Evidence map›Paper›PMID 29538386›Full record

Trial reportPloS one2018

Prospective association between handgrip strength and cardiac structure and function in UK adults.

Sebastian E Beyer, Mihir M Sanghvi, Nay Aung, Alice Hosking, Jackie A Cooper, José Miguel Paiva, Aaron M Lee, Kenneth Fung, Elena Lukaschuk, Valentina Carapella and 5 more

Abstract readClinical Trial
In one paragraph

Trial report in PloS one, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed
–field-weighted citation impact
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

30 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

15 authors.

Sebastian E BeyerDepartment of Epidemiology, Harvard T.H. Chan School of Public Health, Boston, Massachusetts, United States of America.
Mihir M SanghviWilliam Harvey Research Institute, NIHR Biomedical Research Center at Barts, Queen Mary University of London, London, United Kingdom.
Nay AungWilliam Harvey Research Institute, NIHR Biomedical Research Center at Barts, Queen Mary University of London, London, United Kingdom.
Alice HoskingWilliam Harvey Research Institute, NIHR Biomedical Research Center at Barts, Queen Mary University of London, London, United Kingdom.
Jackie A CooperWilliam Harvey Research Institute, NIHR Biomedical Research Center at Barts, Queen Mary University of London, London, United Kingdom.
José Miguel PaivaWilliam Harvey Research Institute, NIHR Biomedical Research Center at Barts, Queen Mary University of London, London, United Kingdom.
Aaron M LeeWilliam Harvey Research Institute, NIHR Biomedical Research Center at Barts, Queen Mary University of London, London, United Kingdom.
Kenneth FungWilliam Harvey Research Institute, NIHR Biomedical Research Center at Barts, Queen Mary University of London, London, United Kingdom.
Elena LukaschukDivision of Cardiovascular Medicine, Radcliffe Department of Medicine, University of Oxford, West Wing, John Radcliffe Hospital, Headington, Oxford, United Kingdom.
Valentina CarapellaDivision of Cardiovascular Medicine, Radcliffe Department of Medicine, University of Oxford, West Wing, John Radcliffe Hospital, Headington, Oxford, United Kingdom.
Murray A MittlemanDepartment of Epidemiology, Harvard T.H. Chan School of Public Health, Boston, Massachusetts, United States of America.
Soren BrageMRC Epidemiology Unit, University of Cambridge, Cambridge, United Kingdom.
Stefan K PiechnikDivision of Cardiovascular Medicine, Radcliffe Department of Medicine, University of Oxford, West Wing, John Radcliffe Hospital, Headington, Oxford, United Kingdom.
Stefan NeubauerDivision of Cardiovascular Medicine, Radcliffe Department of Medicine, University of Oxford, West Wing, John Radcliffe Hospital, Headington, Oxford, United Kingdom.
Steffen E PetersenWilliam Harvey Research Institute, NIHR Biomedical Research Center at Barts, Queen Mary University of London, London, United Kingdom.

Funding

British Heart Foundation PG/14/89/31194Medical Research Council MC_PC_17228Medical Research Council MC_QA137853Medical Research Council MC_UU_12015/3Medical Research Council MR/K006584/1Medical Research Council MR/L016311/1Wellcome Trust 203553/Z/16/Z
6 · The paper itself

Abstract

backgroundHandgrip strength, a measure of muscular fitness, is associated with cardiovascular (CV) events and CV mortality but its association with cardiac structure and function is unknown. The goal of this study was to determine if handgrip strength is associated with changes in cardiac structure and function in UK adults. METHODS AND

resultsLeft ventricular (LV) ejection fraction (EF), end-diastolic volume (EDV), end-systolic volume (ESV), stroke volume (SV), mass (M), and mass-to-volume ratio (MVR) were measured in a sample of 4,654 participants of the UK Biobank Study 6.3 ± 1 years after baseline using cardiovascular magnetic resonance (CMR). Handgrip strength was measured at baseline and at the imaging follow-up examination. We determined the association between handgrip strength at baseline as well as its change over time and each of the cardiac outcome parameters. After adjustment, higher level of handgrip strength at baseline was associated with higher LVEDV (difference per SD increase in handgrip strength: 1.3ml, 95% CI 0.1-2.4; p = 0.034), higher LVSV (1.0ml, 0.3-1.8; p = 0.006), lower LVM (-1.0g, -1.8 --0.3; p = 0.007), and lower LVMVR (-0.013g/ml, -0.018 --0.007; p<0.001). The association between handgrip strength and LVEDV and LVSV was strongest among younger individuals, while the association with LVM and LVMVR was strongest among older individuals.

conclusionsBetter handgrip strength was associated with cardiac structure and function in a pattern indicative of less cardiac hypertrophy and remodeling. These characteristics are known to be associated with a lower risk of cardiovascular events.

Indexed as

Hand StrengthStroke VolumeVentricular Function, LeftAdultAgedCardiovascular DiseasesFemaleHumansMaleMiddle AgedProspective Studies

Identifiers

PMID29538386
PMCPMC5851546

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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.