Comparison of Hand Grip Strength in Hypertensive and Non-Hypertensive Middle-Aged People
DOI:
https://doi.org/10.61919/jhrr.v4i1.470Keywords:
Hand Grip Strength, Hypertension, Middle-aged, Pakistan, Cardiovascular Health, Non-invasive MarkerAbstract
Background: Hypertension is a leading risk factor for cardiovascular diseases, affecting millions globally. Previous studies have suggested an inverse relationship between hand grip strength (HGS) and hypertension, indicating the potential of HGS as a non-invasive marker for cardiovascular health. However, research exploring this relationship within the middle-aged population of Pakistan remains limited.
Objective: This study aims to compare hand grip strength between hypertensive and non-hypertensive middle-aged individuals and to assess the potential of HGS as a predictive marker for hypertension.
Methods: A comparative cross-sectional study was conducted over six months, from August 2022 to February 2023, involving 220 participants (110 hypertensive and 110 non-hypertensive), aged 35-45 years, at PSRD and Jinnah Hospitals in Lahore, Pakistan. Hand grip strength was measured using a CAMRY digital dynamometer, and blood pressure was assessed with a Certeza sphygmomanometer. Participants were excluded if they had wrist joint problems, neurological disorders, a history of frozen shoulders, limb fractures, cognitive impairments, diabetes, or were pregnant. Data were analyzed using SPSS version 25, employing independent sample t-tests with a significance level set at p<0.05.
Results: The mean age of participants was 39.81±3.16 years. Hypertensive individuals showed significantly lower hand grip strength compared to non-hypertensive individuals, with mean dominant HGS at 34.10±8.75 kg for hypertensives and 39.40±7.37 kg for non-hypertensives. Non-dominant HGS followed a similar pattern, with hypertensives at 31.87±8.75 kg and non-hypertensives at 36.97±7.57 kg. Additionally, a higher proportion of males was observed in the hypertensive group compared to the non-hypertensive group.
Conclusion: The study found a significant association between lower hand grip strength and hypertension among middle-aged individuals, supporting the potential of HGS as a screening tool for hypertension risk. This finding underscores the importance of incorporating hand grip strength assessment into routine health evaluations to identify individuals at higher risk of hypertension.
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References
Roba HS, Beyene AS, Mengesha MM, Ayele BH. Prevalence of hypertension and associated factors in Dire Dawa city, Eastern Ethiopia: a community-based cross-sectional study. International journal of hypertension. 2019;2019.
Carey RM, Whelton PK, Committee* AAHGW. Prevention, detection, evaluation, and management of high blood pressure in adults: synopsis of the 2017 American College of Cardiology/American Heart Association Hypertension Guideline. Annals of internal medicine. 2018;168(5):351-8.
Park JB, Kario K, Wang J-G. Systolic hypertension: an increasing clinical challenge in Asia. Hypertension Research. 2015;38(4):227-36.
Ajani K, Gowani A, Gul R, Petrucka P. Levels and predictors of self-care among patients with hypertension in Pakistan. International Journal of General Medicine. 2021:1023-32.
Saxena T, Ali AO, Saxena M. Pathophysiology of essential hypertension: an update. Expert review of cardiovascular therapy. 2018;16(12):879-87.
Kim B-J, Ahn SH, Lee SH, Hong S, Hamrick MW, Isales CM, et al. Lower hand grip strength in older adults with non-alcoholic fatty liver disease: a nationwide population-based study. Aging (Albany NY). 2019;11(13):4547.
Amaral CdA, Portela MC, Muniz PT, Farias EdS, Araújo TSd, Souza OFd. Associação da força de preensão manual com morbidades referidas em adultos de Rio Branco, Acre, Brasil: estudo de base populacional. Cadernos de saúde pública. 2015;31:1313-25.
Nyberg M, Gliemann L, Hellsten Y. Vascular function in health, hypertension, and diabetes: effect of physical activity on skeletal muscle microcirculation. Scandinavian journal of medicine & science in sports. 2015;25:60-73.
Zhang X, Huang L, Peng X, Xie Y, Bao X, Huang J, et al. Association of handgrip strength with hypertension among middle-aged and elderly people in Southern China: A cross-sectional study. Clinical and Experimental Hypertension. 2020;42(2):190-6.
Mainous III AG, Tanner RJ, Anton SD, Jo A. Grip strength as a marker of hypertension and diabetes in healthy weight adults. American journal of preventive medicine. 2015;49(6):850-8.
Ji C, Zheng L, Zhang R, Wu Q, Zhao Y. Handgrip strength is positively related to blood pressure and hypertension risk: results from the National Health and nutrition examination survey. Lipids in health and disease. 2018;17(1):1-7.
Shariq OA, McKenzie TJ. Obesity-related hypertension: a review of pathophysiology, management, and the role of metabolic surgery. Gland surgery. 2020;9(1):80.
Mahmood S, Shah KU, Khan TM, Nawaz S, Rashid H, Baqar SWA, et al. Non-pharmacological management of hypertension: in the light of current research. Irish Journal of Medical Science (1971-). 2019;188:437-52.
Umemura S, Arima H, Arima S, Asayama K, Dohi Y, Hirooka Y, et al. The Japanese Society of Hypertension guidelines for the management of hypertension (JSH 2019). Hypertension Research. 2019;42(9):1235-481.
Grillo A, Salvi L, Coruzzi P, Salvi P, Parati G. Sodium intake and hypertension. Nutrients. 2019;11(9):1970.
Riaz M, Shah G, Asif M, Shah A, Adhikari K, Abu-Shaheen A. Factors associated with hypertension in Pakistan: A systematic review and meta-analysis. PloS one. 2021;16(1):e0246085.
Marwaha K. Examining the role of psychosocial stressors in hypertension. Journal of Preventive Medicine and Public Health. 2022;55(6):499-505.
Larsen MK, Matchkov VV. Hypertension and physical exercise: The role of oxidative stress. Medicina. 2016;52(1):19-27.
Ogbutor G, Nwangwa E, Uyagu D. Isometric handgrip exercise training attenuates blood pressure in prehypertensive subjects at 30% maximum voluntary contraction. Nigerian Journal of Clinical Practice. 2019;22(12):1765-71.
Travassos A, Osório NB, Avelino-dos-Santos C, Figueiredo AB, Nunes DP, Rosa TdS, et al. Hemodynamics and functional outcomes after resistance training in hypertensive and normotensive elderly: An experimental study. Motriz: Revista de Educação Física. 2022;28.
Facioli TdP, Buranello MC, Regueiro EMG, Basso-Vanelli RP, Durand MdT. Effect of physical training on nitric oxide levels in patients with arterial hypertension: An integrative review. International Journal of Cardiovascular Sciences. 2021;35:253-64.
Asif M, Aslam M, Altaf S, Atif S, Majid A. Prevalence and sociodemographic factors of overweight and obesity among Pakistani adults. Journal of obesity & metabolic syndrome. 2020;29(1):58.
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Copyright (c) 2024 Muhammad Kamran Shahid, Muhammad Usama Sohail, Aneela Amjad, Ghazal Azhar, Ali Raza, Laiba Khokhar
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