Raising the American Weakling
When she was a practicing occupational therapist, Elizabeth Fain started noticing something odd in her clinic: Her patients were weak. More specifically, their grip strengths, recorded via a hand-held dynamometer, were “not anywhere close to the norms” that had been established back in the 1980s.
Fain knew that physical activity levels and hand-use patterns had changed a lot since then. Jobs had become increasingly automated, the professional and service sectors had grown, all sorts of measures of physical activity (like the likelihood that a child walks to school1) had declined, and the personal computer age had dawned. But to see the numbers decline so steeply and quickly was still a surprise, and not just to her.
Unlike most findings in the sleepy field of occupational therapy, her findings, which were published last year in the Journal of Hand Therapy, touched off a media firestorm, as the revelation seemed to encapsulate any number of smoldering fears in one handy conflagration: The loss of human potential in the face of automation, of our increasing time spent on smartphones and other devices, the erosion of our masculine norms,2 of the fragility and general shiftlessness of millennials. Even taking into account the cautionary statistical notes—that the sample sizes of the 1980s studies were not huge, that Fain’s study was mostly college students—the idea of a loss in human strength, expressed through a statistical measure hardly anyone had previously heard of, seemed to hint at some latter-day version of degeneration.
That message was reinforced by the sheer predictive power of, the health outcomes of nearly 140,000 people across 17 countries were tracked over four years, via a variety of measures—including grip strength. Grip strength was not only “inversely associated with all-cause mortality”—every 5 kilogram (kg) decrement in grip strength was associated with a 17 percent risk increase—but as the team, led by McMaster University professor of medicine Darryl Leong, noted: “Grip strength was a stronger predictor of all-cause and cardiovascular mortality than systolic blood pressure.”
