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Mean Hand Grip Strength and Cut-off Value for Sarcopenia in Korean Adults Using KNHANES VI

  • Yoo, Jun-Il (Department of Orthopaedic Surgery, Gyeongsang National University Hospital, Gyeongsang National University School of Medicine) ;
  • Choi, Hana (Department of Rehabilitation Medicine, Dankook University Hospital) ;
  • Ha, Yong-Chan (Department of Orthopaedic Surgery, Chung-Ang University College of Medicine)
  • Received : 2017.01.12
  • Accepted : 2017.02.03
  • Published : 2017.05.10

Abstract

The purpose of this study was to report age- and gender-specific distribution of the hand grip strength (HGS) using data from the Korea National Health and Nutrition Examination Survey (KNHANES) VI-3 (2015) survey and determine cut-off values for low muscle strength of HGS of Koreans. Of a total of 7,380 participants, 4,553 were subjected to measurements of HGS, including 1,997 men and 2,556 women with a mean age of 49.3 years (range, 19-80 years). The mean ages of men and women were 49.0 and 49.5 years, respectively. HGS was measured using a digital hand dynamometer. It was defined as maximal measured grip strength of the dominant hand. The cut-off value for low muscle strength was defined as the lower 20th percentile of HGS of the study population. Maximum grip strength of men was significantly higher than that of women (40.2 kg in men vs. 24.2 kg in women, P < 0.001). The mean HGS was increased from the age of 19 to 39 years. It was peaked in the age of 35 to 39 years range for both men and women. It was then decreased after 39 years. The cut-off values of HGS in male and female elderly healthy populations were 28.6 and 16.4 kg, respectively. These data might be used as reference values when evaluating sarcopenia and assessing hand injuries.

Keywords

Acknowledgement

Supported by : Korea Health Industry Development Institute (KHIDI)

References

  1. Bohannon RW. Muscle strength: clinical and prognostic value of hand-grip dynamometry. Curr Opin Clin Nutr Metab Care 2015; 18: 465-70. https://doi.org/10.1097/MCO.0000000000000202
  2. Birman MV, Solomon GS, Vender MI. Functional capacity evaluation in hand surgery. J Hand Surg Am 2016; 41: 133-4. https://doi.org/10.1016/j.jhsa.2015.11.008
  3. Granic A, Jagger C, Davies K, Adamson A, Kirkwood T, Hill TR, Siervo M, Mathers JC, Sayer AA. 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. https://doi.org/10.1371/journal.pone.0149699
  4. 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. https://doi.org/10.1080/21551197.2016.1209146
  5. Lauretani F, Russo CR, Bandinelli S, Bartali B, Cavazzini C, Di Iorio A, Corsi AM, Rantanen T, Guralnik JM, Ferrucci L. Age-associated changes in skeletal muscles and their effect on mobility: an operational diagnosis of sarcopenia. J Appl Physiol (1985) 2003; 95: 1851-60. https://doi.org/10.1152/japplphysiol.00246.2003
  6. 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: 243-7. https://doi.org/10.11005/jbm.2016.23.4.243
  7. Yoo JI, Ha YC, Kwon HB, Lee YK, Koo KH, Yoo MJ. High prevalence of sarcopenia in Korean patients after hip fracture: a case-control study. J Korean Med Sci 2016; 31: 1479-84. https://doi.org/10.3346/jkms.2016.31.9.1479
  8. Cruz-Jentoft AJ, Baeyens JP, Bauer JM, Boirie Y, Cederholm T, Landi F, Martin FC, Michel JP, Rolland Y, Schneider SM, et al. Sarcopenia: European consensus on definition and diagnosis: report of the European Working Group on Sarcopenia in Older People. Age Ageing 2010; 39: 412-23. https://doi.org/10.1093/ageing/afq034
  9. Chen LK, Liu LK, Woo J, Assantachai P, Auyeung TW, Bahyah KS, Chou MY, Chen LY, Hsu PS, Krairit O, et al. Sarcopenia in Asia: consensus report of the Asian Working Group for Sarcopenia. J Am Med Dir Assoc 2014; 15: 95-101. https://doi.org/10.1016/j.jamda.2013.11.025
  10. Kweon S, Kim Y, Jang MJ, Kim Y, Kim K, Choi S, Chun C, Khang YH, Oh K. Data resource profile: the Korea National Health and Nutrition Examination Survey (KNHANES). Int J Epidemiol 2014; 43: 69-77. https://doi.org/10.1093/ije/dyt228
  11. Roberts HC, Denison HJ, Martin HJ, Patel HP, Syddall H, Cooper C, Sayer AA. A review of the measurement of grip strength in clinical and epidemiological studies: towards a standardised approach. Age Ageing 2011; 40: 423-9. https://doi.org/10.1093/ageing/afr051
  12. Liu LK, Lee WJ, Liu CL, Chen LY, Lin MH, Peng LN, Chen LK. Age-related skeletal muscle mass loss and physical performance in Taiwan: implications to diagnostic strategy of sarcopenia in Asia. Geriatr Gerontol Int 2013; 13: 964-71. https://doi.org/10.1111/ggi.12040
  13. Yoshimura N, Oka H, Muraki S, Akune T, Hirabayashi N, Matsuda S, Nojiri T, Hatanaka K, Ishimoto Y, Nagata K, et al. Reference values for hand grip strength, muscle mass, walking time, and one-leg standing time as indices for locomotive syndrome and associated disability: the second survey of the ROAD study. J Orthop Sci 2011; 16: 768-77. https://doi.org/10.1007/s00776-011-0160-1
  14. Wong SL. Grip strength reference values for Canadians aged 6 to 79: Canadian Health Measures Survey, 2007 to 2013. Health Rep 2016; 27: 3-10.
  15. Hogrel JY. Grip strength measured by high precision dynamometry in healthy subjects from 5 to 80 years. BMC Musculoskelet Disord 2015; 16: 139. https://doi.org/10.1186/s12891-015-0612-4
  16. Shim JH, Roh SY, Kim JS, Lee DC, Ki SH, Yang JW, Jeon MK, Lee SM. Normative measurements of grip and pinch strengths of 21st century Korean population. Arch Plast Surg 2013; 40: 52-6. https://doi.org/10.5999/aps.2013.40.1.52
  17. Han SH, Nam KS, Ahn TK, Dan JM. Analysis of grip and pinch strength in Korean people. J Korean Orthop Assoc 2009; 44: 219-25. https://doi.org/10.4055/jkoa.2009.44.2.219
  18. Lee KS, Woo KJ, Shim JH, Lee GH. The clinical study of grip and pinch strength in normal Korean adults. J Korean Orthop Assoc 1995; 30: 1589-97. https://doi.org/10.4055/jkoa.1995.30.6.1589
  19. Studenski SA, Peters KW, Alley DE, Cawthon PM, McLean RR, Harris TB, Ferrucci L, Guralnik JM, Fragala MS, Kenny AM, et al. The FNIH sarcopenia project: rationale, study description, conference recommendations, and final estimates. J Gerontol A Biol Sci Med Sci 2014; 69: 547-58. https://doi.org/10.1093/gerona/glu010

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