Journal of agricultural medicine and community health (농촌의학ㆍ지역보건)

Korean Society for Rural Medicine and Community Health (한국농촌의학지역보건학회)
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Association between Low Hand Grip Strength and Decreased Femoral Neck Bone Mineral Density in Korean Fishery Workers

어업종사자에서 낮은 악력과 대퇴부 경부 골밀도 감소의 연관성

  • Mi-Ji Kim (Department of Preventive Medicine, College of Medicine, Gyeongsang National University) ;
  • Gyeong-Ye Lee (Center for Fishermen's Safety and Health, Gyeongsang National University Hospital) ;
  • Joo Hyun Sung (Institute of Medical Sciences, Gyeongsang National University) ;
  • Seok Jin Hong (Department of Radiology, Naval Maritime Medical Center) ;
  • Ki-Soo Park (Department of Preventive Medicine, College of Medicine, Gyeongsang National University)
  • 김미지 (경상국립대학교 의과대학 예방의학교실) ;
  • 이경예 (경상국립대학교병원 어업안전보건센터) ;
  • 성주현 (경상국립대학교 의과학연구원) ;
  • 홍석진 (해군해양의료원 영상의학과) ;
  • 박기수 (경상국립대학교 의과대학 예방의학교실)
  • Received : 2023.11.30
  • Accepted : 2023.12.15
  • Published : 2023.12.30
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Abstract

Objectives: This study aimed to assess hand grip strength and femoral neck bone mineral density levels among Korean fishery workers and investigate their association. Methods: Hand grip strength and femoral neck bone mineral density were measured in a survey and health examination conducted in 2021 among fishery workers in a southern region of South Korea. Covariates including gender, age, education level, income level, smoking behavior, drinking behavior, family history of hip fractures, use of calcium and vitamin D supplements, hypertension, diabetes, regular exercise, and body mass index were investigated. Multiple regression analysis was employed to assess the association between hand grip strength and femoral neck bone mineral density. Results: Among 147 fishery workers, 8.16% exhibited low hand grip strength levels indicative of possible sarcopenia, and a significant association was found between low hand grip strength and decreased femoral neck bone mineral density (β = -89.14, 95% CI = -160.50, -17.78). Additionally, factors such as women gender, advanced age, family history of hip fractures, and a body mass index below 25 kg/m2 were associated with decreased femoral neck bone mineral density. In the subgroup analysis by gender, a correlation between low hand grip strength and decreased femoral neck bone mineral density was observed only in men. Conclusions: Further research is needed to explore various determinants and intervention strategies to prevent musculoskeletal disorders among fishery workers, ultimately enhancing their quality of life and well-being.

Keywords

Acknowledgement

본 결과물은 환경부의 재원으로 한국환경산업기술원의 환경보건 디지털조사 기반 구축 기술개발사업의 지원을 받아 연구되었습니다(RS-2021-KE001387).

References

  1. Im HJ, Kwon YJ, Yim, J, Ju YS, Lee KS, Kim KR. The comparative study on the prevalence of injury/poisoning in the agricultural and fishery population and the general population. J Agric Med Community Health 2008;33(1):82-89 (Korean) https://doi.org/10.5393/JAMCH.2008.33.1.082
  2. Griffin XL, Parsons N, Achten J, Fernandez M, Costa ML. Recovery of health-related quality of life in a United Kingdom hip fracture population. Bone Jt J 2015;97-(B):372-382 https://doi.org/10.1302/0301-620X.97B3.35738
  3. Parker MJ, Palmer CR. A new mobility score for predicting mortality after hip fracture. J Bone Joint Surg Br 1993;75(5):797-798 https://doi.org/10.1302/0301-620X.75B5.8376443
  4. Liu Z, Zhang J, He K, Zhang Y, Zhang Y. Optimized clinical practice for superaged patients with hip fracture: significance of damage control and enhanced recovery program. Burns Trauma 2019;7:s41038-019-0159-y.
  5. Kujala UM, Kaprio J, Kannus P, Sarna S, Koskenvuo M. Physical activity and osteoporotic hip fracture risk in men. Arch Intern Med 2020;160(5):705-708
  6. Suen LKP. Occupation and risk of hip fracture. J Public Health (Oxf) 1998;20(4):428-433 https://doi.org/10.1093/oxfordjournals.pubmed.a024798
  7. Case, S., Bovbjerg, V., Lucas, D., Syron, L., & Kincl, L. (2015). Reported traumatic injuries among West Coast Dungeness crab fishermen, 2002-2014. International maritime health, 66(4), 207-210.
  8. Cummings SR, et al. Bone density at various sites for prediction of hip fractures. The Study of Osteoporotic Fractures Research Group. Lancet 1993;341:72-75 https://doi.org/10.1016/0140-6736(93)92555-8
  9. Suzuki T, Yoshida H. Low bone mineral density at femoral neck is a predictor of increased mortality in elderly Japanese women. Osteoporos Int 2010;21:71-79 https://doi.org/10.1007/s00198-009-0970-6
  10. Norman K, Stobaus N, Gonzalez MC, Schulzke JD, Pirlich M. Hand grip strength: outcome predictor and marker of nutritional status. Clin Nutr 2011;(30):135-142
  11. Dixon WG, et al. Low grip strength is associated with bone mineral density and vertebral fracture in women. Rheumatology (Oxford) 2005;44(5):642-646 https://doi.org/10.1093/rheumatology/keh569
  12. Kim SW, Lee HA, Cho EH. Low handgrip strength is associated with low bone mineral density and fragility fractures in postmenopausal healthy Korean women. J Korean Med Sci 2012;27:744-747 https://doi.org/10.3346/jkms.2012.27.7.744
  13. Chen LK, et al. Asian Working Group for Sarcopenia: 2019 consensus update on sarcopenia diagnosis and treatment. J Am Med Dir Assoc, 2020;21(3):300-307 https://doi.org/10.1016/j.jamda.2019.12.012
  14. 박상우. 어업인의 건강.안전 실태와 정책 개선방향. 수산정책연구 2010;8:65-84 (Korean)
  15. Luo Y, Jiang K, He M. Association between grip strength and bone mineral density in general US population of NHANES 2013-2014. Arch Osteoporos 2020;15:1-9 https://doi.org/10.1007/s11657-020-00719-2
  16. Li YZ, et al. Low grip strength is a strong risk factor of osteoporosis in postmenopausal women. Orthop Surg 2108;10(1):17-22
  17. Song J, Liu T, Zhao J, Wang S, Dang X, Wang W. Causal associations of hand grip strength with bone mineral density and fracture risk: A mendelian randomization study. Front Endocrinol (Lausanne) 2022;13:1020750
  18. Lerebours C, Buenzli PR. Towards a cell-based mechanostat theory of bone: the need to account for osteocyte desensitisation and osteocyte replacement. J Biomech 2016;49(13):2600-2606 https://doi.org/10.1016/j.jbiomech.2016.05.012
  19. Gomarasca M, Banfi G, Lombardi G. Myokines: The endocrine coupling of skeletal muscle and bone. Adv Clin Chem 2020;94:155-218 https://doi.org/10.1016/bs.acc.2019.07.010
  20. Kaji H. Effects of myokines on bone. Bonekey Rep 2016;5:826
  21. Denk K, Lennon S, Gordon S, Jaarsma RL. The association between decreased hand grip strength and hip fracture in older people: A systematic review. Exp Gerontol 2018;111:1-9 https://doi.org/10.1016/j.exger.2018.06.022
  22. Lan TY, et al. Risk factors for hip fracture in older adults: a case-control study in Taiwan. Osteoporos Int 2010;21:773-784 https://doi.org/10.1007/s00198-009-1013-z
  23. Martelli S, Kersh ME, Schache AG, Pandy MG. Strain energy in the femoral neck during exercise. J Biomech 2014;47(8):1784-1791 https://doi.org/10.1016/j.jbiomech.2014.03.036
  24. Sherrington C, Henschke N. Why does exercise reduce falls in older people? Unrecognised contributions to motor control and cognition?. Br J Sports Med 2013;47(12):730-731 https://doi.org/10.1136/bjsports-2012-091295
  25. Greendale GA, et al. Changes in body composition and weight during the menopause transition. JCI insight 2019;4(5)