Journal List > Korean J Sports Med > v.35(2) > 1054585

Oh, Moon, Kong, Oh, and Kim: The Association between Hand Grip Strength and Health-Related Quality of Life in Korean Adults

Abstract

We investigated the association between hand grip strength (HGS) and health-related quality of life (HRQOL). A total number of 9,211 participants from the sixth Korean National Health and Nutrition Examination Survey (2014– 2015) were included. HRQOL was measured by EuroQol-5 dimension (EQ-5D) and EQ-5D index score. Participants were classified as normal HRQOL group or impaired HRQOL group according to the EQ-5D responses and the EQ-5D index scores. HGS was measured using Takei dynamometer. Impaired HRQOL group represented lower mean HGS than that of normal HRQOL group. According to the quintile groups of HGS, group with the lowest HGS showed the lowest mean EQ-5D index score in both sexes. And the more HGS increases, the more EQ-5D index score increases also (p-value for trend <0.001). Men and women with lower grip strength were more likely to report ‘some’ or ‘extreme problem’ in EQ-5D domains (except anxiety/depression and pain/discomfort domain in men), and also more likely to belong to the lowest 20% level group in EQ-5D index score according to logistic analyses. Our findings suggest that HGS is associated HRQOL. Low HGS is associated with impaired status of HRQOL by EQ-5D and EQ-5D index score in Korean men and women. More research is needed to evaluate the specific plausibility between HGS and HRQOL.

Figures and Tables

Fig. 1

Adjusted mean of EQ-5D index score across hand grip strength quintiles. Adjusted for age, body mass index, education, household income, smoking, alcohol use, physical activity, residential area, marital status, comorbidities (hypertension, diabetes, ischemic heart disease, stroke, cancers). EQ-5D: EuroQol-5 dimension.

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Table 1

Baseline characteristics of study participants

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Values are presented as mean±standard error or number (%)

BMI: body mass index, EQ-5D: EuroQol-5 dimension.

*Defined as consuming more than 7/5 (for male/female) standard alcoholic drinks at one time more than twice a week; Defined as performing more than 150 minutes per week of moderate aerobic physical activity, 75 minutes per week of vigorous aerobic physical activity, or equivalent amounts of mixed aerobic physical activity.

Table 2

Comparison of hand grip strength by status of health-related quality of life

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Values are presented as mean±standard error.

EQ-5D: EuroQol-5 dimension.

*Adjusted for age, body mass index; Impaired in health-related quality of life (some or extreme problems in EQ-5D domains and the lowest 20% in EQ-5D index score); p-value by independent two samples t-test.

Table 3

ORs and 95% CI for impaired status of health-related quality of life* according to hand grip strength (per 1 kg increase)

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OR (95% CI) by logistic regression analyses. Model 1, adjusted for age, body mass index; model 2, adjusted for age, body mass index, education, household income, smoking, alcohol use, physical activity, residential area, marital status; model 3, adjusted for age, body mass index, education, household income, smoking, alcohol use, physical activity, residential area, marital status, comorbidities (hypertension, diabetes, ischemic heart disease, stroke, cancers).

OR: odds ratio, CI: confidence interval, EQ-5D: EuroQol-5 dimension.

*Impaired status of health-related quality of life: some or extreme problems in EQ-5D domains and the lowest 20% in EQ-5D index score.

Notes

Conflict of Interest No potential conflict of interest relevant to this article was reported.

References

1. Rantanen T, Guralnik JM, Foley D, et al. Midlife hand grip strength as a predictor of old age disability. JAMA. 1999; 281:558–560.
2. Sayer AA, Dennison EM, Syddall HE, Gilbody HJ, Phillips DI, Cooper C. Type 2 diabetes, muscle strength, and impaired physical function: the tip of the iceberg? Diabetes Care. 2005; 28:2541–2542.
3. Rantanen T, Harris T, Leveille SG, et al. Muscle strength and body mass index as long-term predictors of mortality in initially healthy men. J Gerontol A Biol Sci Med Sci. 2000; 55:M168–M173.
4. Iannuzzi-Sucich M, Prestwood KM, Kenny AM. Prevalence of sarcopenia and predictors of skeletal muscle mass in healthy, older men and women. J Gerontol A Biol Sci Med Sci. 2002; 57:M772–M777.
5. Sayer AA, Syddall HE, Martin HJ, Dennison EM, Roberts HC, Cooper C. Is grip strength associated with health-related quality of life? Findings from the Hertfordshire Cohort Study. Age Ageing. 2006; 35:409–415.
6. Birman MV, Solomon GS, Vender MI. Functional capacity evaluation in hand surgery. J Hand Surg Am. 2016; 41:133–134.
7. Granic A, Jagger C, Davies K, et al. Effect of dietary patterns on muscle strength and physical performance in the very old: findings from the newcastle 85+ study. PLoS One. 2016; 11:e0149699.
8. Springstroh KA, Gal NJ, Ford AL, Whiting SJ, Dahl WJ. Evaluation of handgrip strength and nutritional risk of congregate nutrition program participants in Florida. J Nutr Gerontol Geriatr. 2016; 35:193–208.
9. Lauretani F, Russo CR, Bandinelli S, et al. Age-associated changes in skeletal muscles and their effect on mobility: an operational diagnosis of sarcopenia. J Appl Physiol (1985). 2003; 95:1851–1860.
10. Park HM, Ha YC, Yoo JI, Ryu HJ. Prevalence of sarcopenia adjusted body mass index in the Korean woman based on the Korean National Health and Nutritional Examination Surveys. J Bone Metab. 2016; 23:243–247.
11. Roberts HC, Denison HJ, Martin HJ, et al. A review of the measurement of grip strength in clinical and epidemiological studies: towards a standardised approach. Age Ageing. 2011; 40:423–429.
12. Rabin R, de Charro F. EQ-5D: a measure of health status from the EuroQol Group. Ann Med. 2001; 33:337–343.
13. Kim MH, Cho YS, Uhm WS, Kim S, Bae SC. Cross-cultural adaptation and validation of the Korean version of the EQ-5D in patients with rheumatic diseases. Qual Life Res. 2005; 14:1401–1406.
14. Lee YK, Nam HS, Chuang LH, et al. South Korean time trade-off values for EQ-5D health states: modeling with observed values for 101 health states. Value Health. 2009; 12:1187–1193.
15. World Health Organization. International guide for monitoring alcohol consumption and related harm. Geneva: World Health Organization;2000.
16. World Health Organization. Global recommendations on physical activity for health. Geneva: World Health Organization;2010.
17. Zamboni M, Zoico E, Scartezzini T, et al. Body composition changes in stable-weight elderly subjects: the effect of sex. Aging Clin Exp Res. 2003; 15:321–327.
18. Cooper R, Kuh D, Cooper C, et al. Objective measures of physical capability and subsequent health: a systematic review. Age Ageing. 2011; 40:14–23.
19. Cramer JA, Spilker B. Quality of life and pharmacoeconomics: an introduction. New York: Lippincott-Raven;1998.
20. Farag I, Sherrington C, Kamper SJ, et al. Measures of physical functioning after hip fracture: construct validity and responsiveness of performance-based and self-reported measures. Age Ageing. 2012; 41:659–664.
21. Ock M, Jo MW, Lee SI. Measuring health related quality of life using EQ-5D in South Korea. J Health Tech Assess. 2013; 1:103–111.
22. Guralnik JM, LaCroix AZ, Abbott RD, et al. Maintaining mobility in late life I Demographic characteristics and chronic conditions. Am J Epidemiol. 1993; 137:845–857.
23. Miiller-Nordhorn J, Nolte CH, Rossnagel K, et al. The use of the 12-item short-form health status instrument in a longitudinal study of patients with stroke and transient ischaemic attack. Neuroepidemiology. 2005; 24:196–202.
24. Courneya KS, Friedenreich CM. Physical exercise and quality of life following cancer diagnosis: a literature review. Ann Behav Med. 1999; 21:171–179.
25. Kallman DA, Plato CC, Tobin JD. The role of muscle loss in the age-related decline of grip strength: cross-sectional and longitudinal perspectives. J Gerontol. 1990; 45:M82–M88.
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