绝经后中年女性的手握力与心血管疾病风险的关系:2014-2019年韩国国民健康与营养调查分析

Jinkyung Park, Sooyeon Park
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Patients and Methods Using pooled cohort equations, we calculated the 10-year risk of atherosclerotic cardiovascular disease (ASCVD) among postmenopausal women (N = 2019) aged 50–64 years without cardiovascular disease history from the 2014–2019 Korea National Health and Nutrition Examination Survey. Relative grip strength was defined as measured grip strength divided by body mass index. Logistic regression analysis of a complex sampling design was performed to evaluate the association between relative grip strength and a predicted 10-year ASCVD risk ≥7.5%. Results The average handgrip strength was 24.8 kg, and 5.2% of women were considered for sarcopenia (<18 kg). The quartile-stratified relative grip strength was negatively associated with 10-year ASCVD risk (p < 0.001). 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摘要

目的 手握力是整体肌肉力量的一个指标,与心血管疾病风险的增加有关。有证据表明,绝经是女性罹患心血管疾病的一个风险因素,而绝经后肌肉力量会逐渐下降。尽管绝经后妇女肌肉力量的下降和心血管疾病风险的增加在预后方面具有重要意义,但有关它们之间关系的证据却很有限。本研究旨在调查绝经后韩国中年女性的手握力与心血管疾病风险之间的关系。患者和方法 我们使用集合队列方程,计算了2014-2019年韩国国民健康和营养调查中50-64岁无心血管疾病史的绝经后妇女(N = 2019)的10年动脉粥样硬化性心血管疾病(ASCVD)风险。相对握力的定义是测量的握力除以体重指数。对复杂抽样设计进行了逻辑回归分析,以评估相对握力与预测10年ASCVD风险≥7.5%之间的关联。结果 平均握力为 24.8 千克,5.2% 的女性被认为患有肌肉疏松症(<18 千克)。四分位相对握力与 10 年 ASCVD 风险呈负相关(p < 0.001)。在多元逻辑回归分析中,相对握力最高的四分位数与 10 年 ASCVD 风险的调整赔率比为 0.53(95% 置信区间 [CI]:0.36-0.78),而母乳喂养超过 12 个月的组别与 10 年 ASCVD 风险的调整赔率比为 1.75(95% 置信区间 [CI]:1.36-2.25)。结论 在韩国,中年绝经后妇女手握力的增加可能与心血管疾病风险的降低有关。我们的研究结果为绝经后中年女性增加手握力以降低心血管疾病风险的重要性提供了重要证据。手握力测量可能是预防心血管疾病的一种有价值的筛查工具。
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Association of Handgrip Strength and Cardiovascular Disease Risk Among Middle-Aged Postmenopausal Women: An Analysis of the Korea National Health and Nutrition Examination Survey 2014–2019
Purpose Handgrip strength is an indicator of overall muscle strength and has been associated with an increased risk of cardiovascular disease. Evidence suggests that menopause is a risk factor for cardiovascular disease in women, and muscle strength decreases progressively after menopause. Despite the prognostic importance of the decline in muscle strength and increased cardiovascular disease risk among postmenopausal women, evidence of their association is limited. This study aimed to investigate the relationship between handgrip strength and cardiovascular disease risk among postmenopausal, middle-aged Korean women. Patients and Methods Using pooled cohort equations, we calculated the 10-year risk of atherosclerotic cardiovascular disease (ASCVD) among postmenopausal women (N = 2019) aged 50–64 years without cardiovascular disease history from the 2014–2019 Korea National Health and Nutrition Examination Survey. Relative grip strength was defined as measured grip strength divided by body mass index. Logistic regression analysis of a complex sampling design was performed to evaluate the association between relative grip strength and a predicted 10-year ASCVD risk ≥7.5%. Results The average handgrip strength was 24.8 kg, and 5.2% of women were considered for sarcopenia (<18 kg). The quartile-stratified relative grip strength was negatively associated with 10-year ASCVD risk (p < 0.001). In the multiple logistic regression analysis, the adjusted odds ratio for the highest relative grip strength quartile was 0.53 (95% confidence interval [CI]: 0.36–0.78), and that of the group who breastfed for more than 12 months was 1.75 (95% CI: 1.36–2.25) for 10-year ASCVD risk. Conclusion Increased handgrip strength may be associated with lower cardiovascular disease risk among middle-aged postmenopausal women in Korea. Our findings provide critical evidence regarding the importance of increasing handgrip strength among postmenopausal, middle-aged women to reduce cardiovascular disease risk. Handgrip strength measurement might be a valuable screening tool for cardiovascular disease prevention.
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