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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
  • 9,023 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
Relationship between smoking status and muscle strength in the United States older adults
R. Constance Wiener, Patricia A. Findley, Chan Shen, Nilanjana Dwibedi, Usha Sambamoorthi
Epidemiol Health. 2020;42:e2020055.   Published online July 28, 2020
DOI: https://doi.org/10.4178/epih.e2020055
  • 10,333 View
  • 162 Download
  • 4 Web of Science
  • 4 Crossref
AbstractAbstract PDF
Abstract
OBJECTIVES
Muscle strength in older adults is associated with greater physical ability. Identifying interventions to maintain muscle strength can therefore improve quality of life. The purpose of this study was to evaluate whether current or former smoking status is associated with a decrease in muscle strength in older adults.
METHODS
Data from the Health and Retirement Study from 2012-2014 were analyzed with regard to maximum dominant hand grip strength, maximum overall hand grip strength, and smoking status (current, former, or never). Unadjusted linear regression was conducted. Other factors known to be related to strength were included in the adjusted linear regression analyses.
RESULTS
For maximum grip strength, the regression coefficient was 4.91 for current smoking (standard error [SE], 0.58; p<0.001), 3.58 for former smoking (SE, 0.43; p<0.001), and 28.12 for never smoking (SE, 0.34). Fully adjusted linear regression on the relationship between dominant hand grip strength and smoking did not yield a significant result. The factors significantly associated with dominant hand grip strength were male sex, younger age, a race/ethnicity of non-Hispanic White or non-Hispanic Black, higher income, morbidity of ≤1 condition, no pain, and moderate or vigorous exercise more than once a week.
CONCLUSIONS
Muscle strength in older adults was not associated with smoking status in the adjusted analysis.
Summary

Citations

Citations to this article as recorded by  
  • Association between smoking status and handgrip strength in Korean male adults: based on Korea National Health and Nutrition Examination Survey 2016–2019
    Eunbyul Cho, Hi Sun Soh, Jae-Ryun Lee, Jieun Yun, Woo Kyung Bae, Hyejin Lee
    Frontiers in Medicine.2023;[Epub]     CrossRef
  • Handgrip strength, dynapenia, and related factors in postmenopausal women
    Pascual García-Alfaro, Sandra García, Ignacio Rodríguez, Faustino R. Pérez-López
    Menopause.2022; 29(1): 16.     CrossRef
  • Lower body muscle strength, dynapenic obesity and risk of type 2 diabetes –longitudinal results on the chair-stand test from the Survey of Health, Ageing and Retirement in Europe (SHARE)
    Bernd Kowall
    BMC Geriatrics.2022;[Epub]     CrossRef
  • Relationship between Smoking History and Diaphragm Thickness and Muscle Strength in Young Men
    Nan-Soo Kim, Young-Su Park
    Archives of Orthopedic and Sports Physical Therapy.2020; 16(2): 65.     CrossRef
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