Evidence map›Paper›PMID 33752666›Full record

ArticleCardiovascular diabetology2021

The prediction of Metabolic Syndrome alterations is improved by combining waist circumference and handgrip strength measurements compared to either alone.

Jose P Lopez-Lopez, Daniel D Cohen, Daniela Ney-Salazar, Daniel Martinez, Johanna Otero, Diego Gomez-Arbelaez, Paul A Camacho, Gregorio Sanchez-Vallejo, Edgar Arcos, Claudia Narvaez and 13 more

Abstract readComparative Study
In one paragraph

Article in Cardiovascular diabetology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers.

0numbers the graph read from it
0cells of the map it votes in
27citing 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

27 citing papers in PubMed.

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  10. A Longitudinal Assessment of Metabolic Syndrome.Journal of clinical medicine · 2025
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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

23 authors.

Jose P Lopez-LopezInstitute Masira, Medical School, Universidad de Santander, Santander, Colombia.
Daniel D CohenFacultad de Ciencias de La Salud, Instituto de Investigaciones Masira, Universidad de Santander (UDES), Bloque G, piso 6. Bucaramanga, Santander, Colombia.
Daniela Ney-SalazarInstitute Masira, Medical School, Universidad de Santander, Santander, Colombia.
Daniel MartinezFacultad de Ciencias de La Salud, Instituto de Investigaciones Masira, Universidad de Santander (UDES), Bloque G, piso 6. Bucaramanga, Santander, Colombia.
Johanna OteroFacultad de Ciencias de La Salud, Instituto de Investigaciones Masira, Universidad de Santander (UDES), Bloque G, piso 6. Bucaramanga, Santander, Colombia.
Diego Gomez-ArbelaezFacultad de Ciencias de La Salud, Instituto de Investigaciones Masira, Universidad de Santander (UDES), Bloque G, piso 6. Bucaramanga, Santander, Colombia.
Paul A CamachoInstitute Masira, Medical School, Universidad de Santander, Santander, Colombia.
Gregorio Sanchez-VallejoUniversidad del Quindío and Hospital San Juan de Dios de Armenia, Armenia, Quindío, Colombia.
Edgar ArcosFundación Cometa, Pasto, Colombia.
Claudia NarvaezHospital Susana López, Popayán, Colombia.
Henry GarciaFundación RIESCAR, El Espinal, Colombia.
Maritza PerezFacultad de Medicina, Universidad Militar Nueva Granada, Bogotá, Colombia.
Dora I MolinaUniversidad de Caldas y Médicos Internistas de Caldas, Manizales, Colombia.
Carlos CureBIOMELAB Research Center, Barranquilla, Colombia.
Aristides SotomayorCentro Cardiovascular Santa Lucia, Cartagena, Colombia.
Álvaro RicoFINDEMOS, Yopal, Colombia.
Eric Hernandez-TrianaENDOCARE, Bogotá, Colombia.
Myriam DuranFacultad de Ciencias de La Salud, Instituto de Investigaciones Masira, Universidad de Santander (UDES), Bloque G, piso 6. Bucaramanga, Santander, Colombia.
Fresia CotesUniversidad de Santander, Valledupar, Colombia.
Darryl P LeongPHRI, McMaster University, Hamilton, ON, Canada.
Sumathy RangarajanPHRI, McMaster University, Hamilton, ON, Canada.
Salim YusufPHRI, McMaster University, Hamilton, ON, Canada.
Patricio Lopez-JaramilloInstitute Masira, Medical School, Universidad de Santander, Santander, Colombia. jplopezj@gmail.com.ORCID 0000-0002-9122-8742

Funding

CIHR
6 · The paper itself

Abstract

backgroundAdiposity is a major component of the metabolic syndrome (MetS), low muscle strength has also been identified as a risk factor for MetS and for cardiovascular disease. We describe the prevalence of MetS and evaluate the relationship between muscle strength, anthropometric measures of adiposity, and associations with the cluster of the components of MetS, in a middle-income country.

methodsMetS was defined by the International Diabetes Federation criteria. To assess the association between anthropometric variables (waist circumference (WC), waist-to-hip ratio (W/H), body mass index (BMI)), strength (handgrip/kg bodyweight (HGS/BW)) and the cluster of MetS, we created a MetS score. For each alteration (high triglycerides, low HDLc, dysglycemia, or high blood pressure) one point was conferred. To evaluate the association an index of fat:muscle and MetS score, participants were divided into 9 groups based on combinations of sex-specific tertiles of WC and HGS/BW.

resultsThe overall prevalence of MetS in the 5,026 participants (64% women; mean age 51.2 years) was 42%. Lower HGS/BW, and higher WC, BMI, and W/H were associated with a higher MetS score. Amongst the 9 HGS/BW:WC groups, participants in the lowest tertile of HGS/BW and the highest tertile of WC had a higher MetS score (OR = 4.69 in women and OR = 8.25 in men;p < 0.01) compared to those in the highest tertile of HGS/BW and in the lowest tertile of WC.

conclusionWC was the principal risk factor for a high MetS score and an inverse association between HGS/BW and MetS score was found. Combining these anthropometric measures improved the prediction of metabolic alterations over either alone.

Indexed as

AdiposityHand StrengthWaist CircumferenceAdultCardiometabolic Risk FactorsColombiaCross-Sectional StudiesDatabases, FactualFemaleHealth StatusHumansMaleMetabolic SyndromeMiddle AgedMuscle, SkeletalObesity, AbdominalAbdominal obesityBody mass indexCardiovascular diseaseHandgrip strengthMetabolic syndrome

Identifiers

PMID33752666
PMCPMC7986558

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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.