Relationship between handgrip strength and albuminuria in community-dwelling elderly Japanese subjects: the Shika Study

Biomarkers. 2020 Nov;25(7):587-593. doi: 10.1080/1354750X.2020.1819418. Epub 2020 Sep 20.

Abstract

Purpose: This study aimed to investigate the association between handgrip strength (HGS) and albuminuria in the general population of Japan as per sex and age.

Methods: This population-based, cross-sectional study enrolled 916 Japanese participants aged ≥40 years. Albuminuria was measured and expressed as the urinary albumin-to-creatinine ratio (UACR). Biochemical, nutritional, and anthropometric profiles as well as HGS were measured using standardised protocols.

Results: Four hundred and thirty-two (47%) of the study participants were men, and 484 were women, with respective mean ages of 62 ± 11 years and 63 ± 11 years. HGS, older age, high body mass index, presence of hypertension or diabetes, and a decreased estimated glomerular filtration rate were correlated with the log-transformed UACR in subjects of both sexes. Multivariate linear regression analysis showed that HGS was independently associated with the log UACR in both, men [beta coefficient -0.43; 95% confidence interval (CI) -0.73, -0.13] and women (beta coefficient -0.50; 95% CI -0.90, -0.10) aged ≥65 years; however, a similar association was not observed in younger participants.

Conclusion: Low HGS was associated with albuminuria in older men and women in Japan.

Keywords: Handgrip strength; albuminuria; frailty; lifestyle; nutrition; sarcopenia.

MeSH terms

  • Aged
  • Albuminuria / epidemiology
  • Albuminuria / physiopathology*
  • Body Mass Index
  • Diabetes Mellitus / epidemiology
  • Diabetes Mellitus / physiopathology*
  • Female
  • Hand Strength / physiology
  • Humans
  • Hypertension / epidemiology
  • Hypertension / physiopathology*
  • Japan / epidemiology
  • Male
  • Middle Aged
  • Risk Factors
  • Sarcopenia / epidemiology
  • Sarcopenia / physiopathology*