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Handgrip strength is positively related to blood pressure and hypertension risk: results from the National Health and nutrition examination survey

BACKGROUND: Isometric handgrip resistance exercise, a nonpharmacological lifestyle modification, has been recommended as a first-line treatment for hypertension. This study aimed to examine the relationship of handgrip strength to blood pressure and the risk of hypertension. METHODS: The responses a...

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Autores principales: Ji, Chao, Zheng, Liqiang, Zhang, Rui, Wu, Qijun, Zhao, Yuhong
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5904981/
https://www.ncbi.nlm.nih.gov/pubmed/29665844
http://dx.doi.org/10.1186/s12944-018-0734-4
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author Ji, Chao
Zheng, Liqiang
Zhang, Rui
Wu, Qijun
Zhao, Yuhong
author_facet Ji, Chao
Zheng, Liqiang
Zhang, Rui
Wu, Qijun
Zhao, Yuhong
author_sort Ji, Chao
collection PubMed
description BACKGROUND: Isometric handgrip resistance exercise, a nonpharmacological lifestyle modification, has been recommended as a first-line treatment for hypertension. This study aimed to examine the relationship of handgrip strength to blood pressure and the risk of hypertension. METHODS: The responses and examination of 4597 participants in the National Health and Nutrition Examination Survey (NHANES) were analyzed in this study. Systolic blood pressure (SBP) and diastolic blood pressure (DBP) were transformed to age- and sex-specific z-scores. Handgrip strength was adjusted by weight (kg) and converted to an age- and sex-specific z-score. The relationships of SBP and DBP to handgrip strength were analyzed by Pearson correlation test and multivariable linear regression. Binary logistic regression was used to analyze the association between handgrip strength and prevalence of hypertension. RESULTS: Handgrip strength was positively related to higher DBP in men and women. In men, logistic regression models revealed that increased handgrip strength was associated with higher risk of hypertension after adjusting for age, BMI, smoking and drinking status; OR was 1.24 (95%CI: 1.04–1.48). After stratifying on BMI, handgrip strength was significantly associated with higher risk of hypertensions after adjusting for age, BMI, smoking and drinking status in overweight and obese men; OR was 1.31 (95%CI: 1.05–1.63). No significant associations were observed in women. CONCLUSIONS: Increased handgrip strength is associated with higher DBP in men and women. In men, especially overweight and obese men, strong handgrip strength may be associated with higher risk of hypertension. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (10.1186/s12944-018-0734-4) contains supplementary material, which is available to authorized users.
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spelling pubmed-59049812018-04-24 Handgrip strength is positively related to blood pressure and hypertension risk: results from the National Health and nutrition examination survey Ji, Chao Zheng, Liqiang Zhang, Rui Wu, Qijun Zhao, Yuhong Lipids Health Dis Research BACKGROUND: Isometric handgrip resistance exercise, a nonpharmacological lifestyle modification, has been recommended as a first-line treatment for hypertension. This study aimed to examine the relationship of handgrip strength to blood pressure and the risk of hypertension. METHODS: The responses and examination of 4597 participants in the National Health and Nutrition Examination Survey (NHANES) were analyzed in this study. Systolic blood pressure (SBP) and diastolic blood pressure (DBP) were transformed to age- and sex-specific z-scores. Handgrip strength was adjusted by weight (kg) and converted to an age- and sex-specific z-score. The relationships of SBP and DBP to handgrip strength were analyzed by Pearson correlation test and multivariable linear regression. Binary logistic regression was used to analyze the association between handgrip strength and prevalence of hypertension. RESULTS: Handgrip strength was positively related to higher DBP in men and women. In men, logistic regression models revealed that increased handgrip strength was associated with higher risk of hypertension after adjusting for age, BMI, smoking and drinking status; OR was 1.24 (95%CI: 1.04–1.48). After stratifying on BMI, handgrip strength was significantly associated with higher risk of hypertensions after adjusting for age, BMI, smoking and drinking status in overweight and obese men; OR was 1.31 (95%CI: 1.05–1.63). No significant associations were observed in women. CONCLUSIONS: Increased handgrip strength is associated with higher DBP in men and women. In men, especially overweight and obese men, strong handgrip strength may be associated with higher risk of hypertension. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (10.1186/s12944-018-0734-4) contains supplementary material, which is available to authorized users. BioMed Central 2018-04-17 /pmc/articles/PMC5904981/ /pubmed/29665844 http://dx.doi.org/10.1186/s12944-018-0734-4 Text en © The Author(s). 2018 Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research
Ji, Chao
Zheng, Liqiang
Zhang, Rui
Wu, Qijun
Zhao, Yuhong
Handgrip strength is positively related to blood pressure and hypertension risk: results from the National Health and nutrition examination survey
title Handgrip strength is positively related to blood pressure and hypertension risk: results from the National Health and nutrition examination survey
title_full Handgrip strength is positively related to blood pressure and hypertension risk: results from the National Health and nutrition examination survey
title_fullStr Handgrip strength is positively related to blood pressure and hypertension risk: results from the National Health and nutrition examination survey
title_full_unstemmed Handgrip strength is positively related to blood pressure and hypertension risk: results from the National Health and nutrition examination survey
title_short Handgrip strength is positively related to blood pressure and hypertension risk: results from the National Health and nutrition examination survey
title_sort handgrip strength is positively related to blood pressure and hypertension risk: results from the national health and nutrition examination survey
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5904981/
https://www.ncbi.nlm.nih.gov/pubmed/29665844
http://dx.doi.org/10.1186/s12944-018-0734-4
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