어업종사자에서 낮은 악력과 대퇴부 경부 골밀도 감소의 연관성
Association between Low Hand Grip Strength and Decreased Femoral Neck Bone Mineral Density in Korean Fishery Workers
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Objectives: This study aimed to assess hand grip strength and femoral neck bone mineral density levels among Korean fishery workers and investigate their association. Methods: Hand grip strength and femoral neck bone mineral density were measured in a survey and health examination conducted in 2021 among fishery workers in a southern region of South Korea. Covariates including gender, age, education level, income level, smoking behavior, drinking behavior, family history of hip fractures, use of calcium and vitamin D supplements, hypertension, diabetes, regular exercise, and body mass index were investigated. Multiple regression analysis was employed to assess the association between hand grip strength and femoral neck bone mineral density. Results: Among 147 fishery workers, 8.16% exhibited low hand grip strength levels indicative of possible sarcopenia, and a significant association was found between low hand grip strength and decreased femoral neck bone mineral density (β = -89.14, 95% CI = -160.50, -17.78). Additionally, factors such as women gender, advanced age, family history of hip fractures, and a body mass index below 25 kg/m2 were associated with decreased femoral neck bone mineral density. In the subgroup analysis by gender, a correlation between low hand grip strength and decreased femoral neck bone mineral density was observed only in men. Conclusions: Further research is needed to explore various determinants and intervention strategies to prevent musculoskeletal disorders among fishery workers, ultimately enhancing their quality of life and well-being.
Abstract
Objectives: This study aimed to assess hand grip strength and femoral neck bone mineral density levels among Korean fishery workers and investigate their association. Methods: Hand grip strength and femoral neck bone mineral density were measured in a survey and health examination conducted in 2021 among fishery workers in a southern region of South Korea. Covariates including gender, age, education level, income level, smoking behavior, drinking behavior, family history of hip fractures, use of calcium and vitamin D supplements, hypertension, diabetes, regular exercise, and body mass index were investigated. Multiple regression analysis was employed to assess the association between hand grip strength and femoral neck bone mineral density. Results: Among 147 fishery workers, 8.16% exhibited low hand grip strength levels indicative of possible sarcopenia, and a significant association was found between low hand grip strength and decreased femoral neck bone mineral density (β = -89.14, 95% CI = -160.50, -17.78). Additionally, factors such as women gender, advanced age, family history of hip fractures, and a body mass index below 25 kg/m2 were associated with decreased femoral neck bone mineral density. In the subgroup analysis by gender, a correlation between low hand grip strength and decreased femoral neck bone mineral density was observed only in men. Conclusions: Further research is needed to explore various determinants and intervention strategies to prevent musculoskeletal disorders among fishery workers, ultimately enhancing their quality of life and well-being.
참고문헌 (25)
- 임형준, "농어업인과 비농어업인의 손상·중독 유병률 비교 연구", 농촌의학.지역보건, 33(1), pp.82~89 (2008), 한국농촌의학.지역보건학회
- Griffin XL, "Recovery of health-related quality of life in a United Kingdom hip fracture population", Bone Jt J, 97(B), pp.372~382 (2015)
- Parker MJ, "A new mobility score for predicting mortality after hip fracture", J Bone Joint Surg Br, 75(5), pp.797~798 (1993)
- Liu Z, "Optimized clinical practice for superaged patients with hip fracture : significance of damage control and enhanced recovery program", Burns Trauma, 7 (2019)
- Kujala UM, "Physical activity and osteoporotic hip fracture risk in men", Arch Intern Med, 160(5), pp.705~708 (2020)
- Suen LKP, "Occupation and risk of hip fracture", J Public Health(Oxf), 20(4), pp.428~433 (1998)
- Case, S, "Reported traumatic injuries among West Coast Dungeness crab fishermen, 2002–2014", International maritime health, 66(4), pp.207~210 (2015)
- Cummings SR, "Bone density at various sites for prediction of hip fractures, The Study of Osteoporotic Fractures Research Group", Lancet, 341, pp.72~75 (1993)
- Suzuki T, "Low bone mineral density at femoral neck is a predictor of increased mortality in elderly Japanese women", Osteoporos Int, 21, pp.71~79 (2010)
- Norman K, "Hand grip strength : outcome predictor and marker of nutritional status", Clin Nutr, (30), pp.135~142 (2011)
- Dixon WG, "Low grip strength is associated with bone mineral density and vertebral fracture in women", Rheumatology(Oxford), 44(5), pp.642~646 (2005)
- 김상욱, "Low Handgrip Strength is Associated with Low Bone Mineral Density and Fragility Fractures in Postmenopausal Healthy Korean Women", Journal of Korean Medical Science, 27(7), pp.744~747 (2012), 대한의학회[DOI]
- Chen LK, "Asian Working Group for Sarcopenia : 2019 consensus update on sarcopenia diagnosis and treatment", J Am Med Dir Assoc, 21(3), pp.300~307 (2020)
- 박상우, "어업인의 건강·안전 실태와 정책 개선방향", 수산정책연구, 8, pp.65~84 (2010)
- Luo Y, "Association between grip strength and bone mineral density in general US population of NHANES 2013–2014", Arch Osteoporos, 15, pp.1~9 (2020)
- Li YZ, "Low grip strength is a strong risk factor of osteoporosis in postmenopausal women", Orthop Surg, 10(1), pp.17~22 (2018)
- Song J, "Causal associations of hand grip strength with bone mineral density and fracture risk : A mendelian randomization study", Front Endocrinol(Lausanne), 13, pp.1020750~ (2022)
- Lerebours C, "Towards a cell-based mechanostat theory of bone : the need to account for osteocyte desensitisation and osteocyte replacement", J Biomech, 49(13), pp.2600~2606 (2016)
- Gomarasca M, "Myokines : The endocrine coupling of skeletal muscle and bone", Adv Clin Chem, 94, pp.155~218 (2020)
- Kaji H, "Effects of myokines on bone", Bonekey Rep, 5, pp.826~ (2016)
- Denk K, "The association between decreased hand grip strength and hip fracture in older people : A systematic review", Exp Gerontol, 111, pp.1~9 (2018)
- Lan TY, "Risk factors for hip fracture in older adults : a case–control study in Taiwan", Osteoporos Int, 21, pp.773~784 (2010)
- Martelli S, "Strain energy in the femoral neck during exercise", J Biomech, 47(8), pp.1784~1791 (2014)
- Sherrington C, "Why does exercise reduce falls in older people? Unrecognised contributions to motor control and cognition?", Br J Sports Med, 47(12), pp.730~731 (2013)
- Greendale GA, "Changes in body composition and weight during the menopause transition", JCI insight, 4(5) (2019)