1. Linear association between grip strength and all-cause mortality among the elderly: results from the SHARE study.
- Author
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Cai, Yaning, Liu, Li, Wang, Junyi, Gao, Yang, Guo, Zhaoyan, and Ping, Zhiguang
- Subjects
GRIP strength ,CONFIDENCE intervals ,MORTALITY ,HEALTH status indicators ,RISK assessment ,SURVEYS ,SEX distribution ,AGING ,INDEPENDENT living ,DESCRIPTIVE statistics ,RETIREMENT ,STATISTICAL correlation ,LONGITUDINAL method ,PROPORTIONAL hazards models ,OLD age - Abstract
Background: Grip strength had become a potential tool for clinical assessments, while the predictive value of the grip strength of community-based populations had some limitations. Aims: To identify the shapes of the association between grip strength and all-cause mortality in the Survey of Health, Ageing and Retirement in Europe (SHARE) cohort. Methods: Based on the SHARE cohort, 13,231 subjects aged 65 years and older were included in this study. Cox models with penalized splines (P-splines) were employed to characterize the shapes of the association between grip strength and all-cause mortality with the adjustment of covariates including sociodemographic characteristics, health characteristics, behavioral habits, and illness status. Then grip strength was analyzed as a categorical variable in quintile to examine the impact of low grip strength on all-cause mortality. Results: Inversely linear associations were found between grip strength and mortality both in males and females after adjustment for covariates. The hazard ratios (HRs) and their 95% confidence intervals (CIs) for each 5 kg decrease in grip strength to all-cause mortality were 1.11 (1.06–1.18) in males and 1.17 (1.08–1.28) in females. In comparison with subjects in the fifth quintile, the adjusted HRs and 95% CIs of all-cause mortality in the first quintile was 2.39 (1.79–3.19) in males and 1.84 (1.34–2.51) in females. Which were statistically significant in the second quintile compared with the fifth quintile [Males: 2.06 (1.56, 2.74), Females: 1.83 (1.35, 2.48)]. Conclusions: Grip strength is inversely linear association with all-cause mortality and the low grip strength at the first and second quintile are a robust predictor of all-cause mortality. [ABSTRACT FROM AUTHOR]
- Published
- 2021
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