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Handgrip strength as a predictor of incident hypertension in the middle-aged and older population: The TCLSIH cohort study

医学 队列研究 四分位数 队列 人口 前瞻性队列研究 内科学 比率 握力 置信区间 危险系数 入射(几何) 比例危险模型 物理疗法 环境卫生 物理 光学
作者
Yeqing Gu,Jun Dong,Ge Meng,Qing Zhang,Haibo Liu,Hongmei Wu,Shunming Zhang,Yawen Wang,Tingjing Zhang,Xuena Wang,Shaomei Sun,Li Wang,Qiyu Jia,Kun Song,Qiang Liu,Kaijun Niu
出处
期刊:Maturitas [Elsevier]
卷期号:150: 7-13 被引量:10
标识
DOI:10.1016/j.maturitas.2021.06.002
摘要

Objectives The independent role of muscular strength in the prevention of chronic disease is increasingly being recognized. However, no cohort study has assessed the relationship between handgrip strength and the incidence of hypertension among the middle-aged and older population. The aim of this prospective cohort study was to investigate whether handgrip strength is related to incident hypertension among people aged 40 years and over. Study design This prospective cohort study (n = 8,480) was performed between 2013 and 2019 as part of the Tianjin Chronic Low-grade Systemic Inflammation and Health (TCLSIH) Cohort Study, Tianjin, China. Main outcome measures Participants without baseline hypertension were followed up for ~6 years (median 4.0 years). Hypertension was defined according to the JNC7 criteria. Handgrip strength was measured using a hydraulic handheld dynamometer. Adjusted Cox proportional hazards regression models were used to assess the relationships between weight-adjusted handgrip strength and the risk of incident hypertension. Results The incidence rate of hypertension per 1000 person-years was 70. The fully adjusted hazards ratios (95% confidence interval) of the incidence of hypertension for increasing quartiles of weight-adjusted handgrip strength were: 1.00(reference), 0.84 (0.75–0.95), 0.78 (0.69–0.88), and 0.66 (0.58–0.75) (P for trend<0.0001). Moreover, the adjusted hazards ratio (95% confidence interval) of incident hypertension for per unit increase in weight-adjusted handgrip strength was 0.17 (0.10–0.27) (P<0.0001). Similar results were observed in males and females. Conclusions The present cohort study is the first to find that high weight-adjusted handgrip strength, but not absolute handgrip strength, is significantly and independently related to low risk of incident hypertension among the middle-aged and older population.
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