Handgrip Strength Is Associated with Metabolic Syndrome and Insulin Resistance in Children and Adolescents: Analysis of Korea National Health and Nutrition Examination Survey 2014-2018.

IF 4.7 Q1 ENDOCRINOLOGY & METABOLISM

Journal of Obesity & Metabolic Syndrome Pub Date : 2022-12-30 DOI:10.7570/jomes22053

Hae Woon Jung, Jieun Lee, Jaehyun Kim

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引用次数: 1

Abstract

Background: Reduced handgrip strength (HGS) is associated with adverse cardiometabolic health outcomes. We examined HGS, metabolic syndrome (MetS), and insulin resistance (IR) in children and adolescents.

Methods: The following population-based data from 2,797 participants (aged 10-18 years) of the Korea National Health and Nutrition Examination Survey 2014-2018 were analyzed: complete anthropometric measures, HGS, MetS, and IR (subgroup with fasting insulin, n=555). HGS was analyzed as the combined HGS (CHGS) and the normalized CHGS (nCHGS=CHGS divided by body weight).

Results: At a mean age of 14.4 years, 276 participants (9.9%) had abdominal obesity, 56 (2.0%) had MetS, and 118 (20.9%) had IR. Individual components of MetS and IR were inversely associated with the nCHGS. The odds ratios (ORs) for MetS and IR decreased significantly with higher nCHGS after adjustment for sex, age, physical activity, and sedentary times. The optimal cut-off values that predicted MetS were 0.80 kg/kg (males) and 0.71 kg/kg (females), with significant associations with MetS (OR: 7.4 in males; 5.7 in females) and IR (OR: 3.3 in males; 3.2 in females) observed when nCHGS values were lower than those cut-offs.

Conclusion: HGS is associated with MetS and IR and might be a useful indicator of cardiometabolic risk factors in children and adolescents.

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握力与儿童和青少年代谢综合征和胰岛素抵抗相关:2014-2018年韩国国家健康和营养调查分析

背景:握力降低(HGS)与不良的心脏代谢健康结果相关。我们研究了儿童和青少年的HGS、代谢综合征(MetS)和胰岛素抵抗(IR)。方法:分析2014-2018年韩国国家健康与营养调查的2797名参与者(10-18岁)的以下基于人群的数据:完整的人体测量、HGS、MetS和IR(空腹胰岛素亚组，n=555)。HGS分析为综合HGS (CHGS)和归一化CHGS (nCHGS=CHGS除以体重)。结果:平均年龄14.4岁时，276名参与者(9.9%)患有腹部肥胖，56名(2.0%)患有MetS, 118名(20.9%)患有IR。met和IR的各个成分与nCHGS呈负相关。调整性别、年龄、体力活动和久坐时间后，随着nCHGS的增加，MetS和IR的比值比(ORs)显著降低。预测MetS的最佳临界值分别为0.80 kg/kg(男性)和0.71 kg/kg(女性)，与MetS有显著相关性(OR:男性7.4;女性5.7)和IR (OR:男性3.3;当nCHGS值低于这些截断值时，观察到3.2(女性)。结论:HGS与MetS和IR相关，可能是儿童和青少年心脏代谢危险因素的有用指标。

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来源期刊

Journal of Obesity & Metabolic Syndrome ENDOCRINOLOGY & METABOLISM-

CiteScore

8.30

自引率

9.60%

发文量

审稿时长

19 weeks

期刊介绍： The journal was launched in 1992 and diverse studies on obesity have been published under the title of Journal of Korean Society for the Study of Obesity until 2004. Since 2017, volume 26, the title is now the Journal of Obesity & Metabolic Syndrome (pISSN 2508-6235, eISSN 2508-7576). The journal is published quarterly on March 30th, June 30th, September 30th and December 30th. The official title of the journal is now "Journal of Obesity & Metabolic Syndrome" and the abbreviated title is "J Obes Metab Syndr". Index words from medical subject headings (MeSH) list of Index Medicus are included in each article to facilitate article search. Some or all of the articles of this journal are included in the index of PubMed, PubMed Central, Scopus, Embase, DOAJ, Ebsco, KCI, KoreaMed, KoMCI, Science Central, Crossref Metadata Search, Google Scholar, and Emerging Sources Citation Index (ESCI).