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Relationship Between Low Handgrip Strength and Chronic Kidney Disease: KNHANES 2014-2017.
Lee, Yae Lim; Jin, Heejin; Lim, Jae-Young; Lee, Sang Yoon.
Afiliación
  • Lee YL; Department of Rehabilitation Medicine, Seoul National University College of Medicine, Seoul National University Hospital, Seoul, Republic of Korea.
  • Jin H; Medical Research Collaborating Center, SMG-SNU Boramae Medical Center, Seoul, Republic of Korea.
  • Lim JY; Department of Rehabilitation Medicine, Seoul National University College of Medicine, Seoul National University Bundang Hospital, Seongnam-si, Gyeonggi-do, Republic of Korea.
  • Lee SY; Department of Rehabilitation Medicine, Seoul National University College of Medicine, SMG-SNU Boramae Medical Center, Seoul, Republic of Korea. Electronic address: rehabilee@gmail.com.
J Ren Nutr ; 31(1): 57-63, 2021 01.
Article en En | MEDLINE | ID: mdl-32381354
OBJECTIVE: Accelerated loss of muscle mass is common in patients with chronic kidney disease (CKD). Various factors associated with CKD, such as nutritional deficiencies, metabolic acidosis, and chronic inflammation, contribute to muscle wasting. This study aimed to investigate the relationship between CKD and handgrip strength (HGS) in the Korean population. DESIGN AND METHODS: This is a population-based, cross-sectional study of a nationally representative sample of 18,765 patients aged ≥19 years from the Korea National Health and Nutrition Examination Survey in 2014-2017. We measured HGS using a digital hand dynamometer and determined the cutoff for low HGS by deriving -2 standard deviation values of sex-matched healthy young adults (19-39 years old). We defined CKD as eGFR <60 mL/min/1.73 m2 or the presence of CKD based on a self-reported questionnaire. RESULTS: The prevalence of CKD was 4.0% in the total population. The cutoff values for the low HGS were 29.5 kg for men and 16.8 kg for women. The prevalence of low HGS was 6.2% in patients without CKD, and 25.2% in patients with CKD. There was a significant correlation between HGS and eGFR in both men and women. In multivariate logistic regression adjusted by age group, diabetes, hypertension, and obesity, CKD showed an independent relationship with low HGS in both men (odds ratio [OR] 1.910, 95% confidence interval [CI] 1.468-2.485) and women (OR 1.570, 95% CI 1.202-2.052). CONCLUSIONS: The prevalence of low HGS was higher in patients with CKD. We suggest that the sarcopenia should be evaluated in patients with CKD.
Asunto(s)

Texto completo: 1 Bases de datos: MEDLINE Asunto principal: Encuestas Epidemiológicas / Fuerza de la Mano / Insuficiencia Renal Crónica Tipo de estudio: Observational_studies / Prevalence_studies / Risk_factors_studies Límite: Adult / Aged / Female / Humans / Male / Middle aged País/Región como asunto: Asia Idioma: En Revista: J Ren Nutr Asunto de la revista: CIENCIAS DA NUTRICAO / NEFROLOGIA Año: 2021 Tipo del documento: Article

Texto completo: 1 Bases de datos: MEDLINE Asunto principal: Encuestas Epidemiológicas / Fuerza de la Mano / Insuficiencia Renal Crónica Tipo de estudio: Observational_studies / Prevalence_studies / Risk_factors_studies Límite: Adult / Aged / Female / Humans / Male / Middle aged País/Región como asunto: Asia Idioma: En Revista: J Ren Nutr Asunto de la revista: CIENCIAS DA NUTRICAO / NEFROLOGIA Año: 2021 Tipo del documento: Article