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Scandinavian Journal of Medicine and Science in Sports
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Handgrip strength, inflammatory markers, and mortality

Authors: Lee Smith; Lin Yang; Mark Hamer;

Handgrip strength, inflammatory markers, and mortality

Abstract

PurposeTo investigate the extent to which inflammatory markers explain the association between handgrip strength and mortality.MethodsAnalyses of data from The English Longitudinal Study of Ageing. Handgrip strength and inflammatory marker data (C‐reactive protein and fibrinogen) were collected at baseline (2004/5) and inflammatory marker data at follow‐up (2012/13). Participant data were linked with death records. General linear models were used to explore associations between handgrip strength and inflammatory markers at follow‐up. Cox proportional hazards regression models were used to examine associations between grip strength and risk of death. Models were estimated with the covariates age, sex, wealth, physical activity, smoking, depressive symptoms, long‐standing illness, and adiposity.ResultsThe sample comprised of 5,240 participants (mean age 65.9 (SD 9.4) years; 53.8% female). Over an average 9.7 ± 1.4 years follow‐up, there were 650 deaths. Inverse associations were evident between handgrip strength and change in inflammatory markers in women only. There was an association between grip strength and lower risk of mortality in women (hazard ratio = 0.85; 95% CI, 0.74, 0.98) after adjusting for age and wealth. The association was attenuated after adjustment for clinical and behavioral risk factors (0.92; 0.79, 1.07), and further attenuated after adjusting for inflammatory markers (0.95; 0.82, 1.11).ConclusionHigher grip strength is associated with lower levels of inflammation at 8‐year follow‐up, and inflammatory markers partly explained the association between handgrip strength and mortality.

Country
United Kingdom
Keywords

Inflammation, Male, handgrip strength, Aging, Hand Strength, Middle Aged, ELSA, inflammatory markers, mortality, Cross-Sectional Studies, Risk Factors, Humans, Regression Analysis, Female, Longitudinal Studies, Mortality, Biomarkers, Aged, Proportional Hazards Models

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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
58
Top 1%
Top 10%
Top 1%
Green
hybrid