Predictive Models of Muscle Strength in Older People with Type 2 Diabetes Mellitus

Purpose: To propose predictive models for absolute muscle strength (AMS) of elderly people with type 2 Diabetes Mellitus (DM2) in primary health care. Patients and Methods: The cross-sectional study was conducted with 138 elderly diabetics. The AMS was measured by a JAMAR[R] hydraulic handgrip dynamometer, determined by the sum of both hands. The following indices were evaluated: waist-to-height ratio (WHtR), body mass index (BMI), Lipid Accumulation Product (LAP), Triglyceride/High Density Lipoprotein (TG/HDL) ratio and platelet/lymphocyte ratio (PLR). Multiple linear regression was used in the statistical analysis. Results: The final regression model indicated 66.4% ([R.sup.2]=0.66) of the variation in AMS. WHtR decreased AMS by 41.1% (P = -0.19; t = -3.70; p < 0.001), while PLR by 11.3% (P = -0.12; t = -2.36; p = 0.020). Male sex increased AMS by 10.6% (P = 0.32; t = 4.16; p < 0.001), and lean mass (LM) by 0.89% (P = 0.46; t = 6.03; p < 0.001). Conclusion: WHtR and PLR predicted a decrease, while male sex and LM predicted an increase in AMS. It is suggested that these markers be used as screening measures for variation in AMS in older adults with DM2. These results have relevant practical application in primary health care since the markers are easy to use. Keywords: handgrip strength, obesity, diabetes mellitus, inflammation, primary health care