Main Article Content

Abstract

Background: Handgrip strength (HGS) is an indicator of overall muscle health and is affected by impaired blood glucose levels. This review discusses the relationship between HGS and blood glucose levels and provides solutions to the known problems of HGS and blood glucose regulation.


Methods: This review followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses 2020 guidelines. The articles were sourced from Google Scholar and PubMed. A total of 418 studies were screened, of which 19 articles were included in this study. The Newcastle–Ottawa Scale was used to assess the risk of bias.


Results: A relationship was observed between low HGS and high blood glucose levels. The suggested mechanisms involve insulin resistance, Caspase-3 activation, and the mitochondrial impact. Sarcopenia emerged as an independent risk factor for impaired glucose control. Interventions including insulin administration and exercise have been proposed to preserve muscle mass.


Conclusion: Resistance training and HGS exercises can be added to the rehabilitation practices for managing diabetes mellitus. HGS measurements are vital for predicting muscle mass loss in clinical practice.

Keywords

Handgrip Strength Blood Glucose Young Adults Elderly Systematic Review

Article Details

Author Biographies

Lekan Sheriff Ojulari, University of Ilorin, Nigeria

Dr. Lekan Sheriff Ojulari is a Reader at the University of Ilorin in Nigeria. He holds an MBBS, an MSc, and a PhD, demonstrating extensive expertise in medical and physiological sciences. His primary research interests are in diabetes mellitus and endocrinology, focusing on the mechanisms, treatments, and interventions for metabolic disorders.

Swabirah Eniamire Sulaiman, University of Ilorin, Nigeria

Miss Swabirah Sulaiman Enimire is a Clinical Physiologist at Nisa Premier Hospital Abuja, Nigeria. She holds a B.Sc in Human Physiology from the University of Ilorin, Nigeria. 

Olayide Sulaiman Agodirin, University of Ilorin, Nigeria

Olayide Sulaiman Agodirin is a Professor of General Surgery at the University of Ilorin, Nigeria. He holds an MBBS, an MSc in Clinical Research, an MD, and fellowships from the West African College of Surgeons and the National Postgraduate Medical College. A certified data analyst and machine learning professional, his research primarily focuses on breast cancer, emphasizing primordial prevention and early treatment.

Mohammed Amali, University of Chester, England

Mohammed Otofu Amali, PhD, is a Senior Lecturer and the BSc Pharmacology and Biochemistry Programme lead at the Faculty of Health, Medicine and Society, University of Chester Medical School. His research interests include drug allergies, but he has recently focused more on developing drugs from natural products to discover novel therapeutic molecules that can enhance current patient management strategies. 

How to Cite
Ojulari, L. S., Sulaiman, S. E., Agodirin, O. S., & Amali, M. (2024). Systematic Review of the Relationship Between Handgrip Strength and Blood Glucose Levels in Young Adults and the Elderly. Pan-African Journal of Health and Environmental Science, 3(2), 132–146. https://doi.org/10.56893/ajhes2024v03i02.08

References

  1. Åström, M. J., von Bonsdorff, M. B., Salonen, M. K., Kajantie, E., Osmond, C., Eriksson, J. G. (2021). Glucose regulation and grip strength in adults: Findings from the Helsinki Birth Cohort Study. Archives of Gerontology and Geriatrics; 94, 104348. https://doi.org/10.1016/j.archger.2021.104348
  2. Aziakpono, O. M. et al. (2021). Alcohol and Glucose D consumption decreases grip muscle strengths in graded doses. International Journal of Science and Research Archive; 4(1); 39-046; https://doi.org/10.30574/ijsra.2021.4.1.0176
  3. Bardo, A., Kivell, T. L., Town, K., Donati, G., Ballieux, H., Stamate, C., & Forrester, G. S. (2021). Get a grip: Variation in human hand grip strength and implications for human evolution. Symmetry; 13(7); 1142; https://doi.org/10.3390/sym13071142
  4. Bawadi, H., et al. (2020) Muscle strength and glycaemic control among patients with type 2 diabetes. Nutrients, 12(3), 771. https://doi.org/10.3390/nu12030771
  5. Bohannon, R.W., (2019). Grip strength: an indispensable biomarker for older adults. Clinical Interventions in Ageing, 14,1681-1691. https://doi.org/10.2147/cia.s194543
  6. Chang, C.Y., Lin, M.H., Wang, S. C., Wu, D. M., Tsai, M.K., Lu, C.H. (2022). Association between grip strength, obesity, and cardiometabolic risk factors among the community-dwelling elderly population in Taiwan. International Journal of Environmental Research and Public Health; 19(18). https://doi.org/10.3390/ijerph191811359
  7. Darmawan, I. P. G. P., Paramitha, A. A. P. and Putrawan, I. B. I. W. (2022). Risk factors for decreased hand grip strength in type 2 diabetes mellitus patients at the Tabanan Public Health Center II. Indonesia Journal of Biomedical Science, 16(2); pp. 82–85, https://doi.org/10.15562/ijbs.v16i2.405
  8. Giglio, B. M., Mota, J. F., Wall, B. T., Pimentel, G. D. (2018). Low handgrip strength is not associated with type 2 diabetes mellitus and hyperglycemia: a population-based study. Clinical Nutrition Research, 7(2); p. 112; https://doi.org/10 .7762/cnr.2018.7.2.112
  9. Haro, A. S. et al. (2021). Handgrip Strength is more associated with blood glucose than ACE and AGT polymorphisms in hemodialysis patients. Research, Society and Development, 10(5), e10910514369–e10910514369; https://doi.org/10.33448/rsd-v10i5.14369
  10. Kalyani, R. R. et al. (2015). Sex differences in the association of fasting and post-challenge glucose levels with grip strength among older adults: The Rancho Bernardo Study. BMJ Open Diabetes Research and Care; 3(1), e000086. https://doi.org/10.1136/bmjdrc-2015-000086
  11. Karvonen-Gutierrez, C. A., Peng, Q., Peterson, M., Duchowny, K., Nan, B., & Harlow, S., (2018). Low grip strength predicts incident diabetes among mid-life women: The Michigan study of women’s health across the nation. Age and Ageing; 47(5), 685–691. https://doi.org/10.1093/ageing/afy067
  12. Kim, G. H., Song, B. K., Kim, J. W., Lefferts, E. C., Brellenthin, A. G., Lee, D., Kim, Y.-M., Kim, M. K., Choi, B. Y., & Kim, Y. S. (2021). Associations between relative grip strength and type 2 diabetes mellitus: The Yangpyeong cohort of the Korean genome and epidemiology study. Plos One; 16(8), e0256550. https://doi.org/10.1002/adma.201804690
  13. Koo, B. K., Moon, S. and Moon, M. K. (2021). Muscle strength, an independent determinant of glycemic control in older adults with long-standing type 2 diabetes: a prospective cohort study. BMC geriatrics, 21(1); pp. 1–7; https://doi.org/10.1186/s12877-021-02629-5
  14. Lee, M. R., Jung, S. M., Bang, H., Kim, H. S., Kim, Y. B. (2018). Association between muscle strength and type 2 diabetes mellitus in adults in Korea: Data from the Korean national health and nutrition examination survey (KNHANES) VI; Medicine; 97(23), e10984. https://doi.org/10.1097/MD.0000000000010984.
  15. Li, S., Zheng, R., Pan, G., Zheng, L., Li, C. (2018). Handgrip strength is associated with insulin resistance and glucose metabolism in adolescents: Evidence from national health and nutrition examination survey 2011 to 2014. Pediatric Diabetes,19(3), 375–380. https://doi.org/10.1111/pedi.12596.
  16. Liang, X., Jiang, C. Q., Zhang, W. S., Zhu, F., Jin, Y. L., Cheng, K. K., Lam, T. H., & Xu, L. (2020). Glycaemia and hand grip strength in ageing people: Guangzhou biobank cohort study. BMC Geriatrics, 20(1),399. https://doi.org/10.1186/s12877-020-01808-0
  17. Lopez, J. M., Annunziata, K., Bailey, R. A., Rupnow, M. F. and Morisky, D. E., (2014). Impact of hypoglycemia on patients with type 2 diabetes mellitus and their quality of life, work productivity, and medication adherence. Patient Preference and Adherence, 683-692. https://doi.org/10.2147/PPA.S58813
  18. Nakandala, P., Manchanayake, J., Narampanawa, J., Neeraja, T., Pavithra, S., Mafahir, M., & Dissanayake, J, (2019). Descriptive study of hand grip strength and factors associated with it in a group of young undergraduate students in university of Peradeniya, Sri Lanka who are not participating in regular physical training. International Journal of Physiotherapy, 82-88; https://doi.org/10.15621/ijphy/2019/v6i3/183876
  19. Qiu, S., Cai, X., Yuan, Y., Xie, B., Sun, Z., Wang, D., & Wu, T. (2022). Muscle strength and prediabetes progression and regression in middle-aged and older adults: A prospective cohort study; Journal of Cachexia, Sarcopenia and Muscle, 13(2), 909–918. https://doi.org/10.1002/jcsm.12905.
  20. Son, D. H., Song, S. A. and Lee, Y. J., 2022. Association between C - reactive protein and relative handgrip strength in postmenopausal Korean women aged 45–80 Years: A Cross-Sectional Study. Clinical Interventions in Aging, 971-978. https://doi.org/10.2147/cia.s356947
  21. Sugimoto, K., Ikegami, H., Takata, Y., Katsuya, T., Fukuda, M., Akasaka, H., Tabara, Y., Osawa, H., Hiromine, Y., & Rakugi, H. (2021). Glycemic control and insulin improve muscle mass and gait speed in type 2 diabetes: The MUSCLES-DM study. Journal of the American Medical Directors Association, 22(4), 834–838. https://doi.org/10.1016/j.jamda.2020.11.003
  22. Tiainen, K., Raitanen, J., Strandberg, T., Koskinen, S., & Stenholm, S. (2022). Type 2 diabetes as a predictor of muscle strength decline over 11 years among men and women aged 55 years and older. Gerontology; 68(6), 635–643; https://doi.org/10.1159/000518268
  23. Van der Kooi, A.-L. L., Snijder, M. B., Peters, R. J., & Van Valkengoed, I. G., (2015). The association of handgrip strength and type 2 diabetes mellitus in six ethnic groups: An analysis of the HELIUS study; PLoS One; 10(9). https://doi.org/10.1371/journal. pone.0137739. Article e0137739
  24. Verli, M. V., Goncalves, L. C., Lopes, J. S., Benassi, R., & De Magalhaes Neto, A. M. (2021). Prior carbohydrate ingestion increases hand grip strength and reduced subjective perception of effort in a Brazilian Jiu-Jitsu fight; Ido Movement for Culture. Journal of Martial Arts Anthropology; 21(3), 45–50. https://doi.org/10.14589/ido.21.3.7
  25. Wallymahmed, M., Morgan, C., Gill, G. V., Macfarlane, I. A. (2007). Aerobic fitness and hand grip strength in Type 1 diabetes: relationship to glycaemic control and body composition; Diabetic Medicine; 24(11), 1296–1299. https://doi.org/10.1111/j.1464-5491.2007.02257.x
  26. Wander, P. L., Boyko, E. J., Leonetti, D. L., McNeely, M. J., Kahn, S. E. and Fujimoto, W. Y., (2011) Greater handgrip strength predicts a lower risk of developing type 2 diabetes over 10 years in leaner Japanese Americans. Diabetes Research and Clinical Practice; 92(2), 261-26; https://doi.org/10.1016/j.diabres.2011.01.007
  27. Wong, B. W., Thu, W. P. P., Chan, Y. H., Kramer, M. S., Logan, S., Cauley, J. A. and Yong, E. L., (2022). The Associations between Upper and Lower Body Muscle Strength and Diabetes among Midlife Women. International Journal of Environmental Research and Public Health; 19(20); p.13654; https://doi.org/10.3390/ijerph192013654