Handgrip strength is positively associated with successful aging in older adults: A national cross-sectional study in China

Zhao, Xiaoguang; Chen, Siyuan; Liu, Nan; Hu, Fei; Yu, Jiabin

doi:10.1016/j.jad.2023.04.041

Cited by 24 publications

(7 citation statements)

References 38 publications

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“…Notably, a diminished level of handgrip strength is associated with a higher likelihood of multimorbidity in older adults, even after considering adjustments. [ 40 , 41 ] Our study did not find a significant correlation between muscle function and osteoporosis, which may be due to the differences in muscle function assessment methods by sarcopenia. Our previous research has shown that when dynamic balance ability is used as a supplement to sarcopenia’s muscle function assessment, it has higher predictive value for osteoporosis.…”

Section: Discussioncontrasting

confidence: 60%

Association of osteoporosis with sarcopenia and its components among community-dwelling older Chinese adults with different obesity levels: A cross-sectional study

Yu,

Zheng,

Liu

et al. 2024

Medicine

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We aimed to investigate whether sarcopenia and its components are associated with osteoporosis in community-dwelling older Chinese adults with different obesity levels. This cross-sectional study included 1938 participants (42.1% male) with a mean age of 72.1 ± 5.9 years. The categorization of individuals into various weight categories was based on the Working Group on Obesity in China’s criteria, utilizing the body mass index (BMI) as follows: underweight, BMI < 18.5 kg/m2; normal weight, 18.5 ≤ BMI < 24 kg/m2; overweight, 24 ≤ BMI < 28 kg/m2; and obesity, BMI ≥ 28 kg/m2. In this research, the osteoporosis definition put forth by the World Health Organization (bone mineral density T-score less than or equal to −2.5 as assessed by Dual-energy X-ray absorptiometry (DXA)). Sarcopenia was defined according to the diagnostic criteria of the Asian Working Group for Sarcopenia. The prevalence of osteoporosis was highest in the underweight group and gradually decreased with increasing BMI (Underweight: 55.81% vs Normal weight: 45.33% vs Overweight: 33.69% vs Obesity: 22.39). Sarcopenia was associated with elevated odds of osteoporosis in normal-weight subjects independent of potential covariates (OR = 1.70, 95% CI = 1.22–2.35, P = .002). In normal-weight participants, a higher appendicular skeletal muscle mass index (ASMI) was associated with a reduced risk of osteoporosis (OR = 0.56, 95% CI = 0.42–0.74, P < .001). In this study, we found that the prevalence of osteoporosis was highest in the underweight group and gradually decreased with increasing BMI. Sarcopenia, body fat percentage, and ASMI were associated with elevated odds of osteoporosis in normal-weight subjects independent of potential covariates, and higher percent body fat (PBF) was associated with an increased risk of osteoporosis in overweight people, and no such association was found in other weight groups. Different amounts of adipose tissue and muscle mass may alter bone biology. Further longitudinal follow-up studies are required to more accurately assess the risk of osteoporosis and sarcopenia in different weight populations. This cross-sectional study found that the prevalence of osteoporosis was highest in the underweight group and gradually decreased with increasing BMI. Sarcopenia was associated with elevated odds of osteoporosis in normal-weight subjects independent of potential covariates.

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Section: Discussioncontrasting

confidence: 60%

Association of osteoporosis with sarcopenia and its components among community-dwelling older Chinese adults with different obesity levels: A cross-sectional study

Yu,

Zheng,

Liu

et al. 2024

Medicine

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“…The CHARLS survey aims to collect high-quality information on the demographic characteristics of non-institutionalized Chinese people in their middle and older years, as well as details on their families, health and functioning, lifestyle behaviors, health care, and employment and retirement. Detailed information regarding the CHARLS, as well as a description of its methodology, can be obtained on the official website ( http://charls.pku.edu.cn/ ) and in published papers [ 18 , 19 ].…”

Section: Methodsmentioning

confidence: 99%

“…According to the AWGS 2019, we classified low physical performance as a time of ≥ 12 s for completing the 5-time chair stand test, and low muscle mass as handgrip strength of < 28 kg for males and < 18 kg for females. The measurement protocols for the 5-time chair stand test and handgrip strength can be found in our previous publications [ 18 , 25 ].…”

Section: Methodsmentioning

confidence: 99%

Associations of physical activity intensity, frequency, duration, and volume with the incidence of sarcopenia in middle-aged and older adults: a 4-year longitudinal study in China

Zhao,

Liu,

Zhang

et al. 2024

BMC Geriatr

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Background Physical activity (PA) plays an important role in the process of several chronic diseases. It may be also associated with the incidence of sarcopenia. This study aimed to determine the association of PA from different components including frequency, duration, intensity, and volume with the incidence of sarcopenia in middle-aged and older adults. Methods This study used data from the China Health and Retirement Longitudinal Study in 2011 and 2015. A total of 3,760 individuals aged ≥ 40 years were involved in this study. Sarcopenia was diagnosed using muscle mass, strength and physical performance according to the Asian Working Group for Sarcopenia. PA information including frequency, duration, intensity, and volume was obtained by a self-reported questionnaire. Logistic regression analysis was employed to examine the association between PA and the incidence of sarcopenia at 4-year follow-up. Results The incidence of sarcopenia was 5.9% during the 4-year follow-up. Compared to sedentary individuals, those taking 1–2 days or more per week, or a minimum of 10 min each time on vigorous-intensity PA (VPA) had a lower incidence of sarcopenia. Adults spending 3 days or more each week, a minimum of 30 min each time, or 150 min or more per week on moderate-intensity PA (MPA) had a lower presence of sarcopenia than sedentary adults. Adults taking 3 days or more per week, at least 30 min each time, or 150 min or more each week on light-intensity PA (LPA) tended to have a lower incidence of sarcopenia than sedentary individuals. Sensitivity analyses confirmed the robustness of the findings after removing persons with hypertension, dyslipidemia, or diabetes. Conclusions These findings suggest that the frequency, duration, and volume of VPA or MPA are negatively associated with the presence of sarcopenia. Participation in LPA tends to have a lower incidence of sarcopenia in middle-aged and older adults.

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“…Covariates in the present study comprised sociodemographic characteristics, lifestyle-related variables and health-related variables that were chosen based on previous research. 7,19,20 The sociodemographic characteristics encompassed age (40-49, 50-59, 60-69, ≥70 years), sex (men, women), education level (illiteracy, ≤primary school, middle school, ≥high school), residence (urban, rural) and marital status (married with spouse, widowed, divorced/ others). Smoking status (current smokers, former smokers, never smoked), drinking frequency (>1/month, ≤1/month, never drank) and sleep duration (<6, 6-8, ≥8 h) were all lifestyle-related variables.…”

Section: Covariatesmentioning

confidence: 99%

Association of possible sarcopenia with major chronic diseases and multimorbidity among middle‐aged and older adults: Findings from a national cross‐sectional study in China

Zhao,

Zhang,

et al. 2023

Geriatrics Gerontology Int

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AimThis study investigated the prevalence of possible sarcopenia (PSA) in a large sample of middle‐aged and older adults, and determined the association between PSA, major chronic diseases and the number of chronic diseases.MethodsA total of 14 917 adults aged ≥40 years were included in the analysis. The handgrip strength and the five‐time chair stand test were used to assess PSA. The participants' major chronic diseases were divided into 14 categories. Four categories were created based on the participants' number of chronic illnesses: 0, 1, 2 and ≥3.ResultsThe present study found an overall prevalence of PSA of 23.6% among Chinese middle‐aged and older adults aged ≥40 years, with the risk increasing with advancing age. PSA was significantly associated with most categories of chronic diseases and multimorbidity. The closely independent associations were obtained for stroke; emotional, nervous or psychiatric problems; chronic lung disease, asthma, heart disease, hypertension and arthritis or rheumatism. Compared with participants with 0 chronic disease, those with two or more chronic diseases had higher odds for PSA. However, the association between PSA and the number of chronic diseases varied in different sex and age groups.ConclusionsThe findings suggest that PSA is associated with major chronic diseases among middle‐aged and older adults. People with two or more chronic diseases have a greater likelihood of PSA compared with those without chronic diseases, and the association between PSA and the number of chronic diseases largely depended on sex and age. Geriatr Gerontol Int 2023; ••: ••–••.

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Handgrip strength is positively associated with successful aging in older adults: A national cross-sectional study in China

Cited by 24 publications

References 38 publications

Association of osteoporosis with sarcopenia and its components among community-dwelling older Chinese adults with different obesity levels: A cross-sectional study

Association of osteoporosis with sarcopenia and its components among community-dwelling older Chinese adults with different obesity levels: A cross-sectional study

Associations of physical activity intensity, frequency, duration, and volume with the incidence of sarcopenia in middle-aged and older adults: a 4-year longitudinal study in China

Association of possible sarcopenia with major chronic diseases and multimorbidity among middle‐aged and older adults: Findings from a national cross‐sectional study in China

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