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使用韩国国家健康与营养检查调查第六轮数据得出的韩国成年人手部平均握力及肌肉减少症的截断值

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

作者信息

Yoo Jun Il, Choi Hana, Ha Yong Chan

机构信息

Department of Orthopaedic Surgery, Gyeongsang National University Hospital, Gyeongsang National University School of Medicine, Jinju, Korea.

Department of Rehabilitation Medicine, Dankook University Hospital, Cheonan, Korea.

出版信息

J Korean Med Sci. 2017 May;32(5):868-872. doi: 10.3346/jkms.2017.32.5.868.

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.

摘要

本研究旨在利用韩国国家健康与营养检查调查(KNHANES)VI-3(2015年)的数据,报告握力(HGS)的年龄和性别特异性分布情况,并确定韩国人HGS低肌肉力量的临界值。在总共7380名参与者中,4553人接受了HGS测量,其中包括1997名男性和2556名女性,平均年龄为49.3岁(范围19 - 80岁)。男性和女性的平均年龄分别为49.0岁和49.5岁。HGS使用数字式握力计进行测量。它被定义为主手的最大测量握力。低肌肉力量的临界值被定义为研究人群HGS的第20百分位数以下。男性的最大握力显著高于女性(男性为40.2千克,女性为24.2千克,P < 0.001)。平均HGS从19岁到39岁增加,在35至39岁年龄段男性和女性均达到峰值,然后在39岁后下降。老年健康男性和女性人群的HGS临界值分别为28.6千克和16.4千克。这些数据可作为评估肌肉减少症和手部损伤时的参考值。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dc97/5383622/7fbb64d7b678/jkms-32-868-g001.jpg

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