ArticlePloS one2020
Low handgrip strength is closely associated with anemia among adults: A cross-sectional study using Korea National Health and Nutrition Examination Survey (KNHANES).
Article in PloS one, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers.
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Who cites it
26 citing papers in PubMed.
- Association between anemia and lower socioeconomic status: The mediating role of frailty.Medicine · 2026Article
- Prevalence and determinants of anemia among individuals with a history of gastric cancer: a nationwide population-based study.BMC public health · 2026Article
- Nutrition and Handgrip Strength Among Adults in Rural Matlab, Bangladesh.American journal of human biology : the official journal of the Human Biology Council · 2026Article
- Anemia Predicts Physical Fitness Among Adolescent Athletes in Ghana.Health science reports · 2024Article
- The connection between anemia and limitations in daily activities among older males: the critical role of dynapenia.Aging clinical and experimental research · 2024Article
- Relationship between hemoglobin and grip strength in older adults: the ActiFE study.Aging clinical and experimental research · 2024Article
- Association of physiological factors with grip and leg extension strength: tohoku medical megabank community-based cohort study.BMC public health · 2024Article
- The clinical utility of handgrip strength as a malnutrition screening tool in hospitalized older adults: a cross-sectional study in Saudi Arabia.Frontiers in medicine · 2024Article
- Combined effect of anemia and chronic rhinitis on hearing loss in Korean adults: a nationwide observational study.Epidemiology and health · 2024Observational
- Association between anemia and grip strength indices combined with anthropometry in the Korean population.Scientific reports · 2023Article
- Muscle Traits, Sarcopenia, and Sarcopenic Obesity: A Vitamin D Mendelian Randomization Study.Nutrients · 2023Article
- Indoxyl sulfate mediates low handgrip strength and is predictive of high hospitalization rates in patients with end-stage renal disease.Frontiers in medicine · 2023Article
- The "Iron Tale"- iron indices and handgrip strength in community-dwelling adults.Aging clinical and experimental research · 2022Article
- Synergistic deterioration of prognosis associated with decreased grip strength and hyporesponse to erythropoiesis-stimulating agents in patients undergoing hemodialysis.Renal failure · 2022Article
- Relative Handgrip Strength Mediates the Relationship between Hemoglobin and Health-Related Quality of Life in Older Korean Adults.Healthcare (Basel, Switzerland) · 2022Article
- Observational
- Relationship between Selected Functional Performance Parameters and the Occurrence of Anaemia in Hospitalized Females and Males Aged 80 and More.International journal of environmental research and public health · 2022Article
- Influences of Vitamin D and Iron Status on Skeletal Muscle Health: A Narrative Review.Nutrients · 2022Review
- Association between anemia and dynapenia in older adults: a population-based study.Aging clinical and experimental research · 2022Article
- Prevalence of Anemia and Factors Associated With Handgrip Strength in Indonesian Elderly Population.Cureus · 2022Article
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5 authors.
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Abstract
backgroundAnemia, which is a major public health problem worldwide, represents a decline in the oxygenation function, and can therefore be related to low strength. However, hemoglobin cannot repair muscles directly, but is beneficial only in a supportive role. Previous studies on the relationship between handgrip strength and anemia have been controversial. Thus, we aimed to analyze the association between handgrip strength and anemia in Korean adults.
methodsThis cross-sectional study used the 2013-2017 data from the 6th and 7th Korean National Health and Nutrition Examination Survey (KNHANES) that included 16,638 Korean adults, aged ≥19 years, who met the inclusion or exclusion criteria. Differences in sociodemographic factors (sex, age, education, income, and employment), lifestyle factors (alcohol consumption, smoking, and physical activity), and illness and health factors [body mass index (BMI), vitamin intake, iron intake, comorbid illnesses, and handgrip strength] by existence of anemia, were analyzed using the Chi square test. Binary logistic regression analysis was used to measure the association between handgrip strength and anemia, while adjusting for other possible confounders. Subgroup analysis, stratified by sex and age, was performed.
resultsAmong Korean adults aged ≥19 years, 745,296 (7.7%) had anemia. A higher odds ratio, adjusted for other covariates/factors (OR) of anemia occurred in the weak handgrip strength group than in the strong handgrip strength group (OR = 1.92, 95% CI: 1.58-2.33). The subgroup analysis showed a higher OR adjusted for other covariates/factors of anemia in the weak handgrip strength group than in the strong handgrip strength group, regardless of sex or age. However, the association was greater for males (OR = 2.13, 95% CI: 1.35-3.34) and for those aged ≥65 years (OR = 1.92, 95% CI: 1.42-2.58).
conclusionThis study showed a strong association between handgrip strength and anemia that was particularly strong for males and those aged ≥65 years.
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