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Relationship of Multimorbidity, Obesity Status, and Grip Strength among Older Adults in Taiwan

Background: The combination of multiple disease statuses, muscle weakness, and sarcopenia among older adults is an important public health concern, and a health burden worldwide. This study evaluates the association between chronic disease statuses, obesity, and grip strength (GS) among older adults...

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Autores principales: Lin, Ming-Hsun, Chang, Chun-Yung, Wu, Der-Min, Lu, Chieh-Hua, Kuo, Che-Chun, Chu, Nain-Feng
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8307394/
https://www.ncbi.nlm.nih.gov/pubmed/34299990
http://dx.doi.org/10.3390/ijerph18147540
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author Lin, Ming-Hsun
Chang, Chun-Yung
Wu, Der-Min
Lu, Chieh-Hua
Kuo, Che-Chun
Chu, Nain-Feng
author_facet Lin, Ming-Hsun
Chang, Chun-Yung
Wu, Der-Min
Lu, Chieh-Hua
Kuo, Che-Chun
Chu, Nain-Feng
author_sort Lin, Ming-Hsun
collection PubMed
description Background: The combination of multiple disease statuses, muscle weakness, and sarcopenia among older adults is an important public health concern, and a health burden worldwide. This study evaluates the association between chronic disease statuses, obesity, and grip strength (GS) among older adults in Taiwan. Methods: A community-based survey was conducted every 3 years among older adults over age 65, living in Chiayi County, Taiwan. Demographic data and several diseases statuses, such as diabetes mellitus, hypertension, cerebrovascular disease, cardiovascular disease, and certain cancers, were collected using a questionnaire. Anthropometric characteristics were measured using standard methods. Grip strength was measured using a digital dynamometer (TKK5101) method. Results: A total of 3739 older individuals were recruited (1600 males and 2139 females) with the mean age of 72.9 years. The mean GS was 32.8 ± 7.1 kg for males and 21.6 ± 4.8 kg for females. GS significantly decreased most in males with cerebrovascular disease (from 33.0—29.5 kg, p < 0.001) and in females with diabetes mellitus (from 21.8—21.0 kg, p < 0.01). GS was highest in older adults with obesity (body mass index ≥ 27 kg/m(2)); however, there was no significant change of GS as the disease number increased. Conclusion: Older adults who have two, rather than one or greater than three chronic diseases, have significantly lower GSs than those who are healthy. Stroke and CKD for males, and hypertension and diabetes for females, are important chronic diseases that are significantly associated with GS. Furthermore, being overweight may be a protective factor for GS in older adults of both sexes.
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spelling pubmed-83073942021-07-25 Relationship of Multimorbidity, Obesity Status, and Grip Strength among Older Adults in Taiwan Lin, Ming-Hsun Chang, Chun-Yung Wu, Der-Min Lu, Chieh-Hua Kuo, Che-Chun Chu, Nain-Feng Int J Environ Res Public Health Article Background: The combination of multiple disease statuses, muscle weakness, and sarcopenia among older adults is an important public health concern, and a health burden worldwide. This study evaluates the association between chronic disease statuses, obesity, and grip strength (GS) among older adults in Taiwan. Methods: A community-based survey was conducted every 3 years among older adults over age 65, living in Chiayi County, Taiwan. Demographic data and several diseases statuses, such as diabetes mellitus, hypertension, cerebrovascular disease, cardiovascular disease, and certain cancers, were collected using a questionnaire. Anthropometric characteristics were measured using standard methods. Grip strength was measured using a digital dynamometer (TKK5101) method. Results: A total of 3739 older individuals were recruited (1600 males and 2139 females) with the mean age of 72.9 years. The mean GS was 32.8 ± 7.1 kg for males and 21.6 ± 4.8 kg for females. GS significantly decreased most in males with cerebrovascular disease (from 33.0—29.5 kg, p < 0.001) and in females with diabetes mellitus (from 21.8—21.0 kg, p < 0.01). GS was highest in older adults with obesity (body mass index ≥ 27 kg/m(2)); however, there was no significant change of GS as the disease number increased. Conclusion: Older adults who have two, rather than one or greater than three chronic diseases, have significantly lower GSs than those who are healthy. Stroke and CKD for males, and hypertension and diabetes for females, are important chronic diseases that are significantly associated with GS. Furthermore, being overweight may be a protective factor for GS in older adults of both sexes. MDPI 2021-07-15 /pmc/articles/PMC8307394/ /pubmed/34299990 http://dx.doi.org/10.3390/ijerph18147540 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Lin, Ming-Hsun
Chang, Chun-Yung
Wu, Der-Min
Lu, Chieh-Hua
Kuo, Che-Chun
Chu, Nain-Feng
Relationship of Multimorbidity, Obesity Status, and Grip Strength among Older Adults in Taiwan
title Relationship of Multimorbidity, Obesity Status, and Grip Strength among Older Adults in Taiwan
title_full Relationship of Multimorbidity, Obesity Status, and Grip Strength among Older Adults in Taiwan
title_fullStr Relationship of Multimorbidity, Obesity Status, and Grip Strength among Older Adults in Taiwan
title_full_unstemmed Relationship of Multimorbidity, Obesity Status, and Grip Strength among Older Adults in Taiwan
title_short Relationship of Multimorbidity, Obesity Status, and Grip Strength among Older Adults in Taiwan
title_sort relationship of multimorbidity, obesity status, and grip strength among older adults in taiwan
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8307394/
https://www.ncbi.nlm.nih.gov/pubmed/34299990
http://dx.doi.org/10.3390/ijerph18147540
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