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Association between levels of physical activity and low handgrip strength: Korea National Health and Nutrition Examination Survey 2014-2019
Hyungsoon Ahn, Hwa Young Choi, Moran Ki
Epidemiol Health. 2022;44:e2022027.   Published online February 21, 2022
DOI: https://doi.org/10.4178/epih.e2022027
  • 10,525 View
  • 574 Download
  • 7 Web of Science
  • 8 Crossref
AbstractAbstract AbstractSummary PDFSupplementary Material
Abstract
OBJECTIVES
This study aimed to investigate the association between levels of physical activity (PA) and low handgrip strength in Korean adults.
METHODS
Our cross-sectional study design included 24,109 Korean adults older than 19 years of age who participated in the Korea National Health and Nutrition Examination Survey 2014–2019. Low handgrip strength is described as hand strength less than the cut-off value of the 20th percentile of handgrip strength from a healthy population in each gender and age group. PA was categorized into three levels (inactive, active, and highly active) according to the World Health Organization’s global recommendations on PA for health. Multivariable logistic regression analysis was used to examine the association between levels of PA and low handgrip strength.
RESULTS
Odds ratios (ORs) for low handgrip strength were significantly higher in middle-aged women who were active (adjusted odds ratio [aOR], 1.40; 95% confidence interval [CI], 1.15 to 1.69) and inactive (aOR, 1.47; 95% CI, 1.23 to 1.76) than in those highly active in walking exercise. Most of older people had significantly higher ORs for low handgrip strength in active compared to highly active in the context of aerobic, muscle strengthening, and walking exercise.
CONCLUSIONS
Walking exercise was associated with a lower risk of sarcopenia in middle-aged women and older individuals. However, further studies are necessary to confirm the causal relationship between levels of PA and low handgrip strength.
Summary
Korean summary
본 연구는 국민건강영양조사 2014-2019년도 자료를 활용하여 한국인 만 19세 이상 건강한 성인을 대상으로 낮은 악력의 기준값을 성별 및 연령그룹별로 도출하고 유산소 운동, 근력 운동, 걷기 운동 수준과 낮은 악력의 연관성을 분석하였다. 분석 결과, 중년 여성과 노년층에서 걷기 운동이 근감소증 발생의 예방과 연관성이 있음을 알 수 있었다.
Key Message
The association between levels of physical activity and low handgrip strength was different by sex and age groups. For women, walking exercise was associated with low handgrip strength, but not for men. By age groups, muscle strengthening exercise could help prevent sarcopenia in the young population, aerobic exercise has the potential to prevent sarcopenia in middle-aged individuals, and walking exercise could reduce sarcopenia risk in older individuals.

Citations

Citations to this article as recorded by  
  • Examining factors contributing to the socioeconomic inequalities in handgrip strength among older adults in India: a decomposition analysis
    Manacy Pai, T. Muhammad
    Scientific Reports.2024;[Epub]     CrossRef
  • Relationship between Handgrip Strength and Incident Diabetes in Korean Adults According to Gender: A Population-Based Prospective Cohort Study
    Sung-Bum Lee, Min-Kyeung Jo, Ji-Eun Moon, Hui-Jeong Lee, Jong-Koo Kim
    Journal of Clinical Medicine.2024; 13(2): 627.     CrossRef
  • Association Between Dietary Fiber Intake and Low Muscle Strength Among Korean Adults
    Sunhye Shin
    Clinical Nutrition Research.2024; 13(1): 33.     CrossRef
  • Association between composite dietary antioxidant index and handgrip strength in American adults: Data from National Health and Nutrition Examination Survey (NHANES, 2011-2014)
    Dongzhe Wu, Hao Wang, Wendi Wang, Chang Qing, Weiqiang Zhang, Xiaolin Gao, Yongjin Shi, Yanbin Li, Zicheng Zheng
    Frontiers in Nutrition.2023;[Epub]     CrossRef
  • Assessment of dynapenia and undernutrition in primary care, a systematic screening study in community medicine
    Marie Treuil, Meliha Mahmutovic, Paolo Di Patrizio, Phi-Linh Nguyen-Thi, Didier Quilliot
    Clinical Nutrition ESPEN.2023; 57: 561.     CrossRef
  • Water Intake and Handgrip Strength in US Adults: A Cross-Sectional Study Based on NHANES 2011–2014 Data
    Dongzhe Wu, Chaoyi Qu, Peng Huang, Xue Geng, Jianhong Zhang, Yulin Shen, Zhijian Rao, Jiexiu Zhao
    Nutrients.2023; 15(20): 4477.     CrossRef
  • Hand Grip Strength, Osteoporosis, and Quality of Life in Middle-Aged and Older Adults
    Hyo Jin Park, Byoungduck Han, So-youn Chang, Seung Ho Kang, Dae Wook Lee, Seok Kang
    Medicina.2023; 59(12): 2148.     CrossRef
  • Lower grip strength and insufficient physical activity can increase depressive symptoms among middle-aged and older European adults: a longitudinal study
    Han Zheng, Qingwen He, Hongyan Xu, Xiaowei Zheng, Yanfang Gu
    BMC Geriatrics.2022;[Epub]     CrossRef
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
  • 9,041 View
  • 169 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
The Relationship between Smoking, Socioeconomic Status and Grip Strength among Community-dwelling Elderly Men in Korea: Hallym Aging Study
ShanAi Quan, Jin-Young Jeong, Dong-Hyun Kim
Epidemiol Health. 2013;35:e2013001.   Published online February 18, 2013
DOI: https://doi.org/10.4178/epih/e2013001
  • 19,516 View
  • 148 Download
  • 20 Crossref
AbstractAbstract PDF
Abstract
<sec><title>OBJECTIVES</title><p>Low grip strength is associated with decline in bone mineral density (BMD) and increased risk of spine fracture among the elderly. Smoking, a major factor determining BMD, is also known to have an indirect effect on bone loss. This study investigated whether smoking is associated with grip strength in the community-dwelling elderly in Korea.</p></sec><sec><title>METHODS</title><p>This study was an outcome of the second of three waves of the Hallym Aging Study from January to May 2007, a population-based study of Koreans aged 45 years and upwards dwelling in Chuncheon. Its 218 subjects comprised men aged 65 years or over. They were evaluated at a general hospital for socioeconomic status, smoking history, and various clinical measures including grip strength.</p></sec><sec><title>RESULTS</title><p>Grip strength was higher in non-, ex-, and current smokers (33.7 kg, 30.6 kg, and 29.3 kg, respectively). Current smoking was found to increase the risk of decreased grip strength (adjusted odds ratio [aOR], 4.58; 95% confidence interval [CI],1.31 to 16.04) compared with non-smoking, after adjustment for potential covariates including socioeconomic status. After adjustment for smoking effect, education of fewer than six years and monthly income of fewer than 500,000 Korean won increased the risk of decreased grip strength compared with education of more than six years (aOR, 2.88; 95% CI, 1.08 to 7.66) and monthly income of more than 1,500,000 Korean won (aOR, 2.86; 95% CI, 1.08 to 7.54).</p></sec><sec><title>CONCLUSIONS</title><p>These results showed that current smoking, low education and low income were independent risk factors for decreased grip strength among elderly men in Korea.</p></sec>
Summary

Citations

Citations to this article as recorded by  
  • Hand grip strength as a proposed new vital sign of health: a narrative review of evidences
    Raju Vaishya, Anoop Misra, Abhishek Vaish, Nicola Ursino, Riccardo D’Ambrosi
    Journal of Health, Population and Nutrition.2024;[Epub]     CrossRef
  • Geriatric nutritional risk index in prediction of muscular strength of elderly patients undergoing hemodialysis
    Ali Nouri, Roya Mansour-Ghanaei, Mohammad Esmaeilpour-Bandboni, Bahare Gholami Chaboki
    International Urology and Nephrology.2022; 54(7): 1575.     CrossRef
  • Association between Outdoor Air Pollution Exposure and Handgrip Strength: Findings from the French CONSTANCES Study
    Mohammad Javad Zare Sakhvidi, Antoine Lafontaine, Jun Yang, Emeline Lequy, Fanny Artaud, Marianne Canonico, Anna Ozguler, Danielle Vienneau, Marie Zins, Bénédicte Jacquemin
    Environmental Health Perspectives.2022;[Epub]     CrossRef
  • Secondhand Tobacco Smoke and Functional Impairments in Older Adults Living in the Community
    Oana M Craciun, Rosario Ortolá, Jose A Pascual, Raul Pérez-Ortuño, Iñaki Galán Labaca, Jose R Banegas, Fernando Rodríguez Artalejo, Esther García-Esquinas
    Nicotine & Tobacco Research.2022; 24(12): 2026.     CrossRef
  • Prevalence of osteopenic syndrome and osteoporosis among residents of the older age group of Kyrgyzstan
    T. J. Tagaev, F. E. Imanalieva, S. M. Mamatov, E. Marishbek kyzy, B. T. Tagaeva
    Acta Biomedica Scientifica.2022; 7(4): 130.     CrossRef
  • Association of renal function with muscle strength in Korean adults: A population-based study using the Korea National Health and Nutrition Examination Surveys (KNHANES) from 2014 to 2018
    Young-Mo Yang, Eun Joo Choi
    Medicine.2022; 101(41): e31014.     CrossRef
  • Association of Micronutrients and Handgrip Strength in Korean Older Population: A Cross-Sectional Study
    Na-Hyung Kim, Choon Young Kim
    Healthcare.2022; 10(10): 1980.     CrossRef
  • Nationwide handgrip strength values and factors associated with muscle weakness in older adults: findings from the Brazilian Longitudinal Study of Aging (ELSI-Brazil)
    Bruno de Souza Moreira, Amanda Cristina de Souza Andrade, Juliana Lustosa Torres, Luciana de Souza Braga, Alessandra de Carvalho Bastone, Juliana Vaz de Melo Mambrini, Maria Fernanda Lima-Costa
    BMC Geriatrics.2022;[Epub]     CrossRef
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    Hanna Lee, Mi-Ji Kim, Junhee Lee, Mingyo Kim, Young Sun Suh, Hyun-Ok Kim, Yun-Hong Cheon
    Healthcare.2021; 9(10): 1244.     CrossRef
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    Chung Reen Kim, Young-Jee Jeon, Taeheum Jeong, Masaki Mogi
    PLOS ONE.2019; 14(3): e0214612.     CrossRef
  • Handgrip strength, inflammatory markers, and mortality
    Lee Smith, Lin Yang, Mark Hamer
    Scandinavian Journal of Medicine & Science in Sports.2019; 29(8): 1190.     CrossRef
  • Association of Lifestyle and Food Consumption with Bone Mineral Density among People Aged 50 Years and Above Attending the Hospitals of Kathmandu, Nepal
    Narendra Kumar Chaudhary, Mukti Nath Timilsena, Dev Ram Sunuwar, Pranil Man Singh Pradhan, Raj Kumar Sangroula
    Journal of Osteoporosis.2019; 2019: 1.     CrossRef
  • Impact of handgrip strength on cardiovascular, cancer and all-cause mortality in the Korean longitudinal study of ageing
    Gyu Ri Kim, Jiyu Sun, Minkyung Han, Sohee Park, Chung Mo Nam
    BMJ Open.2019; 9(5): e027019.     CrossRef
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    Monica Carrasco-Rios, Rosario Ortolá, Fernando Rodríguez-Artalejo, Esther García-Esquinas
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    Ryan P. McGrath, William J. Kraemer, Soham Al Snih, Mark D. Peterson
    Sports Medicine.2018; 48(9): 1993.     CrossRef
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    Gyuhyun Lee, Sora Baek, Hee-won Park, Eun Kyoung Kang
    Annals of Rehabilitation Medicine.2018; 42(6): 822.     CrossRef
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    Esther García-Esquinas, Ana Navas-Acien, Fernando Rodríguez-Artalejo
    AGE.2015;[Epub]     CrossRef
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Correlation Between Muscle Amounts and Grasp Power in the Elderly People, Jejudo.
Hojun Lee, Minsung Park, Yeoju Go, Yeong Ja Yang, Jong Myon Bae
Korean J Epidemiol. 2006;28(2):182-188.
  • 65,535 View
  • 34 Download
AbstractAbstract PDF
Abstract
OBJECTIVES
This study was conducted to examine the relationships between muscle mass and hand strength in elderly people.
METHODS
The study subjects were 659 volunteers aged older than 65 in Jejudo, south Korea. The anthropometric information such as weight, body mass index (BMI) and muscular mass was collected by the body composition analyzer. The hand strength was obtained by the digital grip dynamometer. The fasting blood sugar index called as potential diabetes mellitus (DM) was defined as the condition over 120 mg/dL of the blood sugar. The BMI was classified into under 23, 23-25 and over 25 to analyze the relationships of BMI and muscle mass, hand strength.
RESULTS
The factors affecting muscle mass were sex (p<0.001), age (p<0.001) and BMI (p<0.001). The factors affecting hand strength were sex (p<0.001), age (p<0.001) and BMI (p=0.003). And there was a weak association between muscle mass and hand strength after controlling with the affected factors (r2=0.15, p<0.001).
CONCLUSIONS
The hand strength is weekly correlated with the muscle mass. So we recommend to use digital grip dynamometer combining with other measurements for diagnosis the sarcopenia in epidemiologic study.
Summary
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