Lee Kayoung
Department of Family Medicine, Busan Paik Hospital, Inje University College of Medicine, Busan, Korea.
J Bone Metab. 2021 Feb;28(1):41-50. doi: 10.11005/jbm.2021.28.1.41. Epub 2021 Feb 28.
Handgrip strength (HGS) is an important predictor of long-term health and physical function. Studies have associated alcohol consumption with HGS but based on inconsistent findings. The Korea National Health and Nutrition Examination Survey (KNHANES) data were analyzed to examine the association between alcohol consumption levels and HGS based on sociodemographic and health-related factors.
Using the 2014 to 2018 KNHANES data, alcohol consumption levels (abstinence, moderate, binge, and heavy consumption) and HGS levels (normal vs. weak) were determined in 8,556 men and 10,054 women (age, 49±16 years). Logistic regression analyses were conducted after adjusting for sociodemographic and health-related factors and in subgroups of those factors.
Binge or heavy consumption was reported in 50.2% of men and 22.7% of women, and weak HGS was found in 4.6% of men and 9.9% of women. In the fully adjusted model, weak HGS was associated with binge consumption (odds ratio [OR], 0.51, 95% confidence interval [CI], 0.37-0.71) and heavy consumption (OR, 0.37, 95% CI, 0.22-0.63) in men, and moderate consumption (OR, 0.79, 95% CI, 0.67-0.93) and binge consumption (OR, 0.65, 95% CI, 0.52-0.83) in women. An association between consumption levels and weak HGS was found in both sexes regardless of age (<65 vs. ≥65 years), education/income level, exercise endurance level, presence/absence of co-morbid illness, weight, and the presence/absence of metabolic syndrome.
Alcohol consumption may be inversely associated with weak HGS, regardless of sociodemographic and health-related factors using the 2014 to 2018 KNHANES data. Further prospective studies are necessary to examine the causality of the association.
握力（HGS）是长期健康和身体功能的重要预测指标。研究已将饮酒与握力联系起来，但结果并不一致。分析韩国国家健康与营养检查调查（KNHANES）数据，以研究基于社会人口统计学和健康相关因素的饮酒水平与握力之间的关联。
利用2014年至2018年的KNHANES数据，确定了8556名男性和10054名女性（年龄49±16岁）的饮酒水平（戒酒、适度饮酒、暴饮和重度饮酒）和握力水平（正常与虚弱）。在对社会人口统计学和健康相关因素进行调整后，并在这些因素的亚组中进行了逻辑回归分析。
50.2%的男性和22.7%的女性报告有暴饮或重度饮酒情况，4.6%的男性和9.9%的女性握力虚弱。在完全调整模型中，握力虚弱与男性的暴饮（比值比[OR]，0.51，95%置信区间[CI]，0.37 - 0.71）和重度饮酒（OR，0.37，95% CI，0.22 - 0.63）相关，与女性的适度饮酒（OR，0.79，95% CI，0.67 - 0.93）和暴饮（OR，0.65，95% CI，0.52 - 0.83）相关。无论年龄（<65岁与≥65岁）、教育/收入水平、运动耐力水平、是否存在合并症、体重以及是否存在代谢综合征，在男女两性中均发现饮酒水平与握力虚弱之间存在关联。
根据2014年至2018年的KNHANES数据，无论社会人口统计学和健康相关因素如何，饮酒可能与握力虚弱呈负相关。需要进一步的前瞻性研究来检验这种关联的因果关系。
