Relationship Between Grip Strength and Prediabetes in a Large-Scale Adult Population

被引:33
作者
Hu, Shan [1 ,2 ]
Gu, Yeqing [1 ,2 ]
Lu, Zuolin [1 ,2 ]
Zhang, Qing [3 ]
Liu, Li [3 ]
Meng, Ge [1 ,2 ]
Yao, Zhanxin [4 ]
Wu, Hongmei [1 ,2 ]
Bao, Xue [1 ,2 ]
Vu Thi Quynh [1 ,2 ]
Zhang, Shunming [1 ,2 ]
Liu, Mingyue [1 ,2 ]
Wang, Yanyan [1 ,2 ]
Wang, Liu [1 ,2 ]
Zheng, Lixiao [1 ,2 ]
Wang, Xiaona [1 ,2 ]
Tian, Chunling [1 ,2 ]
Fu, Jingzhu [1 ,2 ]
Sun, Shaomei [3 ]
Zhou, Ming [3 ]
Jia, Qiyu [1 ,2 ]
Song, Kun [3 ]
Sun, Zhong [1 ,2 ]
Niu, Kaijun [1 ,2 ,3 ]
机构
[1] Tianjin Med Univ, Nutr Epidemiol Inst, 22 Qixiangtai Rd, Tianjin 300070, Peoples R China
[2] Tianjin Med Univ, Sch Publ Hlth, 22 Qixiangtai Rd, Tianjin 300070, Peoples R China
[3] Tianjin Med Univ Gen Hosp, Hlth Management Ctr, Tianjin, Peoples R China
[4] Tianjin Inst Environm & Operat Med, Tianjin, Peoples R China
基金
中国国家自然科学基金;
关键词
PHYSICAL-ACTIVITY; DIABETES PREVALENCE; GLUCOSE-METABOLISM; INSULIN-RESISTANCE; DYNAPENIC OBESITY; MUSCLE WEAKNESS; POTENTIAL ROLE; HEALTH; RISK; ASSOCIATION;
D O I
10.1016/j.amepre.2019.01.013
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Introduction: Prediabetes has been a growing health problem in China, and it is a high-risk state for developing diabetes and cardiovascular disease. In previous studies, low grip strength has been associated with diabetes. However, few population-based studies have examined the relationship between grip strength and prediabetes. Thus, the purpose of this study was to investigate whether grip strength is related to prediabetes in a large-scale adult population. Methods: A total of 27,295 participants aged 20 to 90 years were included from the 2013-2016 Tianjin Chronic Low-grade Systemic Inflammation and Health Cohort Study. Grip strength was assessed using an electronic hand-grip dynamometer and the greatest force was normalized to body weight. Prediabetes was diagnosed based on the American Diabetes Association criteria. Multiple logistic regression analysis was conducted in 2018 to assess the relationship of grip strength to the prevalence of prediabetes, while controlling for age, BMI, smoking, drinking, physical activities, dietary patterns, and other confounders. Results: Of the 27,295 participants, 28.5% (7,783) had prediabetes. After adjusting for potential confounders, a one unit increase in grip strength per body weight was associated with 52% lower odds of having prediabetes for men (OR=0.48, 95% CI=0.30, 0.74, p<0.01) and 62% lower odds of having prediabetes for women (OR=0.38, 95% CI=0.20, 0.70, p<0.01). Conclusions: Increased grip strength is independently associated with lower prevalence of prediabetes in Chinese adults, suggesting that grip strength may be a useful marker for screening individuals at risk of prediabetes. (C) 2019 American Journal of Preventive Medicine. Published by Elsevier Inc. All rights reserved.
引用
收藏
页码:844 / 851
页数:8
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