Cardiometabolic Risk, Socio-Psychological Factors, and Trajectory of Grip Strength among Older Japanese Adults

Anda Botoseneanu*, Joan M. Bennett, Linda Nyquist, Shoji Shinkai, Yoshinori Fujiwara, Hiroto Yoshida, Allison Aiello, Christine T. Cigolle, Jersey Liang

*Corresponding author for this work

Research output: Contribution to journalJournal Article peer-review

8 Scopus citations


Objective: To examine the association between cardiometabolic risk (percent body fat [BF%], triglycerides [TG], high-density lipoprotein [HDL]-cholesterol, hemoglobin A1c [HbA1c]), socio-psychological factors (education and self-rated health [SRH]), and trajectories of grip strength (GS) in older adults. Method: Longitudinal 8-year data from 1,381 Japanese adults aged 65 years or above were analyzed using hierarchical linear models, stratified according to gender. Results: GS declined following a linear trajectory. In both genders, higher BF% was associated with weaker GS, but not with the rate of decline. GS trajectory did not correlate with baseline TG, HDL-C, or HbA1c. Cardiometabolic factors mediated educational differences in GS intercept in both genders. In women, better SRH predicted stronger GS. The effect of SRH was robust to adjustments for cardiometabolic risk. Discussion: In older adults, GS and its rate of decline are selectively associated with both cardiometabolic risk and socio-psychological characteristics. Cardiometabolic risk mediates educational disparities in GS but not differences in subjective assessments of health.

Original languageEnglish
Pages (from-to)1123-1146
Number of pages24
JournalJournal of Aging and Health
Issue number7
StatePublished - 01 10 2015
Externally publishedYes

Bibliographical note

Publisher Copyright:
© The Author(s) 2015.


  • Japan
  • aging
  • cardiometabolic risk factors
  • grip strength


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