Evidence map›Paper›PMID 40035094›Full record

ArticleJournal of cachexia, sarcopenia and muscle2025

Association Between Handgrip Strength and Cardiovascular Disease Risk in MASLD: A Prospective Study From UK Biobank.

Tae Seop Lim, Sujin Kwon, Sung A Bae, Hye Yeon Chon, Seol A Jang, Ja Kyung Kim, Chul Sik Kim, Seok Won Park, Kyoung Min Kim

Abstract read
In one paragraph

Article in Journal of cachexia, sarcopenia and muscle, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
–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

13 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Effects of GLP-1 Receptor Agonists on Muscle Mass, Strength, and Quality in MASLD: A Systematic Review.Liver international : official journal of the International Association for the Study of the Liver · 2026
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  6. PreliminaryLife (Basel, Switzerland) · 2026
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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

9 authors.

Tae Seop LimDepartment of Internal Medicine, Yonsei University College of Medicine, Seoul, Republic of Korea.
Sujin KwonDepartment of Endocrinology, Internal Medicine, Yongin Severance Hospital, Yonsei University Health System, Yongin, Republic of Korea.
Sung A BaeDepartment of Internal Medicine, Yonsei University College of Medicine, Seoul, Republic of Korea.
Hye Yeon ChonDepartment of Internal Medicine, Yonsei University College of Medicine, Seoul, Republic of Korea.
Seol A JangDepartment of Internal Medicine, Yonsei University College of Medicine, Seoul, Republic of Korea.
Ja Kyung KimDepartment of Internal Medicine, Yonsei University College of Medicine, Seoul, Republic of Korea.
Chul Sik KimDepartment of Internal Medicine, Yonsei University College of Medicine, Seoul, Republic of Korea.
Seok Won ParkDepartment of Internal Medicine, Yonsei University College of Medicine, Seoul, Republic of Korea.
Kyoung Min KimDepartment of Internal Medicine, Yonsei University College of Medicine, Seoul, Republic of Korea.ORCID 0000-0001-8150-0266

Funding

Ministry of Health and Welfare, Republic of Korea HI22C0452Yonsei University College of Medicine 6-2021-0141
6 · The paper itself

Abstract

backgroundThis study aimed to investigate the association between handgrip strength (HGS) and cardiovascular disease (CVD) in individuals with metabolic dysfunction-associated steatotic liver disease (MASLD) using data from the UK Biobank cohort.

methodsA total of 201 563 participants were enrolled in this study. The HGS was measured using a Jamar J00105 hydraulic hand dynamometer. MASLD was defined as the presence of hepatic steatosis accompanied by one or more cardiometabolic criteria. Hepatic steatosis was identified using a fatty liver index ≥ 60. Advanced liver fibrosis was defined by a fibrosis-4 (FIB-4) score > 2.67. To examine the differences in the incidence of CVD, male and female participants were divided into non-MASLD, MASLD with high HGS, MASLD with middle HGS, and MASLD with low-HGS groups.

resultsOf the study participants, 75 498 (37.5%) were diagnosed with MASLD, with a mean age of 56.5 years, and 40.6% were male. The median follow-up duration was 13.1 years. The frequency of incident CVD events increased significantly across groups: 10.9% in non-MASLD, 13.3% in MASLD with high HGS, 14.8% in MASLD with middle HGS, and 18.4% in MASLD with low HGS for males (p < 0.001). In females, the frequency of incident CVD events was 6.1% in non-MASLD, 9.2% in MASLD with high HGS, 10.7% in MASLD with middle HGS, and 13.3% in MASLD with low HGS (p < 0.001). Using the non-MASLD group as a reference, multivariate-adjusted hazard ratios (HRs) (95% confidence intervals [CI]) for CVD varied according to HGS in individuals with MASLD. In males with MASLD, HRs (95% CI) were 1.03 (0.96-1.10) for high HGS, 1.14 (1.07-1.21) for middle HGS, and 1.38 (1.30-1.46) for low HGS; in females with MASLD, they were 1.07 (0.97-1.18) for high HGS, 1.25 (1.14-1.37) for middle HGS, and 1.56 (1.43-1.72) for low HGS. The incidence of CVD events increased as HGS decreased in participants with MASLD, regardless of the presence or absence of advanced liver fibrosis (all p < 0.001).

conclusionsThis large prospective cohort study using the UK Biobank showed that in MASLD, a decrease in HGS was associated with increased CVD risk.

Indexed as

Cardiovascular DiseasesHand StrengthAdultAgedBiological Specimen BanksFemaleHumansIncidenceMaleMiddle AgedProspective StudiesRisk FactorsUK BiobankUnited Kingdomcardiovascular diseasefatty liverhandgrip strengthmetabolic dysfunction‐associated steatotic liver diseasemuscle strength

Identifiers

PMID40035094
PMCPMC11876860

What OpenQuestion holds

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LicenceCC BY
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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.