Associations of reading language preference with muscle strength and physical performance: Findings from the Integrated Women's Health Programme (IWHP).

<h4>Background</h4>The contribution of language preference and ethnicity to muscle strength and physical performance is unclear. We examined the associations of reading language preferences with muscle strength and performance in Chinese women and compared them to other ethnicities.<h...

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Main Authors: Joelle Tan Hwee Inn, Beverly W X Wong, Yiong Huak Chan, Huang Zhongwei, Susan J S Logan, Jane A Cauley, Michael S Kramer, Eu-Leong Yong
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2023-01-01
Series:PLoS ONE
Online Access:https://doi.org/10.1371/journal.pone.0284281
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author Joelle Tan Hwee Inn
Beverly W X Wong
Yiong Huak Chan
Huang Zhongwei
Susan J S Logan
Jane A Cauley
Michael S Kramer
Eu-Leong Yong
author_facet Joelle Tan Hwee Inn
Beverly W X Wong
Yiong Huak Chan
Huang Zhongwei
Susan J S Logan
Jane A Cauley
Michael S Kramer
Eu-Leong Yong
author_sort Joelle Tan Hwee Inn
collection DOAJ
description <h4>Background</h4>The contribution of language preference and ethnicity to muscle strength and physical performance is unclear. We examined the associations of reading language preferences with muscle strength and performance in Chinese women and compared them to other ethnicities.<h4>Methods</h4>The Integrated Women's Health Programme (IWHP) cohort comprised community-dwelling, midlife Singaporean women aged 45-69. Ethnic Chinese women could choose between the English or Chinese versions of the questionnaire. Malay and Indian women were presented with the English version. Sociodemographic, reproductive, anthropometric characteristics were obtained. Hand grip strength and physical performance were objectively assessed. Visceral adiposity (VAT) was determined by Dual-energy X-ray Absorptiometry. Multivariable logistic regression models were used to determine independent associations of language preference/ethnicity with muscle strength and physical performance.<h4>Results</h4>The cohort comprised 1164 women (mean age: 56.3±6.2 years); 84.1% Chinese, 5.6% Malay, and 10.3% Indian. 315 Chinese participants (32.2%) had a Chinese-language reading preference (CLP). CLP women tended to be parous, of a lower socioeconomic status (lower proportions received tertiary education, lower employment rates and lower household income), and engaged in less physical activity compared to Chinese women with an English-language preference (ELP). This translated to a weaker hand grip strength (aOR: 1.56; 95%CI: 1.07-2.27), slower repeated chair stand (1.55; 1.12-2.13), poorer balance on tandem stand (2.00; 1.16-3.47), and a slower gait speed (1.62; 1.06-2.47). Compared to ELP women, Malay women had higher odds of poor hand grip strength (1.81; 1.12-2.93) while Indians had a higher odd of poor balance on one-leg stand (2.12; 1.28-3.52) and slow gait speeds on usual (1.88; 1.09-3.25) and narrow walks (1.91; 1.15-3.17).<h4>Conclusions</h4>Chinese language reading preference was associated with inferior muscle strength and physical performance. Such disparities were largest and most consistent in the CLP group, followed by Indian and Malay women compared to the ELP group. Further studies should determine if CLP-associated muscle weakness can predict adverse health outcomes.
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spelling doaj.art-95152a169d814d1081a9b74a1d6494852023-04-21T05:33:57ZengPublic Library of Science (PLoS)PLoS ONE1932-62032023-01-01184e028428110.1371/journal.pone.0284281Associations of reading language preference with muscle strength and physical performance: Findings from the Integrated Women's Health Programme (IWHP).Joelle Tan Hwee InnBeverly W X WongYiong Huak ChanHuang ZhongweiSusan J S LoganJane A CauleyMichael S KramerEu-Leong Yong<h4>Background</h4>The contribution of language preference and ethnicity to muscle strength and physical performance is unclear. We examined the associations of reading language preferences with muscle strength and performance in Chinese women and compared them to other ethnicities.<h4>Methods</h4>The Integrated Women's Health Programme (IWHP) cohort comprised community-dwelling, midlife Singaporean women aged 45-69. Ethnic Chinese women could choose between the English or Chinese versions of the questionnaire. Malay and Indian women were presented with the English version. Sociodemographic, reproductive, anthropometric characteristics were obtained. Hand grip strength and physical performance were objectively assessed. Visceral adiposity (VAT) was determined by Dual-energy X-ray Absorptiometry. Multivariable logistic regression models were used to determine independent associations of language preference/ethnicity with muscle strength and physical performance.<h4>Results</h4>The cohort comprised 1164 women (mean age: 56.3±6.2 years); 84.1% Chinese, 5.6% Malay, and 10.3% Indian. 315 Chinese participants (32.2%) had a Chinese-language reading preference (CLP). CLP women tended to be parous, of a lower socioeconomic status (lower proportions received tertiary education, lower employment rates and lower household income), and engaged in less physical activity compared to Chinese women with an English-language preference (ELP). This translated to a weaker hand grip strength (aOR: 1.56; 95%CI: 1.07-2.27), slower repeated chair stand (1.55; 1.12-2.13), poorer balance on tandem stand (2.00; 1.16-3.47), and a slower gait speed (1.62; 1.06-2.47). Compared to ELP women, Malay women had higher odds of poor hand grip strength (1.81; 1.12-2.93) while Indians had a higher odd of poor balance on one-leg stand (2.12; 1.28-3.52) and slow gait speeds on usual (1.88; 1.09-3.25) and narrow walks (1.91; 1.15-3.17).<h4>Conclusions</h4>Chinese language reading preference was associated with inferior muscle strength and physical performance. Such disparities were largest and most consistent in the CLP group, followed by Indian and Malay women compared to the ELP group. Further studies should determine if CLP-associated muscle weakness can predict adverse health outcomes.https://doi.org/10.1371/journal.pone.0284281
spellingShingle Joelle Tan Hwee Inn
Beverly W X Wong
Yiong Huak Chan
Huang Zhongwei
Susan J S Logan
Jane A Cauley
Michael S Kramer
Eu-Leong Yong
Associations of reading language preference with muscle strength and physical performance: Findings from the Integrated Women's Health Programme (IWHP).
PLoS ONE
title Associations of reading language preference with muscle strength and physical performance: Findings from the Integrated Women's Health Programme (IWHP).
title_full Associations of reading language preference with muscle strength and physical performance: Findings from the Integrated Women's Health Programme (IWHP).
title_fullStr Associations of reading language preference with muscle strength and physical performance: Findings from the Integrated Women's Health Programme (IWHP).
title_full_unstemmed Associations of reading language preference with muscle strength and physical performance: Findings from the Integrated Women's Health Programme (IWHP).
title_short Associations of reading language preference with muscle strength and physical performance: Findings from the Integrated Women's Health Programme (IWHP).
title_sort associations of reading language preference with muscle strength and physical performance findings from the integrated women s health programme iwhp
url https://doi.org/10.1371/journal.pone.0284281
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