ORIGINAL RESEARCH article
Front. Public Health
Sec. Aging and Public Health
Volume 13 - 2025 | doi: 10.3389/fpubh.2025.1567396
The mediating effect of handgrip strength on the association between sleep duration and basal metabolic rate in middle-aged and older adults: Evidence from the China Health and Retirement Longitudinal Study
Provisionally accepted
- 1Shandong Administration of Sports, Jinan, Shandong Province, China
- 2Bengbu Medical University, Bengbu, Anhui Province, China
- 3Anhui University of Finance and Economics, Bengbu, Anhui Province, China
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Background: Anomalies in basal metabolic rate (BMR) among middle-aged and older populations can lead to various metabolism-related diseases, presenting a significant global public health challenge. The association and mechanism between sleep duration and BMR remain unclear. This study aimed to investigate the mediating role of handgrip strength in the relationship between sleep duration and BMR.The study utilized data from the 2015 China Health and Retirement Longitudinal Study (CHARLS), comprising 10,161 participants aged 45 and older. The mediating effect of handgrip strength on the relationship between sleep duration and BMR was analyzed using linear regression model and bootstrap method.Results: After controlling for confounding variables, a positive correlation was observed between sleep duration and BMR, with standardized regression coefficients (β) of 1.65, 95% confidence interval (CI) ranging from 0.63 to 2.70, and a significance level of P = 0.002. Grip strength was positively correlated with BMR, β was 4.63, 95% CI: 4.34 to 5.91, P < 0.001. Handgrip strength mediates 22.42% of the total effect linking sleep duration to BMR. The mediating effect was 0.37, 95% CI: 0.07-0.67. The study identified significant positive correlations between sleep duration and BMR, as well as handgrip strength and BMR, with handgrip strength mediating the relationship between sleep duration and BMR.
Keywords: sleep duration, basal metabolic rate, handgrip strength, Middle-aged and older adults, CHARLS
Received: 27 Jan 2025; Accepted: 07 Jul 2025.
Copyright: © 2025 Sun, Li, Ding, Zhou, Bai and Zhao. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence: Xiaojiang Zhao, Bengbu Medical University, Bengbu, Anhui Province, China
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