title: Handgrip strength cutoff for cardiometabolic risk index among Colombian children and adolescents: The FUPRECOL Study.
abstract: Evidence shows an association between muscular strength (MS) and health among young people, however low muscular strength cut points for the detection of high metabolic risk in Latin-American populations are scarce. The aim of this study was twofold: to explore potential age- and sex-specific thresholds of MS, for optimal cardiometabolic risk categorization among Colombian children and adolescents; and to investigate whether cardiometabolic risk differed by MS group by applying the receiver operating characteristic curve (ROC) cut point. MS was estimated by using a handle dynamometer on 1,950 children and adolescents from Colombia, using MS relative to weight (handgrip strength/body mass). A metabolic risk score was computed from the following components: waist circumference, triglycerides, HDL-c, glucose, and systolic and diastolic blood pressure. ROC analysis showed a significant discriminatory accuracy of MS in identifying the low/high metabolic risk in children and adolescents and in both genders. In children, the handgrip strength/body mass levels for a low metabolic risk were 0.359 and 0.376 in girls and boys, respectively. In adolescents, these points were 0.440 and 0.447 in girls and boys, respectively. In conclusion, the results suggest an MS level relative to weight for having a low metabolic risk, which could be used to identify youths at risk.
authors.affiliation: Centro de Estudios para la Medición de la Actividad Física «CEMA». Escuela de Medicina y Ciencias de la Salud, Universidad del Rosario, Bogotá D.C., Colombia.
authors.forename: Robinson
authors.initials: R
authors.lastname: Ramírez-Vélez
authors.affiliation: Centro de Estudios para la Medición de la Actividad Física «CEMA». Escuela de Medicina y Ciencias de la Salud, Universidad del Rosario, Bogotá D.C., Colombia.
authors.forename: Jhonatan Camilo
authors.initials: JC
authors.lastname: Peña-Ibagon
authors.affiliation: Centro de Estudios para la Medición de la Actividad Física «CEMA». Escuela de Medicina y Ciencias de la Salud, Universidad del Rosario, Bogotá D.C., Colombia.
authors.forename: Javier
authors.initials: J
authors.lastname: Martínez-Torres
authors.affiliation: Centro de Estudios para la Medición de la Actividad Física «CEMA». Escuela de Medicina y Ciencias de la Salud, Universidad del Rosario, Bogotá D.C., Colombia.
authors.forename: Alejandra
authors.initials: A
authors.lastname: Tordecilla-Sanders
authors.affiliation: Centro de Estudios para la Medición de la Actividad Física «CEMA». Escuela de Medicina y Ciencias de la Salud, Universidad del Rosario, Bogotá D.C., Colombia.
authors.forename: Jorge Enrique
authors.initials: JE
authors.lastname: Correa-Bautista
authors.affiliation: Hubert Department of Global Health, Rollins School of Public Health, Emory University, Atlanta, GA, USA.
authors.forename: Felipe
authors.initials: F
authors.lastname: Lobelo
authors.affiliation: Laboratorio de Ciencias de la Actividad Física, el Deporte y la Salud, Facultad de Ciencias Médicas, Universidad de Santiago de Chile, USACH, Santiago, Chile.
authors.forename: Antonio
authors.initials: A
authors.lastname: García-Hermoso
mesh_terms: D000293:Adolescent; D015415:Biomarkers; D001837:Body Weights and Measures; D002318:Cardiovascular Diseases / Q000453:epidemiology*; D002648:Child; D003105:Colombia / Q000453:epidemiology; D003430:Cross-Sectional Studies; D004198:Disease Susceptibility; D005260:Female; D018737:Hand Strength; D006801:Humans; D008297:Male; D008659:Metabolic Diseases / Q000453:epidemiology*; D011159:Population Surveillance; D012372:ROC Curve; D018570:Risk Assessment; D012307:Risk Factors
chemical_list: D015415:Biomarkers