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

Author

Listed:
  • Ming-Hsun Lin

    (National Defense Medical Center, Division of Endocrinology and Metabolism, Department of Internal Medicine, Tri-Service General Hospital, Taipei 114, Taiwan)

  • Chun-Yung Chang

    (National Defense Medical Center, Division of Endocrinology and Metabolism, Department of Internal Medicine, Tri-Service General Hospital, Taipei 114, Taiwan
    Department of Internal Medicine, Kaohsiung Armed Forces General Hospital, Kaohsiung City 802, Taiwan)

  • Der-Min Wu

    (National Defense Medical Center, School of Public Health, Taipei 114, Taiwan)

  • Chieh-Hua Lu

    (National Defense Medical Center, Division of Endocrinology and Metabolism, Department of Internal Medicine, Tri-Service General Hospital, Taipei 114, Taiwan)

  • Che-Chun Kuo

    (Department of Internal Medicine, Taoyuan Armed Forces General Hospital, Taoyuan City 325, Taiwan)

  • Nain-Feng Chu

    (National Defense Medical Center, School of Public Health, Taipei 114, Taiwan
    Department of Internal Medicine, Tri-Service General Hospital, Taipei 114, Taiwan)

Abstract

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.

Suggested Citation

  • Ming-Hsun Lin & Chun-Yung Chang & Der-Min Wu & Chieh-Hua Lu & Che-Chun Kuo & Nain-Feng Chu, 2021. "Relationship of Multimorbidity, Obesity Status, and Grip Strength among Older Adults in Taiwan," IJERPH, MDPI, vol. 18(14), pages 1-11, July.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:14:p:7540-:d:594867
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    References listed on IDEAS

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    1. Giovanni Mario Pes & Giulia Licheri & Sara Soro & Nunzio Pio Longo & Roberta Salis & Giulia Tomassini & Caterina Niolu & Alessandra Errigo & Maria Pina Dore, 2019. "Overweight: A Protective Factor against Comorbidity in the Elderly," IJERPH, MDPI, vol. 16(19), pages 1-10, September.
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    Cited by:

    1. Yen-Ting Lai & Hsiao-Ling Huang & City C. Hsieh & Chien-Hung Lin & Jung-Cheng Yang & Han-Hsing Tsou & Chih-Ching Lin & Szu-Yuan Li & Hsiang-Lin Chan & Wen-Sheng Liu, 2023. "The Effects of Yoga Exercise on Blood Pressure and Hand Grip Strength in Chronic Stroke Patients: A Pilot Controlled Study," IJERPH, MDPI, vol. 20(2), pages 1-10, January.
    2. Jordan Hernandez-Martinez & María Castillo-Cerda & Tiago Vera-Assaoka & Bastian Carter-Thuillier & Tomás Herrera-Valenzuela & Eduardo Guzmán-Muñoz & Braulio Henrique Magnani Branco & Emilio Jofré-Sald, 2022. "Warm-Up and Handgrip Strength in Physically Inactive Chilean Older Females According to Baseline Nutritional Status," IJERPH, MDPI, vol. 19(20), pages 1-11, October.

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