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老年人基础代谢率与握力的关系。

Association between Basal Metabolic Rate and Handgrip Strength in Older Koreans.

机构信息

Department of Family Medicine, Yonsei University College of Medicine, 50 Yonsei-ro Seodaemun-gu, Seoul 03722, Korea.

Department of Family Medicine, Yong-In Severance Hospital, 23 Yongmunno (405 Yeokbuk-dong), Gyeonggi 17046, Korea.

出版信息

Int J Environ Res Public Health. 2019 Nov 9;16(22):4377. doi: 10.3390/ijerph16224377.

Abstract

We investigated the relationship between the basal metabolic rate (BMR) and muscle strength through measurement of handgrip strength. We conducted a cross-sectional study of a population representative of older Korean from the 2014-2016 Korean National Health and Nutrition Examination Survey. A total of 2512 community-dwelling men and women aged 65 years and older were included. The BMR was calculated with the Singapore equation and handgrip strength was measured using a digital dynamometer. The patients were categorized into handgrip strength quartiles and a weighted one-way analysis of variance (ANOVA) for continuous variables and a weighted chi-squared test for categorical variables were performed. Pearson, Spearman correlation analysis, univariate, and multivariate linear regression were performed. Analysis of covariance (ANCOVA) was also performed to determine the association between basal metabolic rate and handgrip strength quartiles after adjusting for confounding factors. The BMR increased according to handgrip strength quartile after adjusting for age, BMI, relative fat mass, comorbidity number, resistance exercise, aerobic physical activity, household income, educational level, smoking status, and alcohol ingestion in both sexes ( < 0.001). Handgrip strength has a positive association with the BMR in older Korean people. Therefore, muscle strength exercises should be considered for regulating the BMR in the older people.

摘要

我们通过测量握力来研究基础代谢率(BMR)与肌肉力量之间的关系。我们对 2014-2016 年韩国全国健康与营养调查中具有代表性的韩国老年人群进行了横断面研究。共纳入 2512 名 65 岁及以上的社区居住的男性和女性。使用新加坡方程计算 BMR,使用数字测力计测量握力。将患者分为握力四分位组,并对连续变量进行加权单因素方差分析(ANOVA),对分类变量进行加权卡方检验。进行 Pearson、Spearman 相关性分析、单变量和多变量线性回归。还进行了协方差分析(ANCOVA),以确定在调整混杂因素后基础代谢率与握力四分位组之间的关联。在调整了年龄、BMI、相对脂肪量、合并症数量、阻力运动、有氧运动、家庭收入、教育水平、吸烟状况和饮酒状况后,BMR 随着握力四分位组的增加而增加(<0.001)。握力与韩国老年人的 BMR 呈正相关。因此,肌肉力量练习应被视为调节老年人 BMR 的一种方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b755/6888346/b6a515091a80/ijerph-16-04377-g001.jpg

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