Full
Outline
To explore the relationship between weight-specific handgrip strength (Wt-HGS) and metabolic syndrome(MetS) and its components, providing new evidence for metabolic risk assessment in children and adolescents.
Data were derived from the 2021 Evaluation and Monitoring of School-based Nutrition and Growth in Shenzhen (EMSNGS) study. Based on handgrip strength percentile reference standards, handgrip strength was categorized into quartiles (Q1-Q4) using both age-specific(Age-HGS) and weight-specific (Wt-HGS) percentiles, with Q1 defined as the low handgrip strength group. The prevalence of MetS and its components was compared between the low handgrip strength groups based on the two standards.
A total of 3 272 children and adolescents aged 10-18 years were included in the study, with a median age of 13.8 (11.9, 15.6) years and a MetS prevalence of 3.9% (n=129). The prevalence of MetS was significantly higher in the low handgrip strength group defined by Wt-HGS than in that defined by Age-HGS (boys: 9.4% vs 2.6%; girls: 5.9% vs 1.4%). Logistic regression analysis revealed that, compared to the highest quartile of Wt-HGS (Q4), the odds ratio (OR) for MetS risk in boys in the Q1 group was 5.26 (95% CI: 2.55-10.85), and for girls, the risk was even higher (OR=11.91, 95% CI: 2.78-51.04). After adjusting for age, puberty stage, and other potential confounders, the association remained statistically significant.
Lower Wt-HGS may be a risk factor for MetS in children and adolescents, highlighting the potential value of muscle strength assessment and targeted interventions in the early prevention and control of MetS.
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| 科 Family | 属数 Number of genus | 种数 Number of species | 占总种数比例 Percentage of total species (%) | 属 Genus | 种数 Number of species | 占总种数比例 Percentage of total species (%) |
|---|---|---|---|---|---|---|
| 鹅膏菌科Amanitaceae | 2 | 11 | 5.26 | 鹅膏菌属 Amanita | 10 | 4.78 |
| 小菇科 Mycenaceae | 2 | 12 | 5.74 | 丝盖伞属 Inocybe | 5 | 2.39 |
| 多孔菌科 Polyporaceae | 8 | 14 | 6.70 | 蜡蘑属 Laccaria | 5 | 2.39 |
| 红菇科 Russulaceae | 3 | 23 | 11.00 | 小皮伞属 Marasmius | 6 | 2.87 |
| 小菇属 Mycena | 11 | 5.26 | ||||
| 光柄菇属 Pluteus | 5 | 2.39 | ||||
| 红菇属 Russula | 17 | 8.13 | ||||
| 栓菌属 Trametes | 5 | 2.39 |
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