Association between relative muscle strength and hypertension in middle-aged and older Chinese adults

Luo, Jin-hua; Zhang, Tu-ming; Yang, Lin-lin; Cai, Yu-ying; Yang, Yu

doi:10.1186/s12889-023-17007-6

Cited by 4 publications

(3 citation statements)

References 51 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Calculating upper limb muscle quality involves determining the ratio between grip strength and arm lean mass [ 39 ], and lower limb muscle quality is determined by calculating the ratio between quadriceps strength and leg lean mass [ 40 ]. Alternatively, an alternative method for evaluating muscle quality is to divide ASM by muscle strength [ 16 ], which was the approach taken in our study.…”

Section: Discussionmentioning

confidence: 99%

“…The RMS was defined as the grip strength divided by the ASM [ 16 ]. To assess grip strength, participants exerted maximum force on a dynamometer (YuejianTM WL-1000 dynamometer) as hard as possible, maintained the grip for a few seconds, and recorded the peak grip strength of both their dominant and non-dominant hands.…”

Section: Methodsmentioning

confidence: 99%

“…However, the diagnostic process for sarcopenia defined by the AWGS is complex [ 15 ], which is detrimental to its clinical applicability. Relative muscle strength (RMS), which quantifies muscle strength in relation to muscle mass, has consistently shown a negative correlation with hypertension in previous studies even after accounting for variables that may influence the results [ 16 ]. Nevertheless, to our knowledge, no articles have explored the correlation between RMS and CVD incidence.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Association between relative muscle strength and cardiovascular disease among middle-aged and older adults in China

Ji,

Zhao,

Xiao

et al. 2024

BMC Public Health

View full text Add to dashboard Cite

Background The association between sarcopenia and cardiovascular disease (CVD) is well known. However, the clinical diagnosis of sarcopenia is complex and not suitable for early clinical identification and prevention of CVD. Relative muscle strength (RMS) is a relatively quantitative and straightforward indicator, but its association with CVD remains unclear. Hence, the objective of this research was to investigate the correlation between RMS and CVD incidence. Methods This was a cross-sectional study, using data from the China Health and Retirement Longitudinal Study (CHARLS) in 2011. CVD events were assessed through self-reported physician diagnoses. The RMS was determined by dividing the maximum grip strength by the appendicular skeletal muscle mass (ASM). This study used multivariate logistic regression and restricted cubic spline (RCS) curves to explore the correlation between RMS and CVD incidence. Additionally, we conducted subgroup analyses to provide additional evidence supporting the association between the two variables. Results A total of 8,733 people were included in our study, with 1,152 (13.19%) CVD patients and 7,581 (86.81%) non-CVD patients. When the data were grouped according to quartiles (Q) of RMS, the inverse association between CVD and RMS remained statistically significant even after controlling for all potential confounding factors. Compared with participants in Q1 of RMS, the ORs (95% CIs) of CVD among those in Q2-Q4 were 0.99 (0.83, 1.17), 0.81 (0.67, 0.98), and 0.70 (0.57, 0.85), respectively. Moreover, the RCS results showed a negative linear correlation between the RMS and CVD incidence (P for nonlinearity = 0.555). Subgroup analysis revealed no significant interaction in any of the groups except for the sex group (P for interaction = 0.046). Conclusion Our study indicated a stable negative correlation between RMS and CVD incidence. RMS is helpful for the early identification and prevention of CVD.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Association between relative muscle strength and cardiovascular disease among middle-aged and older adults in China

Ji,

Zhao,

Xiao

et al. 2024

BMC Public Health

View full text Add to dashboard Cite

show abstract

Diurnal temperature range and hypertension: cross-sectional and longitudinal findings from the China Health and Retirement Longitudinal Study (CHARLS)

Yan,

Song,

Yao

et al. 2024

BMC Public Health

View full text Add to dashboard Cite

Background Research indicates a positive association between short-term diurnal temperature range (DTR) exposure and hypertension. However, the impact of long-term DTR exposure has not been thoroughly studied in population-based cohort research. Methods This study conducted cross-sectional (including 16,690 participants) and longitudinal analyses (including 9,650 participants) based on the China Health and Retirement Longitudinal Study (CHARLS). Daily temperature data was sourced from the National Scientific Data of the Qinghai-Tibet Plateau. We calculated the moving average of DTR exposure of all the participants in CHARLS with exposure windows of 30-day, 60-day, 180-day, 1-year, and 2-year before the interview month of CHARLS Wave1 (2011). Logistic regression and age-stratified Cox proportional hazards models were employed in our analysis. Results In the cross-sectional study, 6,572 (39.4%) participants had hypertension. We found higher DTR is associated with a higher prevalence of hypertension across different exposure windows. The effect was strongest when the exposure window of DTR was 180-day, with an adjusted odds ratio (OR) of 1.261 (95% confidence interval (CI): 1.124–1.416 [highest tertile DTR vs. lowest tertile DTR]). In the cohort study, 3,020 (31.3%) participants developed hypertension during 83 months of follow-up. A higher level of DTR (hazard ratio (HR): 1.224, 95% CI: 1.077–1.391) was associated with a higher risk of incident hypertension. We found significant interactions between DTR and age ( P interaction: <0.001) and residence ( P interaction: 0.045). Conclusion We found significant positive associations between DTR and prevalent and incident hypertension. Individuals younger than 65 and those living in rural areas are at an elevated risk of developing hypertension due to DTR. Supplementary Information The online version contains supplementary material available at 10.1186/s12889-024-20148-x.

show abstract

Gripping insights: prevalence of hypertension and its association with relative muscle strength—a cross-sectional study in an adult Indian population

Yogesh,

Nagda,

Patel

et al. 2024

J Health Popul Nutr

View full text Add to dashboard Cite

Background Hypertension and muscle strength are known to be associated; however, identifying simple clinical indicators of this relationship is challenging. Relative muscle strength (RMS), defined as strength per unit muscle mass, has been proposed as a potential indicator, but its association with hypertension is unclear. This study aimed to estimate the prevalence of hypertension and determine its association with RMS in an adult Indian population attending a tertiary care center in Gujarat. Methods This hospital-based cross-sectional study included 430 adults aged 18 years and older who were admitted to outpatient medicine clinics between January and October 2023. Grip strength and appendicular lean muscle mass (ALM), estimated using a validated formula, were measured. The RMS was calculated as grip strength/ALM. Hypertension was defined using standard criteria. Logistic regression was used to analyze the association between RMS (analyzed continuously and categorically in tertiles) and hypertension, adjusting for confounders. A p value of < 0.05 was considered significant. Results The prevalence of prehypertension and hypertension was 187 (43%) and 96 (23%), respectively. Compared to participants in the low RMS tertile (0.00–2.45 kg/kg ALM), those in the high tertile (3.79–6.12 kg/kg ALM) had 26% lower odds of hypertension (OR 0.74, 95% CI 0.59–0.89) and 33% lower odds of prehypertension (OR 0.67, 95% CI 0.49–0.91) after adjusting for confounders. The RMS also showed strong negative correlations with systolic and diastolic blood pressure (r = − 0.559 and − 0.418, respectively; p < 0.001). Conclusion Increased RMS was significantly protective against prehypertension and hypertension. These findings highlight the potential importance of muscle quality, beyond muscle mass, in blood pressure regulation. Supplementary Information The online version contains supplementary material available at 10.1186/s41043-024-00707-z.

show abstract

Association between relative muscle strength and hypertension in middle-aged and older Chinese adults

Cited by 4 publications

References 51 publications

Association between relative muscle strength and cardiovascular disease among middle-aged and older adults in China

Association between relative muscle strength and cardiovascular disease among middle-aged and older adults in China

Diurnal temperature range and hypertension: cross-sectional and longitudinal findings from the China Health and Retirement Longitudinal Study (CHARLS)

Gripping insights: prevalence of hypertension and its association with relative muscle strength—a cross-sectional study in an adult Indian population

Contact Info

Product

Resources

About