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Handgrip strength is associated with improved spirometry in adolescents.
Maia Phillips Smith1,2, Marie Standl1, Dietrich Berdel3
1Institute of Epidemiology, Helmholtz Zentrum München-German Research Center for Environmental Health, Neuherberg, Germany.
In healthy adolescents, handgrip strength, not physical activity, correlated with lung function measures like FEV1 and FVC. This suggests strength training may benefit lung health.
Area of Science:
- Adolescent Health
- Pulmonary Function Testing
- Exercise Physiology
Background:
- Pulmonary rehabilitation, incorporating aerobic exercise and strength training, is known to improve lung function in individuals with lung disease.
- Previous research indicated spirometry did not correlate with physical activity (PA) in healthy adolescents.
- The relationship between muscle strength and lung function in healthy adolescents remained unclear.
Purpose of the Study:
- To investigate the correlation between handgrip strength and spirometric indices in healthy adolescents.
- To determine if muscle strength is a better predictor of lung function than physical activity in this demographic.
Main Methods:
- A cohort of 1846 non-smoking, non-asthmatic German adolescents (mean age 15.2 years, 47% male) was studied.
- Handgrip strength was measured and correlated with spirometric indices (FEV1, FVC, PEF, FEF2575) using linear regression, with adjustments for age, height, and lean body mass.
- Analyses were conducted separately for each sex and further refined by modeling Z-scores and correcting for environmental factors.
Main Results:
- Handgrip strength showed a significant positive linear association with spirometric volumes and flows in both boys and girls.
- In boys, each kg increase in handgrip strength was linked to approximately 28 mL greater FEV1 and FVC, 60 mL/sec faster PEF, and 38 mL/sec faster FEF2575.
- These associations were consistently observed across puberty stages and remained significant after comprehensive statistical corrections, though effects were generally smaller in girls.
Conclusions:
- Handgrip strength is associated with spirometry in healthy adolescents, independent of physical activity levels.
- Future research on physical activity and lung function in adolescents should consider muscle strength alongside overall PA.
- Strength training interventions may hold potential benefits for healthy lung development, warranting further investigation to establish causality.
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