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한국 성인의 악력과 당뇨병 유병률의 연관성: 국민건강영양조사 2014-2018

Relationship Between Handgrip Strength and the Prevalence of Diabetes Mellitus Among Korean Adults: Korean National Health and Nutrition Examination Survey, 2014-2018

조원희|박동혁|민지희|전용관|변지용|홍성현
한국운동생리학회|2021.02|운동과학 (Exercise Science)|제30권 제1호|pp. 110-121

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참고문헌

키워드

국민건강영양조사당뇨병Diabetes MellitusKNHANES상대악력절대악력Absolute Handgrip strengthRelative Handgrip strength

초록

PURPOSE: The study aimed to examine whether handgrip strength (HGS) expressed as absolute or relative to body weight is associated with fasting glucose (FG), hemoglobin A1c (HbA1c) and the prevalence of diabetes mellitus (DM) in different age categories. METHODS:A total of 28,129 adults from the Korea National Health and Nutrition Examination Survey of 2014-2018 was analyzed. To examine the relationship between HGS and variables related to DM, participants were categorized into three groups according to their HGS (Tertile). Then, participants were further categorized into six groups according to their age. One-way ANOVA and logistic regression analyses were performed. RESULTS: Compared with participants in the upper tertile of absolute handgrip strength (AHGS), those in the lower tertile were older, shorter and heavier and also had higher FG and HbA1c. When age was adjusted, the prevalence of DM was 1.19 times (95% CI: 1.03- 1.38) higher among men in the lowest tertile of AHGS. On the other hand, compared with participants in the highest tertile of relative handgrip strength (RHGS), those in the lowest tertile had 2.10 times (95% CI: 1.87-2.41) and 2.42 times (95% CI: 2.08-2.81) higher prevalence of DM in men and women, respectively. When the associations were examined according to age subcategories, significant associations between AHGS and the prevalence of DM were seen only in men in their 50s and 60s, but not seen in women in all age groups, with the exception of the 60s. However, significant associations between RHGS and the prevalence of DM were seen in all age subcategories. CONCLUSIONS:We concluded that the association between HGS and the prevalence of DM was dependent on age and RHGS is a stonger measure than AHGS.

Abstract

PURPOSE: The study aimed to examine whether handgrip strength (HGS) expressed as absolute or relative to body weight is associated with fasting glucose (FG), hemoglobin A1c (HbA1c) and the prevalence of diabetes mellitus (DM) in different age categories. METHODS:A total of 28,129 adults from the Korea National Health and Nutrition Examination Survey of 2014-2018 was analyzed. To examine the relationship between HGS and variables related to DM, participants were categorized into three groups according to their HGS (Tertile). Then, participants were further categorized into six groups according to their age. One-way ANOVA and logistic regression analyses were performed. RESULTS: Compared with participants in the upper tertile of absolute handgrip strength (AHGS), those in the lower tertile were older, shorter and heavier and also had higher FG and HbA1c. When age was adjusted, the prevalence of DM was 1.19 times (95% CI: 1.03- 1.38) higher among men in the lowest tertile of AHGS. On the other hand, compared with participants in the highest tertile of relative handgrip strength (RHGS), those in the lowest tertile had 2.10 times (95% CI: 1.87-2.41) and 2.42 times (95% CI: 2.08-2.81) higher prevalence of DM in men and women, respectively. When the associations were examined according to age subcategories, significant associations between AHGS and the prevalence of DM were seen only in men in their 50s and 60s, but not seen in women in all age groups, with the exception of the 60s. However, significant associations between RHGS and the prevalence of DM were seen in all age subcategories. CONCLUSIONS:We concluded that the association between HGS and the prevalence of DM was dependent on age and RHGS is a stonger measure than AHGS.

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20세 이상 한국인에서 상대 악력과 제2형 당뇨병과의 관련성최은영대한임상건강증진학회 · Korean Journal of Health Promotion2019 · 제19권 제2호한국 성인에서 상대악력과 제2형 당뇨병 발생률과의 연관성: 한국인 유전체 역학 조사사업 자료를 기반으로박수현, 윤은선한국운동생리학회 · 운동과학2020 · 제29권 제4호Association of Hand Grip Strength and Cardiometabolic Markers in Korean Adult Population: The Korea National Health and Nutrition Examination Survey 2015-2016정한얼, Hye Jun Lee, Hyun Jeong Yoo, Jeong Ho Byeon, Jin Young Kong, Joo Hyun Park, Sang-Hyun Lee, Young Eun Choi대한가정의학회 · Korean Journal of Family Medicine2020 · 제41권 제5호Associations between grip strength and glycemic control in type 2 diabetes mellitus: an analysis of data from the 2014-2019 Korea National Health and Nutrition Examination Survey이온, 김건희, 김연수, 문효열, 성호용, Choe Harim한국역학회 · Epidemiology and Health2021 · 제43권 한국 노인의 안정시심박수, 상대 악력 및 당뇨병 유병률의 연관성: 2015-2018 국민건강영양조사 자료를 기반으로박동혁, 전용관, 조원희, 홍성현한국운동생리학회 · 운동과학2020 · 제29권 제4호Association between Relative Handgrip Strength and Insulin Resistance in Korean Elderly Men without Diabetes: Findings of the 2015 Korea National Health Nutrition Examination SurveyDa-Hye Son, Jae-Min Park, Kwang-Chae Joo대한가정의학회 · Korean Journal of Family Medicine2022 · 제43권 제3호

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