ArticleAmerican journal of preventive medicine2016
Low Muscle Strength Thresholds for the Detection of Cardiometabolic Risk in Adolescents.
Article in American journal of preventive medicine, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 41 papers, 7 of them syntheses that pooled it.
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Who cites it
41 citing papers in PubMed, 7 syntheses or guidelines pooled it.
- Handgrip Strength Thresholds to Detect Cardiometabolic Risk in Youth: Cross-Sectional Study and Meta-Analysis.Journal of cachexia, sarcopenia and muscle · 2025Pooled it
- Sex Differences in Grip Strength From Birth to Age 16: A Meta-Analysis.European journal of sport science · 2025Pooled it
- Handgrip strength thresholds associated with metabolic syndrome risk in children and adolescents: a systematic review and meta-analysis.Epidemiology and health · 2024Pooled it
- Muscular Fitness and Cardiometabolic Variables in Children and Adolescents: A Systematic Review.Sports medicine (Auckland, N.Z.) · 2022Pooled it
- Health-Related Criterion-Referenced Cut-Points for Musculoskeletal Fitness Among Youth: A Systematic Review.Sports medicine (Auckland, N.Z.) · 2021Pooled it
- Temporal Trends in the Standing Broad Jump Performance of 10,940,801 Children and Adolescents Between 1960 and 2017.Sports medicine (Auckland, N.Z.) · 2021Pooled it
- A Systematic Analysis of Temporal Trends in the Handgrip Strength of 2,216,320 Children and Adolescents Between 1967 and 2017.Sports medicine (Auckland, N.Z.) · 2020Pooled it
- Impact of critical illness and withholding of early parenteral nutrition in the pediatric intensive care unit on long-term physical performance of children: a 4-year follow-up of the PEPaNIC randomized controlled trial.Critical care (London, England) · 2022Trial
- Adiposity, Fat-Free Mass Index, and Muscular Strength in Children: Independent Effects on Functional Performance in a Tertiary Pediatric Endocrinology Cohort.Medicina (Kaunas, Lithuania) · 2026Article
- Weekday-specific associations of movement behaviors with body composition in preschool children: A compositional data analysis.Biology of sport · 2026Article
- Isometric muscle strength profile of lower limbs for children and adolescents between 7 and 15 years of age.PeerJ · 2026Article
- High-Intensity Physical Activity During Late Adolescence Predicts Young Adult CT-Based Finite Element Bone Strength in Emerging Adulthood: Iowa Bone Development Study.Children (Basel, Switzerland) · 2025Article
- The Era of Resistance Training as a Primary Form of Physical Activity for Physical Fitness and Health in Youth Has Come.Sports medicine (Auckland, N.Z.) · 2025Review
- Associations Between Youth Sport Participation and Bone, Muscle, and Fat in Adulthood: Iowa Bone Development Study.International journal of environmental research and public health · 2025Article
- Assessment of sarcopenia in young patients with inflammatory arthritis: a cross-sectional study.Scientific reports · 2025Article
- BIA-derived muscle indicator thresholds for malnutrition risk prediction in children with β-thalassemia: a cross-sectional study.European journal of medical research · 2025Article
- Exercise promotes skeletal muscle growth in adolescents via modulating Mettl3-mediated m6A methylation of MyoD in muscle satellite cells.Cellular & molecular biology letters · 2024Article
- Higher Plasma Copper Exposure was Adversely Associated with Skeletal Muscle Indicators in Chinese Children Aged 6-9 Years: A Cross-Sectional Study.Calcified tissue international · 2024Article
- Association Between Dynapenia, Central Obesity, and Physical Function in Young Adults: A Cross-Sectional Study.Cureus · 2024Article
- Lifelong Fitness in Ambulatory Children and Adolescents with Cerebral Palsy I: Key Ingredients for Bone and Muscle Health.Behavioral sciences (Basel, Switzerland) · 2023Article
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5 authors.
Funding
Abstract
introductionThere is an association between strength and health among adolescents, yet, what remains to be determined is sex-specific cut points for low strength in the detection of risk in this population. The purpose of this study was to determine thresholds of low grip strength in a large cohort (N=1,326) of adolescents.
methodsAll data were collected between 2005 and 2008, and analyzed in 2014-2015. A cardiometabolic risk score (MetScore) was computed from the following components: percent body fat, fasting glucose, blood pressure, plasma triglyceride levels, and high-density lipoprotein cholesterol. A high-risk cardiometabolic phenotype was characterized as ≥75th percentile of the MetScore. Conditional inference tree analyses were used to identify sex-specific, low normalized strength (grip strength/body mass) thresholds and risk categories.
resultsLower strength was independently associated with increased odds of the high-risk cardiometabolic phenotype, such that for every 5% decrement of normalized strength, there were 1.48 and 1.45 increased odds (p<0.001) for boys and girls, even after adjusting for cardiorespiratory fitness and physical activity. Conditional tree analysis revealed a high-risk threshold for boys (≤0.33) and girls (≤0.28), as well as an intermediate threshold (boys, >0.33 and ≤0.45; girls, >0.28 and ≤0.36).
conclusionsThese sex-specific thresholds of low strength can be incorporated into a clinical setting for identifying adolescents that would benefit from lifestyle interventions to improve muscular fitness and reduce cardiometabolic risk.
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