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Phthalates track weaker grip in Korean elders

Higher urinary DEHP and MnBP metabolites were inversely associated with handgrip strength in community-dwelling older adults, especially with a high omega-6/omega-3 diet.

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Which cohort was studied?

KEEP II, a 2012–2015 repeated-measures panel of Korean elders.

Source: Association between phthalate exposure and lower handgrip strength in an elderly population: a repeated-measures study · DOI · quote verified

How many elders were recruited?

1,253 noninstitutionalized volunteers in Seoul and Asan.

Source: Association between phthalate exposure and lower handgrip strength in an elderly population: a repeated-measures study · DOI · quote verified

What was the main finding for grip strength?

Urinary MEOHP, MEHHP, and MnBP were inversely associated with right and left handgrip.

Source: Association between phthalate exposure and lower handgrip strength in an elderly population: a repeated-measures study · DOI · quote verified

What were enrollment geometric means?

MEOHP 15.48, MEHHP 21.11, and MnBP 28.23 μg/L.

Source: Association between phthalate exposure and lower handgrip strength in an elderly population: a repeated-measures study · DOI · quote verified

How was grip measured?

Tanita dynamometer, two attempts per hand, average of right and left.

Source: Association between phthalate exposure and lower handgrip strength in an elderly population: a repeated-measures study · DOI · quote verified

Did diet modify the association?

Yes, at an omega-6/omega-3 ratio of 8.81 (75th percentile).

Source: Association between phthalate exposure and lower handgrip strength in an elderly population: a repeated-measures study · DOI · quote verified

Was there a sex difference?

No; all sex-interaction p-values > 0.10.

Source: Association between phthalate exposure and lower handgrip strength in an elderly population: a repeated-measures study · DOI · quote verified

What parent compound do MEOHP and MEHHP share?

DEHP; they were also summed as ΣDEHP.

Source: Association between phthalate exposure and lower handgrip strength in an elderly population: a repeated-measures study · DOI · quote verified

What confounding concern do the authors raise?

Medical devices and pharmaceutical coatings that both contain phthalates and relate to frailty.

Source: Association between phthalate exposure and lower handgrip strength in an elderly population: a repeated-measures study · DOI · quote verified

Who is underrepresented, limiting generalizability?

People with low physical function and more disease; the panel is mostly healthy older women.

Source: Association between phthalate exposure and lower handgrip strength in an elderly population: a repeated-measures study · DOI · quote verified