{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,19]],"date-time":"2026-03-19T13:55:34Z","timestamp":1773928534653,"version":"3.50.1"},"reference-count":54,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2025,12,10]],"date-time":"2025-12-10T00:00:00Z","timestamp":1765324800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2025,12,10]],"date-time":"2025-12-10T00:00:00Z","timestamp":1765324800000},"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":["J of Oral Rehabilitation"],"published-print":{"date-parts":[[2026,3]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Handgrip strength (HGS) reflects overall muscular fitness and health. Although associations between absolute or BMI\u2010adjusted HGS and systemic conditions have been studied, no research has examined its link to tooth loss using modified relative HGS indices from other anthropometric factors.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>This study aimed to investigate, for the first time, the association between tooth loss and various modified relative HGS indices using nationally representative data.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      Using the 2014\u20132023 Korean National Health and Nutrition Examination Survey data (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200952\u2009206), relative HGS was calculated by adjusting dominant HGS with various body indices. Oral status was classified as functional (\u2265\u200920 teeth) or reduced (&lt;\u200920 teeth). Statistical analysis to assess associations and diagnostic accuracy was performed using the chi\u2010square test,\n                      <jats:italic>t<\/jats:italic>\n                      \u2010test, incidence rate ratio (IRR), and the receiver operating characteristic (ROC).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      In the fully adjusted IRR analysis, waist circumference (WC)\u2010based relative HGS showed the strongest inverse association with tooth loss (IRR\u2009=\u20090.505, 95% confidence interval [CI]\u2009=\u20090.388\u20130.656). The ROC analysis revealed that relative HGS indicators adjusted for WC, waist\u2010to\u2010height ratio (WHtR), and weight\u2010adjusted waist index (WWI), which represent central adiposity, had the highest diagnostic accuracy for predicting tooth loss (area under the curve [AUC]\u2009=\u20090.6367, 0.6323, and 0.6316, respectively). Significant differences were observed in all HGS indicators based on the functional dentition criterion (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>WC\u2010adjusted relative HGS showed the strongest inverse association with tooth loss, indicating its potential utility for early identification of high\u2010risk individuals and informing multidisciplinary approaches to oral rehabilitation.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/joor.70135","type":"journal-article","created":{"date-parts":[[2025,12,10]],"date-time":"2025-12-10T10:56:25Z","timestamp":1765364185000},"page":"749-760","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Modified Relative Handgrip Strength and Tooth Loss: A Nationwide Study"],"prefix":"10.1111","volume":"53","author":[{"given":"Yoon\u2010Jin","family":"Kim","sequence":"first","affiliation":[{"name":"Department of Preventive and Public Health Dentistry School of Dentistry, Chonnam National University  Gwangju Republic of Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ji\u2010Eun","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Preventive and Public Health Dentistry School of Dentistry, Chonnam National University  Gwangju Republic of Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Choong\u2010Ho","family":"Choi","sequence":"additional","affiliation":[{"name":"Department of Preventive and Public Health Dentistry School of Dentistry, Chonnam National University  Gwangju Republic of Korea"},{"name":"Dental Science Research Institute Chonnam National University  Gwangju Republic of Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0395-2344","authenticated-orcid":false,"given":"Ki\u2010Ho","family":"Chung","sequence":"additional","affiliation":[{"name":"Department of Preventive and Public Health Dentistry School of Dentistry, Chonnam National University  Gwangju Republic of Korea"},{"name":"Dental Science Research Institute Chonnam National University  Gwangju Republic of Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,12,10]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF03337743"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(14)62000-6"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41598-024-80487-y"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.3390\/jcm13020627"},{"issue":"5","key":"e_1_2_12_6_1","article-title":"Depression and Hand\u2010Grip: Unraveling the Association","volume":"15","author":"Ganipineni V. 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