{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,7]],"date-time":"2026-09-07T13:16:09Z","timestamp":1788786969979,"version":"build-2803163510"},"reference-count":31,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2026,7,6]],"date-time":"2026-07-06T00:00:00Z","timestamp":1783296000000},"content-version":"vor","delay-in-days":5,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Geriatrics Gerontology Int"],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>This study aimed to investigate the association between performance on the 30\u2010s arm curl test and the risk of new\u2010onset type 2 diabetes mellitus (T2DM) in older adults.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>In this prospective cohort study, community\u2010dwelling adults aged \u2265\u200965\u2009years in Wuhan were followed for up to 8\u2009years. The primary outcome was new\u2010onset T2DM. Cox proportional hazards regression models and restricted cubic spline (RCS) analyses were used to evaluate the association between 30\u2010s arm curl test performance and the risk of new\u2010onset T2DM. Subgroup analyses were further conducted stratified by sex, age, and body mass index (BMI).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Among the 2094 participants, the cumulative incidence of new\u2010onset T2DM was 15.71% during the follow\u2010up period. After adjusting for potential confounders, a higher number of repetitions in the 30\u2010s arm curl test was significantly associated with a lower risk of T2DM (HR: 0.89, 95% CI: 0.81\u20130.98). RCS analysis demonstrated a significantly decreased risk with increasing repetitions, particularly when the count exceeded 16. Stratified analyses showed significant associations in males and the 70\u201375 age group.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Better performance on the 30\u2010s arm curl test was associated with a reduced risk of new\u2010onset T2DM in older adults. Upper\u2010limb strength training may represent an important non\u2010pharmacological strategy for mitigating T2DM risk in this population.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/ggi.70637","type":"journal-article","created":{"date-parts":[[2026,7,7]],"date-time":"2026-07-07T01:28:18Z","timestamp":1783387698000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Increased 30\u2010s Arm Curl Frequency Can Reduce the Risk of Type 2 Diabetes Mellitus in Older Adults: A Cohort Study From Wuhan, Central China"],"prefix":"10.1111","volume":"26","author":[{"given":"Yuqian","family":"Zhang","sequence":"first","affiliation":[{"name":"School of Public Health Wuhan University of Science and Technology  Wuhan China"},{"name":"Research Center for Health Promotion in Women, Youth and Children Wuhan University of Science and Technology  Wuhan 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