Comparison between grip strength and grip strength divided by body weight in their relationship with metabolic syndrome and quality of life in the elderly
Open accessAbstract
Strength measures should be normalized by body mass; however, the definition of sarcopenia includes only simple grip strength. Thus, we compared the relationship of grip strength and grip strength divided by body weight or body mass index to two major consequences of sarcopenia, namely metabolic syndrome and poor quality of life. Data from the participants (aged 60 years or older) of the Sixth Korea National Health and Nutrition Examination were analyzed. Metabolic syndrome was defined according to the Adult Treatment Panel III guidelines with some modifications appropriate for Koreans. Quality of life was assessed using the EuroQoL Five-dimension questionnaire. Multiple logistic regression models were used to evaluate the association of grip strength and grip strength divided by body weight with metabolic syndrome and quality of life. A total of 1273 men and 1436 women were included in the analyses. Grip strength was not related to metabolic syndrome, whereas grip strength divided by body weight and grip strength normalized by body mass index revealed a dense dose-response relationship. All measures showed a similar correlation with quality of life. Grip strength divided by body weight can be superior to simple grip strength and grip strength normalized by body mass index in representing the metabolic aspects of sarcopenia.
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- Authors
- Chun, S.-W., Kim, W., & Choi, K. H.
- Affiliations
- Gyeongsang National University (KR)
- Asan Medical Center (KR)
- Corresponding author
- Kim, Won
- Venue
- PLoS ONE
- Publisher
- Public Library of Science (PLoS)
- Published
- 2019-09-06
- Volume
- 14
- Issue
- 9
- Pages
- e0222040
- ISSN
- 1932-6203 (ISSN-L)
- PMC
- PMC6730916
- OpenAlex
- W2971516694
- Cited by
- 92
- References
- 49
- Citations by year
- 2026: 10 · 2025: 12 · 2024: 18 · 2023: 12 · 2022: 20 · 2021: 16 · 2020: 4
- FWCI
- 6.86
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- PLoS ONE (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Funders
- Asan Institute for Life Sciences, Asan Medical Center (2017-661)
- National research foundation of Korea (NRF‐2017R1A2B2005321)
- Topics
- Health Sciences › Medicine › Physiology › Nutrition and Health in Aging
- Health Sciences › Medicine › Geriatrics and Gerontology › Frailty in Older Adults
- Health Sciences › Medicine › Physiology › Body Composition Measurement Techniques
- Keywords
- grip strength, body weight, body mass index, metabolic syndrome, quality of life, sarcopenia, older adults, dose-response relationship
- MeSH terms
- Aged, Body Weight, Female, Health Surveys, Humans, Male, Nutrition Surveys, Quality of Life, Body Mass Index, Hand Strength, Metabolic Syndrome
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