운동영양학회지 (Korean Journal of Exercise Nutrition)

한국운동영양학회
권호 표지
DOI QR코드

DOI QR Code

Body mass index and relative handgrip strength are associated with the prevalence of hypertension in Korean elderly: Korean national fitness assessment in 2019

  • Kim, Ji Young (Physical Activity and Performance Institute (PAPI), Konkuk University) ;
  • Park, Hun-Young (Physical Activity and Performance Institute (PAPI), Konkuk University) ;
  • Kim, Jisu (Physical Activity and Performance Institute (PAPI), Konkuk University) ;
  • Lim, Kiwon (Physical Activity and Performance Institute (PAPI), Konkuk University)
  • 투고 : 2021.06.08
  • 심사 : 2021.06.29
  • 발행 : 2021.06.30
⟨ 이전 논문 다음 논문 ⟩

초록

[Purpose] This study aimed to analyze the prevalence of hypertension according to the body mass index (BMI) and relative handgrip strength (RHGS) among elderly individuals in Korea. [Methods] We analyzed the data of 44,183 Korean elderly individuals over 65 years old (men: n = 15,798, age = 73.31 ± 5.04 years, women: n = 28,385, age = 72.14 ± 5.04 years) obtained from the Korean National Fitness Assessment in 2019. All the participants were categorized into three groups according to the BMI and RHGS; additionally, one-way ANOVA and logistic regression analysis were performed. [Results] Overweight (men: 1.16 odds ratio [OR] 1.06-1.26, 95% confidence interval [CI]; women: 1.15 OR, 1.07-1.23 95% CI) and obese (men: 1.54 OR, 1.42-1.66 95% CI; women: 1.44 OR, 1.36-1.53 95% CI) elderly individuals showed a higher prevalence of hypertension than elderly individuals with normal weight, after controlling for age. In men, a lower RHGS was associated with a higher prevalence of hypertension after controlling for age (weak RHGS: 1.09 OR, 1.00-1.17 95% CI; middle RHGS: 1.21 OR, 1.12-1.31 95% CI vs. strong RHGS). [Conclusion] A higher BMI was associated with the prevalence of hypertension in the elderly Korean population. In addition, a lower RHGS was associated with the prevalence of hypertension in elderly Korean men.

키워드

과제정보

This work was supported by the Ministry of Education of the Republic of Korea and the National Research Foundation of Korea (NRF-2019S1A5B8099542).

참고문헌

  1. Korea Institute for Health and Social Affairs. 2017 Survey on the Status of the Elderly; 2017.
  2. Forouzanfar MH, Liu P, Roth GA, Ng M, Biryukov S, Marczak L, Alexander L, Estep K, Hassen Abate K, Akinyemiju TF, Ali R, Alvis-Guzman N, Azzopardi P, Banerjee A, Barnighausen T, Basu A, Bekele T, Bennett DA, Biadgilign S, Catala-Lopez F, Feigin VL, Fernandes JC, Fischer F, Gebru AA, Gona P, Gupta R, Hankey GJ, Jonas JB, Judd SE, Khang YH, Khosravi A, Kim YJ, Kimokoti RW, Kokubo Y, Kolte D, Lopez A, Lotufo PA, Malekzadeh R, Melaku YA, Mensah GA, Misganaw A, Mokdad AH, Moran AE, Nawaz H, Neal B, Ngalesoni FN, Ohkubo T, Pourmalek F, Rafay A, Rai RK, Rojas-Rueda D, Sampson UK, Santos IS, Sawhney M, Schutte AE, Sepanlou SG, Shifa GT, Shiue I, Tedla BA, Thrift AG, Tonelli M, Truelsen T, Tsilimparis N, Ukwaja KN, Uthman OA, Vasankari T, Venketasubramanian N, Vlassov VV, Vos T, Westerman R, Yan LL, Yano Y, Yonemoto N, Zaki ME, Murray CJ. Global burden of hypertension and systolic blood pressure of at least 110 to 115 mm Hg, 1990-2015. Jama. 2017;317:165-82. https://doi.org/10.1001/jama.2016.19043
  3. Gakidou E, Afshin A, Abajobir AA, Abate KH, Abbafati C, Abbas KM, ... & Duncan S. Global, regional, and national comparative risk assessment of 84 behavioural, environmental and occupational, and metabolic risks or clusters of risks, 1990-2016: a systematic analysis for the Global Burden of Disease Study 2016. Lancet. 2017;390:1345-422. https://doi.org/10.1016/S0140-6736(17)32366-8
  4. The Korean Society of Hypertension. Guidelines for Hypertension Care; 2019.
  5. Carey RM, Muntner P, Bosworth HB, Whelton PK. Prevention and control of hypertension: JACC health promotion series. J Am Coll Cardiol. 2018;72:1278-93. https://doi.org/10.1016/j.jacc.2018.07.008
  6. Lee SH, Kim YS, Sung SW, Huh BY. A retrospective cohort study on obesity and hypertension risk among Korean adults. J Korean Med Sci. 2005;20:188-95. https://doi.org/10.3346/jkms.2005.20.2.188
  7. Lydakis C, Lip GYH, Beevers M, Beevers DG. Diet, lifestyle, and blood pressure. Coronary Health Care. 1997;1:130-7. https://doi.org/10.1016/S1362-3265(97)80003-X
  8. Gelber RP, Gaziano JM, Manson JE, Buring JE, Sesso HD. A prospective study of body mass index and the risk of developing hypertension in men. Am J Hypertension. 2007;20:370-7. https://doi.org/10.1016/j.amjhyper.2006.10.011
  9. Lee HS, Kwun IS, Kwon CS. Prevalence of hypertension and related risk factors of the older residents in Andong rural area. J Korean Soc Food Sci Nutr. 2009;38:852-61. https://doi.org/10.3746/JKFN.2009.38.7.852
  10. Nair KS. Age-related changes in muscle. Mayo Clin Proc. 2000;75:S14-8. https://doi.org/10.1016/s0025-6196(19)30636-6
  11. Ishii S, Tanaka T, Akishita M, Ouchi Y, Tuji T, Iijima K. Metabolic syndrome, sarcopenia and role of sex and age: cross-sectional analysis of Kashiwa cohort study. PLoS One. 2014;9:e112718. https://doi.org/10.1371/journal.pone.0112718
  12. Yi D, Khang AR, Lee HW, Son SM, Kang YH. Relative handgrip strength as a marker of metabolic syndrome: the korea national health and nutrition examination survey (KNHANES) VI (2014-2015). Diabetes metab syndr obes: targets and therapy. 2018;11:227-40. https://doi.org/10.2147/DMSO.S166875
  13. Srikanthan P, Karlamangla AS. Relative muscle mass is inversely associated with insulin resistance and prediabetes. findings from the Third national health and nutrition examination survey. J Clin Endocrinol Metab. 2011;96:2898-903. https://doi.org/10.1210/jc.2011-0435
  14. Guillet C, Boirie Y. Insulin resistance: a contributing factor to age-related muscle mass loss? Diabetes Metab. 2005;31:5S20-6. https://doi.org/10.1016/S1262-3636(05)73648-X
  15. Anderson JR. Atlas of skeletal muscle pathology. Spiringer; 2011.
  16. Chang MJ, Yang SW, Choi HM, Han S. Prevalence among body mass index, lean body mass, and blood pressure in prehypertensive elderly male. Korean J Grow Develop. 2017;25:245-50.
  17. Lee JA. Relationship between grip strength and prevalence of hypertension in Korean adults: the sixth Korea national health and nutrition examination survey (2015). Health & Sports medicine. 2017;19:53-60.
  18. Baek SH, Kim EJ, Shin JE. Analysis of the relationship between chronic diseases and grip strength of the Korean senior citizens: focusing on hypertension and diabetes. J Korean Data Analy Soc. 2019;21:2645-56. https://doi.org/10.37727/jkdas.2019.21.5.2645
  19. Lawman HG, Troiano RP, Perna FM, Wang CY, Fryar CD, Ogden CL. Associations of relative handgrip strength and cardiovascular disease biomarkers in U.S. adults, 2011-2012. Am J Prev Med. 2016;50:677-83. https://doi.org/10.1016/j.amepre.2015.10.022
  20. Choquette S, Bouchard DR, Doyon CY, Senechal M, BrochuM, Dionne IJ. Relative strength as a determinant of mobility inelders 67-84 years of age. a nuage study: nutrition as a determinant of successful aging. J Nutr Health Aging. 2010;14:190-5. https://doi.org/10.1007/s12603-010-0047-4
  21. Choi EY. The association of relative handgrip strength with type 2 diabetes among Koreans aged 20 years or more. Korean J Health Promot. 2019;19:77-83. https://doi.org/10.15384/kjhp.2019.19.2.77
  22. Hong SH, Byeon JY, Min JH, Park DH, JWH, Jeon JY. Relationship between handgrip strength and the prevalence of diabetes mellitus among Korean adults: Korean national health and nutrition examination survey, 2014-2018. Exercise Science. 2021;30;110-21. https://doi.org/10.15857/ksep.2021.30.1.110
  23. Korea Sports Promotion Foundation. Introduction to Korean National Fitness Assessment 100; 2020.
  24. Jo JH. Developing regression model for estimation of % body fat from body mass index. Korean J Phys Educ. 2006;45:869-78.
  25. Jung SM, Cho WJ. The effect of body composition and functional fitness on prevalence of hypertension according to gender and the elderly. Korean J Sport Sci. 2018;27:1275-87. https://doi.org/10.35159/kjss.2018.12.27.6.1275
  26. Kim HR, Son HK. Prevalence of hypertension and its risk factors among aged 65 and over in Korea. J Korean Biol Nurs Sci. 2012;14:282-90. https://doi.org/10.7586/jkbns.2012.14.4.282
  27. Bentley DC, Nguyen CH, Thomas SG. Resting blood pressure reductions following isometric hand grip exercise training and the impact of age and sex: protocol for a systematic review. Syst Rev. 2015;4:176-80. https://doi.org/10.1186/s13643-015-0164-6
  28. Statistics Korea. Statistics for the elderly; 2020.