Handgrip strength is associated with improved spirometry in adolescents
Pulmonary rehabilitation, including aerobic exercise and strength training, improves function, such as spirometric indices, in lung disease. However, we found spirometry did not correlate with physical activity (PA) in healthy adolescents (Smith ERJ: 42(4), 2016). To address whether muscle strength...
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| creator | Smith, Maia Phillips Standl, Marie Berdel, Dietrich von Berg, Andrea Bauer, Carl-Peter Schikowski, Tamara Koletzko, Sibylle Lehmann, Irina Krämer, Ursula Heinrich, Joachim Schulz, Holger |
| description | Pulmonary rehabilitation, including aerobic exercise and strength training, improves function, such as spirometric indices, in lung disease. However, we found spirometry did not correlate with physical activity (PA) in healthy adolescents (Smith ERJ: 42(4), 2016). To address whether muscle strength did, we measured these adolescents' handgrip strength and correlated it with spirometry.
In 1846 non-smoking, non-asthmatic Germans (age 15.2 years, 47% male), we modeled spirometric indices as functions of handgrip strength by linear regression in each sex, corrected for factors including age, height, and lean body mass.
Handgrip averaged 35.4 (SD 7.3) kg in boys, 26.6 (4.2) in girls. Spirometric volumes and flows increased linearly with handgrip. In boys each kg handgrip was associated with about 28 mL greater FEV1 and FVC; 60 mL/sec faster PEF; and 38 mL/sec faster FEF2575. Effects were 10-30% smaller in girls (all p |
| doi_str_mv | 10.1371/journal.pone.0194560 |
| format | Article |
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In 1846 non-smoking, non-asthmatic Germans (age 15.2 years, 47% male), we modeled spirometric indices as functions of handgrip strength by linear regression in each sex, corrected for factors including age, height, and lean body mass.
Handgrip averaged 35.4 (SD 7.3) kg in boys, 26.6 (4.2) in girls. Spirometric volumes and flows increased linearly with handgrip. In boys each kg handgrip was associated with about 28 mL greater FEV1 and FVC; 60 mL/sec faster PEF; and 38 mL/sec faster FEF2575. Effects were 10-30% smaller in girls (all p<0.0001) and stable when Z-scores for spirometry and grip were modeled, after further correction for environment and/or other exposures, and consistent across stages of puberty.
Grip strength was associated with spirometry in a cohort of healthy adolescents whose PA was not. Thus, research into PA's relationship with lung function should consider strength as well as total PA. Strength training may benefit healthy lungs; interventions are needed to prove causality.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0194560</identifier><identifier>PMID: 29641533</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Adolescents ; Analysis ; Asthma ; Biology and Life Sciences ; Body mass ; Environmental health ; Epidemiology ; Ethics ; Exercise ; Girls ; Grip strength ; Health aspects ; Health care ; Hospitals ; Lean body mass ; Lung cancer ; Lung diseases ; Lungs ; Medicine and Health Sciences ; Muscle strength ; Muscles ; Muscular strength ; Pediatrics ; People and Places ; Physical activity ; Physical fitness ; Physical training ; Physiology ; Preventive medicine ; Puberty ; Rehabilitation ; Research and Analysis Methods ; Respiratory function ; Smoking ; Spirometry ; Strength training ; Studies ; Teenagers ; Training ; Young adults ; Youth</subject><ispartof>PloS one, 2018-04, Vol.13 (4), p.e0194560-e0194560</ispartof><rights>COPYRIGHT 2018 Public Library of Science</rights><rights>2018 Smith et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2018 Smith et al 2018 Smith et al</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c692t-eea32962d85c7c50dd5653ef81dca86a4c303d154f6c412aeb99ae39f82cc49a3</citedby><cites>FETCH-LOGICAL-c692t-eea32962d85c7c50dd5653ef81dca86a4c303d154f6c412aeb99ae39f82cc49a3</cites><orcidid>0000-0002-1154-1158</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5894972/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5894972/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,724,777,781,861,882,2096,2915,23847,27905,27906,53772,53774,79349,79350</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/29641533$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><contributor>Nolan, Anna</contributor><creatorcontrib>Smith, Maia Phillips</creatorcontrib><creatorcontrib>Standl, Marie</creatorcontrib><creatorcontrib>Berdel, Dietrich</creatorcontrib><creatorcontrib>von Berg, Andrea</creatorcontrib><creatorcontrib>Bauer, Carl-Peter</creatorcontrib><creatorcontrib>Schikowski, Tamara</creatorcontrib><creatorcontrib>Koletzko, Sibylle</creatorcontrib><creatorcontrib>Lehmann, Irina</creatorcontrib><creatorcontrib>Krämer, Ursula</creatorcontrib><creatorcontrib>Heinrich, Joachim</creatorcontrib><creatorcontrib>Schulz, Holger</creatorcontrib><title>Handgrip strength is associated with improved spirometry in adolescents</title><title>PloS one</title><addtitle>PLoS One</addtitle><description>Pulmonary rehabilitation, including aerobic exercise and strength training, improves function, such as spirometric indices, in lung disease. However, we found spirometry did not correlate with physical activity (PA) in healthy adolescents (Smith ERJ: 42(4), 2016). To address whether muscle strength did, we measured these adolescents' handgrip strength and correlated it with spirometry.
In 1846 non-smoking, non-asthmatic Germans (age 15.2 years, 47% male), we modeled spirometric indices as functions of handgrip strength by linear regression in each sex, corrected for factors including age, height, and lean body mass.
Handgrip averaged 35.4 (SD 7.3) kg in boys, 26.6 (4.2) in girls. Spirometric volumes and flows increased linearly with handgrip. In boys each kg handgrip was associated with about 28 mL greater FEV1 and FVC; 60 mL/sec faster PEF; and 38 mL/sec faster FEF2575. Effects were 10-30% smaller in girls (all p<0.0001) and stable when Z-scores for spirometry and grip were modeled, after further correction for environment and/or other exposures, and consistent across stages of puberty.
Grip strength was associated with spirometry in a cohort of healthy adolescents whose PA was not. Thus, research into PA's relationship with lung function should consider strength as well as total PA. Strength training may benefit healthy lungs; interventions are needed to prove causality.</description><subject>Adolescents</subject><subject>Analysis</subject><subject>Asthma</subject><subject>Biology and Life Sciences</subject><subject>Body mass</subject><subject>Environmental health</subject><subject>Epidemiology</subject><subject>Ethics</subject><subject>Exercise</subject><subject>Girls</subject><subject>Grip strength</subject><subject>Health aspects</subject><subject>Health care</subject><subject>Hospitals</subject><subject>Lean body mass</subject><subject>Lung cancer</subject><subject>Lung diseases</subject><subject>Lungs</subject><subject>Medicine and Health Sciences</subject><subject>Muscle strength</subject><subject>Muscles</subject><subject>Muscular strength</subject><subject>Pediatrics</subject><subject>People and Places</subject><subject>Physical activity</subject><subject>Physical fitness</subject><subject>Physical training</subject><subject>Physiology</subject><subject>Preventive medicine</subject><subject>Puberty</subject><subject>Rehabilitation</subject><subject>Research and Analysis Methods</subject><subject>Respiratory function</subject><subject>Smoking</subject><subject>Spirometry</subject><subject>Strength training</subject><subject>Studies</subject><subject>Teenagers</subject><subject>Training</subject><subject>Young 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strength is associated with improved spirometry in adolescents</title><author>Smith, Maia Phillips ; Standl, Marie ; Berdel, Dietrich ; von Berg, Andrea ; Bauer, Carl-Peter ; Schikowski, Tamara ; Koletzko, Sibylle ; Lehmann, Irina ; Krämer, Ursula ; Heinrich, Joachim ; Schulz, Holger</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c692t-eea32962d85c7c50dd5653ef81dca86a4c303d154f6c412aeb99ae39f82cc49a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Adolescents</topic><topic>Analysis</topic><topic>Asthma</topic><topic>Biology and Life Sciences</topic><topic>Body mass</topic><topic>Environmental health</topic><topic>Epidemiology</topic><topic>Ethics</topic><topic>Exercise</topic><topic>Girls</topic><topic>Grip strength</topic><topic>Health aspects</topic><topic>Health care</topic><topic>Hospitals</topic><topic>Lean body mass</topic><topic>Lung cancer</topic><topic>Lung 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Marie</au><au>Berdel, Dietrich</au><au>von Berg, Andrea</au><au>Bauer, Carl-Peter</au><au>Schikowski, Tamara</au><au>Koletzko, Sibylle</au><au>Lehmann, Irina</au><au>Krämer, Ursula</au><au>Heinrich, Joachim</au><au>Schulz, Holger</au><au>Nolan, Anna</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Handgrip strength is associated with improved spirometry in adolescents</atitle><jtitle>PloS one</jtitle><addtitle>PLoS One</addtitle><date>2018-04-11</date><risdate>2018</risdate><volume>13</volume><issue>4</issue><spage>e0194560</spage><epage>e0194560</epage><pages>e0194560-e0194560</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract>Pulmonary rehabilitation, including aerobic exercise and strength training, improves function, such as spirometric indices, in lung disease. However, we found spirometry did not correlate with physical activity (PA) in healthy adolescents (Smith ERJ: 42(4), 2016). To address whether muscle strength did, we measured these adolescents' handgrip strength and correlated it with spirometry.
In 1846 non-smoking, non-asthmatic Germans (age 15.2 years, 47% male), we modeled spirometric indices as functions of handgrip strength by linear regression in each sex, corrected for factors including age, height, and lean body mass.
Handgrip averaged 35.4 (SD 7.3) kg in boys, 26.6 (4.2) in girls. Spirometric volumes and flows increased linearly with handgrip. In boys each kg handgrip was associated with about 28 mL greater FEV1 and FVC; 60 mL/sec faster PEF; and 38 mL/sec faster FEF2575. Effects were 10-30% smaller in girls (all p<0.0001) and stable when Z-scores for spirometry and grip were modeled, after further correction for environment and/or other exposures, and consistent across stages of puberty.
Grip strength was associated with spirometry in a cohort of healthy adolescents whose PA was not. Thus, research into PA's relationship with lung function should consider strength as well as total PA. Strength training may benefit healthy lungs; interventions are needed to prove causality.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>29641533</pmid><doi>10.1371/journal.pone.0194560</doi><tpages>e0194560</tpages><orcidid>https://orcid.org/0000-0002-1154-1158</orcidid><oa>free_for_read</oa></addata></record> |
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| subjects | Adolescents Analysis Asthma Biology and Life Sciences Body mass Environmental health Epidemiology Ethics Exercise Girls Grip strength Health aspects Health care Hospitals Lean body mass Lung cancer Lung diseases Lungs Medicine and Health Sciences Muscle strength Muscles Muscular strength Pediatrics People and Places Physical activity Physical fitness Physical training Physiology Preventive medicine Puberty Rehabilitation Research and Analysis Methods Respiratory function Smoking Spirometry Strength training Studies Teenagers Training Young adults Youth |
| title | Handgrip strength is associated with improved spirometry in adolescents |
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