The Relative Handgrip Strength and Risk of Cardiometabolic Disorders: A Prospective Study

Hao, Guang; Chen, Haiyan; Ying, Yan; Wu, Min; Yang, Guang; Jing, Chunxia

doi:10.3389/fphys.2020.00719

Cited by 19 publications

(21 citation statements)

References 51 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Ho et al pointed out that the relationship between HGS and health outcomes would not be altered by changing how it is expressed, but the endpoint events in this study did not include new-onset diabetes [23]. Moreover, several studies have also shown that higher relative HGS rather than dominant or absolute HGS was associated with lower cardiometabolic risk [14,15,32]. Remarkably, our research introduced the Harrell's C index, NRI, and IDI to compare the abilities of two HGS expressions in predicting diabetes.…”

Section: Discussionmentioning

confidence: 85%

“…In addition, varied HGS measurement methods, including dominant HGS and relative HGS, were applied to explore their associations with diabetes. There are studies pointed out that relative HGS might have an advantage in predicting the risk of cardiovascular biomarkers, metabolic profile, and other cardiometabolic disorders [14][15][16]. Moreover, a Basque study emphasized the need for more in-depth research to help determine whether relative or absolute indicators have more practical applications [17].…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Role of handgrip strength in predicting new-onset diabetes: findings from the survey of health, ageing and retirement in Europe

Qiao

et al. 2021

BMC Geriatr

View full text Add to dashboard Cite

Background Diabetes is a major concern for the global health burden. This study aimed to investigate the relationship between handgrip strength (HGS) and the risk of new-onset diabetes and to compare the predictive abilities between relative HGS and dominant HGS. Methods This longitudinal study used data from the Survey of Health, Ageing and Retirement in Europe (SHARE), including 66,100 European participants aged 50 years or older free of diabetes at baseline. The Cox proportional hazard model was used to analyze the relationship between HGS and diabetes, and the Harrell’s C index, net reclassification index (NRI), and integrated discrimination improvement (IDI) were calculated to evaluate the predictive abilities of different HGS expressions. Results There were 5,661 diabetes events occurred during follow-up. Compared with individuals with lowest quartiles, the hazard ratios (95 % confidence intervals) of the 2nd-4th quartiles were 0.88 (0.81–0.94), 0.82 (0.76–0.89) and 0.85 (0.78–0.93) for dominant HGS, and 0.95 (0.88–1.02), 0.82 (0.76–0.89) and 0.60 (0.54–0.67) for relative HGS. After adding dominant HGS to an office-based risk score (including age, gender, body mass index, smoking, and hypertension), the incremental values of the Harrell’s C index, NRI, IDI of relative HGS were all slightly higher than those of dominant HGS in both training and validation sets. Conclusions Our findings supported that HGS was an independent predictor of new-onset diabetes in the middle-aged and older European population. Moreover, relative HGS exhibited a slightly higher predictive ability than dominant HGS.

show abstract

Section: Discussionmentioning

confidence: 85%

Section: Introductionmentioning

confidence: 99%

Role of handgrip strength in predicting new-onset diabetes: findings from the survey of health, ageing and retirement in Europe

Qiao

et al. 2021

BMC Geriatr

View full text Add to dashboard Cite

show abstract

“…Operational personnel did possess more favourable grip strength, lung function, cardiorespiratory fitness levels, engaged in higher amounts of physical activity, and also sat less throughout the day than non-operational personnel. These may be protective factors that could explain the lower odds of hypertension in operational personnel [ 30 , 31 , 32 , 33 , 34 ]. However, it should be noted that the prevalence rates of hypertension for non-operational and operational personnel were not different according to the chi-square analysis.…”

Section: Discussionmentioning

confidence: 99%

“…Previous evidence has consistently documented that police officers have an increased cardiometabolic risk than the general population [ 7 ]. This increased physiological risk existed despite operational personnel having significantly better handgrip strength, lung function, higher physical activity levels, and lower daily sitting, which have been favourably associated with cardiometabolic health [ 30 , 31 , 32 , 33 , 34 ]. This supports the need for occupational health interventions to reduce the risk of cardiometabolic disease in the police, especially those in operational jobs.…”

Section: Discussionmentioning

confidence: 99%

The Prevalence and Predictors of Hypertension and the Metabolic Syndrome in Police Personnel

Yates

Aldous

Bailey

et al. 2021

IJERPH

View full text Add to dashboard Cite

Hypertension and metabolic syndrome (METSYN) are reportedly high in police forces. This may contribute to health deterioration and absenteeism in police personnel. Police forces comprise of staff in ‘operational’ and ‘non-operational’ job types but it is not known if job type is associated to hypertension and METSYN prevalence. This study aimed to explore the prevalence of hypertension and METSYN, the factors associated with the risk of hypertension and METSYN, and compare physiological, psychological, and behavioural factors between operational and non-operational police personnel. Cross-sectional data was collected from 77 operational and 60 non-operational police workers. Hypertension and METSYN were prevalent in 60.5% and 20% of operational and 60.0% and 13.6% of non-operational police personnel, respectively (p > 0.05). Operational job type, moderate organisational stress (compared with low stress) and lower high-density lipoprotein cholesterol were associated with lower odds of hypertension, whereas increasing body mass index was associated with increased odds of hypertension (p < 0.05). None of the independent variables were significantly associated with the odds of METSYN. Operational police had several increased cardiometabolic risk markers compared with non-operational police. Given the high prevalence of hypertension and METSYN in operational and non-operational personnel, occupational health interventions are needed for the police and could be informed by the findings of this study.

show abstract

“…Many studies have shown that muscle strength is a prognostic factor for all cause death, cardiovascular death, and cardiovascular disease 6,8,9 . Moreover, surveys have also demonstrated the relationship between muscle strength and cardiometabolic risk factors in the elderly 10,11 .…”

Section: Introductionmentioning

confidence: 99%

Sarcopenia, Obesity, and Cardiometabolic Risk Factors Among the Elder Population in Taiwan

Chang

Lin

Kuo

et al. 2021

Preprint

View full text Add to dashboard Cite

Background: Sarcopenia and obesity have become important public health and clinical issues worldwide, especially in an aging society like Taiwan. The aim of this study was to evaluate the cardiometabolic risk factors among the different weight status and grip strength status among elder individuals in Taiwan.Methods: We administered a series of community-based health surveys among the elder population in Chiayi County, Taiwan, from 2017 to 2019. Anthropometric characteristics, handgrip strength, and cardiometabolic risk profiles were measured using standard methods. History of chronic diseases was also asked. The questionnaires, including questions regarding any history of chronic diseases, were administered to the subjects under the assistance of a research technician.Results: This study recruited 3739 subjects (1600 males and 2139 females). The non-obese group had lower blood glucose (BG) levels compared to the obese group (100.3 ± 32.2 mg/dl vs 109.1 ± 34.3 mg/dl for the male subjects; 102.8 ± 32.1 mg/dl vs. 112.5 ± 40.3 mg/dl for the female subjects). The grip strength was negatively associated with BG in both sexes (β = −0.357, p < 0.001 for the male subjects male and β = −0.385, p < 0.05 for the female subjects). Relationship between the grip strength and the risk of cardiometabolic disease showed that for every 1 kg increase in the grip strength, there was a 4.1% and 4.5% decrease in the risk for developing diabetes in male and female subjects, respectively (OR = 0.959, 95% CI = 0.940–0.979 for males and OR = 0.955, 95% CI = 0.932–0.978 for females).Conclusions: A higher handgrip strength is associated with a lower BG level and lower risk for developing diabetes mellitus among elder population in Taiwan. Health promotion studies to increase muscle mass along with early rehabilitation programs should focus on the obese and sarcopenic population to prevent cardiometabolic comorbidities.

show abstract

The Relative Handgrip Strength and Risk of Cardiometabolic Disorders: A Prospective Study

Cited by 19 publications

References 51 publications

Role of handgrip strength in predicting new-onset diabetes: findings from the survey of health, ageing and retirement in Europe

Role of handgrip strength in predicting new-onset diabetes: findings from the survey of health, ageing and retirement in Europe

The Prevalence and Predictors of Hypertension and the Metabolic Syndrome in Police Personnel

Sarcopenia, Obesity, and Cardiometabolic Risk Factors Among the Elder Population in Taiwan

Contact Info

Product

Resources

About