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Aims/Introduction  To explore the relationship between handgrip strength per weight (HGS/W), triglyceride glucose index (TyG) and diabetes, and whether lower HGS levels precede TyG in the Chinese elderly population.    Materials and Methods  Two linear regression models were used to explore the association of whether baseline HGS/W predicted follow‐up variation of TyG or baseline TyG predicted follow‐up variation of HGS/W. The logistic regression model was used to examine the relationship between baseline HGS/W and future diabetes.    Results  A total of 4,561 participants in the China Health and Retirement Longitudinal Study were enrolled, of which 47.0% were men, and the mean age was 58.7 years (standard deviation 8.68 years). A lower baseline HGS/W significantly correlated with a higher level of follow‐up TyG (β = −0.173,  P  = 0.002). The baseline level of HGS/W was significantly negatively associated with the incidence risk of diabetes (rate ratio 0.375,  P  = 0.004). However, in sex stratification, the statistical association between HGS/W and TyG and diabetes was only in men.    Conclusions  Our results showed that HGS/W was inversely associated with TyG and diabetes, and lower HGS/W levels preceded TyG levels in the elderly population. However, the effect was inconsistent between men and women, and the possible mechanism would require further clarification.

Lower handgrip strength levels probably precede triglyceride glucose index and associated with diabetes in men not in women