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60岁及以上成年人握力与主动脉瓣狭窄的关联:来自157097名英国生物银行参与者的证据

Association of handgrip strength with aortic stenosis among adults aged 60 years and older: evidence from the 157097 UK Biobank participants.

作者信息

Song Cheng-Xiang, Li Qing, Xia Cong-Ying, Long Lu, Zeng Xiao-Xi, Li Jun-Li, Chen Mao

机构信息

Laboratory of Cardiac Structure and Function, Institute of Cardiovascular Diseases, West China Hospital, Sichuan University, Chengdu, Sichuan Province, China.

Department of Cardiology, West China Hospital, Sichuan University, Chengdu, Sichuan Province, China.

出版信息

J Geriatr Cardiol. 2024 Nov 28;21(11):1026-1033. doi: 10.26599/1671-5411.2024.11.003.

Abstract

OBJECTIVE

To examine the association of handgrip strength with aortic stenosis incidence among adults aged 60 years and older.

METHODS

We conducted a cohort study using the UK Biobank data to assess the relationship between handgrip strength and incident aortic stenosis in individuals aged 60 years and older. Handgrip strength was measured using a Jamar J00105 hydraulic hand dynamometer. Adjusted Cox proportional hazards regression models were conducted to assess the association between handgrip strength and incident aortic stenosis.

RESULTS

We included 157,097 UK Biobank participants (78,151 women and 78,946 men) in our study, with mean age of 64 ± 2.9 years. During a median follow-up of 8.1 (7.4-8.8) years, 1543 (1.0%) participants developed incident aortic stenosis. Compared with those with the lowest handgrip strength (tertile 1), the adjusted hazard ratios (95% confidence interval) of incident aortic stenosis in the middle (tertile 2) and the highest (tertile 3) were 0.86 (0.77-0.97) and 0.76 (0.67-0.87), respectively.

CONCLUSIONS

Higher handgrip strength was associated with lower risk of developing aortic stenosis in older adults. Future studies warrant preventive strategies for older adults with lower handgrip strength.

摘要

目的

研究60岁及以上成年人握力与主动脉瓣狭窄发病率之间的关联。

方法

我们利用英国生物银行的数据进行了一项队列研究,以评估60岁及以上个体握力与新发主动脉瓣狭窄之间的关系。使用Jamar J00105液压式握力计测量握力。采用校正后的Cox比例风险回归模型来评估握力与新发主动脉瓣狭窄之间的关联。

结果

我们的研究纳入了157,097名英国生物银行参与者(78,151名女性和78,946名男性),平均年龄为64±2.9岁。在中位随访8.1(7.4 - 8.8)年期间,1543名(1.0%)参与者出现新发主动脉瓣狭窄。与握力最低的人群(第一三分位数)相比,中间(第二三分位数)和最高(第三三分位数)握力人群新发主动脉瓣狭窄的校正风险比(95%置信区间)分别为0.86(0.77 - 0.97)和0.76(0.67 - 0.87)。

结论

较高的握力与老年人患主动脉瓣狭窄的较低风险相关。未来的研究有必要针对握力较低的老年人制定预防策略。

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