scholarly journals Prevalence of Metabolic Syndrome According to Absolute and Relative Values of Muscle Strength in Middle-Aged and Elderly Women

Author(s):  
Wangyang Zhang ◽  
Zijian Zhao ◽  
Xuebin Sun ◽  
Xiaoxia Tian

Metabolic syndrome (MetS) increases with age, obesity, low physical activity, and decreased muscle strength. Although many studies have reported on grip strength and MetS, few studies have been conducted on leg strength. The purpose of this study was to analyze the prevalence of MetS according to absolute and relative leg strength values in middle-aged and older women. The participants were 1053 women who visited the healthcare center: middle-aged (n = 453) and older (n = 601). MetS was diagnosed using the criteria established by the third report of the National Cholesterol Education Program Adult Treatment Panel III and the World Health Organization’s Asia Pacific guidelines for waist circumference. For leg strength, knee flexion and extension were performed using isokinetic equipment. Grip strength was measured using a grip dynamometer and classified into quartiles. Analysis of prevalence using logistic regression showed that MetS was present in 21.2% of middle-aged and 39.4% of older women. The lowest relative leg extension increased 2.5 times in the middle-aged and 1.5 times in older women (p < 0.05). However, leg flexion did not have a significant prevalence in either age group. The prevalence of MetS in middle-aged and older women with the lowest relative grip strength increased 1.5 and 1.2 times, respectively. Conversely, the lower the absolute leg extension strength, the lower the MetS prevalence was at 0.520 in middle-aged and 0.566 in older women (p < 0.05). In conclusion, the prevalence of MetS increased in women with low relative grip and leg strengths. Specifically, the lower the relative leg extension muscle strength, the higher the prevalence of MetS. In addition, the prevalence of MetS increased in the high-frequency alcohol consumption and non-physical activity group.

2021 ◽  
Vol 26 (1) ◽  
Author(s):  
Noriko Kudo ◽  
Ritsuko Nishide ◽  
Mayumi Mizutani ◽  
Shota Ogawa ◽  
Susumu Tanimura

Abstract Background Physical activity is reported to prevent metabolic syndrome. However, it is unclear whether exercise or daily physical activity is more beneficial for residents of semi-mountainous areas. This study aimed to identify whether daily physical activity is more beneficial than exercise for the prevention of metabolic syndrome among middle-aged and older residents in semi-mountainous areas. Methods We analyzed secondary data of 636 people who underwent a specific health checkup in a semi-mountainous area of Japan. Physical activity was classified into four types: inactivity (I-type; without exercise and without daily physical activity), only exercise (E-type; with exercise and without daily physical activity), only daily physical activity (D-type; without exercise and with daily physical activity), and full physical activity type (F-type; with exercise and with daily physical activity). We compared the means of risk factors for metabolic syndrome by these four types, followed by logistic regression analysis, to identify whether and to what extent the D-type was less likely to have metabolic syndrome than the E-type. Results The prevalence of metabolic syndrome was 28.5% (men 45.7%, women 15.8%). The proportions of men with exercise and daily physical activity were 38.7% and 52.8%, respectively. For women, the proportions were 33.0% and 47.1%, respectively. In women, the D-type had the significantly lowest BMI, smallest waist circumference, highest HDL-C, and lowest prevalence of metabolic syndrome of the four types; the same was not observed in men. Additionally, D-type activity was more strongly associated with a reduced risk of metabolic syndrome than E-type activity in women (adjusted odds ratio 0.24; 95% confidence interval 0.06–0.85, P = 0.028). Conclusions Compared to middle-aged and older women residents with exercise in a semi-mountainous area of Japan, those with daily physical activity may effectively prevent metabolic syndrome.


2014 ◽  
Vol 24 (9-10) ◽  
pp. 1234-1245 ◽  
Author(s):  
Chia-Huei Lin ◽  
Shang-Lin Chiang ◽  
Patsy Yates ◽  
Meei-Shyuan Lee ◽  
Yi-Jen Hung ◽  
...  

Nutrients ◽  
2021 ◽  
Vol 13 (11) ◽  
pp. 3832
Author(s):  
Amy Hofman ◽  
Marlou A. M. Limpens ◽  
Tosca O. E. de Crom ◽  
Mohammad Arfan Ikram ◽  
Annemarie I. Luik ◽  
...  

Physical inactivity is a major public health problem, and there are concerns this might have increased during the COVID-19 pandemic. We aimed to identify distinct trajectories of physical activity over a 6-week period after the first restrictive measures and to explore determinants of these trajectories in a population-based cohort of middle-aged and elderly in the Netherlands (n = 5777). We observed that at least 59% of participants did not meet the World Health Organization recommendations for physical activity. Using latent class trajectory analyses over three time points, we identified five distinct trajectories, including four steady trajectories at different levels (very low, low, medium and high) and one increasing trajectory. Using multinomial logistic regression analyses, we observed that, compared to the ‘steadily high’ trajectory, participants in the ‘steadily very low’ trajectory were more often older, lower educated, reporting poorer physical health, more depressive symptoms, consuming a less healthy diet, smoking, and lower alcohol use, and were less often retired. A similar pattern of determinants was seen for those in the increasing trajectory, albeit with smaller effect sizes. Concluding, we observed low levels of physical activity that generally remained during the pandemic. The determinants we described can help identify groups that require additional preventive interventions.


Circulation ◽  
2018 ◽  
Vol 137 (suppl_1) ◽  
Author(s):  
Michael J LaMonte ◽  
David M Buchner ◽  
Cora E Lewis ◽  
Eileen Rillamas-Sun ◽  
John Bellettiere ◽  
...  

Background: While some studies report muscle strength is associated with mortality, independent of aerobic physical activity (PA), in older people, there are less data in women and lack of studies adjusting the association for objective measures of PA and physical performance. We prospectively examined this association in 5,061 multiethnic (White, 48.2%; Black, 34.0%; Hispanic, 17.9%) women ages 63-99 (mean 78.3) with complete information for analysis in the Objective Physical Activity and Cardiovascular Health Study. Methods: Quartile categories of dominant hand grip strength (<14, 14-18, 18.1-22.5, >22.5 kg) and EPESE categories of time to complete five consecutive unassisted chair stands (>16.6, 16.6-13.7, 13.6-11.2, <11.2 sec) were the muscle strength exposure measures. Primary covariables included age, race-ethnicity, current smoking, BMI, and number of comorbidities. Accelerometer measured moderate-to-vigorous PA (MVPA) and total sedentary time, and gait speed during a self-paced 8 meter walk test were further assessed as confounding factors. Cox regression was used to estimate hazard ratios (HR) and 95% confidence intervals (CI). Results: There were 306 (5.5%) all-cause deaths during a mean 3.3 year follow-up. Adjusting for primary covariables, significant inverse trends in mortality were observed across categories of grip strength, HR (95% CI) = 1.00 (ref), 0.70 (0.53, 0.93), 0.77 (0.56, 1.05), 0.59 (0.41, 0.87), trend p = .007, and chair stands, 1.00, 0.82 (0.62, 1.09), 0.76 (0.55, 1.04), 0.53 (0.36, 0.77), trend p <.001. Further adjustment for MVPA attenuated these associations which remained statistically significant, 1.00, 0.72, 0.81, 0.66, trend p = .032, and 1.00, 0.91, 0.88, 0.65, trend p = .033, respectively. Similarly, adding sedentary time or gait speed to the primary covariables did not eliminate significance of the inverse mortality trends with either muscle strength measure. Adjusting for primary covariables, each 1-standard deviation (6.2 sec) faster chair stand time was associated with 12% lower mortality risk (p = .004), which was attenuated to 8% risk reduction (p = .04) when further controlling for MVPA. Adjusting for primary covariables and MVPA, each 1-standard deviation (6.8 kg) increment in grip strength was associated with 13% lower mortality risk (p = .04), and this inverse association was generally consistent across subgroups defined by age (interaction p = .78), race-ethnicity (p = .19), and BMI (p = .88). Controlling for gait speed opposed to MVPA resulted in consistent findings. Conclusions: Higher muscular strength is associated with lower mortality in older women, independent of device-measured MVPA and sedentary time, and measured gait speed, an indicator of aerobic fitness. If results are confirmed, in addition to guideline recommendations regarding aerobic PA, promoting skeletal muscle strength is an important component of aging well.


Circulation ◽  
2012 ◽  
Vol 125 (suppl_10) ◽  
Author(s):  
Marjolein E den Ouden ◽  
Marieke J Schuurmans ◽  
Ilse E Arts ◽  
Yvonne T van der Schouw

Introduction: The functional status at one moment in time is a strong determinant of future functional status and survival in older persons. Physical functioning is an important component of functional status. Physical deterioration tends to occur early in the disabling process and is therefore suitable to interventions. The aim of this study was to investigate the association of physical performance characteristics (muscle capacity, lung function, physical performance score and physical activity) and functioning independently in middle aged and elderly men. Methods: In a cross-sectional study 400 independently living men aged 40-80 were included. Preservation of function was measured using the Stanford Health Assessment Questionnaire. Physical characteristics were grip strength and leg strength by dynamometer, lung function by peak flow, lower extremity function by Guralniks physical performance score and physical activity by Voorrips questionnaire. Logistic regression analysis was used to estimate the association between potential determinants and the dichotomized HAQ-score, adjusting for confounders. Results: After adjustment for confounders, higher walking speed (OR=2.96, [95% CI 1.31; 6.72]) and shorter time to perform the chair stand test (OR=0.84, [95% CI 0.76; 0.94]) were associated with a higher probability of being independent in activities of daily living (ADL). Borderline significant associations were found for higher lung function and higher leg strength with a higher probability of being independent in ADL. No associations were found for grip strength and physical activity. Discussion and conclusion: The results are in line with previous studies, except for the associations between grip strength and physical activity with ADL independency. Longitudinal studies showed associations between grip strength and the probability of being independent in ADL. These results might indicate that whereas grip strength at a particular moment is not a determinant of ADL independency, change in grip strength over several years is. In addition, grip strength changes little until the 6 th decade but then decreases 1.0% to 1.5% per year from 50 to 70 years. The (relatively young) age of our study population could explain why we did not find an association. The mean total score on the Voorrips questionnaire was much higher compared to previous studies and very low scores of physical activity did not occur, indicating that our study population was relatively active. In the present study, lower body function and peak flow were associated with a higher probability of being independent in ADL. Future research should focus on the relation of physical performance characteristics and living independently using a longitudinal design for better insight in the direction of the associations. It seems that even at a younger age lower extremity function is associated with living independently.


2019 ◽  
Vol 35 (1) ◽  
pp. 139-148 ◽  
Author(s):  
Patricia Gabrielli Vassão ◽  
Mayra Cavenague de Souza ◽  
Bruna Arcaim Silva ◽  
Rheguel Grillo Junqueira ◽  
Marcela Regina de Camargo ◽  
...  

2017 ◽  
Vol 49 (5S) ◽  
pp. 593
Author(s):  
Rachel E. Salyer ◽  
Rachelle A. Reed ◽  
Chad R. Straight ◽  
Christie L. Ward-Ritacco ◽  
Anne O. Brady ◽  
...  

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