Muscular Strength as a Predictor of All-Cause Mortality in an Apparently Healthy Population: A Systematic Review and Meta-Analysis of Data From Approximately 2 Million Men and Women
Objectives: The aims of the present systematic review and meta-analysis were to determine the relationship between muscular strength and all-cause mortality risk and to examine the sex-specific impact of muscular strength on all-cause mortality in an apparently healthy population. Data Sources: Two...
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W.B. Saunders
2018
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ir-10336-227892022-05-02T12:37:14Z Muscular Strength as a Predictor of All-Cause Mortality in an Apparently Healthy Population: A Systematic Review and Meta-Analysis of Data From Approximately 2 Million Men and Women García-Hermoso A. Cavero-Redondo I. Ramírez-Vélez R. Ruiz J.R. Ortega F.B. Lee D.-C. Martínez-Vizcaíno V. Adult All cause mortality Article Cohort analysis Controlled study Data extraction Data synthesis Death Embase Female Follow up Grip strength Hazard ratio Human Knee Male Medline Meta analysis Mortality risk Muscle strength Risk assessment Systematic review Aged Cause of death Health survey Middle aged Mortality Muscle disease Muscle strength Pathophysiology Physiology Proportional hazards model Sex ratio Adult Aged Cause of death Cohort studies Female Humans Male Middle aged Muscle strength Muscular diseases Population surveillance Proportional hazards models Sex distribution Death Hand strength Leg strength Muscles Objectives: The aims of the present systematic review and meta-analysis were to determine the relationship between muscular strength and all-cause mortality risk and to examine the sex-specific impact of muscular strength on all-cause mortality in an apparently healthy population. Data Sources: Two authors systematically searched MEDLINE, EMBASE and SPORTDiscus databases and conducted manual searching of reference lists of selected articles. Study Selection: Eligible cohort studies were those that examined the association of muscular strength with all-cause mortality in an apparently healthy population. The hazard ratio (HR) estimates with 95% confidence interval (CI) were pooled by using random effects meta-analysis models after assessing heterogeneity across studies. Data Extraction: Two authors independently extracted data. Data Synthesis: Thirty-eight studies with 1,907,580 participants were included in the meta-analysis. The included studies had a total of 63,087 deaths. Higher levels of handgrip strength were associated with a reduced risk of all-cause mortality (HR=0.69; 95% CI, 0.64-0.74) compared with lower muscular strength, with a slightly stronger association in women (HR=0.60; 95% CI, 0.51-0.69) than men (HR=0.69; 95% CI, 0.62-0.77) (all P less than .001). Also, adults with higher levels of muscular strength, as assessed by knee extension strength test, had a 14% lower risk of death (HR=0.86: 95% CI, 0.80-0.93; P less than .001) compared with adults with lower muscular strength. Conclusions: Higher levels of upper- and lower-body muscular strength are associated with a lower risk of mortality in adult population, regardless of age and follow-up period. Muscular strength tests can be easily performed to identify people with lower muscular strength and, consequently, with an increased risk of mortality. © 2018 American Congress of Rehabilitation Medicine 2018 2020-05-25T23:58:02Z info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion 1532821X 00039993 https://repository.urosario.edu.co/handle/10336/22789 https://doi.org/10.1016/j.apmr.2018.01.008 eng info:eu-repo/semantics/openAccess application/pdf W.B. Saunders instname:Universidad del Rosario |
institution |
EdocUR - Universidad del Rosario |
collection |
DSpace |
language |
Inglés (English) |
topic |
Adult All cause mortality Article Cohort analysis Controlled study Data extraction Data synthesis Death Embase Female Follow up Grip strength Hazard ratio Human Knee Male Medline Meta analysis Mortality risk Muscle strength Risk assessment Systematic review Aged Cause of death Health survey Middle aged Mortality Muscle disease Muscle strength Pathophysiology Physiology Proportional hazards model Sex ratio Adult Aged Cause of death Cohort studies Female Humans Male Middle aged Muscle strength Muscular diseases Population surveillance Proportional hazards models Sex distribution Death Hand strength Leg strength Muscles |
spellingShingle |
Adult All cause mortality Article Cohort analysis Controlled study Data extraction Data synthesis Death Embase Female Follow up Grip strength Hazard ratio Human Knee Male Medline Meta analysis Mortality risk Muscle strength Risk assessment Systematic review Aged Cause of death Health survey Middle aged Mortality Muscle disease Muscle strength Pathophysiology Physiology Proportional hazards model Sex ratio Adult Aged Cause of death Cohort studies Female Humans Male Middle aged Muscle strength Muscular diseases Population surveillance Proportional hazards models Sex distribution Death Hand strength Leg strength Muscles García-Hermoso A. Cavero-Redondo I. Ramírez-Vélez R. Ruiz J.R. Ortega F.B. Lee D.-C. Martínez-Vizcaíno V. Muscular Strength as a Predictor of All-Cause Mortality in an Apparently Healthy Population: A Systematic Review and Meta-Analysis of Data From Approximately 2 Million Men and Women |
description |
Objectives: The aims of the present systematic review and meta-analysis were to determine the relationship between muscular strength and all-cause mortality risk and to examine the sex-specific impact of muscular strength on all-cause mortality in an apparently healthy population. Data Sources: Two authors systematically searched MEDLINE, EMBASE and SPORTDiscus databases and conducted manual searching of reference lists of selected articles. Study Selection: Eligible cohort studies were those that examined the association of muscular strength with all-cause mortality in an apparently healthy population. The hazard ratio (HR) estimates with 95% confidence interval (CI) were pooled by using random effects meta-analysis models after assessing heterogeneity across studies. Data Extraction: Two authors independently extracted data. Data Synthesis: Thirty-eight studies with 1,907,580 participants were included in the meta-analysis. The included studies had a total of 63,087 deaths. Higher levels of handgrip strength were associated with a reduced risk of all-cause mortality (HR=0.69; 95% CI, 0.64-0.74) compared with lower muscular strength, with a slightly stronger association in women (HR=0.60; 95% CI, 0.51-0.69) than men (HR=0.69; 95% CI, 0.62-0.77) (all P less than .001). Also, adults with higher levels of muscular strength, as assessed by knee extension strength test, had a 14% lower risk of death (HR=0.86: 95% CI, 0.80-0.93; P less than .001) compared with adults with lower muscular strength. Conclusions: Higher levels of upper- and lower-body muscular strength are associated with a lower risk of mortality in adult population, regardless of age and follow-up period. Muscular strength tests can be easily performed to identify people with lower muscular strength and, consequently, with an increased risk of mortality. © 2018 American Congress of Rehabilitation Medicine |
format |
Artículo (Article) |
author |
García-Hermoso A. Cavero-Redondo I. Ramírez-Vélez R. Ruiz J.R. Ortega F.B. Lee D.-C. Martínez-Vizcaíno V. |
author_facet |
García-Hermoso A. Cavero-Redondo I. Ramírez-Vélez R. Ruiz J.R. Ortega F.B. Lee D.-C. Martínez-Vizcaíno V. |
author_sort |
García-Hermoso A. |
title |
Muscular Strength as a Predictor of All-Cause Mortality in an Apparently Healthy Population: A Systematic Review and Meta-Analysis of Data From Approximately 2 Million Men and Women |
title_short |
Muscular Strength as a Predictor of All-Cause Mortality in an Apparently Healthy Population: A Systematic Review and Meta-Analysis of Data From Approximately 2 Million Men and Women |
title_full |
Muscular Strength as a Predictor of All-Cause Mortality in an Apparently Healthy Population: A Systematic Review and Meta-Analysis of Data From Approximately 2 Million Men and Women |
title_fullStr |
Muscular Strength as a Predictor of All-Cause Mortality in an Apparently Healthy Population: A Systematic Review and Meta-Analysis of Data From Approximately 2 Million Men and Women |
title_full_unstemmed |
Muscular Strength as a Predictor of All-Cause Mortality in an Apparently Healthy Population: A Systematic Review and Meta-Analysis of Data From Approximately 2 Million Men and Women |
title_sort |
muscular strength as a predictor of all-cause mortality in an apparently healthy population: a systematic review and meta-analysis of data from approximately 2 million men and women |
publisher |
W.B. Saunders |
publishDate |
2018 |
url |
https://repository.urosario.edu.co/handle/10336/22789 https://doi.org/10.1016/j.apmr.2018.01.008 |
_version_ |
1740172024923291648 |
score |
12,131701 |