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handgrip strength as a Predictor of Nutritional Status in Chinese Elderly Inpatients at Hospital Admission

Biomedical and Environmental Sciences 2017年第11期30卷 802-810页

作者： ZHANG Xin Sheng LIU Ying Hua ZHANG Yong XU Qing YU Xiao Ming YANG Xue Yan LIU Zhao LI Hui Zi LI Feng XUE Chang Yong Department of Nutrition Chinese PLA General Hospital Department of Nutrition Chinese PLA General Hospital of Rocket Forces

Objective To assess nutritional status and define gender-and age-specific handgrip strength（HGS） cut-point values for malnutrition or nutritional risk in elderly inpatients. Methods A cross-sectional study of 1,343 elderly inpatients was conducted in the Chinese PLA General Hospital. Nutrition Risk Screening（NRS 2002） and Subjective Global Assessment（SGA） were administered. Anthropometric measurements and blood biochemical indicators were obtained using standard techniques. The gender-and age-specific receiver operating characteristic（ROC） curves were constructed to evaluate the HGS for nutritional status by SGA and NRS 2002. Sensitivity, specificity, and areas under the curves（AUCs） were calculated. Results According to NRS 2002 and SGA, 63.81% of elderly inpatients were at nutritional risk and 28.22% were malnourished. Patients with higher HGS had an independently decreased risk of malnutrition and nutritional risk. The AUCs varied between 0.670 and 0.761. According to NRS 2002, the optimal HGS cut-points were 27.5 kg（65-74 years） and 21.0 kg（75-90 years） for men and 17.0 kg（65-74 years） and 14.6 kg（75-90 years） for women. According to SGA, the optimal HGS cut-points were 24.9 kg（65-74 years） and 20.8 kg（75-90 years） for men and 15.2 kg（65-74 years） and 13.5 kg（75-90 years） for women. Conclusion Elderly inpatients had increased incidence of malnutrition or nutritional risk. HGS cut-points can be used for assessing nutritional status in elderly inpatients at hospital admission in China.

关键词： handgrip strength Elderly inpatients Nutrition assessment Nutrition status Malnutrition

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handgrip strength and health outcomes: Umbrella review of systematic reviews with meta-analyses of observational studies

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Journal of Sport and Health Science 2021年第3期10卷 290-295页

作者： Pinar Soysal Christopher Hurst Jacopo Demurtas Joseph Firth Reuben Howden Lin Yang Mark A.Tully Ai Koyanagi Petre Cristian Ilie Guillermo F.Lopez-Sanchez Lukas Schwingshackl Nicola Veronese Lee Smith Department of Geriatric Medicine Bezmialem Vakif UniversityIstanbul 34093Turkey Institute of Neuroscience Newcastle UniversityNewcastle upon Tyne NE17RUUK Primary Care Department Azienda Usl Toscana Sud EstGrosseto 52100Italy Division of Psychology and Mental Health University of ManchesterManchester M139PLUK College of Health&Human Services University of North Carolina at CharlotteLong BeachCA 90815USA Department of Cancer Epidemiology and Prevention Research Alberta Health ServicesHoly Cross CentreAlbertaT5J 3E4Canada School of Health Sciences Institute of Mental Health SciencesUlster UniversityNewtownabbey BT151EDUK Research and Development Unit Sant Joan de Deu Health ParkCIBER of Mental Health(CIBERSAM)Barcelona 08003Spain ICREA Pg.Lluis Companys 23Barcelona 08010Spain The Queen Elizabeth Hospital King’s Lynn NHS Foundation Trust King’s Lynn PE304ETUK Faculty of Sport Sciences University of MurciaMurcia 30100Spain Institute for Evidence in Medicine Medical CenterUniversity of FreiburgFaculty of MedicineUniversity of FreiburgFreiburg 79085Germany Neuroscience Institute Aging BranchNational Research CouncilPadua 35122Italy The Cambridge Centre for Sport and Exercise Sciences Anglia Ruskin UniversityCambridge CB11PTUK

Purpose:The aim of the present study was to assess both the credibility and strength of evidence arising from systematic reviews with meta-analyses of observational studies on handgrip strength and health ***:An umbrella review of systematic reviews with meta-analyses of observational studies was *** assessed meta-analyses of observational studies based on random-effect summary effect sizes and their p values,95%prediction intervals,heterogeneity,small-study effects,and excess *** graded the evidence from convincing(Class I)to weak(Class IV).Results:From 504 articles returned in a search of the literature,8 systematic reviews were included in our review,with a total of 11 ***,nine of the 11 of the outcomes reported nominally significant summary results(phandgrip values at baseline were associated with a minor reduction in mortality risk in the general population(n=34 studies;sample size=1,855,817;relative risk=0.72,95%confidence interval(95%CI):0.670.78),(2)cardiovascular death risk in mixed populations(n=15 studies;relative risk=0.84,95%CI:0.780.91),and(3)incidence of disability(n=7 studies;relative risk=0.76,95%CI:0.660.87).Conclusion:The present results show that handgrip strength is a useful indicator for general health status and specifically for early all-cause and cardiovascular mortality,as well as *** further inform intervention strategies,future research is now required to fully understand mechanisms linking handgrip strength scores to these health outcomes.

关键词： handgrip strength Health outcomes Meta-analysis Umbrella review

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Association of handgrip strength with semen characteristics:a study with repeated measurements among healthy Chinese men

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Asian Journal of Andrology 2022年第6期24卷 594-600页

作者： Bin Sun Heng-Gui Chen Peng Duan Zhou-Zheng Tu Ying-Jun Chen Tian-Qing Meng Cheng-Liang Xiong Yi-Xin Wang An Pan Huazhong University of Science and Technology Wuhan 430000China Center for Reproductive Medicine Department of Obstetrics and GynaecologyXiangyang No.1 People's HospitalHubei University of MedicineXiangyang 441100China Center for Reproductive Medicine Tongji Medical CollegeHuazhong University of Science and TechnologyWuhan 430000China Hubei Province Human Sperm Bank Wuhan 430000China Department of Nutrition Harvard T.H.Chan School of Public HealthBostonMA 02115USA

Accumulating epidemiological evidence shows that handgrip strength provides predictive potential in physical,mental,and reproductive health ***,the associations between handgrip strength and semen characteristics have not been *** recruited 1382 eligible men at the Hubei Province Human Sperm Bank(Wuhan,China)who had their handgrip strength measured at recruitment and provided 6458 repeated semen specimens within a 6-month *** characteristics,including semen volume,sperm motility parameters(immotility,nonprogressive motility,and progressive motility),and sperm concentration,were ***-effect models and restricted cubic spline functions were applied to investigate the relationship of handgrip strength with repeated measurements of semen *** adjusting for confounding factors,the mixed-effect models revealed that handgrip strength was positively associated with semen volume,sperm concentration,progressive motility,total motility,and total count(all P for trendhandgrip strength had higher semen volume,sperm concentration,progressive motility,total motility,and total count,with measurements of 14.2%(95%confidence interval[CI]:5.9%-23.2%),19.5%(95%CI:7.3%-33.1%),9.5%(95%CI:3.4%-15.9%),8.8%(95%CI:3.2%-14.6%),and 36.4%(95%CI:18.9%-56.5%),*** positive dose-response relationships were further confirmed in restricted cubic splines,where handgrip strength was modeled as a continuous *** strength,as an indicator of muscular function and strength,was positively associated with semen characteristics in a dose-dependentmanner.

关键词： epidemiology handgrip strength repeated measurements semen characteristics

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Associations of Sarcopenia, handgrip strength and Calf Circumference with Cognitive Impairment among Chinese Older Adults

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Biomedical and Environmental Sciences 2021年第11期34卷 859-870页

作者： WU Bing LYU Yue Bin CAO Zhao Jin WEI Yuan SHI Wan Ying GAO Xiang ZHOU Jin Hui KRAUS Virginia Byers ZHAO Feng CHEN Xin LU Feng ZHANG Ming Yuan LIU Ying Chun TAN Qi Yue SONG Shi Xun QU Ying Li ZHENG Xu Lin SHEN Chong MAO Chen SHI Xiao Ming Center for Global Health School of Public HealthNanjing Medical UniversityNanjing 211166JiangsuChina China CDC Key Laboratory of Environment and Population Health National Institute of Environmental HealthChinese Center for Disease Control and PreventionBeijing 100021China School of Public Health Jilin UniversityChangchun 130012JilinChina Department of Nutritional Sciences Pennsylvania State UniversityUniversity ParkPA19019USA Duke Molecular Physiology Institute and Department of Medicine Duke University School of MedicineDurhamNorth Carolina27701USA Beijing Municipal Health Commission Information Center Beijing 100034China Division of Epidemiology School of Public HealthSouthern Medical UniversityGuangzhou 510515GuangdongChina

Objective To evaluate the associations of sarcopenia,handgrip strength and calf circumference with cognitive impairment among Chinese older *** Totally 2,525 older adults were recruited from the Healthy Aging and Biomarkers Cohort *** impairment was assessed by the Chinese Mini-Mental State *** strength was calculated from the means of the right and left hand *** circumference was measured at the site of maximum circumference of the non-dominant *** formula developed by Ishii was used to define *** logistic regression was performed to evaluate the associations of sarcopenia,handgrip strength,and calf circumference with cognitive *** The prevalence of cognitive impairment was 34.36%.The adjusted odds ratio(OR)for cognitive impairment in individuals with sarcopenia was 2.55[95% confidence interval(95%CI):1.86-3.50].Compared with individuals in the first quartile(Q1)of calf circumference,the adjusted ORs in the second,third,and fourth quartiles(Q_(2),Q_(3),and Q_(4))were 0.75(95% CI:0.58-0.96),0.59(95% CI:0.44-0.79),and 0.62(95% CI:0.45-0.8),*** with individuals in Q1 of handgrip strength,the adjusted ORs for Q_(2),Q_(3),and Q_(4) were 0.49(95%CI:0.38-0.62),0.31(95% CI:0.23-0.41),and 0.30(95%CI:0.21-0.44),*** Sarcopenia,identified by low handgrip strength and low calf circumference,was positively associated with cognitive impairment.

关键词： Sarcopenia Cognitive impairment handgrip strength Calf circumference Older adults

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Associations between Sensitivity to Cold, Menstruation-Related Symptoms and handgrip strength in Female University Students in Japan

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Health 2021年第5期13卷 526-537页

作者： Yukie Matsuura Kiko Akamine Ayumi Murakami Tokimi Wada Honoka Atsumi Erina Kane Mizuki Yano Toshiyuki Yasui Department of Reproductive and Menopausal Medicine Graduate School of Biomedical Sciences Tokushima University Tokushima Japan Graduate School of Health Sciences Tokushima University Tokushima Japan Nursing Department Osaka Medical College Hospital Osaka Japan Nursing Department Tokushima University Hospital Tokushima Japan

Sensitivity to cold, which is a popular symptom in Japanese women, is associated with various symptoms such as shoulder stiffness and general fatigue. However, an association of sensitivity to cold with muscle strength has not been reported. The aim of the study was to clarify the associations of sensitivity to cold with handgrip strength and with menstruation-related symptoms in female university students in Japan. We recruited 278 female university students in Japan. Sensitivity to cold and menstruation-related symptoms including physical and psychological symptoms were assessed by using a self-administered questionnaire that we designed. handgrip strength was measured by using a handgrip strength dynamometer. We received responses from 269 students. The prevalence rate of sensitivity to cold in the subjects was 54.3%. The students who had sensitivity to cold had a lower handgrip strength level (25.5 ± 3.8 kg) than did the students who did not have sensitivity to cold (26.7 ± 3.9 kg) (p = 0.017). Sensitivity to cold was associated with low body mass index. In addition, the students who had sensitivity to cold tended to have low back pain and constipation during menstruation. In conclusion, sensitivity to cold is an important symptom associated with muscle strength as well as menstruation-related symptoms for young women.

关键词： Sensitivity to Cold Menstruation-Related Symptoms handgrip strength Menstrual Phase Young Women

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Relationships of handgrip strength with Menstruation-Related Symptoms in Female University Students in Japan

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Open Journal of Obstetrics and Gynecology 2020年第8期10卷 1056-1066页

作者： Yukie Matsuura Honoka Atsumi Erina Kane Mizuki Yano Kiko Akamine Ayumi Murakami Tokimi Wada Toshiyuki Yasui Department of Reproductive and Menopausal Medicine Graduate School of Biomedical Sciences Tokushima University Tokushima Japan Graduate School of Health Sciences Tokushima University Tokushima Japan Nursing Department Tokushima University Hospital Tokushima Japan Nursing Department Osaka Medical College Hospital Osaka Japan

Introduction: Some somatic and psychological disorders have been associated with handgrip strength, which is an easy, inexpensive and noninvasive method for assessment of muscle strength. We conducted a cross-sectional study to clarify the relationship of handgrip strength and menstruation-related symptoms. Material and Methods: Handgrip strength was measured and a self-administered questionnaire was performed in female university students in Japan. Results: Handgrip strength did not significantly differ among the menstrual phases. The mean handgrip strength level (n = 260) was 26.0 ± 3.9 kg. We divided the subjects into three groups according to the handgrip strength level. Handgrip strength was associated with degrees of depression and anxiety during menstruation. Conclusion: This can be used as fundamental data in further clarifying the relationship between muscle strength and menstruation-related symptoms.

关键词： handgrip strength Menstruation-Related Symptoms Menstrual Phases Young Women

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Correlations of handgrip strength with Selected Anthropometric Variables and Flexibility Measure in Indian Inter-university Handball Players

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Journal of Sports Science 2016年第2期4卷 70-74页

作者： Shyamal Koley Aanchal Department of Sports Medicine and Physiotherapy Guru Nanak Dev University Amritsar 143005 Punjab India

The purpose of this study was of two-fold： firstly to estimate the handgfip strength oflndian inter-university handball players and, secondly to search the correlations of it with selected anthropometric variables and flexibility measure. To serve this purpose, a total of eight anthropometric variables, such as height, weight, body mass index, upper arm length, forearm length, total arm length, hand length and hand breadth, flexibility measure such as, sit and reach test, and right and left handgrip strength were measured on purposely selected 150 Indian inter-university handball players aged 18-25 years collected from the inter-university competition held in Guru Nanak Dev University, Amritsar, India during September, 2013. An adequate number of controls （n = 102） were also taken from the same place for comparisons. The results showed statistically significant between-group differences （P 〈 0.006-0.001） among the male and female handball players and controls in all the variables studied. Statistically significant positive correlations （P _〈 0.023-0.001） of both right and left handgrip strength were found with all the variables studied, except BMI, in Indian inter-university handball players. In conclusion, it may be stated that handgrip strength may be used as one of the indicating factors for physical strength as well as the flexibility measure of the handball players.

关键词： handgrip strength anthropometric variables physical fitness tests Indian inter-university handball players.

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Association between breakfast consumption frequency and handgrip strength: results from the Tianjin Chronic Low-Grade Systemic Inflammation and Health(TCLSIH) cohort study

Association between breakfast consumption frequency and hand...

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中国营养学会第十五届全国营养科学大会

作者： Qian Li shunming zhang ge meng hongmei wu yeqing gu tingjing zhang xuena wang juanjuan zhang kaijun niu Nutritional Epidemiology Institute and School of Public Health Tianjin Medical University

The consumption of breakfast is widely considered as essential for the nutritional health of the human body. In previous studies, breakfast consumption has been associated with physical function. Hand grip strength(HGS) is an objective and reliable method to evaluate physical function. However, few studies have examined the relationship between frequency of breakfast eating and HGS. Thus, the purpose of this study was to investigate whether breakfast consumption frequency is related to handgrip strength in a large-scale adult population. Methods This prospective cohort study investigated 10,152 participants aged 18 to 90 years were included from the 2013-2017 Tianjin Chronic Low-grade Systemic Inflammation and Health(TCLSIH) Cohort Study. Breakfast consumption frequency was collected using a validated self-administered food frequency questionnaire. handgrip strength was assessed using an electronic hand-grip dynamometer. Analysis of covariance was conducted to evaluate the association between breakfast consumption frequency and handgrip strength. Results In men, after adjusted potential confounding factors, the least square means(95% confidence intervals) of HGS across breakfast consumption categories were-2.038(-4.862, 0.786) for 7 times/week,-1.855(-4.682, 0.972) for 4 to 6 time/week,-2.058(-4.916, 0.801) for 2 to 3 times/week,-2.376(-5.271, 0.520) for Never(P for trend =0.933). In women, the least square means(95% confidence intervals, Cl) of HGS were-0.156(-2.512, 2.200),-0.286(-2.657, 2.086),-0.257(-2.642, 2.129), and 0.110(-2.325, 2.545)(P for trend = 0.655), respectively. Conclusion The study demonstrated that breakfast consumption frequency was not associated with handgrip strength in both males and females. Further studies are needed to confirm these findings.

关键词： Prospective cohort study Breakfast consumption frequency handgrip strength

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Correlation between Combined Urinary Metal Exposure and Grip strength under Three Statistical Models:A Cross-sectional Study in Rural Guangxi

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Biomedical and Environmental Sciences 2024年第1期37卷 3-18页

作者： LIANG Yu Jian RONG Jia Hui WANG Xue Xiu CAI Jian Sheng QIN Li Dong LIU Qiu Mei TANG Xu MO Xiao Ting WEI Yan Fei LIN Yin Xia HUANG Shen Xiang LUO Ting Yu GOU Ruo Yu CAO Jie Jing HUANG Chu Wu LU Yu Fu QIN Jian ZHANG Zhi Yong Department of Environmental and Occupational Health School of Public HealthGuangxi Medical UniversityNanning 530021GuangxiChina Key Laboratory of Tumor Immunology and Microenvironmental Regulation Guilin Medical UniversityGuilin 541199GuangxiChina Department of Environmental Health and Occupational Medicine School of Public HealthGuilin Medical UniversityGuilin 541199GuangxiChina Guangxi Colleges and Universities Key Laboratory of Prevention and Control of Highly Prevalent Diseases Guangxi Medical UniversityNanning 530021GuangxiChina Guangxi Key Laboratory of Environment and Health Research Guangxi Medical UniversityNanning 530021GuangxiChina Key Laboratory of Longevity and Aging-related Diseases of Chinese Ministry of Education Guangxi Medical UniversityNanning 530021GuangxiChina Guangxi Health Commission Key Laboratory of Entire Lifecycle Health and Care Guilin Medical UniversityGuilin 541199GuangxiChina

Objective This study aimed to investigate the potential relationship between urinary metals copper(Cu),arsenic(As),strontium(Sr),barium(Ba),iron(Fe),lead(Pb)and manganese(Mn)and grip *** We used linear regression models,quantile g-computation and Bayesian kernel machine regression(BKMR)to assess the relationship between metals and grip *** In the multimetal linear regression,Cu(β=−2.119),As(β=−1.318),Sr(β=−2.480),Ba(β=0.781),Fe(β=1.130)and Mn(β=−0.404)were significantly correlated with grip strength(Pstrength reduction was−1.007(95%confidence interval:−1.362,−0.652;Pstrength,with Cu,As and Sr being negatively associated with grip strength *** the total population,potential interactions were observed between As and Mn and between Cu and Mn(P_(interactions) of 0.003 and 0.018,respectively).Conclusion In summary,this study suggests that combined exposure to metal mixtures is negatively associated with grip ***,Sr and As were negatively correlated with grip strength levels,and there were potential interactions between As and Mn and between Cu and Mn.

关键词： Urinary metals handgrip strength Quantile g-computation Bayesian kernel machine regression

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Association of low muscle strength with metabolic dysfunctionassociated fatty liver disease:A nationwide study

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World Journal of Gastroenterology 2023年第45期29卷 5962-5973页

作者： Gyu Bae Lee Youn Huh Sang Hyun Lee Byoungduck Han Yang-Hyun Kim Do-Hoon Kim Seon Mee Kim Youn Seon Choi Kyung Hwan Cho Ga Eun Nam Department of Family Medicine Korea University College of MedicineSeoul 02841South Korea Department of Family Medicine Uijeongbu Eulji Medical CenterEULJI UniversityDaejeon 11759South Korea School of Electrical Engineering Korea UniversitySeoul 02841South Korea

BACKGROUND There is limited evidence regarding the association between muscle strength and metabolic dysfunction-associated fatty liver disease(MAFLD).AIM To investigate the association between muscle strength and MAFLD in the general population in *** This nationwide representative cross-sectional study included 31649 individuals aged≥19 years who participated in the Korea National Health and Nutrition Examination Survey between 2015 and *** ratios(ORs)and 95%confidence intervals(95%CIs)for MAFLD according to sex-specific quartiles of muscle strength,defined by relative handgrip strength,were calculated using multivariable logistic regression ***,multivariable logistic regression analysis was used to assess the association between muscle strength and probable liver fibrosis in patients with *** Of all the participants,29.3%had *** prevalence of MAFLD was significantly higher in the lower muscle strength quartile groups for all participants,sexes,and age groups(Pstrength quartile groups in a dose-dependent manner(P for trendstrength and the risk of MAFLD was observed in all subgroups according to age,obesity,and diabetes *** patients with MAFLD,the odds of severe liver fibrosis were higher in Q1(OR=1.83,95%CI:1.25–2.69)than in other groups(Q2–Q4).CONCLUSION Among Korean adults,low muscle strength was associated with an increased risk of MAFLD and liver fibrosis in patients with MAFLD.

关键词： Muscle strength handgrip strength Metabolic dysfunction-associated fatty liver disease Liver fibrosis Korea National Health and Nutrition Examination Survey

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