scholarly journals Higher Resting Heart Rate and Lower Relative Grip Strength is Associated with Increased Risk of Diabetes in Korean Elderly Population: Korean National Health and Nutrition Examination Survey 2015-2018

2020 ◽  
Vol 29 (4) ◽  
pp. 416-426
Author(s):  
Dong-Hyuk Park ◽  
Sung-Hyun Hong ◽  
Wonhee Cho ◽  
Justin Y. Jeon
Keyword(s):  
Heart Rate ◽  
Grip Strength ◽  
National Health ◽  
Elderly Population ◽  
Nutrition Examination Survey ◽  
Resting Heart Rate ◽  
Men And Women ◽  
Health And Nutrition ◽  
Increased Risk ◽  
Korean Elderly

PURPOSE:The purpose of this study was to examine the association of resting heart rate (RHR) and relative hand grip strength (RHGS) with diabetes among Korean adult over 65 years old.METHODS: Cross-sectional analyses were performed using the 2015-2018 Korea National Health and Nutrition Examination Survey (KNHANES). Among 31,649, a total of 4,814 adults over 65 years old were included in this study. Participants were divided into tertile according to their RHR and RHGS. Statistical methods included frequency analysis, ANCOVA (Analysis of covariance) and logistic regression.RESULTS: Participants in the 3rd tertile of RHR (RHR over 73 bpm in men, 74 bpm in women) had 2.00 times [95% Confidence Interval (CI): 1.58-2.54] and 1.80 times (95% CI: 1.44-2.26) higher odds of having diabetes in men and women, respectively, compared with participants in the 1st tertile (RHR below 64 bpm in male, 65 bpm in female). Participants in the 1st tertile of RHGS (RHGS below 0.46 in men, 0.31 in women) had 2.51 times (95% CI: 1.76-3.58) and 1.86 times (95% CI: 1.48-2.35) higher odds of having diabetes in men and women, respectively, compared to participants with 3rd tertile (RHGS over 0.54 in men, 0.38 in women). When a joint association of RHR and RHGS with risks of diabetes were analyzed, participants with the highest RHR and the lowest RHGS had 4.23 times (95% CI: 2.74-6.54) and 2.90 times (95% CI: 1.98-4.23) higher odds of having diabetes compared to participants with the lowest RHR and the highest RHGS in men and women, respectively.CONCLUSIONS: The current study showed that higher RHR and lower RHGS were associated with increased risk of diabetes in Korean elderly population.

scholarly journals Association Between Frailty and Dietary Diversity in Korean Elderly: Based on the 2018 Korean National Health and Nutrition Examination Survey

2021 ◽  
Vol 5 (Supplement_2) ◽  
pp. 1050-1050
Author(s):  
Jungeun Kim ◽  
Suhyeon Yang ◽  
Hyesook Kim ◽  
Eugene Chang ◽  
Yangha Kim
Keyword(s):  
Food Intake ◽  
Dietary Intake ◽  
National Health ◽  
Odds Ratio ◽  
Dietary Diversity ◽  
Nutrition Examination Survey ◽  
Men And Women ◽  
Health And Nutrition ◽  
Korean Elderly ◽  
Fish And Shellfish

Abstract Objectives Frailty is a clinical syndrome in older adults. Adequate nutrition is a modifiable factor in preventing frailty. The purpose of this study was to investigate the association between frailty and dietary intake in Korean elderly. Methods This study used raw data from the 2018 Korea National Health and Nutrition Examination Survey. Study subjects were 1268 (535 of men and 733 of women). Frailty was defined as having three or more of the following five criteria including unintentional weight loss, weakness, waking difficulties, exhaustion and low physical activity. Pre-frail was defined as having one or two criteria. Robust was defined as having none of the criteria. Dietary intake was assessed by a one-day 24 h dietary recall. The food variety score (FVS) was defined as the number of food items consumed by each subject during the last 24 h. Results In this study, 9.7% of men and 21.9% of women were classified as frail group. Intake of energy, macronutrients and micronutrients was significantly low in frail men and women. Also, total food intake was significantly low in frail men and women. In men, the odds ratio (95% CI) of frailty for those in the highest tertile compared with the lowest tertile of food intake were 0.34 (0.13–0.93) for fruits. In women, the odds ratio (95% CI) of frailty for those in the highest tertile compared with the lowest tertile of food intake were 0.57 (0.35–0.93) for potatoes and 0.55 (0.30–0.99) for fish and shellfish. In addition, subjects with higher mushroom intake had lower risk of frailty 0.31 (0.12–0.78) in consumer and 0.41 (0.22–0.79) in non-consumer after adjustment for all potential covariables. Conclusions These results suggested that diverse diets composed with five major food groups may have preventive effect against the risk of frailty among Korean elderly. Funding Sources This research was supported by the BK21 FOUR (Fostering Outstanding Universities for Research) funded by the Ministry of Education(MOE, Korea) and National Research Foundation of Korea(NRF).

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