Handgrip and sex-specific cardiometabolic risk factors in Hispanic/Latino migrant farmworkers

AbstractStudies have suggested that handgrip strength might be a marker for cardiometabolic risk (CMR), but it has not been studied in Hispanic/Latino farmworker population. This study aimed to characterize absolute and relative handgrip strength in Hispanic/Latino farmworkers, and investigate the sex-specific association between handgrip strength and CMR factors. CMR factors and seated isometric absolute (the sum of both hands) and relative (absolute handgrip strength divided by body mass index) handgrip strengths were collected in 173 Hispanic/Latino farmworkers (mean age 35.1 ± 0.7 years; 49% female). The absolute and the relative handgrip strengths were 89.2 ± 1.8 kg, 3.3 ± 0.1 kg among males, and 56.5 ± 1.9 kg, 1.9 ± 0.1 kg among females, respectively. Age was correlated with absolute (r = − 0.17, p = 0.03) and relative handgrip strengths (r = − 0.28, p < 0.01). In males, absolute handgrip was related to triglycerides (r = − 0.25, p < 0.05), whereas relative handgrip was related to waist circumference (r = − 0.32, p < 0.01), waist/hip circumference ratio (r = − 0.36, p < 0.01), high-density lipoprotein (r = 0.24, p < 0.05), and triglycerides (r = − 0.35, p < 0.01). In females, absolute handgrip was related to fasting plasma glucose (r = − 0.28, p = 0.03), whereas relative handgrip was related to waist circumference (r = − 0.38, p < 0.01) and fasting plasma glucose (r = − 0.22, p < 0.05). Males had lower absolute handgrip strength when their triglycerides levels were at risk (p = 0.021), and lower relative handgrip strength when their plasma glucose (p = 0.034) and triglycerides (p = 0.002) levels were at risk. Females had lower relative handgrip strength when their plasma glucose (p = 0.001) and blood pressure (p = 0.004) were at risk. This study suggests that handgrip strength may be associated with sex-specific CMR factors in a Hispanic/Latino farmworker population.

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Metabolic Syndrome: Prevalence and Risk Factors among Adolescent Female Intermediate and Secondary Students in Saudi Arabia

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph18042142 ◽

2021 ◽

Vol 18 (4) ◽

pp. 2142

Author(s):

Areej Alowfi ◽

Sumayah Binladen ◽

Sumaya Irqsous ◽

Alya Khashoggi ◽

Muhammad Anwar Khan ◽

...

Keyword(s):

Risk Factors ◽

Metabolic Syndrome ◽

Saudi Arabia ◽

Waist Circumference ◽

Plasma Glucose ◽

Fasting Plasma Glucose ◽

Density Lipoprotein ◽

Female Adolescents ◽

Fasting Plasma ◽

Increased Risk

Background: Metabolic syndrome (MS) has become one of the major challenges to public health worldwide due to its significant association with increased risk of developing type 2 diabetes and cardiovascular disease (CVD) among children and adolescents. Therefore, this study aims to determine the prevalence and risk factors of MS in Saudi adolescents. Methods: This cross-sectional study was conducted in two female National Guard schools (Um Kalthoom Intermediate School and Zainab Bint Jahsh Secondary School) in Jeddah, Saudi Arabia, between January 2018 and March 2018. Of the 808 female students, 172 (age range of 12–19 years) participated voluntarily, with consent from their guardian(s), fasted for at least 8 h prior to the study, and represent the final study sample. Male students were not included due to cultural constraints in conducting the study. Demographic data, physical measurement (blood pressure, weight, height, body mass index (BMI) and waist circumference (WC)), and biochemical measurement (fasting plasma glucose and triglycerides, high-density lipoprotein (HDL), and low-density lipoprotein) were obtained. The International Diabetes Federation (IDF) criteria was utilized in the diagnosis of MS. Results: Of the 172 female adolescents, 24 (13.75%) are overweight, 20 (11.63%) are obese, and 3 (1.74%) are underweight. High-fasting plasma glucose (n = 85, 49.41%) and high waist circumference (n = 74, 43.02%) were the most common risk factors of MS among female adolescents. The overall prevalence of MS was 7% (n = 12/172). MS is more common among those who are obese or among those with a BMI that falls at the ≥95th percentile (n = 6/20, 30.0%) (p < 0.05) as compared to those who are overweight with a BMI that falls within the 85th to <95th percentiles (n = 2/24, 8.33%). Interestingly, 3.20% of the sample (n = 4/125) with normal BMI were diagnosed with MS. Conclusions: Our study indicates that MS is common among obese and overweight female adolescents but is also present among those who are not obese or with normal BMI. Moreover, the prevalence of overweight, obese, and those with MS in this reference population are lower compared to the cities of Makkah and Riyadh; however, it varies widely around the world due to different criteria and cut-off values in the diagnosis of MS.

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National Health Examination Metabolic Syndrome Item and Health Behavior Analysis

The Asian Journal of Kinesiology ◽

10.15758/ajk.2020.22.4.1 ◽

2020 ◽

Vol 22 (4) ◽

pp. 1-10

Author(s):

Hyung-yeol Choi ◽

Chang-hyun Jang ◽

Soo-yeon Kim

Keyword(s):

Physical Activity ◽

Blood Pressure ◽

Metabolic Syndrome ◽

Waist Circumference ◽

Plasma Glucose ◽

Fasting Plasma Glucose ◽

Density Lipoprotein ◽

Fasting Plasma ◽

Intensity Physical Activity ◽

Physical Activity Group

OBJECTIVES The purpose of this study is to investigate the relationship between the habits of physical activities in several intensities, drinking, and smoking of the general public who live in the S city and diabetes, high blood pressure, high-density lipoprotein cholesterol, plasma triglyceride, and waist circumference of them.METHODS For research, residents of 2,438,370 in S city were selected by using the big data of health checkups sheets that were conducted by the National Health Insurance Corporation in 2017. Physical activities were classified into three groups by intensity. The part of drinking was divided into three groups of non-alcohol, low, and high-drinking people. There were four groups in smoking of non-smoking, the group that smoke lower than the half pack of cigarettes per day, the half to one pack, and more than one pack. Metabolic syndrome frequency analysis and logistic regression analysis were used for this research.RESULTS Compared to the low-intensity physical activity group, the high-intensity group had 0.992, 0.954, 0.871, 0.83, and 0.878 times of lower risk in fasting plasma glucose, blood pressure, high density lipoprotein (HDL-C), plasma triglycerides, and abnormal waist circumference. High drinking group had more risk of fasting plasma glucose, blood pressure, HDL-C, plasma triglyceride, and abnormal waist circumference by 1.326, 1.894, 1.334, 2.125 and 1.263 times than non-drinking group. The group who smoked more than one pack a day had more risk of fasting plasma glucose, blood pressure, HDL-C, plasma triglyceride, and abnormal waist circumference by 1.971, 1.225, 3.229, 2.871, and 1.522 times than the group of non-smoking.CONCLUSION The subjects who did not have risk factors for metabolic syndrome were 29.7%. The average of patients with metabolic syndrome was 25.2%, of which males were 30.3%, and females were 20.1% of them. Metabolic syndrome factors were proved statistically valid. In the physical activity group, the high-intensity physical activity group had a lower risk of metabolic syndrome factors than the low and medium-intensity physical activity groups. The high-drinking group had a higher risk of metabolic syndrome in triglycerides, and the smoking group who smoked more than one pack per day had a higher risk of metabolic syndrome in high-density lipoprotein cholesterol.

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Abstract MP006: A Feasible and Effective Mobile Health Weight Loss Lifestyle Intervention for Filipinos With Type 2 Diabetes

Circulation ◽

10.1161/circ.135.suppl_1.mp006 ◽

2017 ◽

Vol 135 (suppl_1) ◽

Author(s):

Melinda S Bender ◽

Bruce Cooper ◽

Shoshana Arai

Keyword(s):

Weight Loss ◽

Waist Circumference ◽

Lifestyle Intervention ◽

Plasma Glucose ◽

Fasting Plasma Glucose ◽

Retention Rate ◽

Intervention Group ◽

Step Counts ◽

Fasting Plasma ◽

Cardiometabolic Risks

Introduction: Filipino Americans have the highest prevalence of obesity and type 2 diabetes (T2D) compared to Asian American subgroups placing them at high risk for cardiometabolic disease. Effective interventions are needed to reduce these health disparities. Mobile health (mHealth) weight loss lifestyle interventions have been effective in reducing cardiometabolic risks, but are untested among Filipinos, particularly with T2D. As prolific users of digital technology, Filipinos are ideal candidates for mHealth lifestyle interventions. Therefore, we conducted the PilAm Go4Health intervention study - a culturally adapted weight loss lifestyle intervention using mobile technology to reduce cardiometabolic risks among Filipinos with T2D. Objective: To demonstrate intervention feasibility and potential efficacy. Hypothesis: 1) participant retention rate will be greater than 80%; 2) Compared to the control, intervention group will have significantly greater reduction in: % weight loss, waist circumference, fasting plasma glucose, and HbA1; and greater increase in step-counts. Methods: Two-arm (intervention +active control groups) RCT compared a 3-month intervention (Fitbit accelerometer +mHealth app/diary +Facebook group) and control (Fitbit accelerometer). N=45 overweight Filipino adults with T2D were recruited from Northern California communities. Between group differences from baseline to 3-months were analyzed using: 1) multilevel regression for within-person change in weight and step-counts using a nonparametric bias-corrected bootstrapped 95% CI for the multilevel models, and 2) T-tests, ANOVA for waist circumference, fasting plasma glucose, and HbA1c (significance =p<0.05, 2-sided). Cohen’s d was used for effect size analyses. Results: Randomized N=45 Filipinos (intervention =22 and control =23). Mean age was 58±10 years, 62% women, and retention rate=100%. There was significantly greater reduction in the intervention group compared to the control for: % weight (2.3% greater decrease, d=0.46); waist circumference (-2.68cm; d= 0.88); and fasting plasma glucose (-18.52mg/dl; d= -0.86). HbA1c group difference was not significant (-0.34%; p< 0.19). Step-counts significantly increased in the intervention group compared to control (3432 steps at endpoint; d=1.44). Conclusion: PilAm Go4Health intervention demonstrated excellent feasibility in recruitment and retention, and potential efficacy for reducing cardiometabolic risks in Filipinos with T2D. Results warrant further testing of this lifestyle intervention that may support translation to other at-risk diverse populations living with T2D.

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A STUDY OF RELATION OF LOWER LIMB SPASTICITY WITH LIPID PROFILE AND FASTING PLASMA GLUCOSE LEVELS IN CHRONIC MOTOR COMPLETE SPINAL CORD INJURY PATIENTS.

International Journal of Medical and Biomedical Studies ◽

10.32553/ijmbs.v4i1.1041 ◽

2020 ◽

Vol 4 (1) ◽

Author(s):

Batra Amit ◽

Prakash Om ◽

Jindal Rajeshwari ◽

Batra Shivra

Keyword(s):

Spinal Cord ◽

Spinal Cord Injury ◽

Plasma Glucose ◽

Fasting Plasma Glucose ◽

Lower Limb ◽

Density Lipoprotein ◽

Fasting Plasma ◽

Cord Injury ◽

Limb Spasticity ◽

Lower Limb Spasticity

Background: Most common cause of spinal cord injury in India is fall from height followed by road accidents which may lead to incomplete or complete disruption of neural signal transmission across and below the level of injury. Spasticity is a common but not an inevitable complication following spinal cord injury. Study Objective: The present study tried to explore the correlation between the lower limb spasticity following spinal cord injury and the metabolic markers. Study design: Hospital-based cross-sectional study. Material and Methods: Fifty patients recruited from Department of Physical Medicine and Rehabilitation, Sawai Man Singh Hospital, Jaipur (Raj.), were categorized into mild (16),moderate (11), and severe (23)spastic groups based on assessment of ankle/knee extensor muscle group spasticity using the modified Ashworth scale. The metabolic profile markers such as Total Cholesterol (TC), Low-density Lipoprotein (LDL), High-Density Lipoprotein (HDL), Triglyceride (TG) and Fasting Plasma Glucose (FPG) were estimated and compared between the three groups. Results: The triglycerides, total cholesterol, low density lipoproteins and the fasting plasma glucose level were significantly negatively correlated with the grading of spasticity in lowerlimbs (P <0.001). The high density lipoproteins level was higher in a severe spastic group as compared to the mild and moderate spastic groups; but this result was statistically non-significant (P=0.14). Conclusion: Spasticity in motor complete SCI may have beneficial effects in preserving glucose homeostasis and defending rise in adiposity, rationalizing the need for its judicious management to maintain the crucial balance between its beneficial and problematic effects. Keywords: Spasticity, Modified Ashworth score, Spinal cord injury, lipid profile, fasting plasma glucose.

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Gender Differences in Cardiometabolic Risk Factors in Metabolically Healthy Normal Weight Adults with Central Obesity

Experimental and Clinical Endocrinology & Diabetes ◽

10.1055/s-0043-119877 ◽

2017 ◽

Vol 126 (05) ◽

pp. 309-315

Author(s):

Katarína Šebeková ◽

Melinda Csongová ◽

Radana Gurecká ◽

Zora Krivošíková ◽

Jozef Šebek

Keyword(s):

Blood Pressure ◽

Waist Circumference ◽

Plasma Glucose ◽

Fasting Plasma Glucose ◽

Central Obesity ◽

Cross Sectional Study ◽

Normal Weight ◽

Cross Sectional ◽

Fasting Plasma ◽

Metabolically Healthy

AbstractWe investigated whether metabolically healthy normal weight adults with central obesity display worse cardiometabolic profile compared with their centrally lean counterparts. This retrospective, cross-sectional study, comprised 1 135 subjects (64% females) aged 18-to-81 years, presenting ≤2 components of metabolic syndrome. They were classified as centrally lean (waist-to-height ratio (WHtR)<0.5 and waist circumference<80 cm in females and<94 cm in males) or presenting central obesity (WHtR ≥0.5, regardless of waist circumference). Data on blood pressure, glucose homeostasis, lipid profile, renal function, high-sensitive C-reactive protein (hsCRP), uric acid, adiponectin, leptin, and soluble receptor for advanced glycation end products were compared between the groups, separately in males and females. 5.7% of males and 6.9% of females presented WHtR ≥0.5. Compared with centrally lean subjects, those with central obesity had higher BMI-adjusted fasting plasma glucose (p<0.001), and leptin levels (p<0.05); females also presented higher blood pressure (p<0.001), while males had higher hsCRP concentrations (p=0.021). These changes associated with significantly higher BMI-adjusted odds to present fasting plasma glucose >5.6 mmol/l in both genders, higher odds to present hsCRP >3 mg/l in males, and those to present elevated blood pressure in females. Our analysis suggests that in metabolically healthy normal weight subjects WHtR ≥0.5 might indicate “early increased health risk”.

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Fasting Plasma Glucose and Clustering of Cardiometabolic Risk Factors in Normoglycemic Outpatient Children and Adolescents

Diabetes Care ◽

10.2337/dc10-1783 ◽

2011 ◽

Vol 34 (6) ◽

pp. 1412-1414 ◽

Cited By ~ 12

Author(s):

P. Di Bonito ◽

E. Sanguigno ◽

C. Forziato ◽

F. Saitta ◽

M. R. Iardino ◽

...

Keyword(s):

Risk Factors ◽

Children And Adolescents ◽

Plasma Glucose ◽

Fasting Plasma Glucose ◽

Cardiometabolic Risk ◽

Cardiometabolic Risk Factors ◽

Fasting Plasma ◽

Outpatient Children

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Association of cognitive dietary restraint and disinhibition with prediabetes – cross-sectional and longitudinal data of a feasibility study in German employees

Public Health Nutrition ◽

10.1017/s1368980011002370 ◽

2011 ◽

Vol 15 (5) ◽

pp. 860-867 ◽

Cited By ~ 8

Author(s):

Birgit-Christiane Zyriax ◽

Christina Wolf ◽

Annika Schlüter ◽

Asad Hameed Khattak ◽

Joachim Westenhoefer ◽

...

Keyword(s):

Waist Circumference ◽

Longitudinal Data ◽

Feasibility Study ◽

Plasma Glucose ◽

Fasting Plasma Glucose ◽

Central Obesity ◽

Eating Behaviour ◽

Cross Sectional ◽

Flexible Control ◽

Fasting Plasma

AbstractObjectiveTo investigate the impact of eating behaviour traits on central obesity, prediabetes and associated major dietary food patterns.DesignAssessment of eating behaviour was based on the revised German version of the Three-Eating Factor Questionnaire using cross-sectional and longitudinal data of a feasibility study in employees. Data on lifestyle and nutrition were obtained by validated self-administered questionnaires. Baseline characteristics were analysed by the univariate χ2 test or the Mann–Whitney test. To quantify correlations linear regression analysis was used.SettingThe Delay of Impaired Glucose Tolerance by a Healthy Lifestyle Trial (DELIGHT), which investigated measures to prevent type 2 diabetes mellitus in 2004–2008.SubjectsEmployees (21–64 years, 127 men, 157 women) with elevated waist circumference (men ≥94 cm, women ≥80 cm) of five medium-sized companies in northern Germany.ResultsAt baseline (T0), BMI but particularly waist circumference showed a strong inverse correlation with flexible control (P < 0·0001) and a positive correlation with disinhibition (P < 0·0001) and rigid control (P = 0·063). Flexible control was also significantly inversely related to fasting plasma glucose (P = 0·040), energy intake (P < 0·0001), intake of meat and meat products (P = 0·0001), and positively associated with intake of fruit and vegetables (P < 0·0001) at baseline (T0). Changes in flexible control within the first year of intervention (T1 v. T0) predicted changes in central obesity (P < 0·0001) and fasting plasma glucose (P = 0·025).ConclusionsDELIGHT shows that flexible control characterizes individuals with a higher dietary quality, a lower waist circumference and a lower glucose level. Enhancing flexible control more than rigid control, and decreasing disinhibition, seems beneficial in terms of central adiposity and glucose levels.

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