Epidemiology and Health

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

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Abstract Summary PDF Supplementary 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

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Abstract Summary 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.

Correlation between YMCA step-test and maximum oxygen consumption (VO2max) as measurement tools for cardiorespiratory.: On Lee, Sung Soo Kim, Yeon Soo Kim, Hyun Jin Son, Yu Mi Kim, Bo Youl Choi; Korean J Epidemiol. 2008;30(1):73-81. Published online June 30, 2008; DOI: https://doi.org/10.4178/kje.2008.30.1.73

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Abstract PDF

Abstract

The purpose of this study is to determine that YMCA step-test is useful method of cardiovascular fitness field-test for large scale study of epidemiology. 57 adults participated in this study. They are recruited considering subject's clinic status and gender proportion. Cardiorespiratory fitness of each participant was determined by grade exercise testing(GXT) with gas analysis and YMCA step-test. There are at least more two days an interval between the tests. Data were analyzed with a statistics program, SPSS version 14.0, by applying Spearman correlation coefficient and independent t-test and Fisher's exact test with a statistical significant level of alpha<.05. The results of this study were as followed. VO2max value exhibited significant correlation with YMCA step test scale(male : r =-.611, p=.001 ; female: r=-.656, p>.001). Our result is that validity of YMCA step-test is acceptable. YMCA step test is vary efficient as dimension of investigator's and subject's effort then the other field-test for assessment of cardiorespiratory. Therefore, Step test is useful for large scale study of epidemiology.

Summary

Citations

Citations to this article as recorded by

Development of the Korean Firefighter Performance Battery
Ji-Been Kim, Chae-Been Kim, Ying-Ying Xiang, Seo Dong-il, Song Wook, Han-Joon Lee, Hyun-Joo Kang, Chung-Gun Lee, Yeon Soon Ahn, Jung-Jun Park
Journal of Occupational & Environmental Medicine.2023; 65(5): e346. CrossRef
Test-Retest Reliability of Home-Based Fitness Assessments Using a Mobile App (R Plus Health) in Healthy Adults: Prospective Quantitative Study
I-I Lin, You-Lin Chen, Li-Ling Chuang
JMIR Formative Research.2021; 5(12): e28040. CrossRef
Effects of 12 weeks of high intensity circuit training on abdominal fat, physical fitness, blood lipids, and insulin resistance in middle-aged obese women
Won-Beom Park, Hyun-Seok Cho, Man-Gyoon Lee
Korean Journal of Sport Science.2019; 30(2): 236. CrossRef
Cardiopulmonary Fitness Is Independently Associated with Insulin Resistance in Non-Diabetes Mellitus Patients of a University Hospital in Korea
Eun-Hye Jun, Bo-Yoon Choi, Duk-Chul Lee, Ji-Won Lee, Jee-Yon Lee
Korean Journal of Family Medicine.2013; 34(2): 139. CrossRef

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