| Title: | Association Between Handgrip Strength and Cardiovascular Disease Risk in MASLD: A Prospective Study From UK Biobank |
| Journal: | Journal of Cachexia Sarcopenia and Muscle |
| Published: | 4 Mar 2025 |
| Pubmed: | https://pubmed.ncbi.nlm.nih.gov/40035094/ |
| DOI: | https://doi.org/10.1002/jcsm.13757 |
| URL: | https://onlinelibrary.wiley.com/doi/pdf/10.1002/jcsm.13757 |
Publication 15656
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Abstract
BACKGROUND: This study aimed to investigate the association between handgrip strength (HGS) and cardiovascular disease (CVD) in individuals with metabolic dysfunction-associated steatotic liver disease (MASLD) using data from the UK Biobank cohort.</p>
METHODS: A total of 201 563 participants were enrolled in this study. The HGS was measured using a Jamar J00105 hydraulic hand dynamometer. MASLD was defined as the presence of hepatic steatosis accompanied by one or more cardiometabolic criteria. Hepatic steatosis was identified using a fatty liver index ≥ 60. Advanced liver fibrosis was defined by a fibrosis-4 (FIB-4) score > 2.67. To examine the differences in the incidence of CVD, male and female participants were divided into non-MASLD, MASLD with high HGS, MASLD with middle HGS, and MASLD with low-HGS groups.</p>
RESULTS: Of the study participants, 75 498 (37.5%) were diagnosed with MASLD, with a mean age of 56.5 years, and 40.6% were male. The median follow-up duration was 13.1 years. The frequency of incident CVD events increased significantly across groups: 10.9% in non-MASLD, 13.3% in MASLD with high HGS, 14.8% in MASLD with middle HGS, and 18.4% in MASLD with low HGS for males (p < 0.001). In females, the frequency of incident CVD events was 6.1% in non-MASLD, 9.2% in MASLD with high HGS, 10.7% in MASLD with middle HGS, and 13.3% in MASLD with low HGS (p < 0.001). Using the non-MASLD group as a reference, multivariate-adjusted hazard ratios (HRs) (95% confidence intervals [CI]) for CVD varied according to HGS in individuals with MASLD. In males with MASLD, HRs (95% CI) were 1.03 (0.96-1.10) for high HGS, 1.14 (1.07-1.21) for middle HGS, and 1.38 (1.30-1.46) for low HGS; in females with MASLD, they were 1.07 (0.97-1.18) for high HGS, 1.25 (1.14-1.37) for middle HGS, and 1.56 (1.43-1.72) for low HGS. The incidence of CVD events increased as HGS decreased in participants with MASLD, regardless of the presence or absence of advanced liver fibrosis (all p < 0.001).</p>
CONCLUSIONS: This large prospective cohort study using the UK Biobank showed that in MASLD, a decrease in HGS was associated with increased CVD risk.</p>
14 Keywords
- Adult
- Aged
- Biological Specimen Banks
- Cardiovascular Diseases
- Female
- Hand Strength
- Humans
- Incidence
- Male
- Middle Aged
- Prospective Studies
- Risk Factors
- UK Biobank
- United Kingdom
9 Authors
- Tae Seop Lim
- Sujin Kwon
- Sung A. Bae
- Hye Yeon Chon
- Seol A. Jang
- Ja Kyung Kim
- Chul Sik Kim
- Seok Won Park
- Kyoung Min Kim
1 Application
| Application ID | Title |
|---|---|
| 85037 | Prediction of drug response using pharmacogenomics-driven machine learning approach |
Enabling scientific discoveries that improve human health