제2형 당뇨 노인의 심혈관대사위험과 복부비만도 및 상대악력의 관계 분석

Abstract

This study was to examine the independent and combined association of abdominal obesity and relative handgrip strength levels with increased cardiometabolic risk facotrs in type 2 diabetes elderly. The data from the 2016-2019 Korea National Health and Nutrition Examination Survey(KNHANES) were used. The subjects were 1,085 type 2 diabetes patients aged 65 to 79 years. Subjects were classified as Low WHtR & low relative HGS group, Low WHtR & high relative HGS group, High WHtR & low relative HGS group and High WHtR & high relative HGS group based on WHtR and relative HGS levels. Binary logistic regression analyses were used to determine the odds ratiod (ORs) and 95% confidence interval (CI) of cardiometabolic risk for having abdominal obesity and relative HGS levels. As a result of the analysis, after adjustment for age, weight, body mass index, alchol, smoking, and aerobic physical activity, only the High WHtR & low relative HGS group showed an increased(OR=1.695; 95% CI, 1.108-2.593) risk of exposure to cardiometabolic risk than the low WHtR & high relative HGS group. The results of this study suggest that the combined role of reducing abdominal obesity and increasing grip strength in the elderly with type 2 diabetes is more important in reducing the risk of cardiovascular and metabolic diseases than their independent roles.