Comparison of Five Expressions of Handgrip Strength for Predicting Cardiovascular Disease Risk Factors in Chinese Middle-Aged Community Residents

Gao, Yanan; Huang, Huiming; Ni, Chunxia; Feng, Yong; Yu, Junwu; Huang, Y.; Luo, Lijun; Jiang, Yongbao; Wang, Aiwen

doi:10.3389/fpubh.2022.903036

Cited by 6 publications

(3 citation statements)

References 56 publications

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“…They performed three maximal intensity tries, with 45″ intervals between them, for each hand, calculating the average kilos. During the measurement, participants kept their bodies upright, feet naturally apart, arms diagonally down, palms facing inward, and maintaining an upright posture [ 35 ].…”

Section: Methodsmentioning

confidence: 99%

Nutritional Risk and Sarcopenia Features in Patients with Crohn’s Disease: Relation to Body Composition, Physical Performance, Nutritional Questionnaires and Biomarkers

Papadimitriou,

Detopoulou,

Soufleris

et al. 2023

Nutrients

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Patients with Crohn’s disease (CD) face malnutrition risk, which, combined with inflammation, can lead to sarcopenia, associated with a worse prognosis. The purpose of the present study was to assess malnutrition and sarcopenia in patients with CD. Fifty-three patients (26 women) participated (38.1 ± 10.9 years, 79% in remission). Body composition, physical performance, nutritional questionnaires, and biomarkers were performed. Malnutrition was screened with the Mini Nutritional Assessment (MNA) and the Malnutrition Inflammation Risk Tool (MIRT) and was assessed with the Global Leadership Initiative on Malnutrition (GLIM) tool using etiologic along with three different phenotypic criteria: low Body Mass Index (BMI), low Calf Circumference (CC), and low Fat-Free Mass Index (FFMI). To find cases and evaluate sarcopenia, the Sarcopenia Questionnaire (SARC-F) and European Working Group on Sarcopenia2 (EWGSOP2) criteria were used. Malnutrition rates were 11.3% (n = 6), 7.5% (n = 4), and 5.6% (n = 3) based on low FFMI, calf circumference, and BMI, correspondingly. Four (7%) patients had low Hand-Grip Strength (HGS), n = 8 (14.8%) had low Appendicular Lean Mass (ALM), and n = 3 (5.6%) had low gait speed. No-one had sarcopenia. A high albumin and triceps skinfold pattern, identified by principal component analysis, was related to reduced C-Reactive Protein (CRP) levels (B = −0.180, SE = 0.085, p = 0.045). In conclusion, based on the studied anthropometric, nutritional, and functional variables, CD patients were not diagnosed with sarcopenia in the present study. Body composition patterns were related to the inflammatory burden, underlying the interplay of inflammation and malnutrition, even in remission states. Further studies on older populations and during disease exacerbation are necessary to explore the potential link between CD, inflammation, and sarcopenia.

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Section: Methodsmentioning

confidence: 99%

Nutritional Risk and Sarcopenia Features in Patients with Crohn’s Disease: Relation to Body Composition, Physical Performance, Nutritional Questionnaires and Biomarkers

Papadimitriou,

Detopoulou,

Soufleris

et al. 2023

Nutrients

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“…16 Relative grip strength has been evaluated as a more reliable predictor of CVD risk than absolute handgrip strength. 15,17,18 Decreased muscle strength has been reported to increase the risk of cardiovascular death and all-cause mortality and is associated with cardiometabolic risk, including the risk of metabolic syndrome 19 and diabetes. 20 Low handgrip strength, a representative indicator of low muscle strength, has been shown to increase the risk of all-cause mortality, including mortality from CVD.…”

Section: Introductionmentioning

confidence: 99%

“… 16 Relative grip strength has been evaluated as a more reliable predictor of CVD risk than absolute handgrip strength. 15 , 17 , 18 …”

Section: Introductionmentioning

confidence: 99%

Association of Handgrip Strength and Cardiovascular Disease Risk Among Middle-Aged Postmenopausal Women: An Analysis of the Korea National Health and Nutrition Examination Survey 2014–2019

Park,

Park

2024

VHRM

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Handgrip strength is an indicator of overall muscle strength and has been associated with an increased risk of cardiovascular disease. Evidence suggests that menopause is a risk factor for cardiovascular disease in women, and muscle strength decreases progressively after menopause. Despite the prognostic importance of the decline in muscle strength and increased cardiovascular disease risk among postmenopausal women, evidence of their association is limited. This study aimed to investigate the relationship between handgrip strength and cardiovascular disease risk among postmenopausal, middle-aged Korean women. Patients and Methods: Using pooled cohort equations, we calculated the 10-year risk of atherosclerotic cardiovascular disease (ASCVD) among postmenopausal women (N = 2019) aged 50-64 years without cardiovascular disease history from the 2014-2019 Korea National Health and Nutrition Examination Survey. Relative grip strength was defined as measured grip strength divided by body mass index. Logistic regression analysis of a complex sampling design was performed to evaluate the association between relative grip strength and a predicted 10-year ASCVD risk ≥7.5%. Results: The average handgrip strength was 24.8 kg, and 5.2% of women were considered for sarcopenia (<18 kg). The quartilestratified relative grip strength was negatively associated with 10-year ASCVD risk (p < 0.001). In the multiple logistic regression analysis, the adjusted odds ratio for the highest relative grip strength quartile was 0.53 (95% confidence interval [CI]: 0.36-0.78), and that of the group who breastfed for more than 12 months was 1.75 (95% CI: 1.36-2.25) for 10-year ASCVD risk. Conclusion: Increased handgrip strength may be associated with lower cardiovascular disease risk among middle-aged postmenopausal women in Korea. Our findings provide critical evidence regarding the importance of increasing handgrip strength among postmenopausal, middle-aged women to reduce cardiovascular disease risk. Handgrip strength measurement might be a valuable screening tool for cardiovascular disease prevention.

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Comparison of grip strength measurements for predicting all-cause mortality among adults aged 20+ years from the NHANES 2011–2014

Chai,

Zhang,

Fan

2024

Sci Rep

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Little is known about the optimal measure of handgrip strength for predicting all-cause mortality and whether this association is modified by age or sex. We used data from the 2011–2014 National Health and Nutrition Examination Survey (NHANES), 9,583 adults aged ≥ 20 years were included. Equal-length grip strength was measured using a digital handheld Takei dynamometer. We defined five measurements of grip strength, i.e., the average of handgrip strength (HGS), maximum of grip strength (MGS), HGS/body mass index (BMI), HGS/height (HT) 2 , and MGS/weight, and three indicators of low grip strength, namely, low reference grip strength, lowest 20% grip strength, and low grip strength in sarcopenia. Information on deaths were obtained through linkage to National Death Index (NDI). Cox regression was used to assess the association of grip strength with mortality risk. HGS, MGS, HGS/BMI, HGS/HT 2 , and MGS/weight were all inversely associated with all-cause mortality, with HGS or HGS/HT 2 (the area under the curve (AUC) = 0.714) being the optimal predictor of mortality, followed by MGS (AUC = 0.712). Participants with low grip strength showed increased risk of mortality regardless of which indicator was used, and the highest effect size was seen for lowest 20% grip strength group (hazard ratio (HR) = 2.20 for men, 2.52 for women). The above-mentioned correlations were consistently found in people of different ages and sexes. This study suggests the simplest measure of absolute grip strength (HGS, MGS) was the optimal index for predicting all-cause mortality, followed by HGS/HT 2 . Keeping an adequate level of handgrip strength may be beneficial to reduce the risk of mortality. Supplementary Information The online version contains supplementary material available at 10.1038/s41598-024-80487-y.

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Comparison of Five Expressions of Handgrip Strength for Predicting Cardiovascular Disease Risk Factors in Chinese Middle-Aged Community Residents

Cited by 6 publications

References 56 publications

Nutritional Risk and Sarcopenia Features in Patients with Crohn’s Disease: Relation to Body Composition, Physical Performance, Nutritional Questionnaires and Biomarkers

Nutritional Risk and Sarcopenia Features in Patients with Crohn’s Disease: Relation to Body Composition, Physical Performance, Nutritional Questionnaires and Biomarkers

Association of Handgrip Strength and Cardiovascular Disease Risk Among Middle-Aged Postmenopausal Women: An Analysis of the Korea National Health and Nutrition Examination Survey 2014–2019

Comparison of grip strength measurements for predicting all-cause mortality among adults aged 20+ years from the NHANES 2011–2014

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