ArticleHypertension research : official journal of the Japanese Society of Hypertension2016
The association between blood pressure and grip strength in adolescents: does body mass index matter?
Article in Hypertension research : official journal of the Japanese Society of Hypertension, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers, 2 of them syntheses that pooled it.
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Who cites it
33 citing papers in PubMed, 2 syntheses or guidelines pooled it, 49 citations in OpenAlex.
- Sex Differences in Grip Strength From Birth to Age 16: A Meta-Analysis.European journal of sport science · 2025Pooled it
- Muscular Fitness and Cardiometabolic Variables in Children and Adolescents: A Systematic Review.Sports medicine (Auckland, N.Z.) · 2022Pooled it
- The influence of resting blood pressure on muscle strength in healthy adults.Blood pressure monitoring · 2018Trial
- A study of body composition, muscle strength, and arterial stiffness in adolescents with primary and secondary hypertension.Pediatric nephrology (Berlin, Germany) · 2026Article
- Association of Body Size and Muscle Grip Strength With Hypertension: A Cross-Sectional Study.Cureus · 2026Article
- The High Prevalence of High Normal Blood Pressure and the Differential Association of Grip Strength Metrics with Hypertension in a National Sample of Chinese College Students.Journal of clinical medicine · 2026Article
- Grip and pinch strengths and its association with cardiometabolic risk in children and adolescents aged 6 to 17 years.Frontiers in nutrition · 2026Article
- Correlates of hand grip strength in a cohort of older Nigerian Africans: Findings from the population-based VALIANT project.The Journal of frailty & aging · 2025Article
- Effects of Outdoor and Household Air Pollution on Hand Grip Strength in a Longitudinal Study of Rural Beijing Adults.International journal of environmental research and public health · 2025Article
- Association between handgrip strength and hypertension in children and adolescents: an analysis of the National Health and Nutrition Examination Survey 2011-2014.Frontiers in pediatrics · 2025Article
- Bayesian fractional polynomial approach to quantile regression and variable selection with application in the analysis of blood pressure among US adults.Journal of applied statistics · 2025Article
- A Study of Hypertension and Fitness of Individuals with Spinal Cord Injury: A Cross-Sectional Study.Healthcare (Basel, Switzerland) · 2024Article
- Association of Initial Muscle Fitness with Weight Loss and Metabolically Healthy Status in Children and Adolescents with Obesity: A Retrospective Study.Metabolites · 2024Article
- Role of muscle mass in the association between handgrip strength and blood pressure in children and adolescents.Journal of human hypertension · 2024Article
- Grip strength positively correlates with blood pressure in individuals with abnormal adiposity.Journal of human hypertension · 2024Article
- Muscle quality is negatively related to hypertension prevalence in adults: Results from NHANES 2011-2014.Journal of clinical hypertension (Greenwich, Conn.) · 2023Article
- Association between relative muscle strength and hypertension in middle-aged and older Chinese adults.BMC public health · 2023Article
- Malnutrition Patterns in Children with Chronic Kidney Disease.Life (Basel, Switzerland) · 2023Review
- The mediation role of physical fitness in association between muscle-strengthening physical activities and its component with blood pressure among young adults: considering gender and abnormal blood pressure as moderators, moderate-vigorous physical activity, sleep behavior, sedentary behavior, mental wellbeing and BMI as covariates.Frontiers in cardiovascular medicine · 2023Article
- Muscular Strength in Risk Factors for Cardiovascular Disease and Mortality: A Narrative Review.Anatolian journal of cardiology · 2022Review
Corrections and comments
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Authors and funding
6 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Increased body mass index (BMI) has been related to both low grip strength and high blood pressure (BP) in adolescents. Previous reports of high BP associated with decreased grip strength could be due to the inherent increase in BP in youths with high BMI. This cross-sectional study aimed to examine the association between grip strength and BP in adolescents independent of BMI. A total of 88 865 Chinese adolescents aged 13-17 years were included in this study. Sex-, age- and height-specific references were applied to calculate the BP z-score and define elevated BP. Grip strength was evaluated as handgrip (kg)/weight (kg) and converted into a sex- and age-specific z-score for analysis. Using fractional polynomial regression, we found that increased BMI was associated with enhanced BP and decreased grip strength; however, after stratification by or adjustment for BMI, strong grip strength was related to an increased BP. Logistic regression models revealed that a one s.d. increase in boys' grip strength z-score was associated with an 18% (95% confidence interval: 12, 25) to 37% (19, 59) higher risk of elevated BP when adjusted for BMI. These associations remained significant after further adjustment for cardiorespiratory fitness. A similar pattern was also observed in girls. These results indicated that strong grip strength was associated with increased adolescent BP after adjustment for BMI. Our findings raise questions about using muscle-strengthening training as an approach to improve the BP profile in adolescents.
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Registered trials
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.