Pediatric Gastroenterology, Hepatology and Nutrition, Yonsei University College of Medicine, Severance Pediatric Liver Disease Research Group, Severance Children's Hospital, Seoul, Republic of Korea.
Pediatric Gastroenterology, Hepatology and Nutrition, Yonsei University College of Medicine, Severance Pediatric Liver Disease Research Group, Severance Children's Hospital, Seoul, Republic of Korea.
J Clin Densitom. 2020 Apr-Jun;23(2):271-277. doi: 10.1016/j.jocd.2018.09.002. Epub 2018 Sep 8.
The prevalence of metabolic syndrome is increasing worldwide in adolescents. Metabolic syndrome is a systemic disease that is likely to be associated with other diseases. Studies have shown a relationship between muscle strength, muscle quality, and metabolic syndrome. Handgrip strength is known as a simple tool to measure muscle strength. Therefore, we aimed to investigate the relationship between handgrip strength and metabolic syndrome and each metabolic syndrome features in adolescents. Data were obtained from 1050 adolescents (574 boys, 476 girls; age 10-18 years) who participated in the Korea National Health and Nutrition Examination Survey. We used the International Diabetes Federation metabolic syndrome guideline and National Cholesterol Education Program Adult Treatment Panel III guideline for children to define metabolic syndrome. The highest handgrip strength for both hands was recorded. Handgrip strength was also divided by the participants' own weight (handgrip-to-weight ratio). Adolescents with metabolic syndrome defined by each guideline have higher handgrip strength (p < 0.05). When handgrip strength was divided with participants' own body weight (handgrip-to-weight ratio), values were decreased in participants with metabolic syndrome (p < 0.05). The male participants tend to have higher handgrip-to-weight ratio than female. However, the handgrip-to-weight ratio was found to be decreased regardless of gender when the metabolic syndrome feature was present. This study shows that handgrip strength is associated with metabolic syndrome in adolescents. This is the first study to compare handgrip strength and metabolic syndrome in Korean adolescents. Given that handgrip strength is associated with metabolic syndrome in adolescents, it can be a diagnostic modality to easily identify the patients' current state in the clinic.
代谢综合征在全球青少年中的患病率正在上升。代谢综合征是一种全身性疾病，可能与其他疾病有关。研究表明，肌肉力量、肌肉质量与代谢综合征之间存在关联。握力被认为是衡量肌肉力量的简单工具。因此，我们旨在探讨青少年握力与代谢综合征以及代谢综合征各特征之间的关系。数据来自参加韩国国家健康和营养检查调查的 1050 名青少年（574 名男孩，476 名女孩；年龄 10-18 岁）。我们使用国际糖尿病联合会代谢综合征指南和儿童国家胆固醇教育计划成人治疗小组 III 指南来定义代谢综合征。记录了双手的最大握力。握力也按参与者自身体重（握力与体重比）进行了划分。根据每个指南定义的代谢综合征青少年的握力更高（p < 0.05）。当握力除以参与者自身体重（握力与体重比）时，患有代谢综合征的参与者的数值会降低（p < 0.05）。男性参与者的握力与体重比往往高于女性。然而，当存在代谢综合征特征时，无论性别如何，握力与体重比均会降低。这项研究表明，握力与青少年代谢综合征有关。这是第一项比较韩国青少年握力和代谢综合征的研究。鉴于握力与青少年代谢综合征有关，它可以作为一种诊断方式，方便在临床中识别患者的当前状态。
