Health Policy Manag.  2019 Sep;29(3):303-311. 10.4332/KJHPA.2019.29.3.303.

Grip Strength as a Predictor of Cerebrovascular Disease

Affiliations
  • 1Department of Health Administration, Dankook University College of Health Science, Cheonan, Korea. Jaehyun@dankook.ac.kr
  • 2Institute of Health Promotion and Policy, Dankook University, Cheonan, Korea.

Abstract

BACKGROUND
Cerebrovascular disease is included in four major diseases and is a disease that has high rates of prevalence and mortality around the world. Moreover, it is a disease that requires a high cost for long-term hospitalization and treatment. This study aims to figure out the correlation between grip strength, which was presented as a simple, cost-effective, and relevant predictor of cerebrovascular disease, and cerebrovascular disease based on the results of a prior study. And furthermore, our study compared model suitability of the model to measuring grip strength and relative grip strength as a predictor of cerebrovascular disease to improve the quality of cerebrovascular disease's predictor.
METHODS
This study conducted an analysis based on the generalized linear mixed model using the data from the Korea Longitudinal Study of Ageing from 2006 to 2016. The research subjects consisted of 9,132 middle old age people aged 45 years or older at baseline with no missing information of education level, gender, marital status, residential region, type of national health insurance, self-related health, smoking status, alcohol use, and economic activity. The grip strength was calculated the average which measured 4 times (both hands twice), and the relative grip force was divided by the body mass index as a variable considering the anthropometric figure that affects the cerebrovascular disease and the grip strength. Cerebrovascular diseases, a dependent variable, were investigated based on experiences diagnosed by doctors.
RESULTS
An analysis of the association between grip strength and found that about 0.972 (odds ratio [OR], 0.972; 95% confidence interval [CI], 0.963-0.981) was the incidence of cerebral vascular disease as grip strength increased by one unit increase and the association between relative grip strength and cerebrovascular disease found that about 0.418 (OR, 0.418; 95% CI, 0.342-0.511) was the incidence of cerebral vascular disease as relative grip strength increased by unit. In addition, the model suitability of the model for each grip strength and relative grip strength was 11,193 and 11,156, which means relative grip strength is the better application to the predictor of cerebrovascular diseases, irrespective of other variables.
CONCLUSION
The results of this study need to be carefully examined and validated in applying relative grip strength to improve the quality of predictors of cerebrovascular diseases affecting high mortality and prevalence.

Keyword

Cerebrovascular disorders; Stroke; Predictor; Grip strength; Relative grip strength; Hand grip strength; Body mass index

MeSH Terms

Body Mass Index
Cerebrovascular Disorders*
Education
Hand
Hand Strength*
Hospitalization
Humans
Incidence
Korea
Longitudinal Studies
Marital Status
Mortality
National Health Programs
Prevalence
Research Subjects
Smoke
Smoking
Stroke
Vascular Diseases
Smoke
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