Association between grip strength and the risk of heart diseases among European middle-aged and older adults

Peralta, Miguel; Matias Dias, Carlos; Marques, Adilson; Henriques-Neto, Duarte; Sousa Uva, Mafalda

http://hdl.handle.net/10400.18/8713

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Authors

Peralta, Miguel

Matias Dias, Carlos

Marques, Adilson

Henriques-Neto, Duarte

Sousa Uva, Mafalda

Abstract(s)

Background and objective(s): The association between grip strength and heart diseases incidence has been little explored. The aim of this study is to analyse the longitudinal relationship between grip strength and the diagnosis of heart diseases in European middle-aged and older adults. Material and methods: A prospective cohort study was conducted using data from the Survey of Health, Ageing and Retirement in Europe (2004-2017). Participants were 20829 middle-aged and older adults from 12 countries. Grip strenght was measured by a dynamometer and heart diseases diagnosis was self-reported. Incidence rate of heart diseases was calculated and a Cox proportional hazard regression was performed. Results: Heart diseases incidence decreased from 930 per 100 000 person-years in the lowest quartile to 380 per 100 000 person-years in the highest grip strength quartile. During the 13 years of follow-up, compared to being in the lowest grip strength quartile, being in the highest quartile decreased the hazard of being diagnosed with a heart disease in 36% (95% confidence interval [CI]: 0.53, 0.78) for the whole sample, 35% (95% CI: 0.51, 0.84) for men and 46% (95% CI: 0.40, 0.73) for women. Discussion and conclusion(s): Grip strength seems to be inversely associated with the incidence of heart diseases among European middle-aged and older adults. Scientific evidence has highlighted the potential role of grip strength as a risk stratifying measure for heart diseases, suggesting its potential to be included in the cardiovascular risk scores used in primary care. However, further research is still needed to clarify it.

Keywords

Grip Strength Heart Diseases Cardiovascular Diseases Determinantes da Saúde e da Doença Força de Preensão Manual Doenças Cardiovasculares Estados de Saúde e de Doença Europa