{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,4]],"date-time":"2026-11-04T15:00:10Z","timestamp":1793804410127,"version":"4.6.1"},"reference-count":29,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2017,2,23]],"date-time":"2017-02-23T00:00:00Z","timestamp":1487808000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100000274","name":"British Heart Foundation","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100000274","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Diabet. Med."],"published-print":{"date-parts":[[2017,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aims<\/jats:title><jats:p>To quantify the extent to which ethnic differences in muscular strength might account for the substantially higher prevalence of diabetes in black and South\u2010Asian compared with white European adults.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This cross\u2010sectional study used baseline data from the <jats:styled-content style=\"fixed-case\">UK<\/jats:styled-content> Biobank study on 418\u00a0656 white European, black and South\u2010Asian participants, aged 40\u201369\u00a0years, who had complete data on diabetes status and hand\u2010grip strength. Associations between hand\u2010grip strength and diabetes were assessed using logistic regression and were adjusted for potential confounding factors.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Lower grip strength was associated with higher prevalence of diabetes, independent of confounding factors, across all ethnicities in both men and women. Diabetes prevalence was approximately three\u2010 to fourfold higher in South\u2010Asian and two\u2010 to threefold higher in black participants compared with white European participants across all levels of grip strength, but grip strength in South\u2010Asian men and women was ~\u00a05\u20136\u00a0kg lower than in the other ethnic groups. Thus, the attributable risk for diabetes associated with low grip strength was substantially higher in South\u2010Asian participants (3.9 and 4.2 cases per 100 men and women, respectively) than in white participants (2.0 and 0.6 cases per 100 men and women, respectively). Attributable risk associated with low grip strength was also high in black men (4.3 cases) but not in black women (0.4 cases).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Low strength is associated with a disproportionately large number of diabetes cases in South\u2010Asian men and women and in black men. Trials are needed to determine whether interventions to improve strength in these groups could help reduce ethnic inequalities in diabetes prevalence.<\/jats:p><\/jats:sec>","DOI":"10.1111\/dme.13323","type":"journal-article","created":{"date-parts":[[2017,2,1]],"date-time":"2017-02-01T07:37:24Z","timestamp":1485934644000},"page":"1120-1128","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":76,"title":["Association between grip strength and diabetes prevalence in black, South\u2010Asian, and white European ethnic groups: a cross\u2010sectional analysis of 418\u00a0656 participants in the <scp>UK<\/scp> Biobank study"],"prefix":"10.1111","volume":"34","author":[{"given":"U. E.","family":"Ntuk","sequence":"first","affiliation":[{"name":"Institute of Health and Wellbeing University of Glasgow Glasgow UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"C. 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