The manual grip strength of the upper limbs was measured by means of a dynamometer adjusted for each type of hand, and on a scale from 0 to 100 kg. The individual was in the orthostatic (standing and upright) position with the arm to the side of the body and with the dominant side performed the grip (39 (link)). The participants performed one repetition in each hand to familiarize themselves with the device and the test. Each participant was asked to squeeze the grip with maximal strength for 3 s with the dominant hand. The highest peak strength (kg) recorded between the three attempts was considered for analysis. A digital grip strength dynamometer was used for this (TKK 5401; Takei Scientific Instruments Co., Ltd., Tokyo, Japan). Dividing the value of the best hand grip strength score by BMI (kg/m2) obtains a field muscle quality index (MQI) (40 (link)).
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