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- Handgrip strength thresholds associated with metabolic syndrome risk in children and adolescents: a systematic review and meta-analysis
- Hye Ah Lee, Seunghee Jun, Hyesook Park
- Epidemiol Health. 2024;46:e2024047. Published online April 24, 2024
- DOI: https://doi.org/10.4178/epih.e2024047
- 11,433 View
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- 4 Web of Science
- 3 Crossref
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Abstract
Summary
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Supplementary Material -
AbstractOBJECTIVES
Certain studies have reported that handgrip strength (HGS) is associated with metabolic health risks in children and adolescents, and some studies have suggested HGS thresholds for identifying poor metabolic health. Therefore, we aimed to determine the HGS thresholds associated with metabolic syndrome (MetS) in children and adolescents through a systematic review.METHODSWe searched 3 electronic databases from their inception until October 2023 to identify original papers that focused on children and adolescents and assessed their risks of MetS according to specific HGS values. Studies were selected for inclusion through a planned screening process based on specific criteria. The Quality Assessment Tool for Diagnostic Accuracy Studies version 2 (QUADAS-2) was used to evaluate quality, and a meta-analysis was performed using the diagmeta R package to suggest the optimal thresholds.RESULTSFrom the search, 8 studies were selected for this systematic review. For detecting MetS risk, the optimal threshold for HGS (defined as relative HGS by adjusting for body mass) was found to be 0.422, with a sensitivity of 76.7% (95% confidence interval [CI], 64.0 to 85.8) and a specificity of 62.9% (95% CI, 56.9 to 68.5). The stratification analysis by sex resulted in optimal thresholds of 0.416 for boys and 0.376 for girls. Additionally, when the data were stratified by age, the thresholds were 0.356 for children and 0.416 for adolescents.CONCLUSIONSOur results provide practical information for detecting high-risk groups and encouraging strength-related activities that may reduce the risk of MetS in children and adolescents. -
SummaryKorean summary
- 본 연구는 체계적 고찰 및 메타 분석을 수행하여 아동 및 청소년의 대사 증후군(MetS) 위험을 감지하기 위한 최적의 악력 임계값을 제안했습니다. - 본 연구 결과는 아동 및 청소년의 대사 증후군(MetS) 위험을 줄이기 위해 근력 관련 활동이 필요한 고위험군을 식별하는 데 사용할 수 있으므로 1차 임상 및 공공 의료에 실용적인 정보를 제공합니다.Key Message
- This study conducted a systematic review and meta-analysis to propose the optimal handgrip strength (HGS) threshold for detecting the risk of metabolic syndrome in children and adolescents. - The results provide practical information for primary clinical and public healthcare, as they can be used to identify high-risk groups in need of strength-related interventions to reduce the risk of metabolic syndrome in children and adolescents. -
Citations
Citations to this article as recorded by
- Handgrip Strength Thresholds to Detect Cardiometabolic Risk in Youth: Cross‐Sectional Study and Meta‐Analysis
Antonio García‐Hermoso, Rodrigo Yáñez‐Sepúlveda, Ignacio Hormazábal‐Aguayo, Jacinto Muñoz‐Pardeza, Vicente Martínez‐Vizcaíno, Juan Hurtado‐Almonacid, Yasmin Ezzatvar
Journal of Cachexia, Sarcopenia and Muscle.2025;[Epub] CrossRef - Disability-Related Disparities in Preventive Healthcare Access in South Korea: Insights From National Health Insurance Data
Sujin Kim, Boyoung Jeon
International Journal of Public Health.2025;[Epub] CrossRef - Trends and distributional characteristics in handgrip strength of 1,082,296 children and adolescents in China: an analysis from five representative cross-sectional surveys from 2000 to 2019
Ziteng Li, Chengyue Li
BMC Public Health.2025;[Epub] CrossRef
- Handgrip Strength Thresholds to Detect Cardiometabolic Risk in Youth: Cross‐Sectional Study and Meta‐Analysis
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