Metabolic risk score according to quartile of handgrip strength in 8–14 year old children (n = 536).

<p>Quartile 4 is the highest HG category. Handgrip quartiles are age and sex specific handgrip/kg body mass. Linear trend evaluated using Kruskal–Wallis test. Metabolic risk score is summed standardized residuals (z-score) by age and sex for HOMA score, waist circumference, TG, HDL-c, and systolic blood pressure.