ArticlePloS one2021
Association between relative handgrip strength and hypertension in Chinese adults: An analysis of four successive national surveys with 712,442 individuals (2000-2014).
Article in PloS one, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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Who cites it
15 citing papers in PubMed.
- Grip strength-to-weight ratio, all-cause and cardiovascular mortality, and cardiovascular disease prevalence: Evidence from NHANES and CHARLS.American journal of preventive cardiology · 2026Article
- Associations between various obesity-related indicators and hypertension: a national cross-sectional survey with 117,609 Chinese adults.Frontiers in public health · 2026Article
- Spatiotemporal Dynamics of Relative Grip Strength in China: Comprehensive Analysis from 2000 to 2020 National Surveys.Sports medicine - open · 2025Article
- Associations of relative muscular strength with blood pressure changes and incident hypertension: a prospective cohort study in Korea.BMC 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
- Handgrip Strength has Declined Among Adults, Particularly Males, from Shanghai Since 2000.Sports medicine - open · 2024Article
- Gripping insights: prevalence of hypertension and its association with relative muscle strength-a cross-sectional study in an adult Indian population.Journal of health, population, and nutrition · 2024Article
- A Study of Hypertension and Fitness of Individuals with Spinal Cord Injury: A Cross-Sectional Study.Healthcare (Basel, Switzerland) · 2024Article
- Is inflammation a missing link between relative handgrip strength with hyperlipidemia? Evidence from a large population-based study.Lipids in health and disease · 2024Article
- Grip strength positively correlates with blood pressure in individuals with abnormal adiposity.Journal of human hypertension · 2024Article
- Associations between mindfulness and non-restorative sleep: the roles of resilience and handgrip.Frontiers in psychology · 2024Article
- Sex-based differences in the association of resistance training levels with the risk of hypertension.Frontiers in public health · 2024Article
- Muscle quality is negatively related to hypertension prevalence in adults: Results from NHANES 2011-2014.Journal of clinical hypertension (Greenwich, Conn.) · 2023Article
- The effects of green space and physical activity on muscle strength: a national cross-sectional survey with 128,759 Chinese adults.Frontiers in public health · 2023Article
- Relative Handgrip Strength is Inversely Associated with Hypertension in Consideration of Visceral Adipose Dysfunction: A Nationwide Cross-Sectional Study in Korea.Frontiers in physiology · 2022Article
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Authors and funding
9 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesThis study aimed to identify the 15-year trends of handgrip strength-to-weight (relative HS) and assess the association between relative HS and hypertension among Chinese adults aged 20-69.
methodsUsing a complex, stratified, multistage probability cluster sampling, we analyzed data collected from 712,442 adults aged 20-69 years in four successive national surveys (2000-2014). We used a handheld dynamometer to measure strength and divided by body weight to calculate the relative HS. Blood pressure was recorded with a sphygmomanometer and hypertension was defined as resting systolic blood pressure at least 140 mmHg or diastolic at least 90 mmHg. The Mann-Kendall trend test examined trends in relative HS over time. We also computed odd ratios (OR) and 95% confidence intervals (95% CI) by tertile of relative HS and examined the association between relative HS and hypertension.
resultsThe relative HS level decreased with the increase of age in both male and females (p trend <0.001). In each of four surveys, one interquartile decrease in relative HS was associated with an increased risk of hypertension by 44% (OR = 1.44, 95%CI: 1.40-1.47), 58% (OR = 1.58, 95%CI: 1.54-1.62), 48% (OR = 1.48, 95%CI: 1.45-1.52), 43% (OR = 1.43, 95%CI: 1.40-1.47), respectively.
conclusionIn the Chinese adult population, the relative HS level decreased from 2000 to 2014 across all ages in both males and females. A lower relative HS was associated with a higher risk of hypertension. The findings provided evidence for the association between muscle strength and hypertension in large-scaled population.
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