Association of handgrip strength with suicidal ideation among adults aged ≥50 years from low- and middle-income countries.

IF 2.7 3区医学 Q2 PSYCHIATRY

Suicide and Life-Threatening Behavior Pub Date : 2024-06-01 Epub Date: 2024-03-12 DOI:10.1111/sltb.13071

Lee Smith, Guillermo F López Sánchez, Pinar Soysal, Nicola Veronese, Poppy Gibson, Damiano Pizzol, Louis Jacob, Laurie Butler, Yvonne Barnett, Hans Oh, Jae Il Shin, Ai Koyanagi

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Abstract

Introduction: This study aimed to investigate the association between handgrip strength and suicidal ideation in representative samples of adults aged ≥50 years from six LMICs (China, Ghana, India, Mexico, Russia, and South Africa).

Methods: Cross-sectional, community-based data from the World Health Organization's Study on Global Aging and Adult Health were analyzed. Handgrip strength quintiles by sex were created based on the average value of two handgrip measurements of the dominant hand. Self-reported information on past 12-month suicidal ideation was collected. Multivariable logistic regression analysis was conducted to assess associations.

Results: Data on 34,129 individuals were analyzed [mean (SD) age 62.4 (16.0) years; age range 50-114 years; 52.1% females]. After adjustment for potential confounders, in the overall sample, compared to the handgrip strength quintile with the highest values [Quintile 1 (Q1)], Q2, Q3, Q4, and Q5 were associated with significant 2.15 (95% CI = 1.05-4.39), 2.78 (95% CI = 1.06-7.32), 3.53 (95% CI = 1.68-7.42), and 6.79 (95% CI = 2.80-16.48) times higher odds for suicidal ideation.

Conclusions: Lower handgrip strength was significantly and dose-dependently associated with higher odds for suicidal ideation in adults aged ≥50 years from LMICs. Future longitudinal studies are needed to understand the underlying mechanisms, and whether increasing general muscular strength and physical function may lead to reduction in suicidal ideation.

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中低收入国家中年龄≥50岁的成年人的握力与自杀意念的关系。

简介：本研究旨在调查来自六个低收入和中等收入国家（中国、加纳、印度、墨西哥、俄罗斯和南非）的≥50岁成年人样本中，手握力与自杀意念之间的关系：方法：对世界卫生组织全球老龄化与成人健康研究的社区横断面数据进行了分析。根据主导手两次握力测量的平均值，按性别划分了手握力五分位数。此外，还收集了有关过去 12 个月自杀倾向的自我报告信息。采用多变量逻辑回归分析评估相关性：分析了 34 129 人的数据[平均（标清）年龄为 62.4 (16.0)岁；年龄范围为 50-114 岁；女性占 52.1%]。对潜在混杂因素进行调整后，在总体样本中，与手握力值最高的五分位数[五分位数 1 (Q1)]相比，Q2、Q3、Q4 和 Q5 的自杀意念发生几率分别显著增加 2.15 (95% CI = 1.05-4.39)、2.78 (95% CI = 1.06-7.32)、3.53 (95% CI = 1.68-7.42) 和 6.79 (95% CI = 2.80-16.48)倍：结论：在低收入和中等收入国家，年龄≥50岁的成年人中，较低的握力与较高的自杀倾向几率有明显的剂量依赖关系。未来需要进行纵向研究，以了解其潜在机制，以及增加一般肌肉力量和身体功能是否会导致自杀意念的减少。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Suicide and Life-Threatening Behavior Medicine-Public Health, Environmental and Occupational Health

CiteScore

5.40

自引率

3.10%

发文量

期刊介绍： An excellent resource for researchers as well as students, Social Cognition features reports on empirical research, self-perception, self-concept, social neuroscience, person-memory integration, social schemata, the development of social cognition, and the role of affect in memory and perception. Three broad concerns define the scope of the journal: - The processes underlying the perception, memory, and judgment of social stimuli - The effects of social, cultural, and affective factors on the processing of information - The behavioral and interpersonal consequences of cognitive processes.