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노인에서 목둘레와 악력 및 대사증후군의 연관성

Association of Neck Circumference with Handgrip Strength and Metabolic Syndrome in Older Adults

DOI : 10.15656/kjcg.2022.23.1.51
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Background: Although there have been studies that neck circumference is related to metabolic syndrome and muscle strength, it has not been well studied in the elderly. Therefore, in this study, the relationship between neck circumference and muscle strength with metabolic syndrome was investigated by using handgrip strength measurement in older adults. Methods: The study was conducted with the subjects aged 60 years or older who participated in the first year of the 8th National Health and Nutrition Examination Survey (2019). The neck circumferences were divided into four quartiles. The difference in metabolic indicators, handgrip strength and risk of metabolic syndrome according to the neck circumference was compared. Results: The male group over 75 years of age had a smaller neck circumference than the 60-64 years old group (P<0.001). Absolute handgrip strength (AHGS) and relative handgrip strength (RHGS) gradually decreased with increasing age, and as the neck circumference quartile increases, the odds ratio of metabolic syndrome increases in both male and female older adults. The higher RHGS, the lower the odds ratio of metabolic syndrome (OR: Male 0.42, Female 0.22). Conclusion: In the study, it was found that when the neck circumference of elderly male and female increased, the RHGS decreased and the risk of metabolic syndrome increased. It was also found that the risk of metabolic syndrome decreased as the RHGS increased. The RHGS along with neck circumference also showed potential as an index for risk assessment of metabolic syndrome in the older adults.

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