Handgrip strength, cardiometabolic risk and body composition in youth with type 1 diabetes: the Diactive-1 Cohort Study

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dc.contributor.authorHuerta-Uribe, Nidia
dc.contributor.authorHormazábal-Aguayo, Ignacio
dc.contributor.authorMuñoz-Pardeza, Jacinto
dc.contributor.authorChueca-Guindulain, María J
dc.contributor.authorBerrade-Zubiri, Sara
dc.contributor.authorSesma, Carlos Andrés
dc.contributor.authorSánchez, Elisabet Burillo
dc.contributor.authorEzzatvar, Yasmin
dc.contributor.authorYáñez-Sepúlveda, Rodrigo
dc.contributor.authorIzquierdo, Mikel
dc.contributor.authorGarcía-Hermoso, Antonio
dc.date.accessioned2025-01-22T15:31:12Z
dc.date.available2025-01-22T15:31:12Z
dc.date.issued0024-12
dc.descriptionINDEXACION SCOPUS
dc.description.abstractObjective This study aimed to explore the association between handgrip strength, cardiometabolic risk (CMR) and body composition in youth with type 1 diabetes. Methods For this prospective cohort study, muscular fitness was assessed via handgrip test and relativised by weight, and body composition, evaluated through dual-energy X-ray absorptiometry in type 1 diabetes patients aged 6-18 years. CMR score included z-scores for total body fat, blood pressure, glycated haemoglobin (HbA1c), low-density lipoprotein cholesterol, high-density lipoprotein cholesterol and triglyceride-glucose index. Results Eighty-three patients were analysed at baseline and 1-year follow-up (44.6% females, mean age 12.77 years). Individuals with high handgrip strength tended to have lower CMR and body fat compared with those with low handgrip strength. Over a year, individuals with high handgrip strength showed reduced HbA1c, CMR and subcutaneous fat. Consistently meeting high handgrip strength criteria resulted in reductions in HbA1c levels, CMR score and subcutaneous adipose tissue compared with those who never complied or lost compliance during follow-up. Additionally, subjects classified with high handgrip strength both at baseline and follow-up had a lower likelihood of being classified with high CMR (OR=0.241, 95% CI 0.121 to 0.947, p=0.044). Conclusions High handgrip strength was associated with significant cardiometabolic and body composition benefits in youth with type 1 diabetes. This tool could be considered of potential clinical value for incorporating assessments like handgrip tests to monitor and address cardiometabolic health. © Author(s) (or their employer(s)) 2024. Re-use permitted under CC BY. Published by BMJ.
dc.identifier.doi10.1136/bmjsem-2024-002177
dc.identifier.issn20557647
dc.identifier.urihttps://repositorio.unab.cl/handle/ria/63195
dc.language.isoen
dc.publisherBMJ Publishing Group
dc.rights.licenseCC BY LICENSE
dc.subjectChildren's health and exercise; Diabetes; Muscle; Physical fitness
dc.titleHandgrip strength, cardiometabolic risk and body composition in youth with type 1 diabetes: the Diactive-1 Cohort Study
dc.typeArtículo
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