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2 "Hoyong Sung"
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Original Articles
Associations 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 Survey
Harim Choe, Hoyong Sung, Geon Hui Kim, On Lee, Hyo Youl Moon, Yeon Soo Kim
Epidemiol Health. 2021;43:e2021080.   Published online October 8, 2021
DOI: https://doi.org/10.4178/epih.e2021080
  • 9,153 View
  • 170 Download
  • 3 Web of Science
  • 4 Crossref
AbstractAbstract AbstractSummary PDFSupplementary Material
Abstract
OBJECTIVES
Glycemic control is essential for preventing severe complications in patients with diabetes mellitus. This study investigated the association between grip strength and glycemic control in Korean adults with type 2 diabetes mellitus.
METHODS
From the Korea National Health and Nutrition Examination Survey, 2,498 participants aged over 19 years that patients with diabetes mellitus who did not have a history of cardiovascular disease or cancer were selected for analysis. Grip strength was assessed using a handheld dynamometer and was represented as age-specific and sex-specific tertiles. Multivariable logistic regression was performed to calculate the odds ratio (OR) and 95% confidence interval (CI) of glycemic control according to the grip strength tertiles.
RESULTS
A significantly lower probability (OR, 0.67; 95% CI, 0.47 to 0.97) for glycemic control was found in the lowest tertile of grip strength compared to the highest tertile. Furthermore, a subgroup analysis by sex only found significant associations between grip strength and glycemic control in males.
CONCLUSIONS
Lower grip strength was associated with poor glycemic control in patients with diabetes mellitus, especially in males. However, further studies are needed to confirm the causal relationship between grip strength and glycemic control.
Summary
Korean summary
본 연구는 2014-2019년도 국민건강영양조사의 자료를 활용하여 당뇨병 유병자의 악력과 혈당 조절률 간의 연관성을 확인하였다. 당뇨병 유병자의 악력이 낮을수록 혈당 조절과의 연관성이 낮아졌으며, 이러한 연관성은 특히 남성에게 유의하게 나타났다.
Key Message
Grip strength is an inexpensive and straightforward method for measuring upper extremities strength and could represent the overall strength. After adjusting for confounders, lower grip strength with diabetic patients was associated with poor glycemic control. Specifically, this association was more prominent in Korean male.

Citations

Citations to this article as recorded by  
  • Handgrip strength and upper limb functional performance measures in people over 18 years old: Analysis of relationships and influencing factors
    Julio Ernesto Pérez-Parra, Claudia Patricia Henao-Lema, Anyi Vanesa Arcos-Rodríguez, Natalia López-Ocampo, Carolina Castaño-García, Olga Patricia Pérez-Gamboa
    Journal of Hand Therapy.2024; 37(1): 101.     CrossRef
  • Physio-cognitive decline syndrome among middle-aged diabetes patients: Handgrip strength significantly correlates with glycaemic control and cognitive score
    Purwita Wijaya Laksmi, Dyah Purnamasari, Naldo Sofian, Nina Kemala Sari, Mohammad Kurniawan, Lugyanti Sukrisman, Dicky Levenus Tahapary, Noto Dwimartutie, Ikhwan Rinaldi
    Heliyon.2024; 10(2): e24018.     CrossRef
  • Low relative hand grip strength is associated with a higher risk for diabetes and impaired fasting glucose among the Korean population
    Min Jin Lee, Ah Reum Khang, Dongwon Yi, Yang Ho Kang, Giacomo Pucci
    PLOS ONE.2022; 17(10): e0275746.     CrossRef
  • Frailty and risk of microvascular complications in patients with type 2 diabetes: a population-based cohort study
    Yuanjue Wu, Ting Xiong, Xiao Tan, Liangkai Chen
    BMC Medicine.2022;[Epub]     CrossRef
Accelerometer-measured stepping cadence patterns in Korean adults: an analysis of data from the 2014-2015 Korea National Health and Nutrition Examination Survey
Geon Hui Kim, Hoyong Sung, Yeun Ryu, Jungjun Lim, Joon-Sik Kim, Hak Kyun Kim, Yeon Soo Kim
Epidemiol Health. 2021;43:e2021056.   Published online August 17, 2021
DOI: https://doi.org/10.4178/epih.e2021056
  • 8,728 View
  • 323 Download
AbstractAbstract AbstractSummary PDF
Abstract
OBJECTIVES
The aim of this study was to identify the stepping cadence patterns in Korean adults by using objectively measured accelerometer data to analyze the time spent in each cadence category by sex and age.
METHODS
During the 2014-2015 Korean National Health and Nutrition Examination Survey, 1,703 males and females aged 19-64 years provided at least 1 valid day of data (wearing an accelerometer ≥ 10 hr/d). The mean cumulative time and percentage per day in 8 cadence categories (0, 1-19, 20-29, 30-59, 60-79, 80-99, 100-119, and ≥ 120 steps/min) by sex and age group were calculated.
RESULTS
Cumulative time and percentage per day decreased across the incremental cadence categories. Participants spent 360.08± 2.56 min/d in the non-movement cadence category and 361.50± 2.28 min/d in the incidental movement cadence category. However, they spent only about 18.1 min/d (2.1%) at ≥ 100 steps/min. Males spent significantly more time in the cadence categories of sporadic movement, purposeful steps, slow walking, and medium walking, but the other categories, except for brisk walking, had higher values in females (p< 0.001). The older age group spent less time in non-movement cadence categories, and the youngest and oldest groups spent more time at a higher cadence (≥ 100 steps/min) than the other age groups. Similar patterns were found in a subgroup analysis by sex.
CONCLUSIONS
Korean adults spent most of their time at a low cadence and only a few minutes at a high cadence (≥100 steps/min); this trend was consistent across sex and age groups.
Summary
Korean summary
본 연구에서는 2014-2015년도 국민건강영양조사자료의 가속도계 자료를 활용하여 한국 성인의 성별, 연령별 케이던스 패턴을 확인하였다. 한국 성인은 하루 평균 약 12시간(약 87%)을 분당 20보 이하의 낮은 케이던스에서 보냈고, 분당 100보 이상의 높은 케이던스에서는 하루 중 단지 약 18분 (약 2%)의 시간을 보냈다. 성별 및 연령대에 따라 약간의 차이는 있으나, 대부분 유사한 양상을 보였다.
Key Message
Korean adults spent approximately 12 hours per day (about 87%) at a low cadence (<20 steps per minute) while spending only about 18 minutes per day (about 2%) at a high cadence (≥ 100 steps per minute). Even though certain amount of differences between sex and age groups do exist, most have shown similar patterns.
Epidemiol Health : Epidemiology and Health
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