본문 바로가기
KERD
논문KCI 등재

노인의 저체중 및 악력 수준과 모든 원인 사망 위험의 연관성

Association of Underweight and Hand Grip Strength with the Risk of All-cause Mortality in Older Adults

오태웅|김민준
국민체육진흥공단 한국스포츠과학원 (Korea Institute of Sport Science)|2023.12|체육과학연구 (Korean Journal of Sport Science)|제34권 제4호|pp. 547-557

1

조회

0

다운로드

0

인용

0

참고문헌

키워드

노인Older adults저체중체질량지수Body mass indexUnderweight악력모든 원인으로 인한 사망Hand grip strengthAll-cause mortality
주제분류체육

초록

[목적] 본 연구는 노인의 저체중과 악력 수준이 모든 원인으로 인한 사망 위험에 미치는 영향을 조사하는데 목적이있다. [방법] 고령화연구패널조사에 참여한 65세 이상 노인 3,009명을 대상으로 하였으며, 체질량지수에 근거하여 저체중, 정상 체중, 과체중, 비만으로 집단을 세분화하였다. 또한 Asian Working Group for Sarcopenia의 근감소증 진단 기준에 근거하여 악력을 상위 집단과 하위 집단으로 분류하였다. 콕스비례위험회귀모델을 이용하여 체질량지수 및 악력수준에 따른 모든 원인 사망 위험비(HR, hazard ratio)를 95% 신뢰구간(CI, confidence interval)에서 산출하였다. [결과] 대상자의 평균 추적기간은 11.3±4.0년이었으며, 추적 기간 1,334명이 사망한 것으로 나타났다. 체질량지수및 악력 수준에 따른 사망 위험 분석 결과, 정상 체중 및 높은 악력 집단(HR=1)과 비교하여 과체중 및 높은 악력 집단(HR=0.773, 95% CI=0.627-0.954, p =.016)의 사망 위험은 유의하게 낮은 것으로 나타났으며, 저체중 및 낮은 악력집단(HR=1.930, 95% CI=1.523-2.446, p <.001), 정상 체중 및 낮은 악력 집단(HR=1.225, 95% CI=1.042-1.440, p =.014)의 사망 위험은 유의하게 높은 것으로 나타났다. 반면 저체중 및 높은 악력 집단의 사망 위험은 정상 체중 및높은 악력 집단과 비교하여 유의한 차이가 없는 것으로 나타났다. [결론] 본 연구의 결과는 노년기 규칙적인 운동을 통해 근력을 유지하는 것이 저체중으로 인한 사망 위험을 감소시키는데 중요한 역할을 할 수 있음을 시사한다.

Abstract

PURPOSE This study investigated the impact of underweight and hand grip strength (HGS) levels on the risk of all-cause mortality in older adults. METHODS Data from the 2006 baseline and 2020 follow-up assessments of the Korean Longitudinal Study of Aging (KLoSA), involving 3,009 older Koreans (≥65 years) were used in the study. Participants were categorized based on body mass index (BMI) as underweight, normal, overweight, or obese and grouped according to the Asian Working Group Sarcopenia criteria into high or low HGS. Cox proportional hazard models were used to estimate the hazard ratio (HR) and 95% confidence interval (CI) of all-cause mortality according to BMI and HGS categories. RESULTS During the 11.3±4.0 years follow-up period, 1,334 deaths from all causes occurred. The risk of death by BMI and HGS level was analyzed. The results showed that the risk of death in the overweight and high HGS group (HR=0.773, p=.016) was significantly lower than that in the normal weight & high HGS group (HR=1). In comparison, the risk of death in the underweight & low HGS group (HR=1.930, p<.001) and the normal weight & high HGS group (HR=1.225, p=.014) were significantly higher than normal weight & high HGS. However, the risk of death in the underweight and high HGS group showed no significant difference compared to the normal weight and high HGS group. CONCLUSIONS The current findings suggest that improving muscle strength through regular exercise may be important in preventing the risk of all-cause mortality due to being underweight.

참고문헌 (35)

  1. Boey, K. W., "Cross-validation of a short form of the CES-D in chinese elderly", International Journal of Geriatric Psychiatry, 14(8), pp.608~617 (1999)
  2. Boland, L. L., "Hyperinsulinemia, dyslipidemia, and obesity as risk factors for hospitalized gallbladder disease : A prospective study", Annals of Epidemiology, 12(2), pp.131~140 (2002)
  3. Cai, T., "Linear association between grip strength and all-cause mortality among the elderly : Results from the SHARE study", Aging Clinical and Experimental Research, 33(4), pp.933~941 (2021)
  4. Cardoso, A. S., "Body mass index and mortality among community-dwelling elderly of southern Brazil", Preventive Medicine, 139, pp.106173~ (2020)
  5. CDC(Centers for Disease Control and Prevention), "Cigarette smoking among adults-United States, 1992, and changes in the definition of current cigarette smoking", MMWR : Morbidity and Mortality Weekly Report, 43(19), pp.342~346 (1994)
  6. Chalermsri, C., "Body mass index combined with possible sarcopenia status is better than BMI or possible sarcopenia status alone for predicting allcause mortality among Asian community-dwelling older adults", Frontiers in Nutrition, 9, pp.881121~ (2022)
  7. Chen, L. -K., "Asian working group for sarcopenia : 2019 consensus update on sarcopenia diagnosis and treatment", Journal of the American Medical Directors Association, 21(3), pp.300~307. e2 (2020)
  8. Chon, D., "Consideration of Body Mass Index(BMI)in the association between hand grip strength and hypertension : Korean longitudinal study of ageing(KLoSA)", PLoS ONE, 15(10), pp.e0241360~ (2020)
  9. García-Hermoso, A., "Muscular strength as a predictor of all-cause mortality in an apparently healthy population : A systematic review and metaanalysis of data from approximately 2 million men and women", Archives of Physical Medicine and Rehabilitation, 99(10), pp.2100~2113. e5 (2018)
  10. Gupta, A., "Prevalence and risk factors of underweight, overweight and obesity among a geriatric population living in a high-altitude region of rural Uttarakhand, India", Public Health Nutrition, 21(10), pp.1904~1911 (2018)
  11. Hamer, M., "Sarcopenic obesity, weight loss, and mortality : The english longitudinal study of ageing", The American Journal of Clinical Nutrition, 106(1), pp.125~129 (2017)
  12. Huh, Y., "Risk assessment of mortality in elderly individuals : A nationwide cohort study", Gerontology, 68(11), pp.1266~1275 (2022)
  13. Kim, G. R., "Impact of handgrip strength on cardiovascular, cancer and allcause mortality in the korean longitudinal study of ageing", BMJ Open, 9(5), pp.e027019~ (2019)
  14. Kim, K., "Handgrip strength and mortality in elderly Koreans: Evidence from the Korea longitudinal study of ageing", Asia Pacific Journal of Public Health, 32(6-7), pp.302~309 (2020)
  15. 김소미, "악력과 총 사망률, 원인별 사망률과의 연관성: 고령화 연구패널조사(2006–2016)", Korean Journal of Family Practice, 9(5), pp.438~447 (2019), 대한가정의학회[DOI]
  16. Kim, S., "Body mass index and decline of cognitive function", PLoS ONE, 11(2), pp.e0148908~ (2016)
  17. 이인환, "중·고령자의 악력저하와 동반질환이 모든 원인으로 인한 사망 위험에 미치는 영향", 운동과학, 29(1), pp.40~50 (2020), 한국운동생리학회
  18. Lee, Y., "Frailty and body mass index as predictors of 3-year mortality in older adults living in the community", Gerontology, 60(6), pp.475~482 (2014)
  19. Li, R., "Associations of muscle mass and strength with all-cause mortality among US older adults", Medicine &Science in Sports & Exercise, 50(3), pp.458~467 (2018)
  20. Liu, Y., "A prospective study on the association between grip strength and cognitive function among middle-aged and elderly Chinese participants", Frontiers in Aging Neuroscience, 11, pp.250~ (2019)
  21. Lorem, G. F., "What is the impact of underweight on self-reported health trajectories and mortality rates : A cohort study", Health and Quality of Life Outcomes, 15, pp.191~ (2017)
  22. Malhotra, R., "Association of baseline hand grip strength and annual change in hand grip strength with mortality among older people", Archives of Gerontology and Geriatrics, 86, pp.103961~ (2020)
  23. Mamhidir, A., "Underweight, weight loss and related risk factors among older adults in sheltered housing - A Swedish follow-up study", The Journal of Nutrition, Health & Aging, 10(4), pp.255~262 (2006)
  24. Merchant, R. A., "Prevalence of metabolic syndrome and association with grip strength in older adults: Findings from the HOPE study", Diabetes, Metabolic Syndrome and Obesity, 13, pp.2677~2686 (2020)
  25. Minagawa, Y., "The role of underweight in active life expectancy among older adults in Japan", The Journals of Gerontology : Series B, 76(4), pp.756~765 (2021)
  26. Pes, G. M., "Overweight : A protective factor against comorbidity in the elderly", International Journal of Environmental Research and Public Health, 16(19), pp.3656~ (2019)
  27. Plunk, A. D., "Alcohol consumption, heavy drinking, and mortality : Rethinking the J-shaped curve", Alcoholism : Clinical and Experimental Research, 38(2) (2014)
  28. Rossi, A. P., "Dynapenic abdominal obesity as a predictor of worsening disability, hospitalization, and mortality in older adults : Results from the InCHIANTI study", The Journals of Gerontology : Series A, 72(8), pp.1098~1104 (2017)
  29. Statistics Korea, "Population Projection (by Region): 2017-2047", Statistics Korea, 1~37 (2019)
  30. Statistics Korea, "Result of cause-of-death statistics in 2021in the Republic of Korea", Statistics Korea, ~ (2021)
  31. Tanaka, S., "Overweight", obesity and underweight are both risk factors for osteoporotic fractures at different sites in Japanese postmenopausal women, 2013, pp.24(1), 69~76
  32. Won, C. W., "The development of Korean Activities of Daily Living(K-ADL)and Korean Instrumental Activities of Daily Living(K-IADL)scale", Journal of the Korean Geriatrics Society, 6(2), pp.107~120 (2002)
  33. World Health Organization, "Global recommendations on physical activity for health", World Health Organization, ~ (2010)
  34. Wu, C. -Y., "Association of body mass index with all-cause and cardiovascular disease mortality in the elderly", PLoS ONE, 9(7), pp.e102589~ (2014)
  35. 유선영, "Body Mass Index and Mortality according to Gender in a Community-Dwelling Elderly Population: The 3-Year Follow-up Findings from the Living Profiles of Older People Surveys in Korea", Korean Journal of Family Medicine, 37(6), pp.317~322 (2016), 대한가정의학회

관련 논문AI추천

중·고령자의 체중감소 및 악력과 원인별 사망과의 연관성이인환한국운동생리학회 · 운동과학2023 · 제32권 제3호중·고령자의 악력저하와 동반질환이 모든 원인으로 인한 사망 위험에 미치는 영향강현식, 이인환한국운동생리학회 · 운동과학2020 · 제29권 제1호저체중 노인의 추정 심폐체력과 모든 원인 사망과의 연관성김병로, 이인환한국운동생리학회 · 운동과학2020 · 제29권 제2호Association of Grip Strength with All-Cause Mortality among Korean Adults with Disabilities임상훈한국운동생리학회 · 운동과학2023 · 제32권 제4호Trajectories of Handgrip Strength and Their Associations with Mortality among Older Adults in Korea: Analysis of the Korean Longitudinal Study of AgingDong Ryul Lee, Jungun Lee, Kyung Hyun Bae, Yong Ho Jo대한가정의학회 · Korean Journal of Family Medicine2021 · 제42권 제1호65세 이상 고령자에서 비만과 악력의 상호작용이 건강관련 삶의 질에 미치는 영향: 제7기(2016-2018) 국민건강 영양조사 자료를 기반으로박상신, 우다래, 현승재한국보건정보통계학회 · 보건정보통계학회지2021 · 제46권 제1호

이 간행물의 다른 논문 (17건)

엘리트 배구선수의 하지 부상이 관절가동범위, 근육 신장성 및 동적안정성에 미치는 영향두 루페이, 최호경, 김은국, 김태규pp. 558-568저항성 운동 세트 구성이 기초체력 및 등속성 근기능에 미치는 효과서태범, 유붕, 김영직pp. 569-578체질량지수에 따른 발목관절 근기능 및 동적 고유수용감각 조절 능력에 미치는 영향임승택, 이은재, 조지훈pp. 579-587하지 운동 상해 예방 동영상 교육이 방향전환 동작 시 무릎관절의 운동역학적 변인에 미치는 영향김성민, 문제헌, 이미소pp. 588-595<골 때리는 그녀들> 남성시청자의 여자축구에 대한 인식변화 질적 연구홍은아, 이화영pp. 596-606
원문 보기