Preterm-Born Young Women Have Weaker Hand Grip Strength Compared to Their Full-Term-Born Peers

Prematurity has been linked to lower muscular fitness and increased morbidity across the human lifespan. Hand grip strength is widely used as a measure of muscle strength. Previous studies have shown inconsistent results regarding the role of vitamin D in hand grip strength. Here, we investigated ha...

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Main Authors: Ella Bruun, Pauli Pätsi, Markku Leskinen, Krista Björkman, Petri Kulmala, Mikko P. Tulppo, Marita Valkama, Marja Ojaniemi
Format: Article
Language:English
Published: MDPI AG 2023-12-01
Series:Children
Subjects:
Online Access:https://www.mdpi.com/2227-9067/10/12/1898
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author Ella Bruun
Pauli Pätsi
Markku Leskinen
Krista Björkman
Petri Kulmala
Mikko P. Tulppo
Marita Valkama
Marja Ojaniemi
author_facet Ella Bruun
Pauli Pätsi
Markku Leskinen
Krista Björkman
Petri Kulmala
Mikko P. Tulppo
Marita Valkama
Marja Ojaniemi
author_sort Ella Bruun
collection DOAJ
description Prematurity has been linked to lower muscular fitness and increased morbidity across the human lifespan. Hand grip strength is widely used as a measure of muscle strength. Previous studies have shown inconsistent results regarding the role of vitamin D in hand grip strength. Here, we investigated hand grip strength and the effects of a yearlong vitamin D supplementation in healthy preterm-born young adults. We recruited 38 young adults born preterm at either ≤32 weeks’ gestation or <34 weeks’ gestation and weighing <1500 g, as well as 39 gender- and age-matched controls, for this study. Anthropometric measurements, hand grip strengths, and vitamin D concentrations were recorded. These investigations were repeated after a yearlong vitamin D supplementation intervention. There was a significant difference in the age- and gender-specific hand grip strength ranks between the preterm- and full-term-born young adults: 57.9% and 30.7%, respectively, were below average (<i>p</i> = 0.009). In the preterm-born group, the females had significantly lower hand grip strengths compared to their full-term-born peers, with a mean difference of −3.46 kg (95% CI: −6.68 to −0.247; <i>p</i> = 0.035). In a linear regression analysis, the preterm-born female adult height was negatively associated with hand grip strength (R<sup>2</sup> = 0.24, F (1.43) = 13.61, <i>p</i> < 0.001). The vitamin D concentrations were increased after the supplementation period, with no association with hand grip strength. According to our results, preterm-born young females are at risk for lower muscle strength, independent of their current vitamin D status.
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spelling doaj.art-d19d395a39574150801c29b34ad6acbb2023-12-22T14:00:26ZengMDPI AGChildren2227-90672023-12-011012189810.3390/children10121898Preterm-Born Young Women Have Weaker Hand Grip Strength Compared to Their Full-Term-Born PeersElla Bruun0Pauli Pätsi1Markku Leskinen2Krista Björkman3Petri Kulmala4Mikko P. Tulppo5Marita Valkama6Marja Ojaniemi7Department of Pediatrics, Oulu University Hospital, University of Oulu, Wellbeing Services County of North Ostrobothnia, 90220 Oulu, FinlandDepartment of Pediatrics, Oulu University Hospital, University of Oulu, Wellbeing Services County of North Ostrobothnia, 90220 Oulu, FinlandDepartment of Pediatrics, Oulu University Hospital, University of Oulu, Wellbeing Services County of North Ostrobothnia, 90220 Oulu, FinlandDepartment of Pediatrics, Oulu University Hospital, University of Oulu, Wellbeing Services County of North Ostrobothnia, 90220 Oulu, FinlandDepartment of Pediatrics, Oulu University Hospital, University of Oulu, Wellbeing Services County of North Ostrobothnia, 90220 Oulu, FinlandFaculty of Medicine, University of Oulu, 90014 Oulu, FinlandDepartment of Pediatrics, Oulu University Hospital, University of Oulu, Wellbeing Services County of North Ostrobothnia, 90220 Oulu, FinlandDepartment of Pediatrics, Oulu University Hospital, University of Oulu, Wellbeing Services County of North Ostrobothnia, 90220 Oulu, FinlandPrematurity has been linked to lower muscular fitness and increased morbidity across the human lifespan. Hand grip strength is widely used as a measure of muscle strength. Previous studies have shown inconsistent results regarding the role of vitamin D in hand grip strength. Here, we investigated hand grip strength and the effects of a yearlong vitamin D supplementation in healthy preterm-born young adults. We recruited 38 young adults born preterm at either ≤32 weeks’ gestation or <34 weeks’ gestation and weighing <1500 g, as well as 39 gender- and age-matched controls, for this study. Anthropometric measurements, hand grip strengths, and vitamin D concentrations were recorded. These investigations were repeated after a yearlong vitamin D supplementation intervention. There was a significant difference in the age- and gender-specific hand grip strength ranks between the preterm- and full-term-born young adults: 57.9% and 30.7%, respectively, were below average (<i>p</i> = 0.009). In the preterm-born group, the females had significantly lower hand grip strengths compared to their full-term-born peers, with a mean difference of −3.46 kg (95% CI: −6.68 to −0.247; <i>p</i> = 0.035). In a linear regression analysis, the preterm-born female adult height was negatively associated with hand grip strength (R<sup>2</sup> = 0.24, F (1.43) = 13.61, <i>p</i> < 0.001). The vitamin D concentrations were increased after the supplementation period, with no association with hand grip strength. According to our results, preterm-born young females are at risk for lower muscle strength, independent of their current vitamin D status.https://www.mdpi.com/2227-9067/10/12/1898preterm birthhand grip strengthvitamin Dmuscle strength
spellingShingle Ella Bruun
Pauli Pätsi
Markku Leskinen
Krista Björkman
Petri Kulmala
Mikko P. Tulppo
Marita Valkama
Marja Ojaniemi
Preterm-Born Young Women Have Weaker Hand Grip Strength Compared to Their Full-Term-Born Peers
Children
preterm birth
hand grip strength
vitamin D
muscle strength
title Preterm-Born Young Women Have Weaker Hand Grip Strength Compared to Their Full-Term-Born Peers
title_full Preterm-Born Young Women Have Weaker Hand Grip Strength Compared to Their Full-Term-Born Peers
title_fullStr Preterm-Born Young Women Have Weaker Hand Grip Strength Compared to Their Full-Term-Born Peers
title_full_unstemmed Preterm-Born Young Women Have Weaker Hand Grip Strength Compared to Their Full-Term-Born Peers
title_short Preterm-Born Young Women Have Weaker Hand Grip Strength Compared to Their Full-Term-Born Peers
title_sort preterm born young women have weaker hand grip strength compared to their full term born peers
topic preterm birth
hand grip strength
vitamin D
muscle strength
url https://www.mdpi.com/2227-9067/10/12/1898
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