Handgrip strength cutoff for cardiometabolic risk index among Colombian children and adolescents: The FUPRECOL Study

• Type of Material: Article
• Authors: Robinson Ramirez-Velez, Universidad del Rosario; Jhonatan Camilo Pena-Ibagon, Universidad del Rosario; Javier Martinez-Torres, Universidad del Rosario; Alejandra Tordecilla-Sanders, Universidad del Rosario; Jorge Enrique Correa-Bautista, Universidad del Rosario; Felipe Lobelo, Emory University; Antonio Garcia-Hermoso, Universidad de Santiago de Chile
• Language: English
• Date: 2017-02-14
• Publisher: Nature Publishing Group: Open Access Journals - Option C
• Publication Version: Final Published Version
• Copyright Statement: © 2017, The Author(s)
• License: Creative Commons Attribution 4.0 International
• Final Published Version (URL): http://dx.doi.org/10.1038/srep42622
• Title of Journal or Parent Work: Scientific Reports
• ISSN: 2045-2322
• Volume: 7
• Start Page: 42622
• End Page: 42622
• Grant/Funding Information: Also, during the completion of this paper, A.G.-H. was visiting researchers at the University of Rosario (CEMA, Bogotá, Colombia), supported with grants awarded by “Proyectos Basales y Vicerrectoría de Investigación, Desarrollo e Innovación” (Universidad de Santiago de Chile, USACH).; The FUPRECOL Study was carried out with the financial support of Instituto Colombiano para el Desarrollo de la Ciencia y la Tecnología “Francisco José de Caldas” COLCIENCIAS (Contract No. 671-2014 Code 122265743978).
• Keywords: OVERWEIGHT; Science & Technology; PREVALENCE; HEALTH-RELATED FITNESS; YOUTH; Multidisciplinary Sciences; WEAKNESS; Science & Technology - Other Topics; MUSCULAR STRENGTH; PHYSICAL-ACTIVITY; METABOLIC SYNDROME; CARDIOVASCULAR RISK; THRESHOLDS
• Research Categories: Health Sciences, General; Health Sciences, Public Health

Abstract

Evidence shows an association between muscular strength (MS) and health among young people, however low muscular strength cut points for the detection of high metabolic risk in Latin-American populations are scarce. The aim of this study was twofold: to explore potential age- and sex-specific thresholds of MS, for optimal cardiometabolic risk categorization among Colombian children and adolescents; and to investigate whether cardiometabolic risk differed by MS group by applying the receiver operating characteristic curve (ROC) cut point. MS was estimated by using a handle dynamometer on 1,950 children and adolescents from Colombia, using MS relative to weight (handgrip strength/body mass). A metabolic risk score was computed from the following components: waist circumference, triglycerides, HDL-c, glucose, and systolic and diastolic blood pressure. ROC analysis showed a significant discriminatory accuracy of MS in identifying the low/high metabolic risk in children and adolescents and in both genders. In children, the handgrip strength/body mass levels for a low metabolic risk were 0.359 and 0.376 in girls and boys, respectively. In adolescents, these points were 0.440 and 0.447 in girls and boys, respectively. In conclusion, the results suggest an MS level relative to weight for having a low metabolic risk, which could be used to identify youths at risk.