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On Lee 2 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
  • 4,615 View
  • 140 Download
  • 2 Citations
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  
  • 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
Correlation between YMCA step-test and maximum oxygen consumption (VO2max) as measurement tools for cardiorespiratory.
On Lee, Sung Soo Kim, Yeon Soo Kim, Hyun Jin Son, Yu Mi Kim, Bo Youl Choi
Korean J Epidemiol. 2008;30(1):73-81.   Published online June 30, 2008
DOI: https://doi.org/10.4178/kje.2008.30.1.73
  • 65,535 View
  • 298 Download
  • 3 Citations
AbstractAbstract PDF
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.
Summary
Korean summary
Key Message

Citations

Citations to this article as recorded by  
  • 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
    Eun-Hye Jun, Bo-Yoon Choi, Duk-Chul Lee, Ji-Won Lee, Jee-Yon Lee
    Korean Journal of Family Medicine.2013; 34(2): 139.     CrossRef

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