Correlation of Blood Glucose Levels, Uric Acid, and Lipid Profile with Hand Grip Strength: The Role of Age as A Control Variable
Sari
ABSTRACT
Handgrip strength (HGS) is an essential biomarker of muscle strength and physical health, with links to illnesses like cardiovascular disease, metabolic syndrome, and frailty. It is particularly important in aging populations, where physical strength promotes independence and quality of life. Blood glucose, uric acid, and lipid profiles all impact metabolic health, influencing physical performance. Elevated glucose levels, disturbed uric acid metabolism, and aberrant lipid profiles lead to impaired muscle function and increased cardiovascular risk. When combined with age-related alterations such as sarcopenia and metabolic dysregulation, these markers have an even greater impact on HGS. This study investigates the association between these metabolic markers and HGS, hypothesizing that aberrant profiles are associated with lower HGS, independent of age. This cross-sectional study in West Jakarta included 120 adults tested for handgrip strength, hemoglobin, blood sugar, uric acid, cholesterol, HDL, LDL, triglycerides, and the triglycerides-to-HDL ratio. Results showed positive correlations between HGS and hemoglobin, hematocrit, and blood sugar, highlighting their roles in oxygen transport and energy provision. The triglycerides-to-HDL ratio also correlated positively with HGS, indicating the influence of lipid metabolism on muscle performance. Age showed an inverse correlation with HGS, consistent with sarcopenia. This study examines the relationship between physiological factors and handgrip strength in the elderly, stressing the importance of optimizing hemoglobin, blood sugar, and cholesterol levels. Limitations include a cross-sectional design and gender bias, necessitating a long-term, comprehensive future study.
Keywords: Aging, Handgrip Strength, Lipid Profile, Metabolic Health, Sarcopenia.
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Abdul-Ghani, M. A., & Defronzo, R. A. (2010). Pathogenesis Of Insulin Resistance In Skeletal Muscle. Biomed Research International, 2010(1), 476279. Https://Doi.Org/10.1155/2010/476279
Benner, A., Patel, A. K., Singh, K., & Dua, A. (2023). Physiology, Bohr Effect. Statpearls. Https://Www.Ncbi.Nlm.Nih.Gov/Books/Nbk526028/
D’avila, J. Da C., Georges Moreira El Nabbout, T., Georges Moreira El Nabbout, H., Silva, A. Dos S., Barbosa Ramos, A. C., Fonseca, E. R. Da, Santana Carlos, A., & Siqueira, R. De A. (2024). Correlation Between Low Handgrip Strength And Metabolic Syndrome In Older Adults: A Systematic Review. Archives Of Endocrinology And Metabolism, 68. Https://Doi.Org/10.20945/2359-4292-2023-0026
Devulapally, Y., Negi, D. S., & Pasula, K. B. (2018). Research Article A Comparative Study Of Skeletal Muscle Fatigue In Diabetic And Non-Diabetic Human Beings. 8(11), 1529–1532. Https://Doi.Org/10.5455/Njppp.2018.8.0723122082018
Dong, J., Yang, S., Zhuang, Q., Sun, J., Wei, P., Zhao, X., Chen, Y., Chen, X., Li, M., Wei, L., Chen, C., Fan, Y., & Shen, C. (2021). The Associations Of Lipid Profiles With Cardiovascular Diseases And Death In A 10-Year Prospective Cohort Study. Frontiers In Cardiovascular Medicine, 8, 745539. Https://Doi.Org/10.3389/Fcvm.2021.745539/Full
Editors, A., Jin, W., Zhu, Y., Pi, A., Damal Villivalam, S., & Kang, S. (2023). The Molecular Mechanisms Of Fuel Utilization During Exercise. Biology, 12(11), 1450. Https://Doi.Org/10.3390/Biology12111450
Eskandarzadeh, M., Mansour-Ghanaei, R., Pourghane, P., & Chaboki, B. G. (2024). Role Of Handgrip Strength In Predicting The Quality Of Life In Older Adults: A Cross-Sectional Study. Journal Of Education And Health Promotion, 13(1), 134. Https://Doi.Org/10.4103/Jehp.Jehp_287_23
González, P., Lozano, P., Ros, G., & Solano, F. (2023). Hyperglycemia And Oxidative Stress: An Integral, Updated And Critical Overview Of Their Metabolic Interconnections. International Journal Of Molecular Sciences, 24(11), 9352. Https://Doi.Org/10.3390/Ijms24119352
Hao, G., Chen, H., Ying, Y., Wu, M., Yang, G., & Jing, C. (2020). The Relative Handgrip Strength And Risk Of Cardiometabolic Disorders: A Prospective Study. Frontiers In Physiology, 11(June), 1–8. Https://Doi.Org/10.3389/Fphys.2020.00719
Huang, Y., Liao, J., & Liu, Y. (2023). Triglyceride To High-Density Lipoprotein Cholesterol Ratio Was Negatively Associated With Relative Grip Strength In Older Adults: A Cross-Sectional Study Of The Nhanes Database. Frontiers In Public Health, 11, 1222636. Https://Doi.Org/10.3389/Fpubh.2023.1222636/Bibtex
Jiang, Y., Xu, B., Zhang, K., Zhu, W., Lian, X., Xu, Y., Chen, Z., Liu, L., & Guo, Z. (2023). The Association Of Lipid Metabolism And Sarcopenia Among Older Patients: A Cross-Sectional Study. Scientific Reports 2023 13:1, 13(1), 1–10. Https://Doi.Org/10.1038/S41598-023-44704-4
Johnson, N. A., Stannard, S. R., & Thompson, M. W. (2004). Muscle Triglyceride And Glycogen In Endurance Exercise: Implications For Performance. Sports Medicine (Auckland, N.Z.), 34(3), 151–164. Https://Doi.Org/10.2165/00007256-200434030-00002
Kelly, D., Hamilton, J. K., & Riddell, M. C. (2010). Blood Glucose Levels And Performance In A Sports Camp For Adolescents With Type 1 Diabetes Mellitus: A Field Study. International Journal Of Pediatrics, 2010, 216167. Https://Doi.Org/10.1155/2010/216167
Kim, B. M., Yi, Y. H., Kim, Y. J., Lee, S. Y., Lee, J. G., Cho, Y. H., Tak, Y. J., Hwang, H. R., Lee, S. H., Park, E. J., & Lee, Y. (2020). Association Between Relative Handgrip Strength And Dyslipidemia In Korean Adults: Findings Of The 2014–2015 Korea National Health And Nutrition Examination Survey. Korean Journal Of Family Medicine, 41(6), 404–411. Https://Doi.Org/10.4082/Kjfm.19.0073
Kim, K., & Park, S. M. (2018). Association Of Muscle Mass And Fat Mass With Insulin Resistance And The Prevalence Of Metabolic Syndrome In Korean Adults: A Cross-Sectional Study. Scientific Reports 2018 8:1, 8(1), 1–8. Https://Doi.Org/10.1038/S41598-018-21168-5
Lee, S. Y. (2021). Handgrip Strength: An Irreplaceable Indicator Of Muscle Function. Annals Of Rehabilitation Medicine, 45(3), 167. Https://Doi.Org/10.5535/Arm.21106
Leenders, M., Verdijk, L. B., Van Der Hoeven, L., Adam, J. J., Van Kranenburg, J., Nilwik, R., & Van Loon, L. J. C. (2013). Patients With Type 2 Diabetes Show A Greater Decline In Muscle Mass, Muscle Strength, And Functional Capacity With Aging. Journal Of The American Medical Directors Association, 14(8), 585–592. Https://Doi.Org/10.1016/J.Jamda.2013.02.006
Lin, Y., Zhong, S., & Sun, Z. (2023). Association Between Serum Triglyceride To High-Density Lipoprotein Cholesterol Ratio And Sarcopenia Among Elderly Patients With Diabetes: A Secondary Data Analysis Of The China Health And Retirement Longitudinal Study. Bmj Open, 13(8), E075311. Https://Doi.Org/10.1136/Bmjopen-2023-075311
Luna-Castillo, K. P., Olivares-Ochoa, X. C., Hernández-Ruiz, R. G., Llamas-Covarrubias, I. M., Rodríguez-Reyes, S. C., Betancourt-Núñez, A., Vizmanos, B., Martínez-López, E., Muñoz-Valle, J. F., Márquez-Sandoval, F., & López-Quintero, A. (2022). The Effect Of Dietary Interventions On Hypertriglyceridemia: From Public Health To Molecular Nutrition Evidence. Nutrients, 14(5), 1104. Https://Doi.Org/10.3390/Nu14051104
Lupton-Smith, A., Fourie, K., Mazinyo, A., Mokone, M., Nxaba, S., & Morrow, B. (2022). Measurement Of Hand Grip Strength: A Cross-Sectional Study Of Two Dynamometry Devices. The South African Journal Of Physiotherapy, 78(1), 1768. Https://Doi.Org/10.4102/Sajp.V78i1.1768
Maldonado, E., Morales-Pison, S., Urbina, F., & Solari, A. (2023). Aging Hallmarks And The Role Of Oxidative Stress. Antioxidants, 12(3), 651. Https://Doi.Org/10.3390/Antiox12030651
Marotta, T., Russo, B. F., & Ferrara, L. A. (2010). Triglyceride-To-Hdl-Cholesterol Ratio And Metabolic Syndrome As Contributors To Cardiovascular Risk In Overweight Patients. Obesity (Silver Spring, Md.), 18(8), 1608–1613. Https://Doi.Org/10.1038/Oby.2009.446
Mezincescu, A. M., Rudd, A., Cheyne, L., Horgan, G., Philip, S., Cameron, D., Van Loon, L., Whitfield, P., Gribbin, R., Hu, M. K., Delibegovic, M., Fielding, B., Lobley, G., Thies, F., Newby, D. E., Gray, S., Henning, A., & Dawson, D. (2024). Comparison Of Intramyocellular Lipid Metabolism In Patients With Diabetes And Male Athletes. Nature Communications 2024 15:1, 15(1), 1–14. Https://Doi.Org/10.1038/S41467-024-47843-Y
Miranda, H., Bentes, C., Resende, M., Netto, C. C., Nasser, I., Willardson, J., & Marinheiro, L. (2022). Association Between Handgrip Strength And Body Composition, Physical Fitness, And Biomarkers In Postmenopausal Women With Metabolic Syndrome. Revista Da Associação Médica Brasileira, 68(3), 323–328. Https://Doi.Org/10.1590/1806-9282.20210673
Mohseni, S. (2014). Neurologic Damage In Hypoglycemia. Handbook Of Clinical Neurology, 126, 513–532. Https://Doi.Org/10.1016/B978-0-444-53480-4.00036-9
Muscella, A., Stefàno, E., Lunetti, P., Capobianco, L., & Marsigliante, S. (2020). The Regulation Of Fat Metabolism During Aerobic Exercise. Biomolecules, 10(12), 1699. Https://Doi.Org/10.3390/Biom10121699
Otto, J. M., Montgomery, H. E., & Richards, T. (2013). Haemoglobin Concentration And Mass As Determinants Of Exercise Performance And Of Surgical Outcome. Extreme Physiology And Medicine, 2(1), 1–8. Https://Doi.Org/10.1186/2046-7648-2-33/Figures/2
Pessini, J., Barbosa, A. R., & Trindade, E. B. S. De M. (2016). Chronic Diseases, Multimorbidity, And Handgrip Strength Among Older Adults From Southern Brazil. Revista De Nutrição, 29(1), 43–52. Https://Doi.Org/10.1590/1678-98652016000100005
Pettersson-Pablo, P., Nilsson, T. K., & Hurtig-Wennlöf, A. (2024). Relative Handgrip Strength Correlates Inversely With Increased Body Fat, Inflammatory Markers And Increased Serum Lipids In Young, Healthy Adults – The Lba Study. Diabetes Research And Clinical Practice, 207, 111057. Https://Doi.Org/10.1016/J.Diabres.2023.111057
Saito, Y., Tanaka, A., Node, K., & Kobayashi, Y. (2021). Uric Acid And Cardiovascular Disease: A Clinical Review. Journal Of Cardiology, 78(1), 51–57. Https://Doi.Org/10.1016/J.Jjcc.2020.12.013
Shannon, C. E., Merovci, A., Fourcaudot, M., Tripathy, D., Abdul-Ghani, M., Wang, H., Han, X., Norton, L., & Defronzo, R. A. (2022). Effects Of Sustained Hyperglycemia On Skeletal Muscle Lipids In Healthy Subjects. The Journal Of Clinical Endocrinology & Metabolism, 107(8), E3177–E3185. Https://Doi.Org/10.1210/Clinem/Dgac306
Spires, J., Lai, N., Zhou, H., & Saidel, G. M. (2011). Hemoglobin And Myoglobin Contributions To Skeletal Muscle Oxygenation In Response To Exercise. Advances In Experimental Medicine And Biology, 701, 347. Https://Doi.Org/10.1007/978-1-4419-7756-4_47
Umegaki, H. (2015). Sarcopenia And Diabetes: Hyperglycemia Is A Risk Factor For Age-Associated Muscle Mass And Functional Reduction. Journal Of Diabetes Investigation, 6(6), 623. Https://Doi.Org/10.1111/Jdi.12365
Wazir, M., Olanrewaju, O. A., Yahya, M., Kumari, J., Kumar, N., Singh, J., Yasir Abbas Al-Itbi, A., Kumari, K., Ahmed, A., Islam, T., Varrassi, G., Khatri, M., Kumar, S., Wazir, H., Raza, S. S., & Tomsich, S. (2023). Lipid Disorders And Cardiovascular Risk: A Comprehensive Analysis Of Current Perspectives. Cureus, 15(12), E51395. Https://Doi.Org/10.7759/Cureus.51395
Williams, J. H., Batts, T. W., & Lees, S. (2013). Reduced Muscle Glycogen Differentially Affects Exercise Performance And Muscle Fatigue. International Scholarly Research Notices, 2013(1), 371235. Https://Doi.Org/10.1155/2013/371235
Yoon, J. W., Ha, Y. C., Kim, K. M., Moon, J. H., Choi, S. H., Lim, S., Park, Y. J., Lim, J. Y., Kim, K. W., Park, K. S., & Jang, H. C. (2016). Hyperglycemia Is Associated With Impaired Muscle Quality In Older Men With Diabetes: The Korean Longitudinal Study On Health And Aging. Diabetes & Metabolism Journal, 40(2), 140–146. Https://Doi.Org/10.4093/Dmj.2016.40.2.140
DOI: https://doi.org/10.33024/mahesa.v6i5.22436
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