ArticleBMC public health2016
High muscular fitness has a powerful protective cardiometabolic effect in adults: influence of weight status.
Article in BMC public health, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 1 of them a synthesis that pooled it.
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Who cites it
23 citing papers in PubMed, 1 synthesis or guideline pooled it, 42 citations in OpenAlex.
- Active Commuting and Physical Fitness: A Systematic Review.International journal of environmental research and public health · 2020Pooled it
- Individual Response Variation in the Effects of Weight Loss and Exercise on Insulin Sensitivity and Cardiometabolic Risk in Older Adults.Frontiers in endocrinology · 2020Trial
- A study of body composition, muscle strength, and arterial stiffness in adolescents with primary and secondary hypertension.Pediatric nephrology (Berlin, Germany) · 2026Article
- The burden of disease attributable to high body mass index across Arab countries: an analysis of data from the global burden of disease study 2021.BMC public health · 2025Article
- Association between total bilirubin and sarcopenia in people with type 2 diabetes: The KAMOGAWA-A study.Endocrine journal · 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
- Sex differences in upper and lower strength and their association with body composition among university students.Physical activity and nutrition · 2024Article
- Article
- Automotive workers: the role of coordinative and conditional abilities as effectiveness wellness indicator.Frontiers in public health · 2024Article
- Handgrip Strength Is Associated with Specific Aspects of Vascular Function in Individuals with Metabolic Syndrome.Biomedicines · 2023Article
- Muscle Quality Index in Morbidly Obesity Patients Related to Metabolic Syndrome Markers and Cardiorespiratory Fitness.Nutrients · 2023Article
- Utility of a Physical Fitness Score in Screening for Chronic Diseases.Journal of sports science & medicine · 2023Article
- Dietary Calcium Intake and Fat Mass in Spanish Young Adults: The Role of Muscle Strength.Nutrients · 2021Article
- The prediction of Metabolic Syndrome alterations is improved by combining waist circumference and handgrip strength measurements compared to either alone.Cardiovascular diabetology · 2021Article
- Physiological and Lifestyle Traits of Metabolic Dysfunction in the Absence of Obesity.Current diabetes reports · 2020Review
- The Relative Handgrip Strength and Risk of Cardiometabolic Disorders: A Prospective Study.Frontiers in physiology · 2020Article
- Physical Fitness Tests and Type 2 Diabetes Among Japanese: A Longitudinal Study From the Niigata Wellness Study.Journal of epidemiology · 2019Article
- Article
- Tri-Ponderal Mass Index vs. Fat Mass/Height³ as a Screening Tool for Metabolic Syndrome Prediction in Colombian Children and Young People.Nutrients · 2018Article
- Review
Corrections and comments
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Authors and funding
7 authors at 5 institutions in 4 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundLow levels of muscular fitness (MF) are recognized as an important marker of nutritional status and a predictor of metabolic complications, cardiovascular disease and death, however, the relationship between MF, body mass index (BMI) and the subsequent cardiometabolic protective effects has been less studied among Latin American populations. This study identified an association between MF and the cardiometabolic risk score index (CMRSI) and the lipid-metabolic cardiovascular risk index (LMCRI) in a wide sample of university students grouped according to their BMI.
methodsSix thousand ninety five healthy males (29.6 ± 11.7 year-old) participated in the study. Absolute strength was measured using a T.K.K. analogue dynamometer (handgrip), and the participant's strength was then calculated relative to their body mass (MF/BM). The LMCRI was derived from the levels of triglycerides, low-density lipoprotein cholesterol (LDL-c), high-density lipoprotein cholesterol (HDL-c), and glucose levels in a blood sample. The CMRSI was calculated by summing the standardized residuals (z-score) for waist circumference, total cholesterol, LDL-c, triglycerides, HDL-c, and median blood pressure. Subjects were divided into six subgroups according to BMI (normal vs. overweight/obese) and MF/BM tertiles (unfit, average, fit).
resultsThe group of participants with low and moderate levels of MF/BM showed higher CMRSI values independent of BMI (P < 0.001). The group with normal BMI and high MF/BM had the highest levels of cardiometabolic protection. All overweight/obese BMI groups had significantly higher LMCRI values independent of the level of MF/BM (P < 0.001).
conclusionsParticipants with high MF/BM showed reduced cardiometabolic risk, which increased significantly when they were within normal parameters.
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