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      Reduction of relative handgrip strength and cardiometabolic risk in individuals with HIV/AIDS

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          Abstract

          Abstract INTRODUCTION: Low handgrip strength (HS) is associated with cardiometabolic alterations that have affected people with HIV/AIDS. METHODS: This was a cross-sectional study performed in adults receiving antiretroviral treatment. HS was evaluated using a dynamometer and divided by body weight to obtain the relative strength. The association between relative HS and overweight, increased waist circumference (WC), high body fat percentage, glycemia, and lipid ratios were assessed using logistic regression. RESULTS: Low relative HS was identified in 35% of participants and associated with increased WC (odds ratio = 9.7; 95% confidence interval = 2.8-33.0). CONCLUSIONS: The prevalence of low HS was high and associated with increased WC.

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          Relative Handgrip Strength Is a Simple Indicator of Cardiometabolic Risk among Middle-Aged and Older People: A Nationwide Population-Based Study in Taiwan

          Wei-Ju Lee, Li-Ning Peng, Shu-Ti Chiou … (2016)
          Background Muscle strength may play an important role in cardiovascular health. The study was intended to evaluate the association between cardiometabolic risk, risk of coronary artery disease and handgrip strength by using the relative handgrip strength. Materials and Methods Data of 927 Taiwanese aged 53 years and older (510 men and 417 women) were retrieved from a nationwide representative population-based cohort cross-sectional study in 2006. All participants were interviewed face-to-face and received measures of anthropometry, dominant handgrip strength, relative handgrip strength (summation of both handgrip strength divided by body mass index) and serum biomarkers. Results Multivariate linear regression analysis showed the significant association between relative handgrip strength and favorable cardiometabolic risk factors including blood pressure, triglyceride, total cholesterol to high density cholesterol(HDL-C) ratio, glycohemoglobin (HbA1c), uric acid, Framingham risk score in men, and HDL-C, fasting glucose, HbA1c, log hsCRP in women. Dominant hand grip strength was only associated with log hsCRP in women. (p<0.05 for all), but was not significant associated with all cardiovascular biomarkers and FRS in both sex. Conclusions Joint with handgrip strength and body size, as relative handgrip strength, may be a better tool to capture conceptual concomitant health, which may be a simple, inexpensive, and easy-to-use tool when targeting cardiovascular health in public health level.
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            Relative Handgrip Strength Is Inversely Associated with Metabolic Profile and Metabolic Disease in the General Population in China

            Dongxue Li, Guanghong Guo, Lili Xia … (2018)
            Background: Absolute handgrip strength has been correlated with metabolic profile and metabolic disease. Whether relative handgrip strength is also associated with metabolic disease has not been assessed. This study aimed at assessing the association of relative handgrip strength with metabolic profile and metabolic disease in the general population in China. Methods: Data were derived from an ongoing cross-sectional survey of the 2013 National Physical and Health in Shanxi Province, which involved 5520 participants. Multiple linear regression or multiple logistic regression analysis were used to assess the association of absolute/relative handgrip strength with the metabolic profile, preclinical, and established stages of metabolic diseases. Results: This study revealed that relative handgrip strength, that is when normalized to BMI, was associated with: (1) in both genders for more favorable blood lipid levels of high-density lipoprotein cholesterol [males: b = 0.19 (0.15, 0.23); females: b = 0.22 (0.17, 0.28)], low-density lipoprotein cholesterol [males: b = −0.14 (−0.23, −0.05); females: b = −0.19 (−0.31, −0.18)], triglycerides [males: b = −0.58 (−0.74, −0.43); females: b = −0.55 (−0.74, −0.36)] and total cholesterol [males: b = −0.20 (−0.31, −0.10); females: b = −0.19 (−0.32, −0.06)]; and better serum glucose levels in males [b = −0.30 (−0.46, −0.15)]. (2) lower risk of impaired fasting glucose in males {third quartile [OR = 0.66 (0.45–0.95)] and fourth quartile [OR = 0.46 (0.30–0.71)] vs. first quartile} and dyslipidemia in both genders {third quartile [males: OR = 0.65 (0.48–0.87); females: OR = 0.68 (0.53–0.86)] and fourth quartile [males: OR = 0.47 (0.35–0.64); females: OR = 0.47(0.36–0.61)] vs. first quartile}. (3) lower risk of hyperlipidemia in both genders third quartile [males: OR = 0.66 (0.50–0.87); females: OR = 0.57 (0.43–0.75)] and fourth quartile [males: OR = 0.35 (0.26–0.47); females: OR = 0.51 (0.38–0.70)] vs. first quartile. However, contrary to relative handgrip strength, higher absolute handgrip strength was associated with unfavorable metabolic profiles and higher risk of metabolic diseases. These paradoxical associations were retained even after adjusted for BMI by employed a multivariate analysis. Conclusion: We conclude that measurement of relative handgrip strength can be used as a reasonable clinical predictor of metabolic health and disease.
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              A dinamometria manual e seu uso na avaliação nutricional

              Michael Schlüssel, Luiz Anjos, Gilberto Kac (2008)
              Esta revisão de literatura aborda aspectos metodológicos e fisiológicos da dinamometria manual. A dinamometria manual é um teste funcional do músculo esquelético que vem recebendo uma crescente atenção de clínicos e pesquisadores da área de saúde nos últimos anos. Recentemente, tem merecido atenção como indicador do estado nutricional, particularmente para pacientes internados. Dentre os principais fatores que influenciam esta medida, destacam-se o sexo, a idade, a estatura, a massa corporal e a mão dominante dos indivíduos. Os resultados desta revisão demonstram ainda que diversos outros fatores, relacionados ao protocolo de aferição, como a posição do indivíduo, o tipo de instrumento utilizado, o número de aferições realizadas, o intervalo de descanso entre as aferições, a presença de estímulo verbal e de um pré-teste, também podem influenciar os valores alcançados por um indivíduo em uma avaliação da dinamometria manual. Dessa forma, é importante que um protocolo de aferição padronizado seja desenvolvido, para que se obtenham medidas válidas de dinamometria manual. Ainda são escassos os estudos que propõem valores de referência para a dinamometria manual e a literatura ainda se ressente de valores de referência baseados em dados obtidos a partir de amostras de base populacional.
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                Author and article information

                Contributors
                Fabiana Brito Santos: Role: ND
                Maria Ester Pereira da Conceição-Machado: Role: ND
                Ethiane de Jesus Sampaio: Role: ND
                Lilian Barbosa Ramos: Role: ND
                Jairza Maria Barreto-Medeiros: Role: ND
                Journal
                Journal ID (publisher-id): rsbmt
                Title: Revista da Sociedade Brasileira de Medicina Tropical
                Abbreviated Title: Rev. Soc. Bras. Med. Trop.
                Publisher: Sociedade Brasileira de Medicina Tropical - SBMT (Uberaba, MG, Brazil )
                ISSN (Print): 0037-8682
                ISSN (Electronic): 1678-9849
                Publication date (Print and electronic): May 2019
                Volume: 52
                Issue: 0
                Electronic Location Identifier: e20180405
                Affiliations
                [1] Salvador Bahia orgnameUniversidade Federal da Bahia orgdiv1Escola de Nutrição Brazil
                [2] Salvador Bahia orgnameUniversidade Federal da Bahia orgdiv1Programa de Pós-Graduação em Alimentos, Nutrição e Saúde orgdiv2Departamento de Ciência da Nutrição Brazil
                [3] Salvador Bahia orgnameUniversidade Federal da Bahia Brazil
                Article
                Publisher ID: S0037-86822019000100654
                DOI: 10.1590/0037-8682-0405-2018
                SO-VID: c6dbb64b-8557-42f6-8c97-bd1e116b3ed2
                License:

                This work is licensed under a Creative Commons Attribution 4.0 International License.

                History
                Date accepted : 14 February 2019
                Date received : 27 September 2018
                Page count
                Figures: 0, Tables: 0, Equations: 0, References: 15, Pages: 0
                Product

                SciELO Brazil

                Categories
                Subject: Short Communication

                Keywords: HIV/AIDS,Cardiovascular risk,Muscle strength
                Data availability:
                Keywords: HIV/AIDS, Cardiovascular risk, Muscle strength

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