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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
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Harim Choe, Hoyong Sung, Geon Hui Kim, On Lee, Hyo Youl Moon, Yeon Soo Kim
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Epidemiol Health. 2021;43:e2021080. Published online October 8, 2021
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DOI: https://doi.org/10.4178/epih.e2021080
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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.
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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.
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Citations
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- 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 - Risk factors for metabolic syndrome are associated with low handgrip strength in people with HIV
Izabella Bernardes Araujo, Camila Ferreira Silva, Eduardo Vignoto Fernandes, Morganna Alves Siqueira, Marília Brasil Xavier, Luiz Fernando Gouvêa-e-Silva Sport Sciences for Health.2024;[Epub] CrossRef - Low relative hand grip strength is associated with a higher risk for diabetes and impaired fasting glucose among the Korean population
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Correlation between YMCA step-test and maximum oxygen consumption (VO2max) as measurement tools for cardiorespiratory.
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On Lee, Sung Soo Kim, Yeon Soo Kim, Hyun Jin Son, Yu Mi Kim, Bo Youl Choi
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Korean J Epidemiol. 2008;30(1):73-81. Published online June 30, 2008
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DOI: https://doi.org/10.4178/kje.2008.30.1.73
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65,535
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434
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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.
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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
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