Table 2.

Unadjusted and multivariate-adjusted changes in cardiovascular risk marker levels per 5 kg increase in grip strength, stratified by gender.

Women
Men
Unadjustedp-ValueMultivariate-adjustedp-ValueUnadjustedp-ValueMultivariate-adjustedp-Value
Anthropometry
 Body mass index (kg/m2)−0.16 (−0.37–0.05)0.1430.00 (−0.22–0.22)0.9850.05 (−0.07–0.17)0.3840.22 (0.10–0.35)<0.001
 Waist circumference (cm)−0.06 (−0.60–0.49)0.839−0.82 (−1.13– −0.52)a<0.0010.26 (−0.07–0.59)0.121−0.77 (−0.93– −0.61)a<0.001
 Fat mass (%)−1.23 (−1.55– −0.90)<0.001−0.56 (−0.89– −0.22)0.001−0.63 (−0.78– −0.47)<0.001−0.27 (−0.43– −0.11)0.001
Blood pressure (mm Hg)
 Systolic−1.67 (−2.46–−0.89)<0.0010.66 (−0.12–1.43)b0.098−0.77 (−1.28– −0.26)0.0030.04 (−0.48–0.56)b0.892
 Diastolic0.07 (−0.38–0.52)0.7620.15 (−0.31–0.61)b0.5220.44 (0.12–0.76)0.0070.29 (−0.05– 0.63)b0.090
Lipid markers (mmol/l)
 Total cholesterol−0.03 (−0.07–0.02)0.2300.00 (−0.04–0.05)c0.8630.06 (0.03–0.09)<0.0010.05 (0.02–0.08)c0.002
 HDL-cholesterol0.01 (−0.01–0.03)0.5050.00 (−0.02–0.02)c0.9690.00 (−0.01–0.01)0.9390.01 (0.00–0.02)c0.257
 LDL-cholesterol−0.02 (−0.06–0.02)0.2730.00 (−0.04–0.04)c0.9610.04 (0.02–0.07)0.0010.03 (0.00–0.06)c0.036
 Triglycerides §−2.7 (−4.5– −0.8)0.006−0.1 (−2.0–1.7)c0.8841.6 (−0.1–3.2)0.0580.8 (−0.8–2.5)c0.312
 Apolipoprotein B (mg/dl)−0.91 (−7.02–5.20)0.7700.35 (−6.21–6.90)c0.9180.83 (−3.34–5.01)0.695−0.52 (−5.01–3.97)c0.820
Glucometabolic markers
 Fasting glucose (mmol/l)−0.05 (−0.10–0.00)0.036−0.01 (−0.05–0.04)d0.777−0.06 (−0.10– −0.02)0.005−0.03 (−0.07–0.01)d0.116
 Insulin (µU/ml)§−1.6 (−4.0–0.9)0.2150.4 (−2.0–2.7)d0.764−1.7 (−3.4–0.1)0.069−1.1 (−2.7–0.6)d0.201
Adipokines (µU/ml)
 Leptin§−4.9 (−8.0– −1.7)0.003−1.8 (−4.4–0.9)e0.198−2.9 (−5.2– −0.5)0.016−2.7 (−4.6– −0.6)e0.010
 Adiponectin§−2.1 (−4.8–0.6)0.129−1.4 (−4.2–1.5)e0.337−0.5 (−2.4–1.4)0.5980.4 (−1.6–2.5)e0.671
Inflammatory markers
 hs-CRP (mg/l)§−9.6 (−13.5– −5.5)<0.001−6.8 (−10.7– −2.8)e0.001−4.7 (−7.6– −1.8)0.002−3.2 (−6.1– −0.2)e0.039
 IL-6 (pg/ml)§−1.1 (−6.6–4.8)0.713−1.1 (−7.0–5.2)e0.730−5.4 (−9.1– −1.5)0.007−4.1 (−8.2–0.1)e0.055
 TNF-α (pg/ml)§−0.4 (−4.0–3.3)0.8281.2 (−2.6–5.3)e0.534−2.1 (−4.5–0.4)0.094−1.2 (−3.8–1.5)e0.392
Homocysteine (µmol/l)§−2.9 (−4.0– −1.7)<0.001−0.6 (−1.8–0.7)e0.359−1.1 (−2.0– −0.2)0.0190.6 (−0.4–1.6)e0.212
Uric acid (µmol/l)−3.93 (−6.92– −0.94)0.0101.12 (−1.79–4.04)e0.4490.53 (−1.75–2.80)0.6500.84 (−1.52–3.21)e0.485
Women
Men
Unadjustedp-ValueMultivariate-adjustedp-ValueUnadjustedp-ValueMultivariate-adjustedp-Value
Anthropometry
 Body mass index (kg/m2)−0.16 (−0.37–0.05)0.1430.00 (−0.22–0.22)0.9850.05 (−0.07–0.17)0.3840.22 (0.10–0.35)<0.001
 Waist circumference (cm)−0.06 (−0.60–0.49)0.839−0.82 (−1.13– −0.52)a<0.0010.26 (−0.07–0.59)0.121−0.77 (−0.93– −0.61)a<0.001
 Fat mass (%)−1.23 (−1.55– −0.90)<0.001−0.56 (−0.89– −0.22)0.001−0.63 (−0.78– −0.47)<0.001−0.27 (−0.43– −0.11)0.001
Blood pressure (mm Hg)
 Systolic−1.67 (−2.46–−0.89)<0.0010.66 (−0.12–1.43)b0.098−0.77 (−1.28– −0.26)0.0030.04 (−0.48–0.56)b0.892
 Diastolic0.07 (−0.38–0.52)0.7620.15 (−0.31–0.61)b0.5220.44 (0.12–0.76)0.0070.29 (−0.05– 0.63)b0.090
Lipid markers (mmol/l)
 Total cholesterol−0.03 (−0.07–0.02)0.2300.00 (−0.04–0.05)c0.8630.06 (0.03–0.09)<0.0010.05 (0.02–0.08)c0.002
 HDL-cholesterol0.01 (−0.01–0.03)0.5050.00 (−0.02–0.02)c0.9690.00 (−0.01–0.01)0.9390.01 (0.00–0.02)c0.257
 LDL-cholesterol−0.02 (−0.06–0.02)0.2730.00 (−0.04–0.04)c0.9610.04 (0.02–0.07)0.0010.03 (0.00–0.06)c0.036
 Triglycerides §−2.7 (−4.5– −0.8)0.006−0.1 (−2.0–1.7)c0.8841.6 (−0.1–3.2)0.0580.8 (−0.8–2.5)c0.312
 Apolipoprotein B (mg/dl)−0.91 (−7.02–5.20)0.7700.35 (−6.21–6.90)c0.9180.83 (−3.34–5.01)0.695−0.52 (−5.01–3.97)c0.820
Glucometabolic markers
 Fasting glucose (mmol/l)−0.05 (−0.10–0.00)0.036−0.01 (−0.05–0.04)d0.777−0.06 (−0.10– −0.02)0.005−0.03 (−0.07–0.01)d0.116
 Insulin (µU/ml)§−1.6 (−4.0–0.9)0.2150.4 (−2.0–2.7)d0.764−1.7 (−3.4–0.1)0.069−1.1 (−2.7–0.6)d0.201
Adipokines (µU/ml)
 Leptin§−4.9 (−8.0– −1.7)0.003−1.8 (−4.4–0.9)e0.198−2.9 (−5.2– −0.5)0.016−2.7 (−4.6– −0.6)e0.010
 Adiponectin§−2.1 (−4.8–0.6)0.129−1.4 (−4.2–1.5)e0.337−0.5 (−2.4–1.4)0.5980.4 (−1.6–2.5)e0.671
Inflammatory markers
 hs-CRP (mg/l)§−9.6 (−13.5– −5.5)<0.001−6.8 (−10.7– −2.8)e0.001−4.7 (−7.6– −1.8)0.002−3.2 (−6.1– −0.2)e0.039
 IL-6 (pg/ml)§−1.1 (−6.6–4.8)0.713−1.1 (−7.0–5.2)e0.730−5.4 (−9.1– −1.5)0.007−4.1 (−8.2–0.1)e0.055
 TNF-α (pg/ml)§−0.4 (−4.0–3.3)0.8281.2 (−2.6–5.3)e0.534−2.1 (−4.5–0.4)0.094−1.2 (−3.8–1.5)e0.392
Homocysteine (µmol/l)§−2.9 (−4.0– −1.7)<0.001−0.6 (−1.8–0.7)e0.359−1.1 (−2.0– −0.2)0.0190.6 (−0.4–1.6)e0.212
Uric acid (µmol/l)−3.93 (−6.92– −0.94)0.0101.12 (−1.79–4.04)e0.4490.53 (−1.75–2.80)0.6500.84 (−1.52–3.21)e0.485

HDL: high density lipoprotein: hs-CRP: high sensitivity C-reactive protein; IL-6: interleukin 6; LDL: low density lipoprotein; TNF-α: tumour necrosis factor alpha.

Statistical analyses performed using linear regression. Results are expressed as effect of a 5 kg increase in grip strength and (95% confidence interval). Multivariate adjustment for age, current smoking, leisure-time physical activity and occupational physical activity, with a further adjustment on aweight; bbody mass index and antihypertensive drug treatment; cbody mass index and lipid lowering drug treatment; dbody mass index and antidiabetic drug treatment; ebody mass index.

§

On log-transformed data results are expressed as % change of the risk marker related to a 5 kg increase in grip strength.

Table 2.

Unadjusted and multivariate-adjusted changes in cardiovascular risk marker levels per 5 kg increase in grip strength, stratified by gender.

Women
Men
Unadjustedp-ValueMultivariate-adjustedp-ValueUnadjustedp-ValueMultivariate-adjustedp-Value
Anthropometry
 Body mass index (kg/m2)−0.16 (−0.37–0.05)0.1430.00 (−0.22–0.22)0.9850.05 (−0.07–0.17)0.3840.22 (0.10–0.35)<0.001
 Waist circumference (cm)−0.06 (−0.60–0.49)0.839−0.82 (−1.13– −0.52)a<0.0010.26 (−0.07–0.59)0.121−0.77 (−0.93– −0.61)a<0.001
 Fat mass (%)−1.23 (−1.55– −0.90)<0.001−0.56 (−0.89– −0.22)0.001−0.63 (−0.78– −0.47)<0.001−0.27 (−0.43– −0.11)0.001
Blood pressure (mm Hg)
 Systolic−1.67 (−2.46–−0.89)<0.0010.66 (−0.12–1.43)b0.098−0.77 (−1.28– −0.26)0.0030.04 (−0.48–0.56)b0.892
 Diastolic0.07 (−0.38–0.52)0.7620.15 (−0.31–0.61)b0.5220.44 (0.12–0.76)0.0070.29 (−0.05– 0.63)b0.090
Lipid markers (mmol/l)
 Total cholesterol−0.03 (−0.07–0.02)0.2300.00 (−0.04–0.05)c0.8630.06 (0.03–0.09)<0.0010.05 (0.02–0.08)c0.002
 HDL-cholesterol0.01 (−0.01–0.03)0.5050.00 (−0.02–0.02)c0.9690.00 (−0.01–0.01)0.9390.01 (0.00–0.02)c0.257
 LDL-cholesterol−0.02 (−0.06–0.02)0.2730.00 (−0.04–0.04)c0.9610.04 (0.02–0.07)0.0010.03 (0.00–0.06)c0.036
 Triglycerides §−2.7 (−4.5– −0.8)0.006−0.1 (−2.0–1.7)c0.8841.6 (−0.1–3.2)0.0580.8 (−0.8–2.5)c0.312
 Apolipoprotein B (mg/dl)−0.91 (−7.02–5.20)0.7700.35 (−6.21–6.90)c0.9180.83 (−3.34–5.01)0.695−0.52 (−5.01–3.97)c0.820
Glucometabolic markers
 Fasting glucose (mmol/l)−0.05 (−0.10–0.00)0.036−0.01 (−0.05–0.04)d0.777−0.06 (−0.10– −0.02)0.005−0.03 (−0.07–0.01)d0.116
 Insulin (µU/ml)§−1.6 (−4.0–0.9)0.2150.4 (−2.0–2.7)d0.764−1.7 (−3.4–0.1)0.069−1.1 (−2.7–0.6)d0.201
Adipokines (µU/ml)
 Leptin§−4.9 (−8.0– −1.7)0.003−1.8 (−4.4–0.9)e0.198−2.9 (−5.2– −0.5)0.016−2.7 (−4.6– −0.6)e0.010
 Adiponectin§−2.1 (−4.8–0.6)0.129−1.4 (−4.2–1.5)e0.337−0.5 (−2.4–1.4)0.5980.4 (−1.6–2.5)e0.671
Inflammatory markers
 hs-CRP (mg/l)§−9.6 (−13.5– −5.5)<0.001−6.8 (−10.7– −2.8)e0.001−4.7 (−7.6– −1.8)0.002−3.2 (−6.1– −0.2)e0.039
 IL-6 (pg/ml)§−1.1 (−6.6–4.8)0.713−1.1 (−7.0–5.2)e0.730−5.4 (−9.1– −1.5)0.007−4.1 (−8.2–0.1)e0.055
 TNF-α (pg/ml)§−0.4 (−4.0–3.3)0.8281.2 (−2.6–5.3)e0.534−2.1 (−4.5–0.4)0.094−1.2 (−3.8–1.5)e0.392
Homocysteine (µmol/l)§−2.9 (−4.0– −1.7)<0.001−0.6 (−1.8–0.7)e0.359−1.1 (−2.0– −0.2)0.0190.6 (−0.4–1.6)e0.212
Uric acid (µmol/l)−3.93 (−6.92– −0.94)0.0101.12 (−1.79–4.04)e0.4490.53 (−1.75–2.80)0.6500.84 (−1.52–3.21)e0.485
Women
Men
Unadjustedp-ValueMultivariate-adjustedp-ValueUnadjustedp-ValueMultivariate-adjustedp-Value
Anthropometry
 Body mass index (kg/m2)−0.16 (−0.37–0.05)0.1430.00 (−0.22–0.22)0.9850.05 (−0.07–0.17)0.3840.22 (0.10–0.35)<0.001
 Waist circumference (cm)−0.06 (−0.60–0.49)0.839−0.82 (−1.13– −0.52)a<0.0010.26 (−0.07–0.59)0.121−0.77 (−0.93– −0.61)a<0.001
 Fat mass (%)−1.23 (−1.55– −0.90)<0.001−0.56 (−0.89– −0.22)0.001−0.63 (−0.78– −0.47)<0.001−0.27 (−0.43– −0.11)0.001
Blood pressure (mm Hg)
 Systolic−1.67 (−2.46–−0.89)<0.0010.66 (−0.12–1.43)b0.098−0.77 (−1.28– −0.26)0.0030.04 (−0.48–0.56)b0.892
 Diastolic0.07 (−0.38–0.52)0.7620.15 (−0.31–0.61)b0.5220.44 (0.12–0.76)0.0070.29 (−0.05– 0.63)b0.090
Lipid markers (mmol/l)
 Total cholesterol−0.03 (−0.07–0.02)0.2300.00 (−0.04–0.05)c0.8630.06 (0.03–0.09)<0.0010.05 (0.02–0.08)c0.002
 HDL-cholesterol0.01 (−0.01–0.03)0.5050.00 (−0.02–0.02)c0.9690.00 (−0.01–0.01)0.9390.01 (0.00–0.02)c0.257
 LDL-cholesterol−0.02 (−0.06–0.02)0.2730.00 (−0.04–0.04)c0.9610.04 (0.02–0.07)0.0010.03 (0.00–0.06)c0.036
 Triglycerides §−2.7 (−4.5– −0.8)0.006−0.1 (−2.0–1.7)c0.8841.6 (−0.1–3.2)0.0580.8 (−0.8–2.5)c0.312
 Apolipoprotein B (mg/dl)−0.91 (−7.02–5.20)0.7700.35 (−6.21–6.90)c0.9180.83 (−3.34–5.01)0.695−0.52 (−5.01–3.97)c0.820
Glucometabolic markers
 Fasting glucose (mmol/l)−0.05 (−0.10–0.00)0.036−0.01 (−0.05–0.04)d0.777−0.06 (−0.10– −0.02)0.005−0.03 (−0.07–0.01)d0.116
 Insulin (µU/ml)§−1.6 (−4.0–0.9)0.2150.4 (−2.0–2.7)d0.764−1.7 (−3.4–0.1)0.069−1.1 (−2.7–0.6)d0.201
Adipokines (µU/ml)
 Leptin§−4.9 (−8.0– −1.7)0.003−1.8 (−4.4–0.9)e0.198−2.9 (−5.2– −0.5)0.016−2.7 (−4.6– −0.6)e0.010
 Adiponectin§−2.1 (−4.8–0.6)0.129−1.4 (−4.2–1.5)e0.337−0.5 (−2.4–1.4)0.5980.4 (−1.6–2.5)e0.671
Inflammatory markers
 hs-CRP (mg/l)§−9.6 (−13.5– −5.5)<0.001−6.8 (−10.7– −2.8)e0.001−4.7 (−7.6– −1.8)0.002−3.2 (−6.1– −0.2)e0.039
 IL-6 (pg/ml)§−1.1 (−6.6–4.8)0.713−1.1 (−7.0–5.2)e0.730−5.4 (−9.1– −1.5)0.007−4.1 (−8.2–0.1)e0.055
 TNF-α (pg/ml)§−0.4 (−4.0–3.3)0.8281.2 (−2.6–5.3)e0.534−2.1 (−4.5–0.4)0.094−1.2 (−3.8–1.5)e0.392
Homocysteine (µmol/l)§−2.9 (−4.0– −1.7)<0.001−0.6 (−1.8–0.7)e0.359−1.1 (−2.0– −0.2)0.0190.6 (−0.4–1.6)e0.212
Uric acid (µmol/l)−3.93 (−6.92– −0.94)0.0101.12 (−1.79–4.04)e0.4490.53 (−1.75–2.80)0.6500.84 (−1.52–3.21)e0.485

HDL: high density lipoprotein: hs-CRP: high sensitivity C-reactive protein; IL-6: interleukin 6; LDL: low density lipoprotein; TNF-α: tumour necrosis factor alpha.

Statistical analyses performed using linear regression. Results are expressed as effect of a 5 kg increase in grip strength and (95% confidence interval). Multivariate adjustment for age, current smoking, leisure-time physical activity and occupational physical activity, with a further adjustment on aweight; bbody mass index and antihypertensive drug treatment; cbody mass index and lipid lowering drug treatment; dbody mass index and antidiabetic drug treatment; ebody mass index.

§

On log-transformed data results are expressed as % change of the risk marker related to a 5 kg increase in grip strength.

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