Association between handgrip strength and bone mineral density of Brazilian children and adolescents stratified by sex: a cross-sectional study

BMC Pediatr. 2021 Apr 28;21(1):207. doi: 10.1186/s12887-021-02669-1.

Abstract

Background: To examine the association of handgrip strength (HGS) and bone mineral density (BMD) of Brazilian children and adolescents.

Methods: The sample included 243 children and adolescents aged from 4 to 15 years (9.3 ± 2.2 years), 171 males and 72 females. The following measurements were performed: weight, height, trunk length, and years to the peak height velocity (PHV). The percentage lean soft tissue (PLST), percentage fat mass (PFM), and BMD were obtained using Dual Energy X-ray Absorptiometry (DXA) and HGS using a dynamometer.

Results: In girls, HGS was positively associated with higher BMD, even after the adjustments, by arms [β = 0.006; p < 0.001], legs [β = 0.014; p < 0.001], pelvis [β = 0.019; p < 0.001], trunk [β = 0.013; p < 0.001], spine [β = 0.013; p = 0.008], and total body [β = 0.009; p < 0.001]. The same occurred in the boys, even after the adjustments a positive relationship was observed, whereas higher HGS was related to greater BMD in arms [β = 0.006; p < 0.001], legs [β = 0.017; p < 0.001], pelvis [β = 0.014; p < 0.001], trunk [β = 0.009; p < 0.001], spine [β = 0.008; p < 0.001], and total body [β = 0.007; p < 0.001].

Conclusion: HGS was positively associated to BMD in boys and girls, regardless of age, PHV, PLST, and PFM.

Keywords: Adolescent; Bone density; Child; Health; Strength.

MeSH terms

  • Absorptiometry, Photon
  • Adolescent
  • Body Composition
  • Bone Density*
  • Brazil
  • Child
  • Child, Preschool
  • Cross-Sectional Studies
  • Female
  • Hand Strength*
  • Humans
  • Male