Association of Relative Handgrip Strength and Metabolic Syndrome in Korean Older Adults: Korea National Health and Nutrition Examination Survey VII-1

Hong, Seungyoun

doi:10.7570/jomes.2019.28.1.53

Cited by 27 publications

(30 citation statements)

References 29 publications

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“…[9][10][11] While there is an association between HGS and MetS, a direct correlation between HGS and MetS is still an ongoing debate. [12][13][14] It was initially proposed by Ploutz-Snyder et al that correcting muscle strength for bodyweight was a better predictor of functional performance, and more recent findings reported that HGS adjusted for BMI or BWT may better reflect muscle quality. 13,15 Muscle power is thought to decline before muscle strength followed by muscle mass, and is relevant for many daily tasks which in turn could be attributed to muscle quality.…”

Section: Introductionmentioning

confidence: 99%

Prevalence of Metabolic Syndrome and Association with Grip Strength in Older Adults: Findings from the HOPE Study

Merchant

Chan

Lim

et al. 2020

DMSO

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Objective: To determine the prevalence of metabolic syndrome (MetS) in older adults and assess the association of MetS and adverse outcomes with handgrip strength (HGS), HGS/ body weight (BWT), and HGS/body mass index (BMI). Methods: A cross-sectional population study in Singapore. Data were collected on demographics, HGS, Timed-Up and Go (TUG), fasting glucose, lipid profile, blood pressure, waist circumference, frailty status, and cognition in 722 older adults ≥65 years old. MetS was defined using the Modified ATP III for Asians where at least three of the following conditions must be fulfilled, central obesity, high blood glucose (or diagnosed diabetes mellitus), high blood pressure (or diagnosed hypertension), low high-density lipoprotein, and high triglycerides. The waist circumference in the Modified ATP III for Asians is ≥90 cm for males or ≥80 cm for females. HGS and HGS normalized by BWT or BMI were used for the association. Results: The prevalence of MetS in older adults was 41.0%, and those ≥85 years old 50.0%. The prevalence was higher in females ≥70 years old, with 8 in 10 females ≥85 years having MetS. After adjusting for age, years of education, physical exercise, as well as history of smoking and alcohol consumption, higher HGS normalized by BWT or BMI was significantly associated with lower odds of having MetS (OR: 0.51,95% CI 0.43-0.61, p<0.01) and (OR: 0.13, 95% CI 0.07-0.24, p<0.01). Conclusion: Almost 1 in 2 older adults had MetS, with the prevalence in females much higher than that in males over 70 years old. Our findings suggest that both HGS/BWT and HGS/BMI had a significant negative association with MetS, its components, and adverse effects. Further studies are needed to validate the association and to determine optimal cutoffs of HGS/BWT and HGS/BMI for MetS, and the effectiveness of interventions in averting the risk.

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Section: Introductionmentioning

confidence: 99%

Prevalence of Metabolic Syndrome and Association with Grip Strength in Older Adults: Findings from the HOPE Study

Merchant

Chan

Lim

et al. 2020

DMSO

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“…Low HGS predisposes individuals to poorer physical function and increased risk for a number of diseases 11 while predicting future all-cause mortality 12 . Low HGS is closely related to various adverse health outcomes in Korean older adults 13,14 . Given its predictive validity and simplicity, HGS could be a useful health-screening tool for older patients in primary care.Low HGS might cause poor mental health.…”

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confidence: 99%

Handgrip strength, dynapenia, and mental health in older Koreans

Noh

Park

2020

Sci Rep

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This study examined associations between muscle strength and mental health among 2,652 elderly Koreans who participated in the 2015 and 2017 Korea National Health and Nutrition Examination Survey. We measured absolute handgrip strength and calculated handgrip strength relative to body mass index. Dynapenia criteria followed that of the Asian Working Group for Sarcopenia. Questionnaires were used to assess mental health indicators including suicidal ideation, depressed mood, and stress status. Among participants, 18.6%, 14.9%, and 6.7% reported stress, depressed mood, and suicidal ideation, respectively. Dynapenia prevalence was 25.1%. Adjusted odds ratios of stress, depressed mood, and suicidal ideation for men with dynapenia were 2.15, 2.30, and 2.11, respectively. Significant associations were absent among women. for men, handgrip strength and relative handgrip strength were inversely associated with risk of stress, depressed mood, and suicidal ideation. for women, handgrip strength and relative handgrip strength were inversely associated with the risk of stress, but not of depressed mood and suicidal ideation. in conclusion, all muscle-strength indices were associated with mental health risks among older men. in older women, low handgrip strength and relative handgrip strength were associated with increased stress. Muscle strength could be a clinical marker of poor mental health in older adults.Korea has officially become an aged society. The number of people aged 65 years and older increased to 7.38 million in 2018, accounting for 14.3% of the total population 1 . This status emerged only 18 years after Korea became an aging society, when those aged 65 years and older accounted for over 7% of the population 1 . Unpreparedness for aging aggravates both physical and mental well-being of the elderly population. Older people experience increased weakness, loss of physical function, and greater risk of disease 2 . These physical changes lead to reduced roles in the home, workplace, and society, generating social and economic burdens for the elderly 3 . As a result, older individuals are at greater risk of mental health problems such as stress, depression, and suicide 4,5 . Older adults in Korea are among the most vulnerable to suicide, with a rate of about 72 per 100,000 people during 2010. This ratio is nearly five times higher than that in 1990 and about 3.5 times the mean suicide rate in countries of the Organization for Economic Cooperation Development 6 .Sarcopenia is a decrease in skeletal muscle mass and strength that develops because of aging. The resultant physical frailty is associated with loss of independence, as well as increased risks of morbidity and mortality 7 . Recently, several studies showed that muscle strength is a better predictor of disability than muscle mass, while dynapenia (age-related loss of muscle strength) is independently associated with physical disability and mortality 8 . Currently, handgrip strength (HGS) is the only assessment technique recommended for measuring muscle strengt...

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“…Handgrip strength is known to be associated with overall strength, which itself reflects the balance of an individual. Low strength has already been associated with a history of falls in both sexes (12). This study's findings thus highlight the opportunity of using RHGS as a health biomarker, realizing that reduced levels of muscle strength may lead to disability and functional limitations, particularly among older individuals (23,24).…”

Section: Discussionmentioning

confidence: 66%

“…A measure of three times was reported as an average. RHGS was estimated as the average value for maximum grip strength of the dominant hand divided by BMI, as previously reported (10)(11)(12)(13).…”

Section: Hand-grip Strengthmentioning

confidence: 99%

“…Many recent studies have established that low HGS is connected with different health outcomes including metabolic and cardiovascular risk factors. However, rather than absolute HGS, relative HGS (RHGS) adjusted for body mass index (BMI) has been proposed as an easy instrument for assessing metabolic health and cardiovascular risk in public health and clinical practice (10)(11)(12)(13).…”

Section: Main Text Introductionmentioning

confidence: 99%

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Relative Handgrip Strength is Inversely Associated with the Presence of Type 2 Diabetes in Overweight Elderly Women with Varying Nutritional Status

Lombardo

Padua

Campoli

et al. 2020

Preprint

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Background and Aims: We aimed to investigate cross-sectional relationships of relative handgrip strength (RHGS) with presence of diabetes and hypertension in a community setting. Methods and Results: Between 2016 and 2018, we enrolled 601 consecutive women with an average age of 70.7 ± 6.9 years (mean ± SD). Nutritional status was evaluated by the Mini Nutritional Assessment (MNA) score. Muscular strength and level of fitness were assessed by handgrip strength (HGS) and other standardized physical functional tests. The majority of participants were overweight or obese (80% with BMI > 25). Prevalence of diabetes and hypertension was 13 and 60%, respectively. Participants in the lowest quartile of HGS adjusted for BMI (RHGS) had significantly higher prevalence of diabetes and hypertension compared with those in the lower quartile (20.7 vs. 5.3% and 49.3 vs. 39.3%, respectively, p < 0.01 for both), whereas differences in nutritional status were not observed. Likelihood of having diabetes was significantly reduced in women with higher RHGS values (OR 0.77; 0.59–0.86 CI95%; p=0.002), independently of age, abdominal adiposity and presence of hypertension. RHGS was positively correlated with most of the physical functional tests performed. Conclusion: RHGS is an easy-to-obtain and inexpensive measure of muscular strength, independently associated with presence of diabetes in overweight elderly women. Prospective studies are required to assess its predictive value in individuals at risk of new onset or progression of diabetes.

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Association of Relative Handgrip Strength and Metabolic Syndrome in Korean Older Adults: Korea National Health and Nutrition Examination Survey VII-1

Cited by 27 publications

References 29 publications

<p>Prevalence of Metabolic Syndrome and Association with Grip Strength in Older Adults: Findings from the HOPE Study</p>

<p>Prevalence of Metabolic Syndrome and Association with Grip Strength in Older Adults: Findings from the HOPE Study</p>

Handgrip strength, dynapenia, and mental health in older Koreans

Relative Handgrip Strength is Inversely Associated with the Presence of Type 2 <em>Diabetes</em> in Overweight Elderly Women with Varying Nutritional Status

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