Obesity

Grip strength: are some adiposity phenotypes more detrimental than others? A Mendelian randomization study

Obesity (Silver Spring)Published Mendelian randomization study

Authors' conclusion

Targeting fat infiltration in muscle may improve muscle function. MetFA appears to negatively impact muscle strength, requiring further investigation into underlying mechanisms.

Study context

Population
UK Biobank participantsN ≤ 340,258
Outcome
Grip strength
Methodological detailsobservational cross-sectional analysis, sex combined and stratified, inverse variance weighted Mendelian randomization (MR), weighted median/mode MR
  • Observational cross-sectional analysis
  • Sex combined and stratified
  • Inverse variance weighted MR
  • Weighted median/mode MR

Main finding

As reported in the abstract

Grip strength per SD increase in adiposity measure (IVW MR)

Body fat (BF) percentage: lower grip strength

−0.10 SD

95% CI −0.16 to −0.04

MetFA: lower grip strength

−0.31 SD

95% CI −0.45 to −0.18

ATMFI: lower grip strength

−0.05 SD

95% CI −0.09 to −0.01

Observational data: associations, not effects.

Further findings

Consistency across analyses

Observational analyses consistent for BF and ATMFI/PTMFI; weighted median/mode MR corroborated MetFA and ATMFI/PTMFI only

Visceral adipose tissue

Higher visceral adipose tissue associated with lower grip strength in observational analyses only

Abdominal subcutaneous adipose tissue

Inconsistent: observational analyses suggested weaker grip; MR suggested stronger grip, particularly in females

MetUFA and gluteofemoral adipose tissue

No strong evidence in MR for associations

Original publication

Grip strength: are some adiposity phenotypes more detrimental than others? A Mendelian randomization study. Obesity (Silver Spring). Published 17 July 2025. doi:10.1002/oby.24339

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