Hand grip strength and chronic obstructive pulmonary disease in Korea: an analysis in KNHANES VI

Su Hwan Lee, Soo Jung Kim, Yeji Han, Yon Ju Ryu, Jin Hwa Lee, Jung Hyun Chang Division of Pulmonary and Critical Care Medicine, Department of Internal Medicine, Ewha Medical Research Institute, Ewha Womans University School of Medicine, Seoul, Korea Background: Muscle mass is known to be associate...

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Main Authors: Lee SH, Kim SJ, Han Y, Ryu YJ, Lee JH, Chang JH
Format: Article
Language:English
Published: Dove Medical Press 2017-08-01
Series:International Journal of COPD
Subjects:
Online Access:https://www.dovepress.com/hand-grip-strength-and-chronic-obstructive-pulmonary-disease-in-korea--peer-reviewed-article-COPD
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author Lee SH
Kim SJ
Han Y
Ryu YJ
Lee JH
Chang JH
author_facet Lee SH
Kim SJ
Han Y
Ryu YJ
Lee JH
Chang JH
author_sort Lee SH
collection DOAJ
description Su Hwan Lee, Soo Jung Kim, Yeji Han, Yon Ju Ryu, Jin Hwa Lee, Jung Hyun Chang Division of Pulmonary and Critical Care Medicine, Department of Internal Medicine, Ewha Medical Research Institute, Ewha Womans University School of Medicine, Seoul, Korea Background: Muscle mass is known to be associated with mortality in elderly adults. Because hand grip strength (HGS) is known as a simple assessment tool for muscular strength, many researchers have studied the association between HGS and disease. However, empirical evidence for the relationship between chronic obstructive pulmonary disease (COPD) and HGS is still controversial. The aim of this study was to evaluate the association between COPD and HGS, using Korean population data. Methods: This was a population-based cross-sectional study. Data were obtained from the sixth Korean National Health and Nutrition Examination Survey, which was conducted from 2013 to 2015. To reduce the effects of HGS-related factors and potential confounding factors, propensity score matching was used to match subjects with and without COPD. Results: Among 14,930 subjects, 832 were enrolled in each group (non-COPD and COPD) after propensity score matching. COPD subjects did not have lower HGS than non-COPD subjects (non-COPD vs COPD, male, 38.0±7.0 vs 38.9±7.0 kg, P=0.044, female, 23.8±4.6 vs 24.2±4.9 kg, P=0.342). Lung function was classified by Global Initiative for Chronic Obstructive Lung Disease stages and was not significantly associated with HGS. For male COPD subjects, there was a significant correlation between HGS and the EuroQol Five-Dimension Questionnaire (EQ5D) utility score index, which is an indicator of quality of life that adjusts for age and body mass index (r=0.201, P<0.001). The correlation was absent for female subjects (r=0.098, P=0.170). Conclusion: COPD subjects did not have lower HGS than non-COPD subjects. HGS did not associate with lung function. However, the HGS of male COPD subjects was positively associated with EQ5D utility score index, an indicator of quality of life. HGS may be helpful as an additional method to the evaluation of quality of life in male COPD patients. Keywords: chronic obstructive pulmonary disease, hand strength, quality of life
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spelling doaj.art-f5096c13bb6c465eb50b843ff13c27e82022-12-21T23:20:34ZengDove Medical PressInternational Journal of COPD1178-20052017-08-01Volume 122313232134126Hand grip strength and chronic obstructive pulmonary disease in Korea: an analysis in KNHANES VILee SHKim SJHan YRyu YJLee JHChang JHSu Hwan Lee, Soo Jung Kim, Yeji Han, Yon Ju Ryu, Jin Hwa Lee, Jung Hyun Chang Division of Pulmonary and Critical Care Medicine, Department of Internal Medicine, Ewha Medical Research Institute, Ewha Womans University School of Medicine, Seoul, Korea Background: Muscle mass is known to be associated with mortality in elderly adults. Because hand grip strength (HGS) is known as a simple assessment tool for muscular strength, many researchers have studied the association between HGS and disease. However, empirical evidence for the relationship between chronic obstructive pulmonary disease (COPD) and HGS is still controversial. The aim of this study was to evaluate the association between COPD and HGS, using Korean population data. Methods: This was a population-based cross-sectional study. Data were obtained from the sixth Korean National Health and Nutrition Examination Survey, which was conducted from 2013 to 2015. To reduce the effects of HGS-related factors and potential confounding factors, propensity score matching was used to match subjects with and without COPD. Results: Among 14,930 subjects, 832 were enrolled in each group (non-COPD and COPD) after propensity score matching. COPD subjects did not have lower HGS than non-COPD subjects (non-COPD vs COPD, male, 38.0±7.0 vs 38.9±7.0 kg, P=0.044, female, 23.8±4.6 vs 24.2±4.9 kg, P=0.342). Lung function was classified by Global Initiative for Chronic Obstructive Lung Disease stages and was not significantly associated with HGS. For male COPD subjects, there was a significant correlation between HGS and the EuroQol Five-Dimension Questionnaire (EQ5D) utility score index, which is an indicator of quality of life that adjusts for age and body mass index (r=0.201, P<0.001). The correlation was absent for female subjects (r=0.098, P=0.170). Conclusion: COPD subjects did not have lower HGS than non-COPD subjects. HGS did not associate with lung function. However, the HGS of male COPD subjects was positively associated with EQ5D utility score index, an indicator of quality of life. HGS may be helpful as an additional method to the evaluation of quality of life in male COPD patients. Keywords: chronic obstructive pulmonary disease, hand strength, quality of lifehttps://www.dovepress.com/hand-grip-strength-and-chronic-obstructive-pulmonary-disease-in-korea--peer-reviewed-article-COPDChronic obstructive pulmonary diseaseHand StrengthQuality of Life
spellingShingle Lee SH
Kim SJ
Han Y
Ryu YJ
Lee JH
Chang JH
Hand grip strength and chronic obstructive pulmonary disease in Korea: an analysis in KNHANES VI
International Journal of COPD
Chronic obstructive pulmonary disease
Hand Strength
Quality of Life
title Hand grip strength and chronic obstructive pulmonary disease in Korea: an analysis in KNHANES VI
title_full Hand grip strength and chronic obstructive pulmonary disease in Korea: an analysis in KNHANES VI
title_fullStr Hand grip strength and chronic obstructive pulmonary disease in Korea: an analysis in KNHANES VI
title_full_unstemmed Hand grip strength and chronic obstructive pulmonary disease in Korea: an analysis in KNHANES VI
title_short Hand grip strength and chronic obstructive pulmonary disease in Korea: an analysis in KNHANES VI
title_sort hand grip strength and chronic obstructive pulmonary disease in korea an analysis in knhanes vi
topic Chronic obstructive pulmonary disease
Hand Strength
Quality of Life
url https://www.dovepress.com/hand-grip-strength-and-chronic-obstructive-pulmonary-disease-in-korea--peer-reviewed-article-COPD
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