Ramírez-Vélez Robinson, Tordecilla-Sanders Alejandra, Correa-Bautista Jorge Enrique, Peterson Mark D, Garcia-Hermoso Antonio
Center of Studies in Physical Activity Measurements, School of Medicine and Health Sciences, University of Rosario, Bogotá, Colombia.
Center of Studies in Physical Activity Measurements, School of Medicine and Health Sciences, University of Rosario, Bogotá, Colombia.
J Pediatr. 2016 Dec;179:82-89.e1. doi: 10.1016/j.jpeds.2016.08.099. Epub 2016 Oct 5.
To evaluate the association between handgrip strength and ideal cardiovascular health (CVH) in Colombian children and adolescents.
During the 2014-2015 school years, we examined a cross-sectional component of the FUPRECOL (Association for Muscular Strength with Early Manifestation of Cardiovascular Disease Risk Factors among Colombian Children and Adolescents) study. Participants included 1199 (n = 627 boys) youths from Bogota (Colombia). Handgrip strength was measured with a standard adjustable hand held dynamometer and expressed relative to body mass (handgrip/body mass) and as absolute values in kilograms. Ideal CVH, as defined by the American Heart Association, was determined as meeting ideal levels of the following components: 4 behaviors (smoking status, body mass index, cardiorespiratory fitness, and diet) and 3 factors (total cholesterol, blood pressure, and glucose).
Higher levels of handgrip strength (both absolute and relative values) were associated with a higher frequency of ideal CVH metrics in both sexes (P for trend ≤ .001). Also, higher levels of handgrip strength were associated with a greater number of ideal health behaviors (P for trend < .001 in both boys and girls), and with a higher number of ideal health factors in boys (P for trend < .001). Finally, levels of handgrip strength were similar between ideal versus nonideal glucose or total cholesterol groups in girls.
Handgrip strength was strongly associated with ideal CVH in Colombian children and adolescents, and thus supports the relevance of early targeted interventions to promote strength adaptation and preservation as part of primordial prevention.
评估哥伦比亚儿童和青少年握力与理想心血管健康（CVH）之间的关联。
在2014 - 2015学年期间，我们对FUPRECOL（哥伦比亚儿童和青少年肌肉力量与心血管疾病危险因素早期表现协会）研究的横断面部分进行了检查。参与者包括来自哥伦比亚波哥大的1199名青少年（n = 627名男孩）。使用标准可调式手持测力计测量握力，并以相对于体重的方式表示（握力/体重），单位为千克的绝对值。美国心脏协会定义的理想CVH被确定为符合以下各项的理想水平：4种行为（吸烟状况、体重指数、心肺适能和饮食）和3种因素（总胆固醇、血压和血糖）。
较高水平的握力（绝对值和相对值）与两性中理想CVH指标的较高频率相关（趋势P≤0.001）。此外，较高水平的握力与更多的理想健康行为相关（男孩和女孩的趋势P均<0.001），并且与男孩中更多的理想健康因素相关（趋势P<0.001）。最后，女孩中理想与非理想血糖或总胆固醇组之间的握力水平相似。
握力与哥伦比亚儿童和青少年的理想CVH密切相关，因此支持早期有针对性干预的相关性，以促进力量适应和保持，作为初级预防的一部分。
