeons and co. and an operation, I came to the conclusion, that the lowly, but very experienced physical therapists, offered the best advice for me. Because they actually work closely with the patients in the long run and see what works. But since they are not academics, it seems their opinions are usually not very well regarded and do not move up the chain (at least here in germany, but I can imagine it is the same all around the world).
I am now in care of a fit doctor who, though being over 50, is slim and obviously active. It is a huge difference from my previous doctor who was visibly overweight even though 10 years younger than me, and from the yet previous doctor who tipped the scale at at least 350 pounds. (That one died of Covid after spending 6 weeks in the ICU. Wasn't yet sixty.)
If the fit doctor recommends me something from her own experience (in her case, the Sun Salutation), I will know that it works.
There probably is a circular relationship. Enough physical activity leads to better cardovascular health and stronger muscles. Those lead to good grip strength, which is just the best measurable element of overall physical strength. Stronger people have more capacity for exercise and will engage in more physical activity, which leads to better health etc. One day, some equilibrium is reached, but this equilibrium is much better than in sedentary people. This equilibrium lowers your risk of heart disease, the worst of modern age killers.
Also, if you spend time outdoors (and a lot of physical activity is done outdoors in favorable climates), your immune system gets training, too. And immune system is what seems to be protecting us from cancer, the second worst of modern age killers.
Have you ever wondered what kind of experiment is needed to be run in order to verify causation?
I see people say "correlation does not equal causation." And they never wonder, well what exactly is causation and how can science attempt to verify it at all? One person even told me that causation is impossible to verify. He's right on a technical level. If you want to be very pedantic science cannot prove anything to be true. But pedantry aside experimental methods to "prove" causation are very real and used extensively in the medical industry. All the medicine you put in your body (including the covid vaccine) is verified to be effective from a causative standpoint.
That being said the experiment to test for whether or not hand/grip and strength causatively effects life span is quite trivial in terms of planning out what has to be done. The study could take a while but we've done other studies that have lasted longer and are far more complicated.
Simply select a random group of people and put half of them on a daily plan to increase grip strength. If the half that was put on a daily plan generally lives longer than the other half of people who weren't put on a plan you have verified causation. The key to proving causation is to have the experimenters hand controlling the causative factor rather than observing it.
This technique can (and often is) used to produce raw science directly from clinical practice. The term for this is called "clinical trials"
>The grip strength exercises might motivate them to do other things that are good for them, body their mood, etc.
Grip strength is still the causative factor here. It "causes" people to be motivated which in turn causes people to live longer. It literally supports the articles main point.
People are saying that correlation does not equal causation and that training for grip strength will not increase your lifespan.
However if the scenario you describe above is true. Then training for grip strength DOES increase your lifespan. Causation verified. The article is then completely correct. Think about it.
I get where you're coming from though. Being born has a causative association with having a longer life span than not being born. The connection is technically causative but you want to find a more direct source that is lower on the chain of causation.
Little did anyone seem to realize that people who don't drink may be abstaining for health reasons and thus may be more likely to die / get sick regardless.
But it was sure great for the booze industry.
https://newsroom.clevelandclinic.org/2022/01/31/no-amount-of...
> It's not just bracing yourself. Scientists have linked stronger hands to healthier hearts.
> One study in the American Journal of Preventive Medicine found that higher grip strength was correlated to lower blood pressure, lower blood sugar and higher good cholesterol levels.
Has to just be grip strength correlating with activity level and general health, not grip strength causing any of that.
Submitter said: “EDIT 2: Some of the very low values are individuals with disabilities”, “EDIT 4: Grip strength is a decent proxy for upper and lower limb strength, and is also correlated with other indices of strength.”
I'm not a doctor but I am deeply sceptical of any study involving extracting statistical insights from (very complex) humans.
CORRELATION AN IMPORTANT FACTOR HERE.
Say you are caring for a population of elderly people and you need to triage who to give more stability support (say carers, walking aids, etc). Do a grip strength test! The correlation is important, it doesn't matter if the correlation is causal in nature.
I challenge you dear reader, the next time there's a science article presented, to think about something more interesting to say than "correlation != causation". I challenge you to find useful ways that correlations can be harnessed.
So by default, people are correct to mindlessly parrot this, even if they don't understand when they're wrong or misapplying the maxim.
also the irony is amazing
There is plenty of literature in the neuroscience and psychology fields that show we are biased towards finding patterns where there are none. Evolutionarily speaking, this is easy to understand. Better to run away one extra time, than getting eaten by a lion. The latter is less likely to pass on their genes.
> People mindlessly parroting anything is not a great success of anything, especially not of science communication.
I respectfully disagree. Appreciating the subtleties of causality is beyond what you can expect from most lay people. Even many of my machine learning colleagues can get tripped up by this stuff. So even if it is simplistic, I still think it is useful that people at least understand that causality is difficult.
This statement makes no sense at all. Pattern recognition applies to any data. That's not even contested terminology. (besides, just redefine your processed data to be your new raw data, and you're back to square one...and in many cases it wouldn't even be clear how to precisely define unprocessed data)
If you want to criticise the evidence in the literature, then fair enough I guess...that's beyond me to defend.
In fact, ALL clinical trials for all medicine are designed to verify causation. It's that straightforward. It just happens to cost a lot of money. Think about that. Why are clinical trials much more expensive than say the experiment correlating grip strength and life span? What is the differentiating factor?
This is the key. If you don't understand why/how clinical trials verify causation and what exactly is the differentiator between experiments that only correlate things then you don't truly understand the dichotomy between correlation and causation.
Most people don't understand it. Even the programming crowd. I even met data scientists who don't know about it.
I challenge the writers of articles to write articles which doesn’t walk into this problem.
> Say you are caring for a population of elderly people and you need to triage who to give more stability support (say carers, walking aids, etc). Do a grip strength test!
But that’s not what the article says, does it?
“The single most effective set of muscles you can work to extend your life is in your hands.”
This is the first line of the article, and it is completely unsupported by data or studies. So how are we missing the point?
> The correlation is important, it doesn't matter if the correlation is causal in nature.
But it does matter! If it is causal then we should give hand strengthening devices to everyone. We should have fun hand strength competitions in social settings to encurage everyone to care about their grip strength.
If it is not casual then we can use it as a diagnostic indicator precisely as you say. In that case it is actually a bad idea to encourage people to strenghten their grip, because that might break the correlation between ill-health and grip strength, thus ruining the diagnostic indicator without helping anyone to live a healthier life.
How can you say it doesn’t matter if the correct reaction differs this much?
Correlation DOES IMPLY causation somewhere. It's just the causative source may not be part of the experimental parameters.
Think about it. Hand grip and longer lifespan. For those two things to correlate they MUST at the very least be connected by one or several causative sources. There is no other logical explanation for it.
It's just this source isn't part of the experimental parameters.
On the other side of the coin if two things Do NOT correlate, it heavily implies no causative connection at all.
Said differently, correlation does not imply causation.
[1] https://www.golfandhealth.org/news/golfers-longevity/?amp_ma...
Rather than being a matter of better access to health care etc, I suspect a reverse causation -- people who are in poor health are less likely to go out to the golf course. The same applies to Vitamin D, taking international flights, and reading books, all of which are correlated with reduced death rates.
Strong hands is probably a result of exercise and leading a healthy life which leads to higher life expectancy. Meaning exercise and leading a healthy life is the cause of strong hands and higher life expectancy.
Golf industry says golf lengthens your life. Hand grip industry says strong hands lengthen life. Can't help but be a little bit cynical the older I get.
So a strong grip might correlate with strong everything else. By the way, strong hands are controlled by strings and pulleys - it's really just strong forearm muscles.
It would be interesting if the study was for people with JUST a strong grip, like folks who were always in a chair.
I remember reading of another study where people who were pear-shaped were healthier than people who were round. Turns out that people put on weight at the waist first, and as they put on more weight, it moves to the chest and shoulders, so...
The results were that handgrip training for at least 4 weeks reduced blood pressure by around 5 mmHg. Which yes, could lengthen some lives.
Assuming that correlations are spurious is as poor an approach as assuming they are not.
[1] If you look at the U.S. national statistics, net cancer survival rates top out at 100%. That's because their algorithm doesn't allow any negative values for risk. I think that's enforcing a belief on the data, so I've always calculated it differently. People diagnosed with in situ prostate cancer, in situ testicle cancer, and (IIRC) in situ melanoma all have better survival chances than their peers. Unsurprisingly, all are screenable and easily treated if caught early.
>Stronger hands grip tighter to prevent falls — and brace stronger when you tumble.
>Grip strength is especially important for those older adults who use canes, walkers or handrails or need assistance getting out of chairs, says David Bellar, a kinesiologist at UNC Charlotte.
Care to say anything about that?
"Golf: a game of life and death – reduced mortality in Swedish golf players" by B. Farahmand, G. Broman, U. De Faire, D. Vågerö, A. Ahlbom.
"Golfers with the lowest handicap (the most skilled players) had the lowest mortality; SMR=0.53 (95% CI: 0.41–0.67) compared with 0.68 (95% CI: 0.61–0.75) for those with the highest handicap. While we cannot conclude with certainty that all the 40% decreased mortality rates are explained by the physical activity associated with playing golf, we conclude that most likely this is part of the explanation. To put the observed mortality reduction in context, it may be noted that a 40% reduction of mortality rates corresponds to an increase in life expectancy of about 5 years." [1]
[1] https://onlinelibrary.wiley.com/doi/full/10.1111/j.1600-0838...
I own the No.2 model[1] and have been squeezing it for a year. It's fun, mostly for handing it to tough guys and presenting it as The Pansy Test. Out of over a dozen grown men, none have closed it yet. Inevitably they eventually ask me if I can, to which I humbly reply "I think so." and do it several times. They always want to try again, some get mad. I'm small and insubstantial. That can be amusing.
But I've never perceived any benefit from using it.
Squats are where it's at, I think. I see a change in my overall form more dramatic than any other activity, except maybe hard labor.
Edit: 1. Captains of Crush grip trainer
I'd take the black belt a million times over. That's a rare and magnificent treasure, where skill easily trumps strength. It is also extremely difficult to acquire.
If the article is valid, I guess because I don't want to die.
Edit: I do have better results with lower tension and higher reps, but only with hand grippers. Higher reps do little for strength.
1. Keeping a 35 year old wrist injury at bay. Even just a few squeezes during the day “unlocks” my wrist which otherwise gets tight from a day of typing.
2. Helping me stay focused during long video calls. If I’m squeezing them in both hands I can’t be wandering over to sites like HN.
Likewise, it’s hard to work on muscular strength without also increasing your hand strength. To lift weights, your hands have to grip the weight.
So, there is a pretty strong correlation with overall health.
The one thing I’ll say is that hand strength is hard to get back if you let it fade. The muscles don’t grow very fast or very much, and you need strong tendons (which grow even more slowly) to transmit the strength to your actual fingers. So again, if you’re able to increase hand strength, you’ve probably got some other positive correlations like “works out regularly” and “cares about functional health.”
But no one knows the nature of the statistical experiment that is needed to prove causation. Ask yourself this before you post a new flavor of the "correlation does not imply causation" post that is already all over this thread.
So we know correlating hand strength with lifespan doesn't prove causation. What sort of experiment or what different parameters must be changed in order to verify causation? If you don't know the answer to this, then that means you don't completely understand the dichotomy between correlation and causation.
It's clear you don't see it. You don't have to focus on smokers or alcoholics that's irrelevant.
But let's modify your statement to not include the fluff.
>Find (or create) lots of people who focus only on hand strength exercises.
Even when you remove the fluff the statement above still shows how you don't understand the dichotomy between correlation and causation. The experiment in the article can in fact be summarized by this statement:
>Find lots of people who focus only on hand strength exercises.
This statement cannot prove hand strength causes longer lifespan, you are right. However to test for causality is trivial. you simply need to do do this:
>(Create) lots of people who focus only on hand strength exercises.
It is the act of creation that forms the causative proof. Think about it.
If I took a random population and made them train for grip strength. Then I compared that groups lifespan to the overall lifespan of people I didn't make train for grip strength and I find that there is a correlation with longer life span for people who trained for grip strength...
Well I've just verified causation. There is literally no other conclusion. Try to come up with a scenario where the two factors are not connected causally. You can't.
By having the experimenters hand controlling the causative factor, you can prove correlation. If you are simply observing things with no control over experimental parameters, correlation is then impossible to verify.
It is the act of creation or controlling the experiment that allows for causation to be verified.
What if the people you trained for grip strength also started taking care of their health in general (eg. eating better and moving more often), after starting your grip strengthening exercises?
If caring more for their general health was "caused" by grip strength training than grip strength training is still causative for increasing lifespan.
Think about it. Prescribing grip strength training in this case will indeed increase lifespan if what I said above were true. But the claim people are making here is that the correlation has no causative relation... that prescribing grip strength training WILL NOT cause lifespan to increase.
In fact, everything the article claims is true if the scenario you described is real.
You're thinking about direct causation which is hard to define. If running increases heart health which increases lifespan... which caused lifespan to increase? Heart health or running? The most elegant definition is to say both do. But then again being born is causative to increased lifespan as well but making a statement saying birth causes increased lifespan isn't a meaningful statement.
The nature of causation is a chain of events leading all the way back to the beginning of time. All events in that chain caused the most recent event in the chain. Reality is, in fact, made up of single tree of causative events and multiple linked chains, where ancestors in the tree are said to be causative.
Sibling nodes and events that don't have an ancestor relationship at best can only share a correlation (aka common ancestor).
Judo practitioners might be a good population to study for this effect, if you could find the individuals that started and track them all, including the dropouts. It would have common traits of strong grip AND muscle memory of how to fall properly, which could be a confounding factor.
Sounds like a correlation that misses the point, general health prolongs life, couch-potatoes die sooner and have worse quality of life their last 30 years or so. And setting up for good health in advanced age starts decades earlier.
Try comparing someone who does grip-strength training only vs someone who does heavy dead-lifts, both into their 80s.
My money will be on the dead-lift guy, not just having a better quality of life until his last day, but also living longer.
Keep care of your hands and wrists. If you feel pain or discomfort, stiffness etc figure out why and fix it. Whether it's keyboard/desk etc change. Or taking breaks and stretching.
Those suffering later stages of hand/wrist strain or wear... look into: wrist straps, wax baths, heated 'wax gloves'
Eventually a colleague noticed and took me aside and gave my a clue-by-four to the head. 30 years later, pain-free and still in the industry, due in no small part to a Kinesis keyboard.
If you meet a fisherman check out their hands and arms.
A bit of advice never arm wrestle a fisherman especially they're middle-aged or older even if his arms look thin.
Edit: the reason, from what I've heard it's due to tendon strength. It takes a long time to develop strong tendons.
There's a reason a lot of older skaters can still skate and I can tell you it's not because of their athleticism or healthy habits for which both are usually lacking.
Longer life is correlated with general health. General health is correlated with strength. And strength is correlated with grip.
[1] https://twitter.com/paulg/status/1503500234777047042?s=20&t=...
The most common cause of death in my family is the secondary effects of a fall.
But correlation is not causation.
Erm, correlation is not causation, it's probably BECAUSE you have a healthy heart that you have a good grip on your hands. I can't believe it's not obvious to the author.
- Not overeating and eating varied food.
- Hygiene
- Lack of stress / enjoying life / feeling whole
- Moving (exercise is overrated)
- Medical procedures
All other things are related to these points.
Jeff: "Wow it sounds like that class really helped you"
Bob: "Maybe!"
Credit goes to XKCD
1. You measure a population about whether they know about a fact. You find most people don't know it.
2. You introduce a statistics class to that population that teaches said fact.
3. You measure the population after the class and you find most now people know about said fact.
That is literally proving Causation. But you'll see there's a trick in my wording. If I didn't deliberately introduce that class to a population, and I simply observed an existing population that took that class... well, then in that case I cannot prove causation.However the character that was asked the question in the XKCD comic, deliberately introduced the statistics class on himself. This deliberate act changes the experiment. HE himself is the experimenter and he controls the parameters and thus he has the knowledge needed to verify causation.
The person who asked the question cannot verify causation, but the person the question was asked too, CAN verify it.
I get the humor behind the comic. But it is technically wrong. Causation is verified. All causative experiments are run this way.
https://www.epsilontheory.com/gell-mann-amnesia/
https://en.m.wikipedia.org/wiki/Michael_Crichton#GellMannAmn...
reminds of that recent study about Viagra users living longer, same nonsense