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Weathered hands gripping a kettlebell handle

Decoded

Your handshake is a health test.

Across about 140,000 adults in 17 countries, weaker grip meant higher risk of death.

SIGNAL 4/52026-09-30

The study

The PURE study (Leong et al., The Lancet, 2015) measured grip strength with a handheld device in about 140,000 adults across 17 countries and followed them for about four years.

What they found

Every 5 kg lower grip strength was linked to a 16% higher risk of death from any cause.

Grip strength predicted death better than systolic blood pressure did.

The honest catch

It shows a link, not a cause. Your grip is likely a marker of your overall strength, not a magic muscle.

Decoded / the concept

Muscle as reserve

Grip is the cheapest way to measure your total muscle.

Muscle stores glucose, catches you in a fall, and keeps you independent. Less of it, less margin when life hits.

What you can do

  • Train your whole body for strength, twice a week.
  • Carry heavy things: groceries, farmer’s carries, kettlebells.
  • Keep going as you age. It matters more, not less.

Common questions

Does grip strength predict how long you live?

In the PURE study of about 140,000 adults in 17 countries, every 5 kg lower grip strength was linked to a 16% higher risk of death from any cause.

Should I train my grip?

Grip reflects overall strength. Train your whole body for strength, twice a week.

Signal Score: 4/5

Large human studies. How we score

Sources

Published 2026-09-30 · Last reviewed 2026-09-30

Educational content, not medical advice. Talk to your clinician before changing anything about your health.

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