Handgrip strength is associated with suicidal thoughts in men: Cross‐sectional analyses from NHANES

Scandinavian Journal of Medicine and Science in Sports - Tập 30 Số 1 - Trang 92-99 - 2020
Chao Cao1,2, Qinran Liu3,1, Lin Yang4, Xiaobin Zheng5,6, Ping Lan5,6, Ai Koyanagi7,8, Davy Vancampfort9,10, Pınar Soysal11, Nicola Veronese12, Brendon Stubbs13,14,15, Joseph Firth16,17, Lee Smith18
1Division of Public Health Sciences, Department of Surgery, Washington University School of Medicine, St Louis, MO, USA
2Program in Physical Therapy, Washington University School of Medicine, St Louis, MO, USA
3Brown School, Washington University in St. Louis, St. Louis, MO, USA
4Department of Epidemiology, Medical University of Vienna, Vienna, Austria
5Department of Colorectal Surgery, The Sixth Affiliated Hospital, Sun Yat-sen University, Guangzhou, China
6Guangdong Provincial Key Laboratory of Colorectal and Pelvic Floor Diseases, The Sixth Affiliated Hospital, Sun Yat-sen University, Guangzhou, China
7Centro de Investigación Biomédica en Red de Salud Mental Instituto de Salud Carlos III CIBERSAM Madrid Spain
8Research and Development Unit, Parc Sanitari Sant Joan de Déu, Universitat de Barcelona, Fundació Sant Joan de Déu, Barcelona, Spain
9Department of Rehabilitation Sciences, KU Leuven, Leuven, Belgium
10KU Leuven, University Psychiatric Centre KU Leuven, Leuven-Kortenberg, Belgium
11Geriatric Center, Kayseri Education and Research Hospital, Kayseri, Turkey
12National Research Council, Aging Branch, Neuroscience Institute, Padova, Italy
13Faculty of Health, Social Care and Education, Anglia Ruskin University, Chelmsford, UK
14Health Service and Population Research Department, Institute of Psychiatry, Psychology and Neuroscience, King’s College London, London, UK
15Physiotherapy Department, South London and Maudsley NHS Foundation Trust, London, UK
16Division of Psychology and Mental Health, University of Manchester, Manchester, UK
17School of Science and Health, NICM Health Research Institute, University of Western Sydney, Sydney, NSW, Australia
18The Cambridge Centre for Sport and Exercise Sciences, Anglia Ruskin University, Cambridge, UK

Tóm tắt

ObjectiveTo investigate the association between handgrip strength and suicidal thoughts in a representative sample of the US adult population using data from the National Health and Nutrition Examination Survey (NHANES).Population and MethodsData from two waves of NHANES (2011‐2014) were aggregated. Handgrip strength in kilogram (kg) was defined as the maximum value from the dominant hand. Suicidal thoughts were assessed using one question “Over the last 2 weeks, how often have you been bothered by the following problem: Thoughts that you would be better off dead or of hurting yourself in some way?” and dichotomized to no (not at all) and yes (several days/ more than half the days/ nearly every day). Sex‐specific logistic regressions were carried out to analyze associations between handgrip strength and suicidal thoughts.ResultsData on total of 8903 adults (mean age 47.4 ± 0.4 years) were analyzed. Each 5kg increase in handgrip strength was associated with a 16% reduced odds of having suicidal thoughts (0.84, 95% CI: 0.74‐0.95) among the overall male population. These associations were stronger in male aged 20‐39 years (0.83, 95% CI: 0.70‐0.98), and 40‐64 years (0.73, 95% CI: 0.63‐0.85). In contrast, no associations were observed in females of all age groups.ConclusionsMales younger than 65 years old with low handgrip strength are significantly more likely to have suicidal thoughts demonstrating a dose‐response relationship. Future research is required to confirm/refute our findings and establish if strength interventions can reduce suicidal thoughts.

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