제7기 국민건강영양조사 자료를 활용한 한국 성인의 악력 분포 및 영향요인 분석
An Analysis on Distribution of Handgrip Strength and Associated Factors in Korean Adults
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Background: Sarcopenia is a skeletal muscle disorder that involves the loss of muscle mass and function. Handgrip strength (HGS) isthe most commonly used tool to assess muscle strength to diagnose sarcopenia. HGS is also associated with various diseases andhealth outcomes. Thus, we aimed this study to examine the HGS status in Korean adults and relevant factors of HGS. Methods: Datawas obtained from the 7th Korea National Health and Nutrition Examination Survey (KNHANES), a population-based nationwidesurvey. The estimated mean value of HGS was calculated in each age group. The mean HGS in men and women aged over 40 wascompared according to the household income level, lifestyle factors, and comorbidities. Results: A total of 16,708 participants wereincluded in this study. The mean HGS showed a maximum value in the 30s for both men and women, and then tended to decreasewith increasing age. When analyzed for people aged 40 or older, the mean HGS was significantly higher in the current or pastsmoker, drinker, and aerobic exercise groups in both men and women. The mean HGS was lower in the group with comorbiditiessuch as hypertension, dyslipidemia, type 2 diabetes, and bone diseases. Conclusion: Our study found that the mean HGS wassignificantly different between those with and without underlying chronic diseases. In groups with relevant comorbidities, closemonitoring for the development of sarcopenia and taking preventive measures such as exercise and nutritional support may berecommended.
Abstract
Background: Sarcopenia is a skeletal muscle disorder that involves the loss of muscle mass and function. Handgrip strength (HGS) isthe most commonly used tool to assess muscle strength to diagnose sarcopenia. HGS is also associated with various diseases andhealth outcomes. Thus, we aimed this study to examine the HGS status in Korean adults and relevant factors of HGS. Methods: Datawas obtained from the 7th Korea National Health and Nutrition Examination Survey (KNHANES), a population-based nationwidesurvey. The estimated mean value of HGS was calculated in each age group. The mean HGS in men and women aged over 40 wascompared according to the household income level, lifestyle factors, and comorbidities. Results: A total of 16,708 participants wereincluded in this study. The mean HGS showed a maximum value in the 30s for both men and women, and then tended to decreasewith increasing age. When analyzed for people aged 40 or older, the mean HGS was significantly higher in the current or pastsmoker, drinker, and aerobic exercise groups in both men and women. The mean HGS was lower in the group with comorbiditiessuch as hypertension, dyslipidemia, type 2 diabetes, and bone diseases. Conclusion: Our study found that the mean HGS wassignificantly different between those with and without underlying chronic diseases. In groups with relevant comorbidities, closemonitoring for the development of sarcopenia and taking preventive measures such as exercise and nutritional support may berecommended.
참고문헌 (23)
- Cruz-Jentoft AJ, "Sarcopenia", Lancet, 393(10191), pp.2636~2646 (2019)
- Shafiee G, "Prevalence of sarcopenia in the world : a systematic review and meta-analysis of general population studies", J Diabetes Metab Disord, 16, pp.21~ (2017)
- Cruz-Jentoft AJ, "Sarcopenia : revised European consensus on definition and diagnosis", Age Ageing, 48(1), pp.16~31 (2019)
- Roberts HC, "A review of the measurement of grip strength in clinical and epidemiological studies : towards a standardised approach", Age Ageing, 40(4), pp.423~429 (2011)
- Kim CR, "Reference values for hand grip strength in the South Korean population", PLoS One, 13(4), pp.e0195485~ (2018)
- 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.e2 (2020)
- Luo Y, "Association between grip strength and bone mineral density in general US population of NHANES 2013-2014", Arch Osteoporos, 15(1), pp.47~ (2020)
- Gi YM, "Low handgrip strength is closely associated with anemia among adults : A cross-sectional study using Korea National Health and Nutrition Examination Survey(KNHANES)", PLoS One, 15(3), pp.e0218058~ (2020)
- Pacifico J, "Prevalence of sarcopenia as a comorbid disease : A systematic review and meta-analysis", Exp Gerontol, 131, pp.110801~ (2020)
- Lee MR, "Association between muscle strength and type 2 diabetes mellitus in adults in Korea: Data from the Korea national health and nutrition examination survey (KNHANES) VI", Medicine (Baltimore), 97(23), pp.e10984~ (2018)
- Kweon S, "Data resource profile : the Korea National Health and Nutrition Examination Survey(KNHANES)", Int J Epidemiol, 43(1), pp.69~77 (2014)
- Dodds RM, "Global variation in grip strength : a systematic review and metaanalysis of normative data", Age Ageing, 45(2), pp.209~216 (2016)
- Han KM, "Relationships between hand-grip strength, socioeconomic status, and depressive symptoms in community-dwelling older adults", J Affect Disord, 252, pp.263~270 (2019)
- Beckwée D, "Exercise Interventions for the Prevention and Treatment of Sarcopenia. A Systematic Umbrella Review", J Nutr Health Aging, 23(6), pp.494~502 (2019)
- Naseeb MA, "Protein and exercise in the prevention of sarcopenia and aging", Nutr Res, 40, pp.1~20 (2017)
- Dent E, "International clinical practice guidelines for sarcopenia (ICFSR): Screening, diagnosis and management", J Nutr Health Aging, 22(10), pp.1148~1161 (2018)
- Steffl M, "Relation between cigarette smoking and sarcopenia : meta-analysis", Physiol Res, 64(3), pp.419~426 (2015)
- Steffl M, "Alcohol consumption as a risk factor for sarcopenia-a metaanalysis", BMC Geriatr, 16, pp.99~ (2016)
- Lee JS, "Associated factors and health impact of sarcopenia in older chinese men and women : a cross-sectional study", Gerontology, 53(6), pp.404~410 (2007)
- Cui Y, "The longitudinal association between alcohol consumption and muscle strength : A population-based prospective study", J Musculoskelet Neuronal Interact, 19(3), pp.294~299 (2019)
- Li TH, "The prevalence and risk factors of sarcopenia in rheumatoid arthritis patients : A systematic review and meta-regression analysis", Semin Arthritis Rheum, 51(1), pp.236~245 (2021)
- Dao T, "Prevalence of sarcopenia and its association with antirheumatic drugs in middle-aged and older adults with rheumatoid arthritis : A systematic review and meta-analysis", Calcif Tissue Int (2021)[DOI]
- Beaudart C, "Sarcopenia in daily practice : assessment and management", BMC Geriatr, 16(1), pp.170~ (2016)
