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Epidemiol Health > Volume 43; 2021 > Article
Epidemiology and Health 2021;43: e2021080-0.
DOI: https://doi.org/10.4178/epih.e2021080    Published online Oct 8, 2021.
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 Choe1  , Hoyong Sung1  , Geon Hui Kim1  , On Lee2  , Hyo Youl Moon1,3  , Yeon Soo Kim1,3 
1Department of Physical Education, College of Education, Seoul National University, Seoul, Korea
2Korea Institute of Sport Science, Seoul, Korea
3Institute of Sports Science, Seoul National University, Seoul, Korea
Correspondence  Yeon Soo Kim ,Email: kys0101@snu.ac.kr
Received: Aug 31, 2021  Accepted after revision: Oct 8, 2021
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.
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.
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.
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.
Keywords: Hand strength, Muscle strength, Glycated hemoglobin A


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