PMID- 33493851 OWN - NLM STAT- MEDLINE DCOM- 20211102 LR - 20211102 IS - 1878-0334 (Electronic) IS - 1871-4021 (Linking) VI - 15 IP - 1 DP - 2021 Jan-Feb TI - Decreased handgrip strength in patients with type 2 diabetes: A cross-sectional study in a tertiary care hospital in north India. PG - 325-329 LID - S1871-4021(21)00009-6 [pii] LID - 10.1016/j.dsx.2021.01.007 [doi] AB - BACKGROUND AND AIMS: Type 2 diabetes mellitus (T2DM) has been associated with low muscle mass and strength. India has second highest number of diabetes cases worldwide. Till date, muscle mass and strength of Asian Indians with T2DM are not well studied. Aim of the study was to compare the skeletal muscle mass and muscle strength between individuals with and without T2DM. METHODS: This cross-sectional study, included subjects with T2DM, age 18-70 years and age and sex-matched individuals without diabetes (controls). Body composition was assessed using Inbody 570 body composition analyser. Hand grip strength (HGS) was measured using JAMAR's Hydraulic Hand Dynamometer. RESULTS: Total of 194 subjects (95 T2DM and 99 controls) were studied. Mean HGS (kg) was significantly lower both in men and women with diabetes compared with controls (32.4 +/- 7.9 vs 37.9 +/- 8.1, p = 0.001 in men and 20.6 +/- 6.4 vs 23.1 +/- 4.06, p = 0.02 in women). Significantly higher percentage of men and women with diabetes had sarcopenia compared with controls (44.4% vs 15.1% in men and 51% vs 20% in women). In multivariate logistic regression analysis, diabetes was an independent risk factor for low HGS in both men (OR = 6.6) and women (OR = 3.4) after adjusting for age, smoking, alcohol consumption, obesity, physical activity and dietary protein intake. CONCLUSION: HGS was significantly lower in subjects with T2DM compared with subjects without diabetes. Diabetes was an independent risk factor for low HGS. CI - Copyright (c) 2021 Diabetes India. Published by Elsevier Ltd. All rights reserved. FAU - Kaur, Parjeet AU - Kaur P AD - Department of Endocrinology and Diabetes, Medanta the Medicity, Gurugram, Haryana, 122001, India. Electronic address: parjeets@yahoo.com. FAU - Bansal, Ritesh AU - Bansal R AD - Department of Endocrinology and Diabetes, Medanta the Medicity, Gurugram, Haryana, 122001, India. FAU - Bhargava, Bharti AU - Bhargava B AD - Department of Endocrinology and Diabetes, Medanta the Medicity, Gurugram, Haryana, 122001, India. FAU - Mishra, Sunil AU - Mishra S AD - Department of Endocrinology and Diabetes, Medanta the Medicity, Gurugram, Haryana, 122001, India. FAU - Gill, Harmandeep AU - Gill H AD - Department of Endocrinology and Diabetes, Medanta the Medicity, Gurugram, Haryana, 122001, India. FAU - Mithal, Ambrish AU - Mithal A AD - Department of Endocrinology and Diabetes, Medanta the Medicity, Gurugram, Haryana, 122001, India. LA - eng PT - Journal Article DEP - 20210114 PL - Netherlands TA - Diabetes Metab Syndr JT - Diabetes & metabolic syndrome JID - 101462250 SB - IM MH - Adult MH - Cross-Sectional Studies MH - Diabetes Mellitus, Type 2/diagnosis/*epidemiology/*physiopathology MH - Female MH - Hand Strength/*physiology MH - Humans MH - India/epidemiology MH - Male MH - Middle Aged MH - Muscle Strength/physiology MH - *Tertiary Care Centers OTO - NOTNLM OT - Hand grip strength OT - Sarcopenia OT - Skeletal muscle mass OT - Type 2 diabetes COIS- Declaration of competing interest No financial interests and relationships and affiliations relevant to the subject of the manuscript. EDAT- 2021/01/26 06:00 MHDA- 2021/11/03 06:00 CRDT- 2021/01/25 20:14 PHST- 2020/10/10 00:00 [received] PHST- 2020/12/25 00:00 [revised] PHST- 2021/01/07 00:00 [accepted] PHST- 2021/01/26 06:00 [pubmed] PHST- 2021/11/03 06:00 [medline] PHST- 2021/01/25 20:14 [entrez] AID - S1871-4021(21)00009-6 [pii] AID - 10.1016/j.dsx.2021.01.007 [doi] PST - ppublish SO - Diabetes Metab Syndr. 2021 Jan-Feb;15(1):325-329. doi: 10.1016/j.dsx.2021.01.007. Epub 2021 Jan 14.