Korean J Health Promot.  2019 Jun;19(2):77-83. 10.15384/kjhp.2019.19.2.77.

The Association of Relative Handgrip Strength with Type 2 Diabetes among Koreans Aged 20 Years or More

• Choi EY

• KMID: 2452944
• DOI: http://doi.org/10.15384/kjhp.2019.19.2.77

Abstract

BACKGROUND
Handgrip strength is a simple, convenient and economic tool measuring the muscle strength. A few studies investigated the relationship between diabetes and handgrip strength but the results are conflicting. This study investigated the association of handgrip strength with diabetes among the adult Koreans.
METHODS
This cross-sectional study analyzed data from participants aged 20 years or more (n=8,082) who measured height, weight, handgrip strength and fasting blood glucose in the 2014-2015 Korea National Health and Nutrition Examination Survey. Relative handgrip strength (RHGS) was defined as the sum of the greatest handgrip strengths in both hands divided by body mass index. To investigate the association of diabetes with handgrip strength, complex sample multivariate logistic regression analyses were done after adjusting for socioeconomic (age, sex, education), lifestyle (smoking, alcohol drinking, physical activity, obesity) and comorbid (chronic obstructive pulmonary disease, stroke, coronary artery disease, arthritis) variables. Stratified analysis were done according to socioeconomic and lifestyle variables.
RESULTS
The prevalence of diabetes was 8.3% (standard error, 0.4). After adjusting for socioeconomic, lifestyle, and comorbid variables, the risk of diabetes increased according to the decrease in sex-specific quartile of RHGS (P(trend)<0.001). Individuals with lower RHGS (per 1 standard deviation decrease) had higher odds of diabetes (adjusted odds ratio, 1.6; 95% confidence interval, 1.3-2.0). Furthermore, lower RHGS was associated with higher odds for diabetes throughout the strata of socioeconomic and lifestyle variables.
CONCLUSIONS
This population-based, nationally representative study suggests that lower RHGS is associated with the increased risk of diabetes regardless of socioeconomic and lifestyle variables.

Keyword

Hand strength; Diabetes mellitus; type 2; KNHANES

MeSH Terms

Adult
Alcohol Drinking
Blood Glucose
Body Mass Index
Coronary Artery Disease
Cross-Sectional Studies
Diabetes Mellitus
Fasting
Hand
Hand Strength
Humans
Korea
Life Style
Logistic Models
Lung Diseases, Obstructive
Motor Activity
Muscle Strength
Nutrition Surveys
Odds Ratio
Prevalence
Stroke
Blood Glucose

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