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成年人握力与生活质量调整后肺功能的相关性

Correlation of handgrip strength with quality of life-adjusted pulmonary function in adults.

作者信息

Jung Hae In, Gu Kang-Mo, Park So Young, Baek Moon Seong, Kim Won Young, Choi Jae-Chol, Shin Jong-Wook, Kim Jae-Yeol, Chang Young D, Jung Jae-Woo

机构信息

Division of Pulmonary and Allergy Medicine, Department of Internal Medicine, Chung-Ang University Hospital, Seoul, Korea.

Division of Pulmonary and Allergy Medicine, Department of Internal Medicine, Chung-Ang University College of Medicine, Seoul, Korea.

出版信息

PLoS One. 2024 Mar 11;19(3):e0300295. doi: 10.1371/journal.pone.0300295. eCollection 2024.

Abstract

BACKGROUND

Handgrip strength (HGS) is acknowledged as a key indicator of overall physical fitness and is associated with various health outcomes.

OBJECTIVES

This research investigates the correlation between HGS and quality of life (QoL), focusing on its relation to pulmonary function in the general adult population.

METHOD

The study involved 19,402 participants aged 40 and above, spanning from 2014 to 2019, who underwent pulmonary function and HGS tests. Participants were categorized based on lung function, and regression analyses were employed to examine the relationship between HGS and QoL, with adjustments made for lung function.

RESULTS

The average age of the cohort was 58.2 years, comprising 44.6% males and 41.2% smokers. Out of the 18,708 participants who completed the European Quality of Life Scale-Five Dimensions (EQ-5D-3L) assessment, higher severity levels in mobility, self-care, usual activities, pain or discomfort, and anxiety or depression were linked to lower HGS in both sexes. Additionally, among the 3,723 participants who completed the Health-related Quality of Life Instrument with 8 Items (HINT-8) assessment, higher severity levels in pain, work, and depression were associated with lower HGS in men. In women, higher severity levels in climbing stairs, pain, vitality, and work correlated with lower HGS.

CONCLUSIONS

As problems indicated by EQ-5D worsened, there was a consistent decrease in handgrip strength (HGS) across both genders. The HINT-8 assessment further revealed that increased severity in pain and work-related issues led to reduced HGS in both men and women. This study highlights the relationship between HGS and Quality of Life (QoL), taking lung function into consideration, and underscores the importance of HGS as a potential marker of physical health and fitness.

摘要

背景

握力(HGS)被公认为是整体身体健康的关键指标,且与多种健康结果相关。

目的

本研究调查握力与生活质量(QoL)之间的相关性,重点关注其在一般成年人群中与肺功能的关系。

方法

该研究纳入了19402名年龄在40岁及以上的参与者,研究时间跨度为2014年至2019年,这些参与者接受了肺功能和握力测试。参与者根据肺功能进行分类,并采用回归分析来检验握力与生活质量之间的关系,同时对肺功能进行了调整。

结果

该队列的平均年龄为58.2岁,男性占44.6%,吸烟者占41.2%。在完成欧洲生活质量量表五维度(EQ-5D-3L)评估的18708名参与者中,无论是男性还是女性,在行动能力、自我护理、日常活动、疼痛或不适以及焦虑或抑郁方面的严重程度越高,与握力越低相关。此外,在完成8项健康相关生活质量量表(HINT-8)评估的3723名参与者中,男性在疼痛、工作和抑郁方面的严重程度越高,与握力越低相关。在女性中,爬楼梯、疼痛、活力和工作方面的严重程度越高,与握力越低相关。

结论

随着EQ-5D所表明的问题恶化,男女两性的握力(HGS)都持续下降。HINT-8评估进一步显示,疼痛和工作相关问题严重程度的增加导致男性和女性的握力降低。本研究强调了握力与生活质量(QoL)之间的关系,同时考虑了肺功能,并强调了握力作为身体健康和体能潜在标志物的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/178c/10927077/5246c27777ab/pone.0300295.g001.jpg

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