Correlation between handgrip strength and pulmonary function in college students
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摘要:
目的 探讨大学生握力(HGS)与肺功能(PF)的相关性,为确立将HGS作为改善大学生PF的重要因素提供科学依据。 方法 2023年3月1—5日,在某高校招募44名大学生为研究对象,参考国际体力活动量表(IPAQ)将其分为久坐组(22人)和运动组(22人)。采用独立样本t检验进行各指标的组间比较,采用Pearson相关分析确定HGS与PF相关程度,采用多元线性回归分析确定PF的预测模型。 结果 大学生HGS与用力肺活量(FVC)、最大呼气压(MEP)、呼气峰值流量(PEF)、1 s用力呼气量(FEV1)、用力吸气肺活量(FIVC)、最大吸气压(MIP)与吸气峰值流量(PIF)的相关均有统计学意义(r值分别为0.79,0.47,0.44,0.60,0.72,0.53,0.49,P值均<0.01)。将年龄、身高、体重和HGS作为预测因子纳入回归模型时,身高和HGS对FVC有较好的预测作用(R2=0.75,F=60.55,P<0.01),体重和HGS对FIVC有较好的预测作用(R2=0.67,F=41.77,P<0.01)。 结论 大学生HGS与PF相关,HGS可以作为预测大学生PF状态的重要指标。 Abstract:Objective To explore the relationship between handgrip strength (HGS) and pulmonary function (PF) in college students with sedentary lifestyle, so as to provide a reference for taking HGS as an essential factor of PF. Methods In March 1-5, 2023, a total of 44 college students were recruited and were divided into the sedentary group (22) and exercise group (22) according to the International Physical Activity Questionaire (IPAQ), with 22 students in each group. Independent-sample t-test was used to compare the indexes between groups, pearson correlation coefficient was used to determine the correlation between HGS and PF. Multiple linear regression analysis was used to determine the predictive model of PF. Results There were statistical significance of the correlations between HGS and FVC, MEP, PEF, FEV1, FIVC, MIP, and PIF (r=0.79, 0.47, 0.44, 0.60, 0.72, 0.53, 0.49, P < 0.01). When gender, physical activity, age, height, weight, and HGS were included as predictors in the regression model, height and HGS had significant effects on FVC (R2=0.75, F=60.55, P < 0.01), weight and HGS had a good predictive effect on FIVC (R2=0.67, F=41.77, P < 0.01). Conclusion HGS is significantly associated with PF in college students with sedentary lifestyle. Therefore, HGS can be used as an important indicator to predict the PF status of habitual sedentary college students. -
Key words:
- Sedentary life style /
- Hand strength /
- Lung /
- Regression analysis /
- Students
1) 利益冲突声明 所有作者声明无利益冲突。 -
表 1 不同组别大学生人体测量基本特征、HGS和PF比较(x±s)
Table 1. Comparison of anthropometric characteristics, HGS, and PF among different groups of college students(x±s)
组别 选项 人数 统计值 年龄/岁 身高/cm 体重/kg HGS/kg FVC/mL MEP/cmH20 性别 男 22 20.86±1.78 176.34±5.31 73.07±7.67 45.25±8.98 4 575.41±724.66 62.19±34.32 女 22 20.45±1.26 165.16±6.64 54.38±7.35 28.60±5.77 3 243.91±655.69 42.05±27.15 t值 0.88 6.16 8.26 7.32 6.39 2.16 P值 0.38 <0.01 <0.01 <0.01 <0.01 0.04 体力活动水平 久坐组 22 20.45±1.53 168.25±8.95 62.31±13.67 31.39±8.24 3 508.00±874.71 44.20±32.36 运动组 22 20.86±1.55 173.25±6.68 65.14±10.25 42.46±11.26 4 311.32±883.50 60.03±30.81 t值 -0.88 -2.10 -0.78 -3.72 -3.03 -1.66 P值 0.38 0.04 0.44 <0.01 <0.01 0.10 组别 选项 人数 统计值 PEF/(L·min-1) FEV1/mL FIVC/mL MIP/cmH20 PIF/(L·min-1) 性别 男 22 224.87±128.19 2 950.45±1 077.86 4 349.59±914.81 54.47±21.66 199.60±93.29 女 22 159.37±109.00 2 066.91±1 010.55 2 717.36±551.99 31.74±20.27 126.20±79.86 t值 1.83 2.81 7.17 3.59 2.80 P值 0.08 <0.01 <0.01 <0.01 <0.01 体力活动水平 久坐组 22 157.60±126.00 2 021.50±1 086.50 3 251.50±1 033.00 34.16±20.04 126.86±78.41 运动组 22 226.64±110.39 2 995.86±956.10 3 815.45±1 141.62 52.05±24.12 198.94±95.05 t值 -1.93 -3.16 -1.72 -2.68 -2.74 P值 0.06 <0.01 0.09 0.01 <0.01 表 2 大学生基本人体测量信息、HGS与PF间的Pearson相关分析(n=44,r值)
Table 2. Pearson correlation of basic anthropometric information, HGS and PF among college students(n=44, r)
变量 FVC MEP PEF FEV1 FIVC MIP PIF 性别 -0.70** -0.32* -0.27 -0.40** -0.74** -0.49** -0.40** 体力活动 0.42** 0.25 0.29 0.44** 0.26 0.38* 0.39** 年龄 -0.04 -0.12 -0.10 -0.02 -0.07 -0.07 0.06 身高 0.81** 0.44** 0.41** 0.52** 0.73** 0.52** 0.49** 体重 0.76** 0.34* 0.31* 0.41** 0.76** 0.50** 0.49** HGS 0.79** 0.47** 0.44** 0.60** 0.72** 0.53** 0.49** 注:*P<0.05,**P<0.01。 表 3 采用多元线性回归建立的大学生肺功能预测方程及其相关参数(n=44)
Table 3. Pulmonary function prediction equations and related parameters of college students established by multiple linear regression(n=44)
预测方程 R2值 F值 P值 FVC=-7 525.65+59.06×身高+36.60×HGS 0.75 60.55 <0.01 MEP=2.46+1.35×HGS 0.22 11.86 <0.01 PEF=15.48+4.78×HGS 0.19 10.11 <0.01 FEV1=310.46+59.54×HGS 0.35 23.05 <0.01 FIVC=-907.04+47.40×体重+38.46×HGS 0.67 41.77 <0.01 MIP=1.83+1.12×HGS 0.28 16.43 <0.01 -
[1] BOHANNON R W. Muscle strength: clinical and prognostic value of hand-grip dynamometry[J]. Curr Opin Clin Nutr Metab Care, 2015, 18(5): 465-470. doi: 10.1097/MCO.0000000000000202 [2] RANTANEN T, HARRIS T, LEVEILLE S G, et al. Muscle strength and body mass index as long-term predictors of mortality in initially healthy men[J]. J Gerontol A Biol Sci Med Sci, 2000, 55(3): M168-M173. doi: 10.1093/gerona/55.3.M168 [3] RANTANEN T, MASAKI K, HE Q, et al. Midlife muscle strength and human longevity up to age 100 years: a 44-year prospective study among a decedent cohort[J]. Age (Dordr), 2012, 34(3): 563-570. doi: 10.1007/s11357-011-9256-y [4] ORTEGA F B, ARTERO E G, RUIZ J R, et al. Physical fitness levels among European adolescents: the HELENA study[J]. Br J Sports Med, 2011, 45(1): 20-29. doi: 10.1136/bjsm.2009.062679 [5] EFSTATHIOU I D, MAVROU I P, GRIGORIADIS K E. Correlation between maximum inspiratory pressure and hand-grip force in healthy young and middle-age individuals[J]. Respir Care, 2016, 61(7): 925-929. doi: 10.4187/respcare.04319 [6] SILLANPÄÄ E, STENROTH L, BIJLSMA A Y, et al. Associations between muscle strength, spirometric pulmonary function and mobility in healthy older adults[J]. Age (Dordr), 2014, 36(4): 9667. doi: 10.1007/s11357-014-9667-7 [7] HOLMES S J, ALLEN S C, ROBERTS H C. Relationship between lung function and grip strength in older hospitalized patients: a pilot study[J]. Int J Chron Obstruct Pulmon Dis, 2017, 12: 1207-1212. doi: 10.2147/COPD.S120721 [8] JEONG M, KANG H K, SONG P, et al. Hand grip strength in patients with chronic obstructive pulmonary disease[J]. Int J Chron Obstruct Pulmon Dis, 2017, 12: 2385-2390. doi: 10.2147/COPD.S140915 [9] LEE S H, KIM S J, HAN Y, et al. Hand grip strength and chronic obstructive pulmonary disease in Korea: an analysis in KNHANES VI[J]. Int J Chron Obstruct Pulmon Dis, 2017, 12: 2313-2321. doi: 10.2147/COPD.S142621 [10] CICHOSZ S L, VESTERGAARD E T, HEJLESEN O. Muscle grip strength is associated to reduced pulmonary capacity in patients with diabetes[J]. Primary Care Diabetes, 2018, 12(1): 66-70. doi: 10.1016/j.pcd.2017.06.007 [11] KIM N S. Correlation between grip strength and pulmonary function and respiratory muscle strength in stroke patients over 50 years of age[J]. J Exerc Rehabil, 2018, 14(6): 1017-1023. doi: 10.12965/jer.1836444.222 [12] VOGELMEIER C F, CRINER G J, MARTINEZ F J, et al. Global strategy for the diagnosis, management, and prevention of chronic obstructive lung disease 2017 report GOLD executive summary[J]. Am J Respir Crit Care Med, 2017, 195(5): 557-582. doi: 10.1164/rccm.201701-0218PP [13] FERGUSON G T, ENRIGHT P L, BUIST A S, et al. Office spirometry for lung health assessment in adults: a consensus statement from the national lung health education program[J]. Respir Care, 2000, 45(5): 513-530. [14] MGBEMENA N C, AWETO H A, TELLA B A, et al. Prediction of lung function using handgrip strength in healthy young adults[J]. Physiol Rep, 2019, 7(1): e13960. doi: 10.14814/phy2.13960 [15] AADAHL M, BEYER N, LINNEBERG A, et al. Grip strength and lower limb extension power in 19-72-year-old Danish men and women: the health 2006 study[J]. BMJ Open, 2011, 1(2): e000192. [16] KULAKSIZ G, GÖZIL R. The effect of hand preference on hand anthropometric measurements in healthy individuals[J]. Ann Anat, 2002, 184(3): 257-265. doi: 10.1016/S0940-9602(02)80119-4 [17] CHEN L, NELSON D R, ZHAO Y, et al. Relationship between muscle mass and muscle strength, and the impact of comorbidities: a population-based, cross-sectional study of older adults in the United States[J]. BMC Geriatr, 2013, 13: 74. doi: 10.1186/1471-2318-13-74 [18] COOPER R, STAMATAKIS E, HAMER M. Associations of sitting and physical activity with grip strength and balance in mid-life: 1970 British cohort study[J]. Scand J Med Sci Sports, 2020, 30(12): 2371-2381. doi: 10.1111/sms.13793 [19] ROSENBERG D E, BELLETTIERE J, GARDINER P A, et al. Independent associations between sedentary behaviors and mental, cognitive, physical, and functional health among older adults in retirement communities[J]. J Gerontol A Biol Sci Med Sci, 2016, 71(1): 78-83. doi: 10.1093/gerona/glv103 [20] SANTOS D A, SILVA A M, BAPTISTA F, et al. Sedentary behavior and physical activity are independently related to functional fitness in older adults[J]. Exp Gerontol, 2012, 47(12): 908-912. doi: 10.1016/j.exger.2012.07.011 [21] GREUTMANN M, LE T L, TOBLER D, et al. Generalised muscle weakness in young adults with congenital heart disease[J]. Heart, 2011, 97(14): 1164-1168. doi: 10.1136/hrt.2010.213579 [22] SMITH M, BERDEL D, NOWAK D, et al. Sport engagement by accelerometry under field conditions in German adolescents: results from GINIplus[J]. PLoS One, 2015, 10(8): e0135630. doi: 10.1371/journal.pone.0135630 [23] STRANDKVIST V J, BACKMAN H, RÖDING J, et al. Hand grip strength is associated with forced expiratory volume in 1 second among subjects with COPD: report from a population-based cohort study[J]. Int J Chron Obstruct Pulmon Dis, 2016, 11: 2527-2534. doi: 10.2147/COPD.S114154 [24] EISNER M D, BLANC P D, YELIN E H, et al. COPD as a systemic disease: impact on physical functional limitations[J]. Am J Med, 2008, 121(9): 789-796. doi: 10.1016/j.amjmed.2008.04.030 [25] ADEDOYIN R A, OGUNDAPO F A, MBADA C E, et al. Reference values for handgrip strength among healthy adults in Nigeria[J]. Hong Kong Physiother J, 2009, 27: 1-9. doi: 10.1016/S1013-7025(10)70001-4 [26] OSTROWSKI S, BARUD W. Factors influencing lung function: are the predicted values for spirometry reliable enough?[J]. J Physiol Pharmacol, 2006, 57(Suppl 4): 263-271. [27] SHIN H I, KIM D K, SEO K M, et al. Relation between respiratory muscle strength and skeletal muscle mass and hand grip strength in the healthy elderly[J]. Ann Rehabil Med, 2017, 41(4): 686-692. doi: 10.5535/arm.2017.41.4.686 [28] BAHAT G, TUFAN A, OZKAYA H, et al. Relation between hand grip strength, respiratory muscle strength and spirometric measures in male nursing home residents[J]. Aging Male, 2014, 17(3): 136-140. doi: 10.3109/13685538.2014.936001 [29] SMITH M P, STANDL M, BERDEL D, et al. Handgrip strength is associated with improved spirometry in adolescents[J]. PLoS One, 2018, 13(4): e0194560. doi: 10.1371/journal.pone.0194560
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