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Original Articles
- Association of Sedentary Lifestyle With Skeletal Muscle Strength and Mass in US Adolescents: Results From the National Health and Nutrition Examination Survey (2011-2014)
- Kun-Hee Oh, Jin-Young Min, Kang Seo, Kyoung-Bok Min
- J Prev Med Public Health. 2025;58(3):278-288. Published online January 30, 2025
- DOI: https://doi.org/10.3961/jpmph.24.614
- 1,413 View
- 177 Download
- 1 Web of Science
- 1 Crossref
-
Abstract
Summary
PDF
Supplementary Material - Objectives
Excessive sedentary behavior in youth is a major global issue, contributing to the rise in childhood obesity and metabolic diseases. International public health authorities have issued guidelines recommending that children and adolescents limit their daily sedentary time, including screen time. However, to date, no studies have explored the relationship between sedentary behavior as an exposure factor and skeletal muscle strength and mass as outcomes in this population. The present study investigated the association of sedentary behavior with handgrip strength (HGS) and appendicular lean mass (ALM) among United States adolescents.
Methods
A total of 1449 adolescent participants from the National Health and Nutrition Examination Survey (2011-2014) were included. Information on sedentary behavior, specifically daily sedentary time, was obtained through a self-reported questionnaire. Muscular parameters, including HGS and ALM, were measured. To adjust for differences in body size, these parameters were divided by body mass index (BMI) and weight. Linear regression analyses were performed to evaluate the associations between daily sedentary time and each muscular parameter, adjusting for age, sex, ethnicity, annual family income, and moderate-to-vigorous physical activity (MVPA).
Results
The linear regression analyses revealed negative associations between daily sedentary time and all muscular parameters, apart from absolute ALM. These included HGS (β, -0.265; standard error [SE], 0.074; p=0.001), HGS/BMI (β, -0.021; SE, 0.004; p<0.001), HGS/weight (β, -0.008; SE, 0.002; p<0.001), ALM/BMI (β, -0.008; SE, 0.003; p=0.010), and ALM/weight (β, -0.003; SE, 0.001; p=0.005).
Conclusions
After adjusting for MVPA, daily sedentary time was inversely associated with HGS, HGS/BMI, HGS/weight, ALM/BMI, and ALM/weight in United States adolescents. -
SummaryKorean summary
소아청소년기의 과도한 좌식 습관은 소아 비만 등의 건강문제를 초래하여 전세계적인 공중보건학적 이슈가 되었고, 이에 따라 다수의 공중보건 관련 가이드라인에서 소아청소년의 일일 좌식 시간을 제한할 것을 권고하고 있다. 미국 국민건강영양조사(NHANES) 자료를 이용하여 15-19세 청소년을 대상으로 일일 좌식 시간과 각 근육 관련 변수(악력, 상대적 악력, 사지골격근량, 상대적 사지골격근량)의 상관관계를 선형 회귀분석을 통해 분석하였으며, 나이, 성별, 인종, 연간 가구 소득, 중-고강도 신체활동을 공변량으로 보정하였다. 미국 청소년에서 중-고강도 신체활동을 보정한 뒤에도, 일일 좌식 시간과 악력, 악력/BMI, 악력/체중, 사지골격근량/BMI, 사지골격근량/체중은 각각 음의 상관관계를 나타내었다.Key Message
Since excessive sedentary behavior in youth is a global issue, contributing to the childhood obesity, international public health authorities issued guidelines recommending that adolescents limit their daily sedentary time. For eligible study population of U.S. adolescents aged 15-19 year-old of NHANES, linear regression analyses were performed to evaluate the associations between daily sedentary time and each muscular parameter (HGS, relative HGS, ALM, and relative ALM), adjusting for age, sex, ethnicity, annual family income, and moderate-to-vigorous physical activity (MVPA). After adjusting for MVPA, daily sedentary time was inversely associated with HGS, HGS/BMI, HGS/weight, ALM/BMI, and ALM/weight in U.S. adolescents. -
Citations
Citations to this article as recorded by
- Teenagers with Obesity at the Gym: Recommendations for Physical Activity, Diet, and Supplementation—A Narrative Review
Agnieszka Kozioł-Kozakowska, Małgorzata Wójcik, Paulina Mazur-Kurach, Dorota Drożdż, Anna Brzęk
Nutrients.2025; 17(11): 1798. CrossRef
- Teenagers with Obesity at the Gym: Recommendations for Physical Activity, Diet, and Supplementation—A Narrative Review
- Associations of Handgrip Strength and Handgrip Strength Asymmetry With Depression in the Elderly in Korea: A Cross-sectional Study
- Kyungduk Hurh, Yoonsik Park, Gyu Ri Kim, Sung-In Jang, Eun-Cheol Park
- J Prev Med Public Health. 2021;54(1):63-72. Published online December 30, 2020
- DOI: https://doi.org/10.3961/jpmph.20.315
- 6,304 View
- 177 Download
- 23 Web of Science
- 23 Crossref
-
Abstract
Summary
PDFSupplementary Material
- Objectives
Recent studies have suggested that assessing handgrip strength (HGS) asymmetry together with HGS may be helpful for evaluating problems in geriatric patients. This study aimed to identify whether HGS asymmetry, weakness, or both were associated with depression in Korean older adults.
Methods
This study included 4274 subjects from the sixth and seventh Korea National Health and Nutrition Examination Survey. Depression was measured using the Patient Health Questionnaire-9. The maximum HGS of the dominant hand was used as a representative value. HGS symmetry was categorized by the ratio of the HGS of the dominant hand to that of non-dominant hand. The odds ratio (OR) for depression was calculated according to the HGS and its symmetry.
Results
In total, 240 (12.5%) men and 534 (22.7%) women had depression. HGS or HGS asymmetry showed no statistically significant associations with depression in elderly men. Elevated odds of depression were observed in elderly women with low HGS (OR, 1.93; 95% confidence interval [CI], 1.33 to 2.81) or prominent HGS asymmetry (OR, 1.46; 95% CI, 1.02 to 2.08). There was a positive additive interaction between asymmetric HGS and weakness, as women with low and prominently asymmetric HGS showed higher odds of depression (OR, 3.77; 95% CI, 2.16 to 6.59) than women with high and symmetric HGS.
Conclusions
Depression in elderly Korean women was associated with both low and asymmetric HGS. Our findings support the potential value of HGS asymmetry as an indicator of HGS. -
SummaryKorean summary
본 연구에서는 국민건강영양조사 자료를 이용하여, 국내 60세 이상 노인 인구에서 악력 저하 및 양손 악력의 비대칭과 우울증 유병과의 상관관계를 분석하였다. 분석 결과 60세 이상 여성에서 악력 저하 및 양손 악력의 비대칭이 우울증 유병과 관련이 있었으며, 악력 저하와 비대칭이 동반된 경우에는 우울증 유병에 대하여 상가작용이 존재하였다. 이는 향후 노인의 악력 측정 시, 양손 악력의 비대칭에 대하여도 주목할 필요가 있음을 시사한다. -
Citations
Citations to this article as recorded by- Association of handgrip strength asymmetry and weakness with intrinsic capacity impairment among older adults in China
Decheng Li, Yunhe Wang, Shuai Guo, Ziyang Ren, Binbin Su, Lichuan Zhang, Zuliyaer Talifu, Xiaoying Zheng
Experimental Gerontology.2025; 199: 112656. CrossRef - Longitudinal association between handgrip strength and depressive symptoms in middle-aged and older Chinese adults: mediating role of functional limitation
Yanchang Liu, Junling Cui, Xin Luo, Zhuzhu Wang, Ziyi Shen, Yan Fang, Chengcheng Li, Jingfang Hong
Frontiers in Public Health.2025;[Epub] CrossRef - Association of handgrip strength weakness and asymmetry with cognitive impairment and depressive symptoms in older Chinese adults
Nazhakaiti Abudukelimu, Peng Zhang, Jing Du, Min Li, Yupei Shen, Yanyan Mao, Difei Wang, Qianxi Zhu
Scientific Reports.2025;[Epub] CrossRef - Association between handgrip strength, handgrip strength asymmetry, and anxiety in Korean older adults: The Korean National Health and Nutrition Examination Survey 2022
Sang-Youn Choi, Su-Min Park, Eun-Cheol Park, Marina De Rui
PLOS ONE.2025; 20(4): e0315256. CrossRef - Effectiveness of Applying the Theory of Planned Behavior with Yoga Program on the Physical Activity and Mental Health of the Prefrailty Older Adults
Ya Ting Wu, Miao Yen Chen, Yung Cheng Huang, Chieh Yu Liu
International Journal of Yoga.2025; 18(1): 27. CrossRef - Association between handgrip strength asymmetry and all‐cause mortality in United States–based older adults: A cross‐sectional study
Xiufang Kong, Wei Wang
Journal of Parenteral and Enteral Nutrition.2025;[Epub] CrossRef - Risk factors associated with weak and asymmetric handgrip strength in older Chinese adults
Minghui Weng, Jianlin Pu, Binyou Wang, Yilin Wang
American Journal of Human Biology.2024;[Epub] CrossRef - Association of handgrip strength asymmetry and weakness with depression among middle-aged and older population in China: A cohort study
Quhong Song, Xiaoyu Shu, Yanli Zhao, Ning Ge, Jirong Yue
Journal of Affective Disorders.2024; 363: 401. CrossRef - Association of handgrip strength with health care utilisation among older adults: A longitudinal study in China
Yueyue You, Xiaobing Wu, Ziyang Zhang, Fengzhu Xie, Yali Lin, Deliang Lv, Zhiguang Zhao
Journal of Global Health.2024;[Epub] CrossRef - A hand-in-hand phenomenon in older adults: Increased risk of frailty in geriatric outpatients associated with handgrip strength asymmetry and weakness
Merve Güner, Serdar Ceylan, Arzu Okyar Baş, Meltem Koca, Yelda Öztürk, Burcu Balam Doğu, Meltem Gülhan Hali̇l, Mustafa Cankurtaran, Cafer Balci
Clinical Nutrition.2024; 43(10): 2381. CrossRef - Evaluation of Handgrip Strength Asymmetry to Assess Sarcopenia in Older Patients with Chronic Low Back Pain: A Retrospective Cross-Sectional Study
H.J. Kim, Shin Hyung Kim
The Journal of Frailty & Aging.2024; 13(4): 421. CrossRef - Handgrip strength asymmetry cut points to identify slow gait speed in six low- and middle-income countries: A cross-sectional analysis with 12,669 older adults
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Frontiers in Nutrition.2023;[Epub] CrossRef - Preoperative low handgrip strength (HGS) with HGS asymmetry is associated with adverse outcomes among older adults with gastric cancer
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- Association of handgrip strength asymmetry and weakness with intrinsic capacity impairment among older adults in China
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