Endocrinol Metab.  2023 Dec;38(6):709-719. 10.3803/EnM.2023.1740.

Familial Correlation and Heritability of Hand Grip Strength in Korean Adults (Korea National Health and Nutrition Examination Survey 2014 to 2019)

Affiliations
  • 1Department of Endocrinology and Metabolism, Inha University Hospital, Inha University College of Medicine, Incheon, Korea
  • 2Department of Biostatistics, Korea University College of Medicine, Seoul, Korea
  • 3Department of Biomedical Sciences, Inha University College of Medicine, Incheon, Korea

Abstract

Background
The onset and progression of sarcopenia are highly variable among individuals owing to genetic and environmental factors. However, there are a limited number of studies measuring the heritability of muscle strength in large numbers of parent-adult offspring pairs. We aimed to investigate the familial correlation and heritability of hand grip strength (HGS) among Korean adults.
Methods
This family-based cohort study on data from the Korea National Health and Nutrition Examination Survey (2014 to 2019) included 5,004 Koreans aged ≥19 years from 1,527 families. HGS was measured using a digital grip strength dynamometer. Familial correlations of HGS were calculated in different pairs of relatives. Variance component methods were used to estimate heritability.
Results
The heritability estimate of HGS among Korean adults was 0.154 (standard error, 0.066). Correlation coefficient estimates for HGS between parent-offspring, sibling, and spouse pairs were significant at 0.07, 0.10, and 0.23 (P<0.001, P=0.041, and P<0.001, respectively). The total variance in the HGS phenotype was explained by additive genetic (15.4%), shared environmental (11.0%), and unique environmental (73.6%) influences. The odds of weak HGS significantly increased in the offspring of parents with weak HGS (odds ratio [OR], 1.69–3.10; P=0.027–0.038), especially in daughters (OR, 2.04–4.64; P=0.029–0.034).
Conclusion
HGS exhibits a familial correlation and significant heritable tendency in Korean adults. Therefore, Asian adults, especially women, who have parents with weak HGS, need to pay special attention to their muscle health with the help of healthy environmental stimuli.

Keyword

Hand grip strength; Heritability; Korean family; Muscle strength; Sarcopenia

Figure

  • Fig. 1. Flow chart of study participant selection. KNHANES, Korea National Health and Nutrition Examination Survey; HGS, hand grip strength.


Reference

1. Rosenberg IH. Sarcopenia: origins and clinical relevance. J Nutr. 1997; 127(5 Suppl):990S–1S.
Article
2. Dao T, Green AE, Kim YA, Bae SJ, Ha KT, Gariani K, et al. Sarcopenia and muscle aging: a brief overview. Endocrinol Metab (Seoul). 2020; 35:716–32.
Article
3. Beaudart C, Zaaria M, Pasleau F, Reginster JY, Bruyere O. Health outcomes of sarcopenia: a systematic review and meta-analysis. PLoS One. 2017; 12:e0169548.
Article
4. Cruz-Jentoft AJ, Sayer AA. Sarcopenia. Lancet. 2019; 393:2636–46.
Article
5. Dodds RM, Syddall HE, Cooper R, Benzeval M, Deary IJ, Dennison EM, et al. Grip strength across the life course: normative data from twelve British studies. PLoS One. 2014; 9:e113637.
Article
6. Degens H, Korhonen MT. Factors contributing to the variability in muscle ageing. Maturitas. 2012; 73:197–201.
Article
7. Khanal P, He L, Herbert AJ, Stebbings GK, Onambele-Pearson GL, Degens H, et al. The association of multiple gene variants with ageing skeletal muscle phenotypes in elderly women. Genes (Basel). 2020; 11:1459.
Article
8. Sayer AA, Syddall H, Martin H, Patel H, Baylis D, Cooper C. The developmental origins of sarcopenia. J Nutr Health Aging. 2008; 12:427–32.
Article
9. Visscher PM, Hill WG, Wray NR. Heritability in the genomics era: concepts and misconceptions. Nat Rev Genet. 2008; 9:255–66.
Article
10. Mayhew AJ, Meyre D. Assessing the heritability of complex traits in humans: methodological challenges and opportunities. Curr Genomics. 2017; 18:332–40.
Article
11. Zempo H, Miyamoto-Mikami E, Kikuchi N, Fuku N, Miyachi M, Murakami H. Heritability estimates of muscle strength-related phenotypes: a systematic review and meta-analysis. Scand J Med Sci Sports. 2017; 27:1537–46.
Article
12. Korea Disease Control and Prevention Agency. The sixth to eighth Korea National Health and Nutrition Examination Survey (KNHANES VI-VIII). Cheongju: KDCA;2014-2019.
13. Kim CR, Jeon YJ, Kim MC, Jeong T, Koo WR. Reference values for hand grip strength in the South Korean population. PLoS One. 2018; 13:e0195485.
Article
14. Baek JY, Jung HW, Kim KM, Kim M, Park CY, Lee KP, et al. Korean Working Group on Sarcopenia Guideline: expert consensus on sarcopenia screening and diagnosis by the Korean Society of Sarcopenia, the Korean Society for Bone and Mineral Research, and the Korean Geriatrics Society. Ann Geriatr Med Res. 2023; 27:9–21.
Article
15. Rosner B. Fundamentals of biostatistics. 8th ed. Boston: Cengage;2015.
16. Isen J, McGue M, Iacono W. Genetic influences on the development of grip strength in adolescence. Am J Phys Anthropol. 2014; 154:189–200.
Article
17. Arden NK, Spector TD. Genetic influences on muscle strength, lean body mass, and bone mineral density: a twin study. J Bone Miner Res. 1997; 12:2076–81.
Article
18. Frederiksen H, Gaist D, Petersen HC, Hjelmborg J, McGue M, Vaupel JW, et al. Hand grip strength: a phenotype suitable for identifying genetic variants affecting mid- and latelife physical functioning. Genet Epidemiol. 2002; 23:110–22.
Article
19. Silventoinen K, Magnusson PK, Tynelius P, Kaprio J, Rasmussen F. Heritability of body size and muscle strength in young adulthood: a study of one million Swedish men. Genet Epidemiol. 2008; 32:341–9.
Article
20. McGue M, Christensen K. Growing old but not growing apart: twin similarity in the latter half of the lifespan. Behav Genet. 2013; 43:1–12.
Article
21. Pratt J, Boreham C, Ennis S, Ryan AW, De Vito G. Genetic associations with aging muscle: a systematic review. Cells. 2019; 9:12.
Article
22. Matteini AM, Tanaka T, Karasik D, Atzmon G, Chou WC, Eicher JD, et al. GWAS analysis of handgrip and lower body strength in older adults in the CHARGE consortium. Aging Cell. 2016; 15:792–800.
Article
23. Jones G, Trajanoska K, Santanasto AJ, Stringa N, Kuo CL, Atkins JL, et al. Genome-wide meta-analysis of muscle weakness identifies 15 susceptibility loci in older men and women. Nat Commun. 2021; 12:654.
Article
24. Cruz-Jentoft AJ, Bahat G, Bauer J, Boirie Y, Bruyere O, Cederholm T, et al. Sarcopenia: revised European consensus on definition and diagnosis. Age Ageing. 2019; 48:601.
Article
25. Gustafsson T, Ulfhake B. Sarcopenia: what is the origin of this aging-induced disorder? Front Genet. 2021; 12:688526.
Article
26. Keller K, Engelhardt M. Strength and muscle mass loss with aging process: age and strength loss. Muscles Ligaments Tendons J. 2014; 3:346–50.
Article
27. Doherty TJ. The influence of aging and sex on skeletal muscle mass and strength. Curr Opin Clin Nutr Metab Care. 2001; 4:503–8.
Article
28. Janssen I, Heymsfield SB, Wang ZM, Ross R. Skeletal muscle mass and distribution in 468 men and women aged 18-88 yr. J Appl Physiol (1985). 2000; 89:81–8.
Article
29. Phillips SK, Rook KM, Siddle NC, Bruce SA, Woledge RC. Muscle weakness in women occurs at an earlier age than in men, but strength is preserved by hormone replacement therapy. Clin Sci (Lond). 1993; 84:95–8.
Article
30. Frontera WR, Suh D, Krivickas LS, Hughes VA, Goldstein R, Roubenoff R. Skeletal muscle fiber quality in older men and women. Am J Physiol Cell Physiol. 2000; 279:C611–8.
Article
31. Roberts BM, Lavin KM, Many GM, Thalacker-Mercer A, Merritt EK, Bickel CS, et al. Human neuromuscular aging: sex differences revealed at the myocellular level. Exp Gerontol. 2018; 106:116–24.
Article
32. Hansen L, Bangsbo J, Twisk J, Klausen K. Development of muscle strength in relation to training level and testosterone in young male soccer players. J Appl Physiol (1985). 1999; 87:1141–7.
33. Harris JA, Vernon PA, Boomsma DI. The heritability of testosterone: a study of Dutch adolescent twins and their parents. Behav Genet. 1998; 28:165–71.
34. Bhasin S, Storer TW, Berman N, Callegari C, Clevenger B, Phillips J, et al. The effects of supraphysiologic doses of testosterone on muscle size and strength in normal men. N Engl J Med. 1996; 335:1–7.
Article
35. Baumgartner RN, Waters DL, Gallagher D, Morley JE, Garry PJ. Predictors of skeletal muscle mass in elderly men and women. Mech Ageing Dev. 1999; 107:123–36.
Article
36. Waters DL, Yau CL, Montoya GD, Baumgartner RN. Serum sex hormones, IGF-1, and IGFBP3 exert a sexually dimorphic effect on lean body mass in aging. J Gerontol A Biol Sci Med Sci. 2003; 58:648–52.
Article
37. Roubenoff R, Hughes VA. Sarcopenia: current concepts. J Gerontol A Biol Sci Med Sci. 2000; 55:M716–24.
Article
38. Cruz-Jentoft AJ, Baeyens JP, Bauer JM, Boirie Y, Cederholm T, Landi F, et al. Sarcopenia: European consensus on definition and diagnosis: report of the European Working Group on Sarcopenia in Older People. Age Ageing. 2010; 39:412–23.
39. Rogeri PS, Zanella R Jr, Martins GL, Garcia MD, Leite G, Lugaresi R, et al. Strategies to prevent sarcopenia in the aging process: role of protein intake and exercise. Nutrients. 2021; 14:52.
Article
40. Azzolino D, Spolidoro GCI, Saporiti E, Luchetti C, Agostoni C, Cesari M. Musculoskeletal changes across the lifespan: nutrition and the life-course approach to prevention. Front Med (Lausanne). 2021; 8:697954.
Article
41. Sabia S, Elbaz A, Rouveau N, Brunner EJ, Kivimaki M, Singh-Manoux A. Cumulative associations between midlife health behaviors and physical functioning in early old age: a 17-year prospective cohort study. J Am Geriatr Soc. 2014; 62:1860–8.
Article
42. Patel KV, Coppin AK, Manini TM, Lauretani F, Bandinelli S, Ferrucci L, et al. Midlife physical activity and mobility in older age: the InCHIANTI study. Am J Prev Med. 2006; 31:217–24.
43. Houston DK, Tooze JA, Neiberg RH, Hausman DB, Johnson MA, Cauley JA, et al. 25-Hydroxyvitamin D status and change in physical performance and strength in older adults: the Health, Aging, and Body Composition Study. Am J Epidemiol. 2012; 176:1025–34.
Article
44. Iolascon G, Mauro GL, Fiore P, Cisari C, Benedetti MG, Panella L, et al. Can vitamin D deficiency influence muscle performance in postmenopausal women?: a multicenter retrospective study. Eur J Phys Rehabil Med. 2018; 54:676–82.
Article
45. Kitsu T, Kabasawa K, Ito Y, Kitamura K, Watanabe Y, Tanaka J, et al. Low serum 25-hydroxyvitamin D is associated with low grip strength in an older Japanese population. J Bone Miner Metab. 2020; 38:198–204.
Article
46. Hong N, Lee YK, Rhee Y. Familial clustering of vitamin D deficiency via shared environment: the Korean National Health and Nutrition Examination Survey 2008-2012. Eur J Clin Nutr. 2018; 72:1700–8.
Article
47. Huang T, Shu Y, Cai YD. Genetic differences among ethnic groups. BMC Genomics. 2015; 16:1093.
Article
Full Text Links
  • ENM
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2024 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr