Evidence map›Paper›PMID 21310808›Full record

ArticleThe journals of gerontology. Series A, Biological sciences and medical sciences2011

Association between obesity history and hand grip strength in older adults--exploring the roles of inflammation and insulin resistance as mediating factors.

Sari Stenholm, Janne Sallinen, Annemarie Koster, Taina Rantanen, Päivi Sainio, Markku Heliövaara, Seppo Koskinen

Open access · bronzeAbstract read
In one paragraph

Article in The journals of gerontology. Series A, Biological sciences and medical sciences, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 61 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
61citing papers in PubMed, 3 pooled it
4.5field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

61 citing papers in PubMed, 3 syntheses or guidelines pooled it, 130 citations in OpenAlex.

  1. The impact of periodontitis on physical fitness: a systematic review.Canadian journal of dental hygiene : CJDH = Journal canadien de l'hygiene dentaire : JCHD · 2026
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1 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors at 4 institutions in 3 countries.

Sari StenholmDepartment of Health, Functional Capacity and Welfare, National Institute for Health and Welfare, Peltolantie 3, FI-20720 Turku, Finland. sari.stenholm@thl.fi
Janne Sallinen
Annemarie Koster
Taina Rantanen
Päivi Sainio
Markku Heliövaara
Seppo Koskinen
National Institutes of Health · USFinnish Institute for Health and Welfare · FIUniversity of Jyväskylä · FIVTT Technical Research Centre of Finland · FI

Funding

Intramural NIH HHS
6 · The paper itself

Abstract

backgroundTo examine the association between obesity history and hand grip strength, and whether the association is partly explained by subclinical inflammation and insulin resistance.

methodsData are from 2,021 men and women aged 55 years and older participating in the representative population-based Health 2000 Survey in Finland. Body mass and body height, maximal hand grip strength, C-reactive protein, and insulin resistance based on homeostasis model assessment (HOMA-IR) were measured in a health examination. Recalled weight at 20, 30, 40, and 50 years of age were recorded to obtain a hierarchical classification of obesity history. Obesity was defined as body mass index ≥ 30 kg/m².

resultsEarlier onset of obesity was associated with lower hand grip strength (p < .001) after controlling for age, sex, education, smoking, alcohol use, physical activity, several chronic diseases, and current body weight. Based on adjusted logistic regression models, the odds (95% confidence interval) for very low relative hand grip strength were 2.76 (1.78-4.28) for currently obese, 5.57 (3.02-10.28) for obese since age of 50 years, 6.53 (2.98-14.30) for obese since age of 40 years, and 10.36 (3.55-30.24) for obese since age of 30 years compared with never obese participants. The associations remained highly significant even after adjusting for current C-reactive protein and HOMA-IR, but these variables had only minor role in explaining the association between obesity history and hand grip strength.

conclusionsLong-term exposure to obesity is associated with poor hand grip strength later in life. Maintaining healthy body weight throughout the life span may help to maintain adequate muscle strength in old age. Prospective studies with information on prior muscle strength are needed to examine in detail the causal association between obesity history and muscle strength.

Indexed as

Hand StrengthInsulin ResistanceAgedBody HeightBody Mass IndexC-Reactive ProteinFemaleFinlandHumansInflammationMaleMiddle AgedMuscle StrengthObesityRisk FactorsC-Reactive Protein

Identifiers

PMID21310808
PMCPMC3041473
OpenAlexW2135634683

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.