Korean J Fam Pract 2020; 10(2): 149-155  https://doi.org/10.21215/kjfp.2020.10.2.149
The Association of Relative Handgrip Strength with Impaired Fasting Glucose among Koreans Aged more than 20 Years Old
Seul Ah Kim, Eun Young Choi*, Eal Whan Park, Yoo Seock Cheong
Department of Family Medicine, Dankook University Hospital, Cheonan, Korea
Eun Young Choi
Tel: +82-41-550-3998, Fax: +82-41-550-3998
E-mail: choiey0410@gmail.com
ORCID: http://orcid.org/0000-0002-5415-6305
Received: August 30, 2019; Revised: March 5, 2020; Accepted: March 11, 2020; Published online: April 20, 2020.
© The Korean Academy of Family Medicine. All rights reserved.

This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted noncommercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
Background: The prevalence of impaired fasting glucose (IFG) in Korea is increasing. Few studies have investigated the relationship between handgrip strength (HGS) and type 2 diabetes among Koreans; however, no study has investigated the relationship between IFG and HGS among Koreans. Therefore, we examined the relationship between relative IFG and HGS to evaluate HGS as a marker of prediabetes.
Methods: This cross-sectional study analyzed data from participants aged 20 years or older (n=9,190) who did not have diabetes and had had their body mass index, fasting plasma glucose (FPG), and HGS measured in the 2016–2017 Korea National Health and Nutrition Examination Survey. The association between relative HGS and IFG was analyzed using complex sample logistic regression analyses after adjusting for age, education, strengthening exercise, aerobic exercise, smoking, excessive drinking, and chronic diseases.
Results: The prevalence of IFG was 31.5 (0.9)% and 19.6 (0.7)% for men and women, respectively. According to the increase in quartile of relative HGS, FPG and HbA1c significantly decreased in both men and women (Ptrend<0.001). In multivariate logistic regression, the odds of IFG significantly decreased with the increase in quartile of relative HGS in both men and women (Ptrend=0.001 for men, Ptrend=0.002 for women).
Conclusion: This population-based, nationally representative study suggests that higher relative HGS is associated with a decreased risk of IFG for both men and women.
Keywords: Hand Strength; Blood Glucose; Prediabetic State; Nutrition Surveys
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