Correlation between central arterial stiffness and handgrip strength in chronic hemodialysis patients

Cut Mela Yunita Sari1, 1, Ginova Nainggolan1

  • 1Department of Internal Medicine, Faculty of Medicine, Universitas Indonesia and Dr. Cipto Mangunkusumo General National Hospital, Jakarta, Indonesia.

Insights

Central arterial stiffness showed no overall correlation with handgrip strength (HGS) in chronic hemodialysis patients. However, a subgroup of women with height over 150 cm exhibited a moderate negative correlation, suggesting potential links in specific populations.

Area of Science:

  • Cardiovascular Physiology
  • Nephrology
  • Gerontology

Background:

  • Central arterial stiffness is a marker of cardiovascular risk.
  • Handgrip strength (HGS) reflects overall muscle strength and health.
  • The relationship between arterial stiffness and HGS in hemodialysis patients is not well-established.

Purpose of the Study:

  • To investigate the correlation between central arterial stiffness and HGS in patients undergoing chronic hemodialysis.
  • To explore potential confounding factors influencing this relationship.

Main Methods:

  • A cross-sectional study was conducted with 85 hemodialysis patients (18-60 years).
  • Central arterial stiffness was measured using SphygmoCor® (central pulse wave velocity, cPWV).
  • Handgrip strength (HGS) was assessed using a Jamar® dynamometer. Data were analyzed using bivariate and partial correlation.

Main Results:

  • No statistically significant correlation was found between cPWV and HGS in men (r = -0.046, P = 0.763) or women (r = -0.285, P = 0.113).
  • A moderate negative correlation between cPWV and HGS was observed in women over 150 cm tall (r = -0.466, P = 0.016), with cPWV explaining 21.7% of HGS variance.
  • Low HGS was associated with increased cPWV across all age categories.

Conclusions:

  • Central arterial stiffness is not generally associated with HGS in chronic hemodialysis patients.
  • A specific subgroup of women may show a correlation, warranting further investigation.
  • Confounding factors significantly influence the relationship between cPWV and HGS.

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